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EXPERT RESTORATIVE DENTISTRY IN NJ, PA, NY & MD

Same-Day Tooth Extractions & Implants

When trauma, decay, or damage makes saving your natural tooth impossible, a tooth extraction safely removes it from your jaw socket. Our expert team is able to provide emergency tooth extractions and within the same day, place an implant.

What is a Tooth Extraction?

A tooth extraction is a dental procedure where a provider removes a tooth from its socket in the jawbone. It’s commonly referred to as “having a tooth pulled.” While our team always aims to preserve natural teeth with restorations when possible, sometimes a tooth is too damaged to repair and must be removed.

Extractions may be needed for severely decayed teeth, advanced gum disease, broken or fractured teeth, impacted teeth, or to make room for orthodontic treatment.

Removing a tooth can sometimes create new challenges, such as difficulty chewing, shifting of nearby teeth, or strain on the jaw joint. For this reason, we review all possible alternatives before recommending extraction, and will usually discuss tooth replacement options such as dental implants after the procedure to restore function and appearance.

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Common Reasons for Tooth Extractions

Our team always prioritizes saving your natural teeth whenever possible. However, when restorative treatments like fillings or crowns aren’t sufficient to repair the damage, tooth extraction becomes necessary to protect your overall oral health.

Severe Tooth Decay

When cavities progress beyond repair, they can cause significant structural damage and weaken the tooth’s foundation. If the decay has reached the tooth’s nerve or created an abscess (deep infection), extraction may be the only option to prevent the infection from spreading.

Advanced Gum Disease

Periodontal disease can severely damage the tissues and bone that support your teeth. When gum disease progresses to the point where teeth become loose or the supporting structures are compromised, extraction helps prevent further damage to surrounding teeth and tissues.

Dental Trauma and Injury

Accidents or injuries can fracture or break teeth beyond repair. When trauma damages the tooth’s structure, nerve, or root system significantly, extraction may be necessary to relieve pain and prevent complications.

Overcrowded Teeth

Sometimes teeth need to be removed to create proper spacing for orthodontic treatment. Extracting certain teeth can help achieve better alignment and prevent overcrowding that could lead to future dental problems.

Impacted Teeth

Impacted teeth, particularly wisdom teeth (third molars), occur when there isn’t enough room for them to emerge properly. These teeth can cause pain, infection, damage to adjacent teeth, or other complications that necessitate removal.

The Extraction Process

A tooth extraction is a straightforward process that takes places at your provider’s office. Depending on your needs, it may involve removing one or several teeth.

A simple extraction usually takes 20–30 minutes per tooth. More complex cases (such as impacted teeth or surgical extractions) take longer.

  1. Anesthesia: Your dentist will numb the area with local anesthesia so you don’t feel pain. For more complex extractions, sedation may also be given to keep you relaxed or asleep.
  2. Loosening the Tooth: Using special dental tools, your dentist gently loosens the tooth in the gum.
  3. Removing the Tooth: Forceps are placed around the tooth to remove it from its socket. If the tooth is broken, impacted, or difficult to reach, your dentist or oral surgeon may need to make a small incision in the gums, remove some bone, or section the tooth into pieces before removal.
  4. Cleaning and Protecting the Socket: The empty socket is cleaned and disinfected. In some cases, a bone graft may be placed to help preserve the jawbone. Stitches may also be used, though not always necessary.
  5. Initial Healing: A gauze pad is placed for you to bite down on, helping form a blood clot that supports healing. Your dentist will provide instructions for managing any discomfort at home.

Can an Implant be Placed the Same Day?

During a same-day dental implant procedure, your oral surgeon will place a secure implant directly into your jawbone to replace a missing or non-restorable tooth. If you have a broken or failing tooth, it can often be removed and replaced with an implant in the very same visit.

Once the implant is placed, a temporary tooth or set of teeth is attached right away, giving you a complete and natural-looking smile before you leave the office. Traditionally, patients would wait months between implant placement and receiving their crown. With same-day implants, your implant and temporary restoration are placed in one appointment, while our restorative dentists later provides your long-term crown or bridge.

After the implant procedure, you’ll enjoy the look and feel of a full smile immediately, but your body still needs time to heal. Over the following weeks and months, a process called osseointegration occurs, where the implant fuses securely with your jawbone. After a period of several months, your permanent teeth are then put in.

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Dental Implants

Find the Right Treatment for You

Not sure which treatment is right for you? Explore implants for a single tooth, implant-supported bridges for multiple teeth, or comprehensive full mouth implant solutions including All-on-X systems that secure entire arches with fewer implants. Advanced options like zygomatic and pterygoid implants serve patients with insufficient bone, while full mouth reconstruction combines implants with restorative work for complete smile transformation.

The Process

The Smart Arches Experience

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Come in for your free consultation. We’ll take a full CAT scan of your mouth, review your medical history, conduct a comprehensive dental exam and evaluate your overall oral health. Based on our assessment, our doctors will share a personalized treatment plan.

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Review your total treatment pricing and receive flexible payment options. Our patient ambassador will provide clear and upfront pricing for your treatment plan, as well a timeline of next steps.

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Time to design your smile! Your next step is a 60-90 minute Smile Design appointment. We’ll take studio photos, help you select tooth color and shape, and assess your bite and smile to recommend enhancements. After this collaborative planning session, we’ll schedule your transformation day.

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Procedure day. The first step will be anesthesia for a safe, pain-free experience. We remove damaged teeth and tissue, then place implants with surgical precision. We then use advanced 3D scanning and photogrammetry to create the most precise fit for your prosthetic.

With this information, our on-site lab 3D prints your prosthetic while you recover. On the same day or next, we will deliver your full arch implant prosthesis.

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Recovery and aftercare. It is common to experience discomfort and some pain in the first week post-surgery. In addition to eating soft foods, we encourage you to rest and maintain good oral hygiene. We will see you at the 1 week, 1 month and 3 months mark to evaluate your healing.

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Final permanent teeth. At around 3-month post-procedure, once the bones have fused to the implants and your healing is complete, we will take new records and then print a new prototype try-in. Once you are happy with the prototype, we then finalize and create your permanent teeth, which we will install 1-2 weeks later.

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Download Our Dental Implants Cost Guide

Smart Arches patients save

33-40%

of the cost of full mouth implants vs. other implant providers.

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SMART ARCHES' DIFFERENCE

Find Out Why Patients Choose Us

While other clinics require multiple visits and offer only basic services, Smart Arches provides comprehensive dental implant care from experts using advanced technology.

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Advanced 3D Imaging

On-site 3D Prosthetic Printing

Placed 2,000+ Arches and 20,000+ Implants

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On-site Full Time Anesthesiologist

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Dental Implants Process

Your First Visit at Smart Arches

Follow along as we take you through exactly what happens at your complimentary consultation. You’ll meet with your patient ambassador, review your dental needs, medical history, and properly educate you on the full procedure. We’ll also take CT scan as well as 3D facial scanning that allows us to create a digital simulation of your future smile! You’ll leave with a clear treatment plan, cost and understanding of financing options. 

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