Extractions

Dentist Serving the O'Fallon Community

Sometimes, a tooth needs to be removed to protect your oral health and prevent further complications. At Brookside Family Dentistry, we perform safe, comfortable tooth extractions, including wisdom tooth removal and extractions for damaged or decayed teeth.

Whether your tooth is impacted, infected, or beyond repair, our dental team ensures a gentle, stress-free experience with advanced techniques and pain management options.

Why Do Teeth Need to Be Extracted?

A tooth extraction may be necessary if a tooth is severely damaged, decayed, or causing overcrowding. Common reasons for extractions include:

  • Severe tooth decay that cannot be restored with a filling or crown
  • Impacted wisdom teeth causing pain or infection
  • Broken or fractured teeth that cannot be repaired
  • Advanced gum disease that has weakened the bone supporting the tooth
  • Overcrowding or orthodontic needs (removing a tooth to allow proper alignment)
  • Abscessed teeth that have not responded to root canal therapy

If an extraction is needed, we will walk you through the entire process to ensure you feel comfortable and confident about your treatment.

Extractions

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Wisdom Teeth Extractions

Wisdom teeth (third molars) typically emerge between ages 17-25, but many people don’t have enough space in their mouths for them to come in properly. This can lead to impacted wisdom teeth, which can cause pain, infection, and misalignment of other teeth.

Signs You May Need Wisdom Teeth Removal

    • Jaw pain or swelling in the back of the mouth

    • Difficulty opening your mouth fully

    • Swollen, red, or bleeding gums near the wisdom teeth

    • Persistent bad breath or an unpleasant taste

    • Crowding or shifting of other teeth

If left untreated, impacted wisdom teeth can cause infection, cysts, or damage to nearby teeth. Our team will evaluate your wisdom teeth and recommend removal if necessary.

The Tooth Extraction Process – What to Expect

Tooth extractions are routine procedures performed with local anesthesia to ensure a pain-free experience. Depending on your needs, we may also offer sedation options for additional comfort.

Step 1: Numbing the Area

    • A local anesthetic is applied to numb the tooth and surrounding gum tissue.

    • If you prefer, sedation options (such as nitrous oxide or IV sedation) may be available.

Step 2: Loosening & Removing the Tooth

    • Simple Extractions: If the tooth is fully erupted, it is gently loosened and removed with specialized instruments.

    • Surgical Extractions: If the tooth is impacted or broken, a small incision is made in the gum, and the tooth may be removed in sections for easier extraction.

Step 3: Closing the Extraction Site

    • If necessary, dissolvable stitches may be placed to aid healing.

    • A gauze pad is applied to control bleeding and promote clot formation.

Recovery & Aftercare Instructions

Proper care after an extraction is essential for a smooth recovery. Follow these guidelines to promote healing and prevent complications:

What to Expect After Extraction

Mild swelling and discomfort for the first 24-48 hours

Minor bleeding, which should subside within a few hours

Soreness in the jaw, especially after wisdom tooth removal

Post-Extraction Care Instructions

    • Bite on gauze – Keep it in place for 30-45 minutes and change as needed.

    • Apply ice packs – Use for 20 minutes on, 20 minutes off to reduce swelling.

    • Rest & avoid strenuous activity – Avoid bending over or heavy lifting for at least 24 hours.

    • Eat soft foods – Stick to gelatin, yogurt, mashed potatoes, pudding, ice cream, and soup for the first few days.

    • Do NOT use a straw or smoke – The suction motion can disrupt healing and cause dry socket.

    • Keep the area clean – Gently rinse with warm salt water after 24 hours (but do not spit forcefully).

If you experience prolonged bleeding, severe pain, or signs of infection, contact our office immediately.

How Long Does It Take to Heal After a Tooth Extraction?

Healing time varies, but most patients recover within 7-10 days. Wisdom teeth extractions or surgical extractions may take slightly longer.

    • Swelling peaks at 48 hours, then gradually decreases.

    • Soft foods should be eaten for about 3-5 days.

    • Normal activities can usually resume within 24-48 hours.

Following proper aftercare instructions ensures a smooth, comfortable recovery.

What Is a Dry Socket & How Can I Prevent It?

A dry socket occurs when the blood clot that forms after an extraction dislodges too soon, exposing the bone. This can cause severe pain and delay healing.

Ways to Prevent Dry Socket

    • Do NOT use straws, smoke, or spit forcefully for the first few days.

    • Avoid excessive rinsing within the first 24 hours.

    • Follow all post-op care instructions carefully.

If you develop severe pain a few days after extraction, contact us immediately for treatment.

Schedule Your Tooth Extraction in O’Fallon, MO

If you’re experiencing tooth pain, wisdom tooth issues, or severe decay, our team at Brookside Family Dentistry is here to help. We provide gentle, professional extractions in a comfortable and stress-free environment.

Call today to schedule your consultation and get relief from tooth pain!

FAQs

When is a tooth extraction necessary?
A tooth may need to be extracted if it is severely decayed, infected, broken beyond repair, causing crowding, or impacted beneath the gumline.

Is a tooth extraction painful?
The area is completely numbed before the procedure, so you should not feel pain. Mild soreness afterward is normal and can be managed with recommended pain relief.

What is the difference between a simple extraction and a surgical extraction?
A simple extraction removes a tooth that is fully visible above the gums, while a surgical extraction is needed for teeth that are broken, impacted, or not easily accessible.

How long does it take to recover from an extraction?
Most patients recover within a few days. Following aftercare instructions helps reduce discomfort, prevent infection, and promote quicker healing.

What should I avoid after a tooth extraction?
Avoid smoking, using straws, vigorous rinsing, and hard or hot foods. These activities can dislodge the clot and cause a complication known as dry socket.

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Michelle Bundy
16 October 2026
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Wow I’ve never been to a dentist that was so nice and actually listens. I have never been to a dentist I wanted to go back too! Definitely A+ highly recommend them!
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Brad Ward
10 October 2026
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Dr. John is a no Not sense kind of doctor gets things done always on time.has helped me on my journey on a new set of teeth. I feel that Crystal in the front office has got me in ASAP when I’ve had a little discomfort. I am very appreciative. I would recommend Brookside Dentistry.
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TC Armistead
8 October 2026
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Thank You.
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Terrie
7 October 2026
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Very state of art - friendly and explained things so I could understand gave me tips and answered all my questions…
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Cc
25 September 2026
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Very friendly environment and well experienced at doing a professional service. I really appreciated Dr. John , he pulled 2 teeth and no problem or pressure. I feel Dr. John and his staff are wonderful at what they do. Thank you PS : Dr. John is a expert 😉. Dr. John made a partial lower bridge. Im so surprised no pains at. They fitted perfectly. Thank , Dr. John
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Kathy Sivils
17 September 2026
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Everyone is so nice here!! I like seeing them for my appointments!!
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Robert Adams
15 September 2026
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Dr John Paden was very good. And the person doing the cleaning was very good too
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Ginger Simon
10 September 2026
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This is absolutely the best dentist and office staff! Easy to schedule with, caring and professional. Also, for those of you out there that do not have dental insurance, they offer an excellent in house plan for you.
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Tiffani Hartz
1 September 2026
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I was terrified to go tot he dentist because I was embarrassed about my teeth, Ms. Randee made me feel so comfortable and at ease. Dr John was very nice and professional and I didn’t feel judged at all. A scary experience was definitely turned to a pleasant one - I will definitely be going back !
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Rick Briney
27 August 2026
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Pleasant experience per usual. I specifically enjoyed that the Dental Hygienist gave me the "whys" of what was happening and what I can do to prevent the aggressive scraping. I had many questions and she took the time to explain everything.
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Beverly Pogue
25 August 2026
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Tooth broke, they took me in right away and all of them are the nicest and sweetest people. Wouldn’t go anywhere else. Thanks guys‼️‼️‼️
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Susie Gaffney
22 August 2026
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The whole team is awesome .Dr Paden is awesome and compassionate!!! Highly recommend this practice!!!!
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Scottie baker
21 August 2026
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Love going to Brookside . From making and appointment then getting to the office visit .I recommend Brookside to my family & friends.
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marshamelton
19 August 2026
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They all are very nice and Dr. John takes the time to explain what needs to be done.
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Alexae Dunn
18 August 2026
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As someone with severe dental anxiety, the entire team at Brookside Family dentistry went out of their way to make sure I was comfortable and on my way to a speedy recovery in no time. At no point did I feel rushed, the dentist and his assistant were very accommodating, patient, and kind. Will definitely be returning in the future.
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Mary Baggett
5 August 2026
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Wonderful 2nd visit. The hygienist and the doctor were very thorough and personable and took time to discuss any questions that I had. I highly recommend Brookside.
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Michele Waller
31 July 2026
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What a great place to go get your teeth done everyone there is very kind. Dr. John is awesome. He’s like the best dentist I’ve ever been to very gentle and does a great job. I’ve had four crowns and a filling plus a wisdom tooth taken out just a few days ago and he did an awesome job and I’m doing very well thanks to dr. John and the staff.
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Ronald Kettler
27 July 2026
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Had a crown come loose and my dentist for the last 15+ years retired and I needed to find a new one. To my surprise, Dr. John was able to see me the same day I called for an appointment. Everyone at his office in O'Fallon was so polite and professional. Dr. John I definitely is now my new dentist to take care of my teeth in the future. Thanks also to Crystal in the front office and Deja the hygienist for prompt and friendly attention in solving my issue with my crown. I highly recommend Dr. John if you are looking for a new dentist to take care of your teeth.
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James Kansteiner
24 July 2026
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Great check up, superb cleaning, and excellent examination overall!! 😁