J.E. Spencer, DDS and J. Clint Spencer, DDS

2900 Pine Mill Road
Paris, TX 75460



There are times when it is necessary to remove a tooth. Sometimes a baby tooth has misshapen or long roots that prevent it from falling out as it should, and the tooth must be removed to make way for the permanent tooth to erupt. At other times, a tooth may have so much decay that it puts the surrounding teeth and jaw at risk of decay, so your doctor may recommend removal and replacement with a bridge or implant. Infection, orthodontic correction, or problems with a wisdom tooth can also require removal of a tooth.

When it is determined that a tooth needs to be removed, you and your dentist will set up an appointment for this procedure. The root of each tooth is encased within your jawbone in a "tooth socket," and your tooth is held in that socket by a ligament. In order to extract a tooth, your dentist must expand the socket and separate the tooth from the ligament holding it in place. While this procedure is typically very quick, it is important to share with your doctor any concerns or preferences for sedation.

If your dentist can tell that there are going to be complicating circumstances, he may refer you to an oral surgeon.

Once a tooth has been removed, neighboring teeth may shift causing problems with chewing or with your jaw joint function. To avoid these complications, your dentist may recommend that you replace the extracted tooth. Depending on the situation, you will have several different options: implant, fixed partial denture (bridge), or a removable partial denture.

Post-op Instructions for Extractions

Print these post-op instructions >

Post-op Instructions for Extractions


  1. Bite on the gauze for at least one hour.
  2. When you remove the gauze, if it runs deep, dark red blood, then place gauze, cotton or wet tea bag over the area and bite down for another hour.
  3. Do not rinse or swish your mouth out.
  4. Do not drink any alcoholic beverages.
  5. Do not drink any carbonated drinks like Coke.
  6. Do not smoke.
  7. Do not spit or suck (do not use a straw).
  8. It is normal to ooze a little blood for 24 hours.
  9. Eat ice cream or soup. Do not chew today.
  10. You can brush your teeth, but avoid the area around the extracted tooth for 24 hours.


  1. You can swish your mouth gently with mild salty water (1/2 teaspoon salt with one glass of water)
  2. You can eat, but chew on the other side for a few days.
  3. You can brush your teeth in that area, but very gently.

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Dr. J. E. and Dr. Clint Spencer provide general dentistry for children, teens, and adults in Paris, TX (Texas). Please contact our practice to schedule your next dental checkup.

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