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Surgical Tooth Extractions

Expert oral surgery for simple and complex extractions. IV sedation available for a comfortable, pain-free experience. Same-day emergency appointments.

Expert Tooth Extraction Services

At Aloha Dental Implant & Surgical Center, we specialize in surgical tooth extractions for cases that require advanced expertise. While no one wants to lose a tooth, sometimes extraction is the best option to protect your oral health and prepare for dental implants or other restorative treatment.

Dr. Merat Ostovar brings over 17 years of oral surgery experience to every extraction, ensuring safe, efficient, and comfortable procedures even for the most complex cases.

Dental Emergency?

Experiencing severe tooth pain, swelling, or trauma? We offer same-day emergency extractions.

Call Now: (503) 822-0096

Types of Extractions We Perform

Simple Extractions

For teeth that are visible above the gumline and can be removed with standard techniques. Often performed under local anesthesia.

Surgical Extractions

For teeth that are broken below the gumline, impacted, or have complex root structures. May require incisions and bone removal.

Wisdom Tooth Removal

Extraction of third molars, whether impacted, partially erupted, or fully erupted. We handle all levels of impaction.

Full Mouth Extractions

Removal of all remaining teeth in preparation for full dentures, implant-supported dentures, or All-on-4 treatment.

When is Tooth Extraction Necessary?

We recommend extraction when a tooth cannot be saved or poses a risk to your health:

  • Severe decay: When decay has destroyed too much tooth structure to restore
  • Advanced gum disease: When bone loss has made the tooth too loose to save
  • Cracked or fractured teeth: When the fracture extends below the bone level
  • Failed root canal: When previous treatment has failed and retreatment isn't viable
  • Impacted teeth: Wisdom teeth or other teeth trapped in the bone
  • Infection or abscess: When antibiotics and other treatments aren't effective
  • Preparation for implants: Removing failing teeth before implant placement
  • Orthodontic reasons: Creating space for teeth alignment

The Extraction Procedure

Before Your Extraction

  • Review of your medical history and current medications
  • X-rays or 3D CT scan to evaluate tooth and root anatomy
  • Discussion of anesthesia options (local, sedation, or general)
  • Pre-operative instructions based on your sedation choice

During the Procedure

  • Administration of your chosen anesthesia
  • Careful extraction using specialized instruments
  • Removal of any infected tissue or bone if needed
  • Socket preservation bone graft if planning for implants
  • Sutures to promote healing when necessary

After Your Extraction

  • First 24 hours: Bite on gauze, apply ice, rest with head elevated
  • Days 2-3: Some swelling and discomfort is normal. Take prescribed medications.
  • First week: Soft food diet, avoid straws and smoking
  • 1-2 weeks: Sutures dissolve or are removed. Most patients return to normal activities.

Sedation Options for Comfortable Extractions

We understand that many patients feel anxious about extractions. That's why we offer multiple sedation options:

  • Local Anesthesia: Numbs the extraction area completely
  • Nitrous Oxide (Laughing Gas): Helps you relax while remaining awake
  • Oral Sedation: A pill taken before your appointment for moderate sedation
  • IV Sedation: Deep relaxation where you sleep through the procedure

Dr. Ostovar will recommend the best option based on the complexity of your extraction and your comfort level.

Socket Preservation: Planning for Implants

If you're planning to replace your extracted tooth with a dental implant, we strongly recommend socket preservation at the time of extraction. This procedure places bone graft material into the empty socket immediately after the tooth is removed.

Benefits of socket preservation:

  • Prevents up to 50% of bone loss that normally occurs after extraction
  • Maintains bone volume for successful implant placement
  • May eliminate the need for additional bone grafting later
  • Shortens the overall time to complete implant treatment

Why Choose Us for Tooth Extractions?

  • Oral Surgery Expertise: 17+ years of surgical extraction experience
  • Advanced Technology: 3D imaging for complex cases
  • IV Sedation Available: Sleep through your procedure comfortably
  • Same-Day Emergencies: We prioritize patients in pain
  • Open 7 Days: Convenient scheduling including weekends
  • Implant Planning: Socket preservation for future implants
  • Comprehensive Care: From extraction to implant to final restoration

Understanding Surgical Tooth Extractions

At Aloha Dental Implant & Surgical Center in Beaverton, Oregon, we specialize in surgical tooth extractions that require advanced oral surgery techniques. While general dentists can perform simple extractions, complex cases—impacted teeth, broken teeth below the gumline, teeth with curved roots, or multi-rooted molars—require the expertise of a skilled oral surgeon like Dr. Ostovar.

What Makes an Extraction "Surgical"?

A surgical extraction differs from a simple extraction in several key ways:

  • Incision Required: An incision is made in the gum tissue to access the tooth or roots
  • Bone Removal: Some surrounding bone may need to be removed to access the tooth
  • Tooth Sectioning: The tooth may be divided into sections for easier removal
  • Root Tip Retrieval: Broken root tips are carefully retrieved from the bone
  • Sutures: Stitches are placed to close the surgical site

Dr. Ostovar's extensive training in oral surgery enables him to handle even the most complex extraction cases safely and efficiently, serving patients throughout Beaverton, Hillsboro, Aloha, Tanasbourne, and Washington County.

Advanced 3D Imaging for Extraction Planning

At our Beaverton dental surgery center, we use advanced 3D CBCT (Cone Beam Computed Tomography) imaging for surgical extraction planning. This technology provides:

  • Precise Root Anatomy: Visualize curved, hooked, or divergent roots before surgery
  • Nerve Location: Identify the inferior alveolar nerve to prevent complications
  • Sinus Proximity: Assess relationship to maxillary sinus for upper teeth
  • Bone Density: Evaluate surrounding bone quality for extraction approach
  • Pathology Detection: Identify cysts, infections, or other abnormalities

This detailed pre-surgical imaging significantly reduces risks and allows Dr. Ostovar to plan the most efficient, least traumatic extraction approach for each patient.

Immediate Dental Implant Placement After Extraction

One of the most exciting advances in modern implant dentistry is the ability to place a dental implant immediately after tooth extraction—in the same surgical appointment. This approach, offered at our Beaverton dental implant center, provides several advantages:

Benefits of Immediate Implant Placement

  • Reduced Treatment Time: Skip the 3-6 month healing period between extraction and implant
  • Fewer Surgical Procedures: One surgery instead of two
  • Bone Preservation: Natural bone and soft tissue are maintained
  • Cost Savings: Fewer appointments and less time off work
  • Psychological Benefit: Never go without a tooth

Who is a Candidate for Immediate Implants?

Not every extraction site is suitable for immediate implant placement. Ideal candidates have:

  • Adequate bone surrounding the extraction site
  • No active infection at the tooth being extracted
  • Healthy surrounding gum tissue
  • Good overall oral and systemic health

Dr. Ostovar evaluates each case individually using 3D CT imaging to determine if immediate implant placement is appropriate. When it's not suitable, socket preservation bone grafting maintains bone for future implant placement.

Full Mouth Extractions for All-on-4 Treatment

Many patients visiting our Beaverton practice are seeking a permanent solution to failing or painful teeth. Full mouth extractions combined with All-on-4 dental implants offer a transformative solution—removing all remaining teeth and placing implants with fixed teeth in a single day.

The Full Mouth Extraction Process

  • Pre-operative Planning: 3D CT scan and digital smile design
  • IV Sedation: Sleep comfortably through the entire procedure
  • Extraction of All Teeth: All remaining teeth are carefully removed
  • Site Preparation: Bone is shaped for optimal implant placement
  • Implant Placement: 4-6 dental implants per arch
  • Temporary Teeth: Fixed temporary bridge attached same day

Patients who choose this comprehensive approach often report that the transformation is life-changing—eliminating years of dental problems in a single visit and restoring full function and aesthetics immediately.

Post-Extraction Healing and Recovery

Proper post-operative care is essential for optimal healing after tooth extraction. At Aloha Dental Implant & Surgical Center, we provide comprehensive aftercare instructions and are available 7 days a week if you have questions or concerns.

Detailed Recovery Timeline

Day 1 (Day of Extraction)

  • Bite on gauze for 30-45 minutes to control bleeding
  • Apply ice packs: 20 minutes on, 20 minutes off
  • Keep head elevated, even while sleeping
  • Take prescribed pain medication before numbness wears off
  • Eat only soft, cool foods—avoid chewing near extraction site
  • NO rinsing, spitting, straws, or smoking

Days 2-3

  • Swelling typically peaks—this is normal
  • Begin gentle salt water rinses (1/2 teaspoon salt in 8 oz warm water)
  • Continue soft diet and prescribed medications
  • Light activity is fine; avoid strenuous exercise

Days 4-7

  • Swelling and discomfort should steadily decrease
  • Can usually transition to over-the-counter pain relievers
  • Gradually introduce more solid foods as comfortable
  • Continue avoiding straws and smoking

Weeks 2-4

  • Sutures dissolve or are removed (if non-dissolving)
  • Most patients return to normal diet
  • Socket continues healing with new tissue formation

Tooth Extraction Cost and Financing

At Aloha Dental Implant & Surgical Center in Beaverton, we believe cost shouldn't prevent you from getting the dental care you need. Here's what to expect:

Typical Extraction Costs in Beaverton/Hillsboro

  • Simple extraction: $150 - $350 per tooth
  • Surgical extraction: $300 - $600 per tooth
  • Wisdom tooth extraction: $300 - $700 per tooth
  • Socket preservation: $300 - $800 per site
  • IV sedation: $300 - $600 (for entire visit)

Insurance and Financing Options

Most dental insurance plans cover tooth extractions as a basic procedure. Our experienced billing team will verify your benefits and help maximize your coverage. For any remaining balance, we offer:

  • CareCredit: 0% interest financing with approved credit
  • Proceed Finance: Extended payment plans
  • In-house payment plans: Flexible arrangements
  • HSA/FSA: Tax-advantaged healthcare accounts accepted

Serving Extraction Patients Throughout Washington County

Aloha Dental Implant & Surgical Center is conveniently located at 18455 SW Alexander St, Suite A in Beaverton, OR 97003—just minutes from Highway 26 and easily accessible from throughout the Portland Metro area. We provide surgical tooth extractions for patients from:

  • Beaverton - Our home location
  • Aloha - 3 minute drive
  • Hillsboro - 5 minute drive
  • Tanasbourne - 5 minute drive
  • Orenco Station - 5 minute drive
  • Cedar Hills - 8 minute drive
  • Bethany - 10 minute drive
  • Rock Creek - 12 minute drive
  • Forest Grove - 15 minute drive
  • Tigard - 15 minute drive

Our office is open 7 days a week for your convenience, including same-day emergency appointments. Call (503) 822-0096 to schedule your extraction consultation.

Tooth Extraction FAQs

Where is your tooth extraction office located?

Aloha Dental Implant & Surgical Center is located at 18455 SW Alexander St, Suite A in Beaverton, OR 97003. We perform surgical tooth extractions for patients from Aloha, Beaverton, Hillsboro, Tanasbourne, Orenco Station, Cedar Hills, Bethany, Rock Creek, Forest Grove, Tigard, and throughout Washington County.

How much does a tooth extraction cost in Beaverton?

Simple extractions in the Beaverton area typically cost $150-$350 per tooth. Surgical extractions of impacted or broken teeth range from $300-$600. Add $300-$800 for socket preservation bone grafting if planning for future implants. We provide detailed cost estimates before any procedure and offer 0% CareCredit financing.

Is tooth extraction painful?

You should feel no pain during the extraction—only pressure. Dr. Ostovar uses advanced local anesthesia techniques and offers IV sedation for complete comfort. Post-operative discomfort is typically manageable with prescribed pain medication for 2-4 days. Many Beaverton patients are surprised at how comfortable modern extractions are.

What is the difference between simple and surgical extraction?

Simple extractions remove visible teeth with intact roots using specialized elevators and forceps. Surgical extractions are needed for impacted teeth, broken teeth below the gumline, teeth with curved or fused roots, or teeth with significant decay. Surgical extractions may require incisions, bone removal, or sectioning the tooth into pieces.

Do you offer sedation for tooth extractions?

Yes! Dr. Ostovar is credentialed in IV sedation. We offer nitrous oxide (laughing gas), oral sedation, and IV sedation for anxiety-free extractions. IV sedation is especially popular for multiple extractions or patients with dental anxiety. Most Beaverton patients who choose IV sedation have no memory of the procedure.

What is socket preservation and do I need it?

Socket preservation is bone grafting performed immediately after extraction to prevent bone loss. If you plan to replace the tooth with a dental implant, socket preservation is strongly recommended—without it, the extraction site can lose 30-60% of bone volume within the first year, potentially requiring additional grafting before implant placement.

How long does tooth extraction take?

A simple extraction typically takes 15-30 minutes including numbing time. Surgical extractions take 30-60 minutes per tooth depending on complexity. Multiple extractions can be done in one visit with IV sedation—full mouth extractions typically take 2-3 hours. You'll have detailed timing during your consultation.

What can I eat after tooth extraction?

Stick to soft, cool foods for 3-5 days: smoothies, yogurt, mashed potatoes, scrambled eggs, protein shakes, applesauce, soup (not hot). Avoid crunchy foods, chips, seeds, straws, and hot liquids for at least 5-7 days. Gradually return to normal diet as the site heals. Dr. Ostovar provides detailed aftercare instructions.

What is dry socket and how do I prevent it?

Dry socket occurs when the blood clot dislodges from the extraction site, exposing bone and nerves—causing significant pain 2-4 days post-extraction. Prevent it by: not smoking, not using straws, avoiding vigorous rinsing, eating soft foods, and following all post-op instructions. Smokers have the highest dry socket risk.

Can I get a dental implant immediately after extraction?

In many cases, yes! Dr. Ostovar can place an immediate implant at the time of extraction if adequate bone and soft tissue exist. This reduces overall treatment time and preserves bone naturally. However, some cases require 3-4 months of healing before implant placement. Your 3D CT scan will determine the best approach.

How long is recovery from tooth extraction?

Initial healing takes 1-2 weeks with most discomfort subsiding within 3-5 days. Full bone healing takes 3-4 months. Most Beaverton patients return to work the next day after simple extractions, or take 2-3 days off for surgical extractions. Follow post-op instructions carefully for optimal healing.

Do you perform emergency tooth extractions?

Yes! We reserve same-day appointments for dental emergencies. If you're experiencing severe tooth pain, infection, abscess, or trauma in the Beaverton/Hillsboro area, call (503) 822-0096 immediately. We prioritize patients in pain and can often see you the same day. Open 7 days a week for your convenience.

Is tooth extraction covered by insurance?

Most dental insurance plans cover extractions as a basic procedure, typically at 70-80% after deductible. Surgical extractions and IV sedation may have different coverage levels. Socket preservation bone grafting may be covered if documented as necessary for future implants. Our Beaverton team verifies benefits before treatment.

Can you extract all my teeth at once?

Yes! Full mouth extractions can be performed in a single visit with IV sedation. This is often done in preparation for All-on-4 implants or dentures. Dr. Ostovar carefully plans the procedure using 3D imaging and can often place implants immediately after extractions. Many Washington County patients choose this approach for efficiency.

What are my tooth replacement options after extraction?

Options include: dental implants (single tooth or multiple), implant-supported bridges, All-on-4 for full arch replacement, implant-supported dentures, or traditional dentures. Dr. Ostovar specializes in implant solutions and can discuss the best option for your situation. We recommend replacing missing teeth to prevent bone loss and shifting.

Can I drive myself home after extraction?

If you have only local anesthesia (numbing), you can drive yourself. However, if you receive nitrous oxide, oral sedation, or IV sedation, you MUST have a responsible adult drive you home and stay with you for several hours. We won't perform sedation procedures unless you have a designated driver arranged.

Expert Extractions, Comfortable Experience

Trust your extraction to an experienced oral surgeon. IV sedation available for anxiety-free treatment.

(503) 822-0096
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