Tooth Extractions and Wisdom Teeth in Centennial, CO

Some teeth can’t be saved. Our job is to keep you comfortable, explain your options, and choose the least invasive plan that will work. At Holly Dental Associates, our dentists perform many routine and surgical extractions in our office. We use digital X-rays and on-site 3D CBCT when needed, so we can see roots, nerves, and sinuses clearly and make an informed plan the same day.

Extractions

What to expect when you need a tooth removed

We recommend extraction when a repair will not last or infection risks your health. You will be fully numb. If you arrive in pain, we aim to relieve it at that visit, then plan how to restore chewing and protect the area long term.

When extraction is often the right choice:

What the visit is like:

Comfort first with local anesthetic and options for anxious patients
Gentle loosening and removal, then thorough cleaning of the socket
Bone grafting discussed if you plan a future dental implant
Clear written aftercare and a simple plan for replacement

Wisdom Teeth

Evaluation, removal, and when it is reasonable to wait

Wisdom teeth are the last molars to come in and often there is not enough space. They can trap bacteria under the gums, push on nearby teeth, or damage the second molar. We use a panoramic X-ray or CBCT to map position and roots before recommending removal or monitoring.

When we recommend removal:

When watching is reasonable:

If removal is planned:

Aftercare

Aftercare and how to recover at home

A little oozing and soreness are normal for the first day or two. Follow these steps, and call if something does not feel right. We will see you for a quick check if needed.

Simple at-home care:

Bite on gauze for 30-60 minutes to control bleeding
Ice on the cheek, 10 minutes on and 10 off, during day one
Soft foods for 24-48 hours, then add more as comfort allows
No smoking or vaping for at least 72 hours
No straws and no vigorous rinsing on day one to protect the clot
Start warm salt-water rinses the next day, brush gently near the area
Use ibuprofen or acetaminophen as directed; call if pain increases instead of improves
Watch for dry socket signs such as deep aching that starts a few days after surgery

Do you remove wisdom teeth in your Centennial office?

Many cases are done here. For complex impactions or medical concerns we will coordinate care with an oral surgeon and handle your follow-up.

Will the extraction hurt?

You will be fully numb. You may feel pressure, not sharp pain. We pace the visit around your comfort and have options for anxious patients.

How long is recovery?

Most people feel much better in two to three days. Swelling peaks around day two. Follow the instructions, keep the area clean, and avoid smoking and straws.

What can I eat after a tooth is removed?

Start with cool, soft foods like yogurt, applesauce, and mashed potatoes. Add more variety as comfort allows. Avoid seeds, nuts, and very hot or spicy foods early on.

What is a dry socket and how do I avoid it?

It happens when the blood clot is lost and the bone is exposed. It causes a deep ache that starts a few days after the extraction. Do not smoke, avoid straws, and follow your rinsing instructions to lower the risk.

Will I need to take antibiotics?

Only if there is spreading infection or your medical history requires it. Most extractions heal well without antibiotics when the site is cleaned properly.

I've heard of "bone graft"... do I need that?

If you plan to replace the tooth with an implant later, we often place bone graft material at the time of extraction to preserve the site. We will review pros, cons, and cost before treatment.

How much does it cost?

Fees depend on the type of extraction and whether sedation or grafting is needed. We provide written estimates, check insurance benefits, and offer a membership discount if you do not have coverage.