Tooth Extractions

Do I need a Tooth Extraction?

You and Dr. Fisch, Dr. Mizraji, Dr. Sastiel or Dr. Hughes may determine that you need a tooth extraction for any number of reasons. Some teeth are extracted because they are severely decayed; others may have advanced periodontal disease, or have broken in a way that cannot be repaired. Other teeth may need removal because they are poorly positioned in the mouth (such as impacted teeth), or in preparation for orthodontic treatment.

The removal of a single tooth can lead to problems related to your chewing ability, problems with your jaw joint, and shifting teeth, which can have a major impact on your dental health.

To avoid these complications, in most cases, Drs. Fisch, Mizraji, Sastiel & Hughes will discuss alternatives to extractions as well replacement of the extracted tooth.

Do You Need a Tooth Extraction?

Drs. Fisch, Mizraji, Sastiel and Hughes can extract teeth to improve your oral health, relieve pain, or in preparation for orthodontic treatment. Contact us to learn more.

Call us: 805-653-5606

The Extraction Process

At the time of extraction the doctor will need to numb your tooth, jawbone and gums that surround the area with a local anesthetic.

During the extraction process you may feel pressure. This is from the process of firmly rocking the tooth in order to widen the socket for removal.

You feel the pressure without pain as the anesthetic has numbed the nerves stopping the transference of pain, yet the nerves that transmit pressure are not profoundly affected.

Sectioning a tooth

Some teeth require sectioning. This is a very common procedure done when a tooth is so firmly anchored in its socket or the root is curved and the socket can’t expand enough to remove it. The doctor simply cuts the tooth into sections then removes each section one at a time.

After Extraction Home Care


Some bleeding may occur. Placing a piece of moist gauze over the empty tooth socket and biting down firmly for 45 minutes can control this.

Blood clots that form in the empty socket.

This is an important part of the healing process and you must be careful not to dislodge the clot.

  • Avoid rinsing or spitting for 24 hours after the extraction.
  • Avoid use of a straw, smoking or hot liquids.


If swelling occurs you can place ice on your face for 10 minutes and off for 20 minutes. Repeat this cycle as you feel necessary for up to 24 hours.

Pain and Medications

If you experience pain you may use non-prescription pain relief medications such as acetaminophen or ibuprofen.


For most extractions just make sure you do your chewing away from the extraction site. Stay away from hot liquids and alcoholic beverages for 24 hours. A liquid diet may be recommended for 24 hours.

Brushing and Cleaning

After the extraction avoid brushing the teeth near the extraction site for one day. After that you can resume gentle cleaning. Avoid commercial mouth rinses, as they tend to irritate the site. Beginning 24 hours after the extraction you can rinse with salt water (1/2 teaspoon in a cup of water) after meals and before bed.

Contact our office today to schedule an appointment!

Ventura Office Location Phone Number 805-653-5606 Email Us

Dry Socket

Dry socket occurs when a blood clot fails to form in the socket where the tooth has been extracted or the clot has been dislodged, and the healing is significantly delayed.

Following the post extraction instructions will reduce the chances of developing dry socket. Dry sockets manifest themselves as a dull throbbing pain, which doesn’t appear until three or four days after the extraction. The pain can be moderate to severe and radiate from the extraction area. Dry socket may cause a bad taste or bad breath and the extraction site appears dry.

Drs. Fisch, Mizraji, Sastiel & Hughes will apply a medicated dressing to the dry socket to sooth the pain.


After a tooth has been extracted there will be a resulting hole in your jawbone where the tooth was. In time, this will smooth and fill in with bone. This process can take many weeks or months. However, after 1-2 weeks you should no longer notice any inconvenience.

Ventura Center for Dental Health

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Drs. Fisch, Mizrahi, and Sastiel, as I indicated, are honestly “Michelangelo’s of the Mouth!” If you are one of those many people whose dental visits are riddled with anxiety before, during, and/or after a dental visit, the solution, without equivocation, is the Ventura Center for Dental Health...and the three “artists” of dentistry will treat you, without pain or anxiety, during every visit! Before I became a ‘regular’ at VCforDH, I was you! Now they have to bribe me to get me to leave! Okay, I was kidding with that last remark. But trust me just once, especially if you have family who fears the dentist! I guarantee your eventual peace of mind, because your fears and anxieties will disappear!

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