Tooth Extractions in Wilmington, DE
What to Expect During the Tooth Extraction Process
Tooth extractions are sometimes necessary to protect your overall oral health. Teeth may need to be removed due to severe decay, advanced gum disease, fractures that cannot be repaired, or poor positioning such as impacted teeth. In some cases, extractions are recommended to make room for orthodontic treatment.
Because removing a tooth can affect chewing, jaw function, and cause surrounding teeth to shift, alternatives are always discussed first whenever possible. If an extraction is required, replacement options will also be reviewed to help maintain your bite and long-term dental health.
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Your Tooth Extraction: A Simple, Safe Procedure
Tooth extractions are performed with comfort, safety, and precision in mind. From effective numbing to careful techniques like tooth sectioning, every step is designed to minimize discomfort and protect the surrounding bone and tissue. Learn more about what happens during the extraction process below.
Local Anesthesia & Comfort
Before the procedure begins, a local anesthetic fully numbs the tooth, jawbone, and surrounding gum tissue. You may feel pressure during the removal process, but you should not feel pain. If you experience any discomfort, the dental team can quickly adjust to keep you comfortable.
Tooth Sectioning When Needed
Some teeth are firmly anchored or have curved roots that make removal more complex. In these cases, the tooth is carefully divided into smaller sections before removal. This technique helps reduce stress on the surrounding bone and minimizes trauma to nearby tissues.
Post-Extraction Care for a Smooth Recovery
After your extraction, a blood clot must form to begin the healing process. Biting on a gauze pad for 30–45 minutes helps control bleeding. Avoid disturbing the area for the first 72 hours — no smoking, drinking from straws, aggressive rinsing, or brushing directly on the site, as this can dislodge the clot and delay healing.
Some swelling and discomfort are normal and usually peak within the first 48 hours. Applying an ice pack in short intervals and taking prescribed medications will help manage this. Stay hydrated and stick to soft foods for the first day or two.
Resume gentle brushing and flossing after 24 hours to support healing and prevent infection. If you experience excessive bleeding, severe pain, swelling that doesn’t improve, or a reaction to medication, contact the office immediately.

