Restorative Dentistry
Tooth Extractions
When a tooth can't be saved, a careful extraction sets the stage for healing and for whatever comes next — whether that's an implant, a bridge, or simply relief from pain.
Reviewed by our dentists — Updated April 2026
Simple vs. surgical extractions
Not every extraction is the same. At Roanoke Dental Center, Dr. Willis evaluates the tooth, surrounding bone, and your overall health to determine the gentlest approach. A simple extraction is performed when the tooth is visible above the gumline and can be loosened and removed with standard instruments. A surgical extraction is needed when the tooth is broken below the gumline, impacted, or positioned in a way that requires the removal of a small amount of bone or gum tissue to access it safely. Both procedures are performed under local anesthesia, and sedation is available for patients who want additional comfort.
Wisdom teeth
Wisdom teeth — the third molars that typically emerge in the late teens or early twenties — often lack the space they need to come in properly. Impacted or partially erupted wisdom teeth can cause pain, crowding, infection, and damage to neighboring teeth. Dr. Willis monitors wisdom tooth development with regular X-rays for patients across Cave Spring, Harrisonburg, and Roanoke County. When removal is recommended, we plan the procedure carefully to minimize discomfort and speed up recovery. Many patients return to their normal routine within a few days.
Aftercare that matters
What you do in the first forty-eight hours after an extraction makes a real difference in how quickly and comfortably you heal. Our team provides clear, written instructions before you leave the office, but here are the essentials:
- Bite gently on the gauze pad for thirty to forty-five minutes to encourage clot formation.
- Avoid using a straw, smoking, or spitting forcefully — these actions can dislodge the clot and lead to a painful condition called dry socket.
- Stick to soft foods, keep your head elevated, and use ice packs in twenty-minute intervals to manage swelling.
- Take any prescribed medications as directed, and call our office if you notice increased pain or bleeding after the first day.
Planning your next step
Once the extraction site has healed, Dr. Willis will discuss replacement options such as dental bridges, dentures, or dental implants to restore function and prevent the surrounding teeth from shifting.
If you're dealing with a damaged or painful tooth, call Roanoke Dental Center at 540-774-8288 to schedule an evaluation, or visit our restorative dentistry page for a full overview of your options.
Frequently Asked Questions
How long does it take to recover from a tooth extraction?+
Most patients feel significantly better within two to three days. Full healing of the extraction site usually takes one to two weeks. Following the aftercare instructions from our Roanoke Dental Center team will help you heal quickly and comfortably.
Will I be in pain during the extraction?+
No. Dr. Willis numbs the area completely with local anesthesia before starting. You'll feel pressure but not pain. Sedation options are also available at our Cave Spring offices for patients who want additional relaxation.
What is dry socket and how do I avoid it?+
Dry socket happens when the blood clot at the extraction site is dislodged before healing is complete, exposing the bone underneath. Avoid using straws, smoking, and spitting forcefully for the first few days, and you'll greatly reduce your risk.
Do I need to replace a tooth after it's extracted?+
In most cases, yes — especially for teeth that aren't wisdom teeth. A gap can cause neighboring teeth to shift and lead to bite problems over time. Dr. Willis will discuss options like bridges, dentures, or implants once the site has healed.
At what age should wisdom teeth be removed?+
Wisdom teeth are typically evaluated in the late teens or early twenties. Not everyone needs them removed, but if they're impacted, crowded, or causing problems, earlier removal usually means an easier recovery.
Can I eat after a tooth extraction?+
Stick to soft foods like yogurt, applesauce, and mashed potatoes for the first day or two. Gradually reintroduce firmer foods as you feel comfortable. Avoid hot liquids and anything crunchy near the extraction site while it heals.
★ When You're Ready
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