Tooth Extractions in Mission Valley, CA

Tooth Extraction San Diego, CA

You can determine the best time for tooth extraction following a consultation with Dr. Cassell at his San Diego office. The best time for extraction is when teeth are severely decayed.  In other cases, patients may have advanced periodontal disease that have damaged teeth beyond repair. Other teeth may require removal when they are poorly positioned or need to be prepared for orthodontic treatment.


Before the extraction, your tooth, jawbone, and gums will need to be numbed with a local anesthetic. You will feel a lot of pressure instead of pain during the extraction process. The tooth will be rocked firmly to widen the socket for removal.


After the tooth extraction, a blood clot is formed to stop the bleeding and initiate the healing process.  You can bite on a gauze pad following the removal for 30-45 minutes. If the bleeding continues, you can place another gauze pad and bite firmly for another 30 minutes. This may require several steps to effectively stop the flow of blood.

Post-Op Instructions

It is important not to disturb or dislodge the clot once it has formed. Do not rinse too heavily, drink alcohol, or brush teeth next to the extraction site for at least another 72 hours. Limit the amount of exercise for the next 24 hours to prevent excessive bleeding and high blood pressure.

Use pain medication as recommended. If the medication does not appear to be working effectively, call our office. Drink fluids and eat plenty of nutritious soft foods on the day of the extraction. Once you become comfortable, you can eat normal foods.

After 24 hours, you can resume your normal dental routine and brush and floss at least once per day. This will increase healing while maintaining a clean, fresh mouth. If you experience severe pain or heavy bleeding, call our office immediately.

For more information, or if you’d like to schedule an appointment, please give us a call at 619-220-7475.