Dental Extractions

Dental Extractions are never fun, but we do our best to make this as comfortable an experience as possible.  We offer multiple forms of pain management.  Laughing Gas and Conscious Sedation are available 🙂 


We are more than happy to answer any questions you may have about this procedure, but please also feel free to read below to go into more detail.


Dental Extractions

Extractions are never fun, but we make this as simple a process as possible for you.

  • Bone grafts available to preserve your ridge and prevent tooth movement.
  • Laughing Gas, or Nitrous Oxide available.
  • Conscious Sedation available.
  • We can replace your tooth with an implant, a bridge, or a partial, if you like.
  • Natural looking replacement options.

The Process

Your next appointment will be the actual procedure.  We offer conscious sedation, or nitrous oxide(laughing gas) for those that are very anxious for their treatment.  We will numb the tooth or teeth that we will be removing.  We will remove the tooth and make sure the bone and gum are healthy and clean.  We may or may not place a bone graft and may or may not place sutures.  Every situation is different.  You will be given post-op instructions, but our general rules are not to smoke or drink anything through a straw.  We also recommend to sneeze with your mouth open if we extracted upper back teeth, but still cover your mouth.  We also recommend that people wrap a pillow in a red or black towel as a little bit of blood coming out at night is not uncommon. 

If we placed sutures or a bone graft, we will definitely need to set up a post-op to remove them.  We spray a topical and most people tolerate this well.  We will make sure that the bone and gum are healing properly and check the bone graft if one was placed.

See What Our Patients Have to Say:

Clinton Gipson
Clinton Gipson
May 6, 2023
Shallowford Smiles, and it's entire staff have taken tremendous care of me, my friends, and family for many, many years now. Great people, providing first rate services... I never hesitate to recommend these guys to anyone in need of the best kind of dental care.
Anita Houston
Anita Houston
May 4, 2023
They did a wonderful job and really mean that from the bottom of my heart friendly service with a smile 🥰🥰🥰🥰🥰
Sheena Grove
Sheena Grove
May 4, 2023
So friendly and helpful.
Gloria Hickman
Gloria Hickman
May 3, 2023
FRED Stewart
FRED Stewart
May 2, 2023
Always Courtious and efficient!
Jerry Toler
Jerry Toler
April 27, 2023
They are the best of what they do
Jenny Mcmahon
Jenny Mcmahon
April 20, 2023
Always thoughtful taking his time! Thank you!
Letricia Mayweather
Letricia Mayweather
April 19, 2023
The staff were really friendly and caring. The dentist was very professional and nice and comforting in my anxiety. Will recommend to other people!! Only problem is there payment options. There is none other than care credit
Steve Dohrn
Steve Dohrn
March 30, 2023
Friendly people. great service and reliable dental care.

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2 Implant Retained Denture

This includes the cost of 2 implants, the abutments, the attachments, and the implant retained denture.

4 Implant Retained Denture

This includes the cost of 4 implants, the abutments, the attachments, and the implant retained denture.

Replacement Inserts/O-rings

There are o-ring like devices, inside the housings of the implant retained denture, that, every 6 months to 2 years, have to be replaced.  Pricing is for per insert, so for 4, it would be $100.


Besides Cash, Check and Card, we also offer 3 different options for 3rd Party Financing.  Care Credit, Alphaeon Credit, and Proceed Finance are the three options we offer.  Please feel free to click on the names of each if you would like to explore those offers, or please reach out to us if you have any questions.


We are in network with Delta Dental, Blue Cross Blue Shield and Metlife.  We do accept all other major PPO plans, but we are not in network with any DMO style plans or TennCare.


Yes, there are two main types: simple extractions and surgical extractions. Simple extractions involve removing a tooth that is visible in the mouth, while surgical extractions involve removing a tooth that is not easily accessible, usually because it has not fully erupted or it has broken off at the gum line, or has multiple roots.

Common signs that might indicate the need for an extraction include severe tooth pain, swelling, infection, and sometimes for orthodontic reasons to correct overcrowding.  Some teeth can be saved, even if it seems like they can't.  The best thing is to come in for an Emergency Exam and let us evaluate the issue and come up with a game plan.

During a simple extraction, the area around your tooth will be numbed with local anesthesia. The tooth will then be loosened with a tool called an elevator before being removed with dental forceps. Surgical extractions may require more complex procedures, including the removal of gum tissue or bone.  We do offer conscious sedation and nitrous oxide if you are anxious.

Recovery typically takes a few days. It's important to follow your dentist's aftercare instructions to ensure proper healing. This includes avoiding strenuous activity for 24 hours, not smoking, and eating soft foods.  Pain usually peaks in the 2-4 day window, more commonly on day 2, though, or 48 hours after the extraction.

Although dental extractions are generally safe, they can lead to complications such as infection, prolonged bleeding, dry socket, or damage to nearby teeth.  At Shallowford Smiles in Chattanooga, TN, we will go over all these risks and do everything to prevent them :).  For badly infected teeth, it is not uncommon for us to prescribe antibiotics to help.  Pain medication is often sent in after the extraction.

It's best to stick to soft, cool foods and avoid hot beverages for the first few days. Gradually reintroduce other foods as the extraction site heals.  You don't want food to get stuck in the extraction socket.  This will prevent infection and a dry socket.

Dry socket is a painful condition that can occur when the blood clot at the extraction site is dislodged. To avoid this, don't use a straw, avoid smoking, and follow your dentist's instructions on oral hygiene.

You shouldn't feel pain during the procedure because the area will be numbed. However, you may feel pressure. Any discomfort post-procedure can usually be managed with over-the-counter pain relievers.

Most people can return to work within a day or two after a simple extraction, depending on their comfort and pain levels. Surgical extractions might require a bit more downtime.

Post-extraction care includes rinsing your mouth gently with salt water, avoiding brushing the extraction site directly, and keeping the area clean to prevent infection.  We typically recommend to avoid brushing teeth directly next to the extraction site for 2 days, and then avoiding the extraction site for about a week, or until the site feels ok to you.  If the site doesn't seem like it's healing, please give us a call or send a text message.  Usually we schedule post-ops for surgical extractions, so most of the time issues are caught then, but sometimes simple extractions don't heal properly and need some extra help.

Adjacent teeth may shift slightly after an extraction, but this typically does not cause significant problems. Partials, bridges, or implants can prevent this movement or replace those teeth 🙂

Pain management usually involves over-the-counter pain relievers, such as ibuprofen or acetaminophen. Applying an ice pack to the cheek can also help reduce swelling and discomfort.  Alternating ibuprofen and acetaminophen works very well, just make sure to follow manufacturer recommendations on how may tablets you can take.  In addition, the pain medication we prescribe typically has acetaminophen in it.  People cannot exceed 4000 mg of acetaminophen in a day.  So be careful.

Replacement options include dental implants, bridges, partials or dentures. Your dentist will recommend the best option based on your oral health and the location of the missing tooth.

The timing can vary depending on the type of replacement chosen. For implants, it's often beneficial to wait until the area has fully healed, which is often associated with a bone graft. Bridges aren't always an option, but if they are, they can be temporized immediately.  Immediate dentures and immediate partials are delivered when we extract the tooth as well.  Interim flippers are usually used to replace missing teeth while the area is healing for an implant.

Many dental insurance plans cover extractions, but coverage can vary. It is important to fill out your paperwork so we can check with your specific insurance plan.

Yes, some bleeding is normal within the first 24 hours. Bite down on a gauze pad to control it. If bleeding continues or becomes heavy, contact us please.  We recommend wrapping a towel around your pillow the first couple of nights after an extraction.  Sometimes as we move when we sleep, we disturb the site.  

Small bone fragments may work their way out during healing. If it's bothersome or painful, visit your dentist to have it removed safely.  These are called bone spurs and are unfortunately common.


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7613 Shallowford Road

Chattanooga, TN 37421