Tooth extractions are an unfortunate, but necessary part of dentistry. While we try to ensure the health of your teeth through good dental hygiene and regular checkups, sometimes patients come to us with problems that can only be fixed by extracting a tooth or teeth. In these cases, we do everything we can to make the procedure as painless as possible, and Dr. Goldberg follows-up to make sure you are not experiencing unusual pain or other symptoms. Extractions are not a pleasant experience, but they are no longer the painful and frightening experience they once were.

Wisdom Tooth Extractions are fairly common. Wisdom teeth often cause problems as they emerge through the gums. An “impacted” wisdom tooth is one that is emerging at an angle and not straight through the gum line. This may cause pain, the tooth may come in unevenly, or the tooth may only partially emerge.

When a wisdom tooth only partially emerges, a flap of skin may form over the tooth. This “operculum” can make the tooth hard to clean, and food particles may collect under the skin, producing an infection, called pericoronitis. Pericoronitis will usually go away on its own, but until it does, the area will be swollen and painful.

Impacted, or troublesome, wisdom teeth must be removed. Usually one or two teeth are removed at a time, but all four wisdom teeth may be removed at once, depending on the patient’s condition and desires. A local anesthetic is normally used to numb the areas where teeth will be extracted, but general anesthetic may be used if the patient prefers.

To begin the extraction, Dr. Goldberg carefully cuts open the gum tissue around the wisdom tooth to reveal the tooth. The tooth is loosened by gripping it tightly and wiggling it back and forth until it can be lifted out of the gums. Sometimes a tooth may be impacted so tightly that it cannot be lifted out of the gums. In cases like this, the tooth is surgically separated into pieces for removal. Sutures may be used to close the wound.

Depending on the level of anesthesia Dr. Goldberg will choose beforehand, a friend or family member might need to come with you to your appointment for extractions, because it might not be safe to drive after receiving certain anesthesia. It is important to rest and recover after the surgery. Please view and follow our Oral Surgery Post-Operative Instructions for further post-operative care.


Bone grafting builds the jawbone up when necessary to accommodate a dental implant or other restorative device. Bone grafting is a common procedure that uses either synthetic or real bone grafts grown from samples taken from the patient. Dependent on the procedure, Dr. Goldberg will use different kinds of bone to restore proper contours of the jaw bone. The main goal is to create a healthy, harmonious platform onto which a final restoration will be made.