Tooth Removal

Many patients do not realize that the way a tooth is removed affects the amount of pain and swelling they experience and the potential for complications like infection. We focus on keeping up with current technologies and keeping our skills top-of-the-line to help minimize recovery time and help patients to get back to enjoying life as soon as possible.

Dr. Holtzen

Our Tooth Extraction Procedures

A problem tooth can be hard to ignore – for both yourself and others. Not only can it cause constant pain and discomfort, it can also affect your appearance, your ability to eat, and your ability to smile. Luckily, modern dentistry has developed a number of procedures to extract damaged or diseased teeth and replace them with implants.

At Alpine Oral and Facial Surgery, our oral and maxillofacial surgeon has the education and experience to guide you through the tooth extraction process, from your initial consultation to your full recovery. We are committed to removing your painful teeth in an efficient, painless, and careful manner – and we can guide you through the process of replacing your lost teeth if necessary.

Reasons for Tooth Extraction

There are a wide range of reasons that oral surgeons remove teeth – in one case, a patient may have broken or damaged a tooth in a car accident. In another case, a tooth may be removed due to extensive decay. In still another case, an impacted tooth, such as an impacted wisdom tooth, may be causing frequent gum infections or crowding the mouth.

Here are the most common reasons for tooth extraction:

  • Trauma to the tooth due to an accident or incident.
  • Tooth decay.
  • Periodontal disease (gum disease).
  • Infection or risk of infection.
  • A crowded mouth.
  • Tooth impaction.

Wisdom Teeth Removal

When is removal needed?

If your wisdom teeth have begun to cause problems, or x-rays show that they may down the line, it’s time to get them removed. Wisdom teeth can cause a variety problems, including but not limited to:

  • Overcrowding
  • Jaw Damage
  • Inflamed Gums
  • Bacteria
  • Tooth Alignment

Why Choose Alpine Oral and Facial Surgery?

Many regular dentists also perform tooth extractions and wisdom tooth procedures – why should you choose Alpine Oral and Facial Surgery for your dental care? In the past, our patients have put their care in our hands for a number of reasons:

  • Their dentist referred them to our services or recommended our services.
  • The patient was seeking a dental extraction under general anesthesia.
  • The patient’s tooth extraction was complex or extensive.
  • The patient was referred by a friend or family member who had used our services.
  • The patient sought our one-on-one individualized care and modern facility.

If you need assistance with a problem tooth or a multiple tooth extraction contact our center today.

Tooth Removal FAQ’s

The type of anesthesia used during your tooth extraction will be discussed at your consultation. You may receive local anesthesia, sedation, or general anesthesia, depending upon your procedure and your own comfort levels. No matter which type of anesthesia you decide upon, your operation will be painless. While patients often report soreness, swelling, and tenderness after the extraction, our medical team will make sure that you feel minimum discomfort with either over-the-counter or prescription pain medication.



The best way to know if your dental procedure is covered by health insurance is to closely read your policy or call your insurance company. However, generally speaking, most tooth extraction procedures are covered by dental insurance. Certain types of tooth extractions may even be covered by your medical health insurance.

The cost of your tooth extraction depends upon the details of your medical history and the procedure itself. Multiple tooth extractions and impacted tooth extractions are more expensive. General anesthesia is also more costly than other forms of sedation.

Our skilled staff can help you answer a wide range of questions concerning your insurance coverage and payment plan.


General dentists are all trained to remove teeth, but not all dentists regularly do so for their own patients, for a variety of reasons. For example, if a tooth extraction is complex or requires general anesthesia, your dentist may refer you to an oral surgeon or suggest you consult one. In some cases, patients simply prefer to work with an oral surgeon for tooth extractions.

Your dentist should be able to tell you if you need a tooth or teeth removed for your overall oral health and comfort. If you are unsure of your dentist’s recommendation regarding your teeth, don’t hesitate to get a second opinion from another dental professional.

In many instances, whether or not you need a tooth extracted is not a black and white issue: there may be both benefits and drawbacks to your choices. Your dentist should be able to discuss these pros and cons with you at length.


Whether you need someone to drive you home from our surgical center after your procedure depends upon the type of sedation that you choose. If you only use local anesthesia, you may drive yourself home. If you undergo general anesthesia or sedation, you will need a friend, family member, or loved one to help you get home and get you comfortable.



Follow-up procedures depend upon why you were having a tooth removed as well as whether the extraction was successful. If you are having a wisdom tooth removed, or if you are having a tooth removed due to overcrowding, you may not need any other procedures. However, if you are having teeth removed due to trauma, decay, or infection, you may consider having a dental implant, partial dentures, or a bridge. Speak to your surgeon about these options.



Wisdom Teeth FAQ’s

Most patients choose to be asleep during wisdom tooth removal. Having this option available insures the procedure will be a comfortable experience. You will consult with your physician to determine which type of anesthesia is right for you and your procedure.

After your procedure is over, you may feel some swelling and discomfort. These feelings, which will subside in the coming hours and days, may be treated with pain medication.



The decision to get your wisdom teeth extracted is entirely up to you and your dentist. Many people make the decision to remove their wisdom teeth because their erupting teeth are causing significant amount of pain, crowding, and other issues. Others decide to remove their wisdom teeth because the extra molar makes cleaning and flossing their teeth more difficult and may lead to frequent infections and cysts.
If you don’t have any wisdom tooth pain or complications, you still may wish to consider having your third molars removed. Over time, wisdom teeth can damage your gums, teeth, roots, and even jawbone. In addition, removing wisdom teeth is easier when you are younger, before the surrounding bone has hardened and before the roots are fully developed.

The best time to remove wisdom teeth is during the teen years. This always translates to less pain and swelling, a faster recovery, and fewer complications like infection. Getting your wisdom teeth out earlier rather than later may mean saving your teeth from crowding, infection, damage, and decay. Choosing an earlier extraction date may also mean an easier procedure, since the roots of wisdom teeth don’t fully develop for several years. In addition, getting your wisdom teeth out before they begin causing problems with your surrounding teeth and mouth can save you discomfort and money.


Yes, some general dentists do remove wisdom teeth. However, some dentists prefer to refer their patients to an oral surgeon for a variety of reasons. For example, an oral surgeon may be a better choice if the tooth extraction is complicated or if the patient wishes to have general anesthesia.

Recovery time varies from patient to patient, but most people miss one or two days of school or work after their procedure. You may notice swelling, soreness, and tenderness for several more days after your surgery.

Most dental insurance plans cover wisdom tooth extraction, but it is important to remember that all dental insurance policies are different and that you should consult your insurance contract or call your insurance company to confirm your coverage. In some cases, your medical health insurance may cover a wisdom tooth extraction.
Give us a call and our staff will be happy to answer any specific insurance questions!

The cost of wisdom tooth removal is variable. For example, the cost depends upon how many wisdom teeth you are having removed, whether they are erupted or impacted, and whether there are any other complicating factors. Cost also varies depending upon which type of anesthesia or sedation you choose. After our surgeon has examined your teeth and taken x-rays, we will give you a cost estimate.
Alpine Oral and Facial Surgery is a participating provider with all of the major insurance companies in our area, assuring patients the best use of their insurance benefits. Out of respect for the fact that we live in an economically depressed area, we also strive to keep our fees as low as possible for patients without insurance.

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