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Tooth Extractions

At Prostho Cosmetic Dentistry in North Bethesda, Maryland and Vienna, Virginia, we perform gentle tooth extractions, including wisdom teeth removal, using advanced techniques and comfort options to ensure a stress-free experience with minimal discomfort and optimal healing.

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Call / Text: (301) 377−8306

Why Tooth Extractions Are Sometimes Necessary

NECESSARY extractions CAN HELP YOUR overall health

Tooth extraction has transformed dramatically in recent years.
At Prostho Cosmetic Dentistry, we've eliminated the anxiety and discomfort traditionally associated with tooth removal through our advanced techniques, comprehensive comfort options, and meticulous attention to every detail of your care.

Our approach begins with detailed 3D imaging that allows us to visualize the exact position of the tooth and surrounding structures, creating a precise extraction plan that minimizes tissue disruption.

Using the latest in local anesthesia delivery systems and optional sedation, we ensure your procedure is remarkably comfortable—many patients are surprised by how quick and painless the experience actually is.

Beyond the procedure itself, we focus on optimal healing. Our technique preserves the surrounding bone structure when possible, which maintains facial aesthetics and creates better conditions for future tooth replacement options like dental implants.

We provide comprehensive aftercare instructions and are readily available for any questions during your recovery process. With Prostho Cosmetic Dentistry, tooth extraction isn't something to fear. It's simply the first step toward restored oral health and comfort. Ready to address that problematic tooth? Schedule your consultation today

What Sets Our Tooth Extractions Apart?

At Prostho Cosmetic Dentistry, our extraction procedures utilize advanced surgical techniques and state-of-the-art technology for precision that drastically reduces trauma to surrounding tissues.

Our custom extraction protocol adapts to your unique situation, whether it's a damaged tooth, severe infection, or impacted wisdom tooth.

Our gentle approach promotes faster healing with minimal discomfort.

This isn't just about removing a tooth, it's about preserving your long-term oral health. Our doctors apply microsurgical principles even to routine extractions.

This will help maintain bone structure, which becomes crucial if you later choose implant replacement.

We combine this technical excellence with comprehensive comfort measures including multiple sedation options, soothing amenities, and detailed post-operative care.

When you choose our practice for extractions, you're selecting a team that views even this routine procedure as an opportunity to deliver exceptional care with your comfort and future oral health as our primary focus.

Ready to resolve your dental discomfort? Schedule your consultation today to discuss your extraction needs.

well-recognized by our communities

Prostho Dental In Maryland and Virginia Voted Top Dentist By Washingtonian

Benefits of Professional Tooth Extractions

When performed properly, extractions can eliminate pain, prevent further complications, and here are some benefits you'll love:

Experience Immediate pain relief
Prevent infection from spreading
Removal of permanently damaged teeth
Protection of surrounding teeth
Foundation for future restoration

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What to Expect During Your Tooth Extraction

Your Prostho Endo Experience: 5 Simple Steps

Step 1: Warm Welcome & Paperless Check-In

When you arrive at our office, you'll be greeted by our friendly front desk team with genuine smiles.

Instead of clipboard paperwork, we provide an iPad for quick, paperless registration that respects your time.

Our relaxing and welcoming environment is designed to put you at ease from the moment you step through our doors. Soft lighting, comfortable seating, and refreshments make this first step pleasant and stress-free.

Step 2: Expert Specialist Comfortable Consultation

A dedicated dental assistant will personally escort you to your treatment room, introducing you to our office layout and amenities along the way.

Feel free to ask questions as we walk and talk! Once in your private treatment room, you'll settle into our ergonomic chair while watching a brief welcome video.

We'll ensure you're completely comfortable with pillows, blankets if needed, and entertainment options before proceeding.

Step 3: Gentle Digital Assessment

Our team uses state-of-the-art technology to gather the information needed for your personalized care plan painlessly.

No more uncomfortable, gagging impression materials. Our digital scanners capture precise images quickly and comfortably.

When necessary, our low-radiation 3D imaging provides detailed views while prioritizing your safety.

Throughout this process, we'll explain each step so you know exactly what's happening.

Step 4: Simple Transparent Planning

Now it's time to meet with either Dr. Shin (Prosthodontist) or Dr. Kim (Endodontist), who will personally review your assessment results with you.

Using clear language you will understand with ease, not confusing dental jargon. They'll discuss your specific concerns and goals while answering all your questions.

You'll receive a detailed digital treatment plan with transparent pricing via email, so there are never any surprises.

Whether you need same-day treatment or a comprehensive multi-phase plan, everything will be explained thoroughly.

Step 5: Comfort, Treatment & Confident Results

Experience dental care that truly prioritizes your comfort using the latest technology.

From digital smile design for aesthetic procedures to advanced root canal techniques that minimize discomfort, every aspect of your treatment is designed to be as pleasant as possible.

Before you leave, you'll receive clear post-procedure instructions and the option to schedule any necessary follow-up appointments.

You'll walk out not just with improved dental health, but with a newfound confidence in your smile.

Are you ready to experience dental care that transforms anxiety into confidence? Many patients tell us they wish they hadn't waited so long to visit us! Schedule your appointment today.

Frequently Asked Questions About Tooth Extractions

What if I don't have insurance?

Affordable Dental Care Without Insurance – The Prostho Dental Membership Plan
At Prostho Dental, we believe everyone deserves access to high-quality dental care whether you have insurance or not. That’s why we created our in-house Prostho Dental Membership Plan. A smart, affordable alternative to traditional dental insurance.

If you’re among the millions of Americans without dental coverage, you’re not alone. Traditional insurance plans often come with annual caps, long waiting periods, deductibles, and confusing claims. We wanted to change that.

Our membership plan is designed to give you peace of mind and real value with no hidden fees, no annual maximums, no waiting periods, and no pre-approvals.

From day one, you’ll get access to:

Routine cleanings, exams, and X-rays
Emergency exams and fluoride treatments (varies by plan)
Exclusive savings on procedures completed at our practice
Immediate benefits. No deductibles or claims
Flexible options for children, adults, and periodontal care

And the best part? Plans start at just $50/month and include a 30-day money-back guarantee if no services or discounts have been used. Membership runs for 12 months from the date you join, and auto-renewal is managed easily through your member portal.

Whether it's for you or your whole family, our membership makes dental care more affordable, predictable, and stress-free.

We’re proud to serve our Maryland and Virginia communities and invite you to experience the personalized care we’re known for at Prostho Dental.

Download our Essential Smile Membership Plan printable flyer to learn more, sign up at our front desk, or just point your phone camera at the QR code.

When is tooth extraction necessary instead of saving the tooth?

While our philosophy emphasizes preserving natural teeth whenever possible, extractions become necessary in specific situations: when a tooth is severely damaged beyond repair from trauma or extensive decay, when advanced periodontal disease has destroyed supporting bone, when infection persists despite root canal therapy, or when removing teeth would benefit orthodontic treatment for severely crowded mouths.

Wisdom teeth (third molars) often require extraction when they're impacted, causing pain, or threatening the alignment of other teeth.

During your consultation at Prostho Cosmetic Dentistry, we'll thoroughly evaluate all preservation options before recommending extraction, and explain exactly why removal might be the healthiest long-term solution for your specific situation.

Contact us for a comprehensive assessment of your tooth concerns.

What Can I expect During the Extraction and after?

What are the recovery instructions for the next 72hrs after the extraction?

Day One: Continue biting on the gauze for 30-60 minutes following your procedure. Do not spit, rinse, suck (using a straw), drink carbonated or alcoholic beverages, or smoke for at least 24 hours following your procedure. Passively empty your mouth while needed by standing over the sink and drooling everything out slowly. The goal is to keep blood clots in the socket to prevent bleeding and a painful complication known as dry socket.
Day Two: You will most likely experience one or more of the following symptoms: Minor pain, swelling, bruising, and limitation in opening or closing your mouth, pain in your jaw or ear, sore throat. It is important to listen to your body and to take it easy. No heavy lifting, splitting, sucking, alcohol, or smoking.
Oral Hygiene: Brush gently. A gentle lukewarm saltwater rinse can be used to freshen your mouth. But again, do not spit; just let the fluid passively empty. The corners of your mouth may become cracked and dry so moisturize frequently.
Swelling and Discomfort: Apply cold compresses to affected area at 10-minute intervals for the first 24 hours to minimize swelling. Any swelling that occurs usually begins to go away within 72 hours. Please give us a call if there is no change.
Ibuprofen (Advil^®, Motrin^®) works well to manage post-operative discomfort. In case of pain, adopt a regular dosing schedule of 400 – 600mg every 6-8 hours for 24 hours. If pain is not controlled with Ibuprofen only, you can combine/stagger Ibuprofen 600mg with 500mg of Acetaminophen (Extra Strength Tylenol^®). Please do not use any of the above medications that your physician or pharmacist has advised you not to take.Please follow manufacturer’s instructions and discontinue alcohol consumption while taking these medications.
Bleeding: Some oozing of blood is normal for the first 12-24 hours. Put a hand towel on your pillow as some drooling can occur while you are numb. If you experience excessive bleeding, apply firm pressure with 1-2 folded gauze pads or a damp tea bag on the affected area for about 30-60 minutes and keep your head elevated. Call the office if the bleeding does not subside.
During office hours (8:30am-5:00pm, M-F), please call/text: 301-377-8306
After hours, please call/text Dr. DJ Shin’s cell phone: 857-540-2066
Diet: Drink plenty of fluids. Avoid carbonated and alcoholic beverages. A soft diet will be the easiest (yogurt, milkshakes with no straw, soups, fish, and pasta). Nothing too spicy is also recommended. It is normal to have a little tenderness while chewing and difficulty opening wide.
Stitches: If you have received sutures, avoid playing with them. If non-restorable sutures were placed, a 15-minute post op appointment will be needed to remove the sutures in 7-10 days.
Prescriptions: If you have been prescribed antibiotics, take as directed until they run out, even if the symptoms dissipate. Some antibiotics can interfere with the effectiveness of other medications so let your dentist know of any other medications you may be taking. Take all medications as directed by your dentist.
Please return for a follow-up. Failure to do so may result in complications and Prostho. Endo. Dental Specialists (Shin Prosthodontics, LLC) will not be held liable for conditions or problems that may occur due to your failure to return for follow-up.

What Should I Bring With me When I Come In?

What's the difference between simple and surgical tooth extractions?

A simple extraction is performed on fully erupted, visible teeth that can be removed using elevation and forceps techniques under local anesthesia.

Surgical extractions, which include wisdom tooth removal and extractions of broken or impacted teeth require a small incision into the gum tissue and sometimes removal of overlying bone or sectioning the tooth into smaller pieces.

At Prostho Cosmetic Dentistry, we use advanced imaging to determine which approach is appropriate for your situation and offer multiple sedation options for either procedure type.

Our skilled team has extensive experience with both techniques, ensuring your comfort regardless of extraction complexity. Questions about which type of extraction you might need? Call us for a personalized evaluation.

Will my tooth extraction be painful during and after the procedure?

At Prostho Cosmetic Dentistry, we've revolutionized the tooth extraction experience through our comprehensive comfort protocol.

During the procedure, you'll receive precisely delivered local anesthesia, with optional sedation ranging from nitrous oxide to conscious sedation for those with dental anxiety.

Many patients report feeling only pressure, not pain during their extraction. For post-procedure comfort, we use long-lasting local anesthetics and provide detailed pain management instructions including appropriate medications.

Our minimally invasive techniques result in less tissue trauma, which significantly reduces post-extraction discomfort. We also offer optional cold therapy after surgery to minimize swelling and increase comfort.

Still concerned about potential pain?

Contact our office to discuss your specific concerns and learn more about our comfort-focused approach.

When is tooth extraction necessary instead of saving the tooth?

How long is the recovery period after a tooth extraction?

Recovery time varies depending on the complexity of your extraction, but most patients follow this general timeline: The initial clot forms within 24 hours, with the most noticeable discomfort typically subsiding after 2-3 days.

Soft tissue healing progresses significantly within 7-10 days, while complete bone healing takes approximately 3-6 months (though this doesn't impact your daily comfort). Our patients often return to work or school within 1-2 days for simple extractions and 3-5 days for surgical or wisdom tooth extractions.

At Prostho Cosmetic Dentistry, we enhance your recovery through meticulous surgical technique, specialized healing materials, and comprehensive aftercare guidance. We also offer accelerated healing options for qualifying patients.

Need to plan around work or school commitments? Contact us to discuss your specific situation and recovery expectations.

What tooth replacement options should I consider after extraction?

After extraction, several replacement options can restore both function and aesthetics: Dental implants offer the most natural-looking, long-lasting solution by replacing both root and crown while preserving jawbone integrity.

Fixed bridges provide a non-removable option that uses adjacent teeth for support without surgery. Partial dentures offer an economical, removable solution ideal for replacing multiple teeth.

The best choice depends on several factors: your oral health status, bone volume at the extraction site, adjacent teeth condition, aesthetic goals, and budget considerations.

At Prostho Cosmetic Dentistry, Dr. Shin specializes in prosthodontics (tooth replacement) and can guide you through these options with detailed visual previews of potential outcomes.

In some cases, we can place an implant immediately following extraction, reducing your overall treatment timeline. Schedule a consultation to explore which replacement option best suits your specific needs and lifestyle.

Book online or call / text (301) 377− 8306 to make an appointment.

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