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Oral Surgery

Tooth Extractions in Round Rock, TX

We always try to save a tooth first. When a tooth can't be saved, Dr. Afiya Tamkeen, DDS removes it as gently as possible and helps you plan what comes next.

Common reasons for extraction

  • A tooth broken below the gumline
  • Decay too deep to repair
  • Advanced gum disease
  • Crowding before orthodontics
  • Problem wisdom teeth

What to expect

  1. Exam and X-rayWe check the tooth and its roots and confirm that removing it is the right choice.
  2. Your optionsWe go over replacement options before the extraction, so you can plan ahead.
  3. NumbingWe numb the area thoroughly. You'll feel pressure but shouldn't feel pain.
  4. RemovalDr. Tamkeen gently loosens and removes the tooth, and places gauze to help a clot form.
  5. AftercareYou'll go home with clear written instructions and a number to call if you have questions.

Wisdom teeth

Wisdom teeth that have come in fully can often be removed in our office. Wisdom teeth that are impacted (stuck under the gum or bone) are sometimes best handled by an oral surgeon. Dr. Tamkeen will review your X-rays and tell you which applies to you, and help with a referral if needed.

Healing after an extraction

For the first day, bite on gauze as directed, rest, and avoid spitting, drinking through a straw and smoking, all of which can dislodge the clot. Stick to soft foods for a few days and keep the area clean with gentle salt-water rinses after the first 24 hours. Call us if pain gets worse after the third day, which can be a sign of dry socket.

Replacing the tooth

Leaving a gap can let neighboring teeth shift and change your bite. Options include a dental implant, a bridge or a partial denture. If you're considering an implant, it's worth discussing before the extraction, since timing can matter.

Insurance and cost

We accept most PPO dental plans, including Delta Dental, Cigna, Aetna, MetLife, United Concordia and Guardian. Our team verifies your benefits before treatment and gives you a written estimate, so you know your share before we start. Financing is available for larger treatment plans.

Frequently Asked Questions

Does getting a tooth pulled hurt?

We numb the area well first, so you should feel pressure but not sharp pain. Some soreness afterward is normal and usually eases within a few days.

How long does it take to heal?

The gum usually feels much better within a week or so. The bone underneath takes longer to fully fill in.

What can I eat after an extraction?

Soft, cool foods like yogurt, smoothies (with a spoon, not a straw), eggs, mashed potatoes and soup that isn't hot. Avoid crunchy, spicy or very hot food for a few days.

Do I need to replace a pulled tooth?

Back teeth that are visible to no one still matter for chewing and for keeping neighboring teeth in place. We'll talk through whether replacement makes sense for you.

Can you pull my tooth today?

For urgent problems, call (512) 910-3456 and we'll do our best to see you the same day.

Have a tooth that's bothering you?

New patients are always welcome. Book online any time or give us a call and we'll find a time that works for you.