Baltimore Teeth Extractions

Cost depends on how complicated the removal is, which tooth is involved, and whether you need sedation.

Costs vary with complexity, so a straightforward extraction of a fully erupted tooth sits well below a surgical removal of an impacted one. We accept Medicaid through Maryland Healthy Smiles for eligible services and check your dental benefits before treatment, so the number is on the table before you agree to anything. Access to affordable care matters here and we do not hide the cost until afterward.

Most patients feel pressure and movement more than pain. The area is fully numb with local anesthetic before we begin.

Discomfort usually shows up afterward as the anesthetic wears off, and it is generally manageable with over the counter pain relief. We say comfortable rather than promising more than anyone can guarantee. If anxiety is the real issue, tell us and we will talk through sedation.

Severe tooth decay that has destroyed too much of the tooth, advanced gum disease that has loosened it, broken teeth from trauma, and impacted wisdom teeth that have nowhere to go.

Crowding before orthodontic treatment is another reason, and baby teeth occasionally need help making way for adult ones. Removal is the last option on our list rather than the first, so we check whether the tooth can be saved before recommending it comes out.

Often yes, and that is always the first question we ask.

A tooth with deep decay may still be restorable with a filling, a crown, or root canal treatment. What decides it is how much healthy structure remains and whether the bone around the root is sound. We show you the x rays and explain honestly what each option would involve.

The gum tissue over the extraction site typically closes within one to two weeks, though the bone underneath continues filling in for months.

Most patients feel normal within a few days. Swelling peaks around day two and then settles. Call us if pain increases instead of easing, because that is worth checking rather than waiting out.

Protect the blood clot in the socket. The ADA advises avoiding smoking, vigorous rinsing, and drinking through a straw for the first 24 hours.

Rinse gently if you must rinse at all, apply a cold cloth if swelling appears, and stick to soft food for the first day or two. Brush and floss the rest of your teeth as usual but leave the gums and teeth either side of the extraction site alone for a few days. These small things promote healing more than anything else you can do, so there is no need to worry your way through the week.

The most common is dry socket, which happens when the blood clot dislodges too early and leaves the bone exposed.

Infection, prolonged bleeding, and swelling are the others worth knowing about, all of them uncommon and all of them treatable. Following the aftercare instructions dramatically reduces the risk. Call the office rather than waiting if something feels wrong, and we will have you back in.

We evaluate wisdom teeth, take x rays, and tell you plainly whether removal is needed and who should do it.

Straightforward cases are often handled in a general dental office. Deeply impacted wisdom teeth sitting close to a nerve usually belong with an oral surgeon, and we refer you rather than attempting something that belongs in another chair. Either way you leave knowing where you stand.

Left alone, surrounding teeth gradually drift toward the space left by the extracted tooth, and the jawbone underneath begins to shrink.

That is why we talk about replacement at the same visit. Dental implants, bridges, and dentures all restore the gap in different ways and at different costs. For children we often place a space maintainer to hold the position until the permanent tooth arrives.

Yes. Sedation is available for patients whose anxiety makes a dental procedure difficult.

Plenty of adults have put off dental care for years because of a bad experience somewhere else. We talk through what sedation involves before you decide, and parents stay fully informed about the process for a child.

Yes. We accept Medicaid through the Maryland Healthy Smiles program for eligible services.

Our front desk checks your specific coverage before treatment so you know what applies to you. Cost should not be the reason somebody lives with a painful tooth, and nobody in this office treats you differently based on the card in your wallet.

Yes. Dr. Spates leads our pediatric care and handles extractions for children, including patients with special healthcare needs.

Children sometimes need a baby tooth removed because of decay, trauma, or crowding. Parents stay involved in the plan throughout, and nobody here makes a family feel judged about how a tooth reached that point.

Call as early in the day as you can and we will do everything possible to schedule you in.

We offer emergency appointments for children and adults. Tell us on the phone if you have swelling, fever, or difficulty swallowing, because that changes how quickly you need to be seen.

Call (443) 681-6455 or book online, and we will find the earliest appointment that suits you.

Bring any x rays from another dental office if you have them. Your consultation is a conversation about whether the tooth needs to come out at all, with clear information and no pressure to decide on the spot.