Tooth Extraction

Dr. Maxim Godko performs every simple and surgical extraction himself, in-house, at both offices. Deluxe offers periodontal, endodontic, prosthodontic and oral surgery services under one roof.

A tooth is extracted when it can’t be saved: decay that reaches below the gum, advanced gum disease that has destroyed the bone around it, a crack or break that can’t be repaired, or an infection that won’t clear. Impacted wisdom teeth and crowding before orthodontic treatment are other common reasons.

Saving a natural tooth comes first whenever a filling, crown or root canal can restore it. An extraction is the right call when decay or a fracture reaches below the gumline, the supporting bone is gone or an infection can’t be cleared, and Dr. Godko shows you why on your x-rays before you decide.

A simple extraction removes a tooth that is fully above the gum. A surgical extraction is for a tooth broken at the gumline, a tooth with curved or fused roots, or one that hasn’t fully come in, such as an impacted wisdom tooth. Your x-rays show which one you need, and Dr. Godko performs both.

The tooth, jawbone and gum are numbed first with local anesthesia, which is typical for every extraction. Dr. Godko then gently rocks the tooth to widen the socket and lifts it out, and gauze over the socket helps the protective clot form. You feel pressure as the tooth loosens; if anything feels sharp, say so and more numbing is given. For patients who prefer it, nitrous oxide, oral sedation or IV sedation is available, with Dr. Godko certified in all three.

It depends on the tooth. Once you are numb, a simple extraction is typically quick; a surgical extraction, or several teeth at once, takes longer. Dr. Godko tells you what to expect for your tooth before he begins.

Soft, cool foods such as yogurt, soup that has cooled, eggs and mashed potatoes for the first few days, chewed on the other side. Skip hot, spicy, crunchy and chewy foods until the site settles, then return to your usual foods as you feel comfortable. Dr. Godko gives you the instructions before and after.

Dry socket is the loss of the protective blood clot: pain that gets stronger a few days after the extraction, often with a bad taste. An infection brings swelling that grows, fever or pus. They need different treatment, and both offices are ready to immediately assist with any concerns.

It depends on whether the extraction is simple or surgical, on sedation and on whether a bone graft is placed, and it is priced at your personalized consultation, before anything is done. We accept PPO plans and most carriers, including CIGNA, MetLife, Blue Cross Blue Shield, Delta Dental and GEHA Connection Dental. No Medicaid, DMO or HMO plans accepted. We work with your insurance to ensure you receive the maximum benefit. 0% financing through Cherry and in-house membership plans are also available.

Yes. Before the tooth comes out, Dr. Godko explains whether an implant, a bridge or a partial denture fits your mouth and budget, and when the implant will go in at a later visit, he places a socket preservation graft right after the extraction. A titanium implant is the gold standard for replacing a single tooth, with up to a 95% success rate, starting at $3,199 including the implant, the abutment and the crown.