Gentle tooth extraction with restorative planning

Tooth Extractions in Portsmouth, NH

If you need a tooth extraction in Portsmouth, NH, Seacoast Prosthodontics offers gentle, carefully planned care under Dr. Randi's whole-mouth approach to dentistry. New patients are always welcome, and our team is happy to walk you through pricing and insurance questions before any treatment begins. We don't treat an extraction as a one-off fix. We look at your bite, your remaining teeth, and your long-term oral health so the tooth extraction fits into a bigger plan, whether that means healing time, a partial denture, or a future implant. Extractions are one part of the General & Diagnostic Dentistry services we provide to patients across the Seacoast.

Why It MattersBenefits & Value of Timely Tooth Extraction

Removing a damaged or infected tooth at the right time can protect the rest of your smile. Waiting too long can let infection spread to nearby teeth and bone, cause more pain, and make future treatment more complex. A timely extraction can relieve pressure and pain, stop decay or infection from spreading, and create room for orthodontic or restorative work when needed. Routine cleanings and exams help catch problems early, so an extraction is often avoidable, but when it is the right call, acting sooner tends to make healing easier.

The BasicsWhen a Tooth Extraction Is Needed

A tooth extraction may be recommended when a tooth is too damaged, decayed, or diseased to save with a filling or crown. Common reasons include:

  • Severe tooth decay that has reached the tooth's root

  • Advanced gum disease that has loosened a tooth

  • A tooth broken below the gumline

  • Crowding that requires more space

  • Impacted or problem wisdom teeth

During your exam, Dr. Randi will also check for other concerns, including an oral cancer screening, as part of a complete evaluation before recommending an extraction.

Simple vs. Surgical (Wisdom Tooth) Extraction

Not every extraction is the same. Simple extractions handle teeth that are fully visible above the gumline, while surgical extractions are used for impacted or partially erupted teeth, most often wisdom teeth.

Comparing simple and surgical extractions
AspectSimple ExtractionSurgical Extraction
Tooth positionFully erupted, visible above the gumImpacted or partly under the gum, common with wisdom teeth
TechniqueTooth is loosened and lifted outMay need a small incision to reach the tooth
AnesthesiaLocal anesthesiaLocal anesthesia, with sedation options available
Typical recoveryUsually quickerOften longer, with more swelling

Dr. Randi will let you know which type applies to your situation and what recovery to expect either way.

Your VisitWhat to Expect During Your Extraction

Your visit starts with an exam and digital X-rays so Dr. Randi can see the tooth's position and root structure clearly. You'll receive local anesthesia to numb the area before the tooth is removed. Most extractions take a short amount of time in the chair. Afterward, you'll get clear instructions on caring for the area: what to eat, how to manage swelling, and signs that would mean you should call the office. If the extraction opens the door to replacing the tooth, we'll talk through options like dentures and partials or a single tooth implant, based on your goals and what will support your bite long term.

Costs & InsuranceTooth Extraction Cost & Insurance Guidance

Every tooth extraction cost depends on the tooth involved, whether it's a simple or surgical case, and your insurance coverage. We don't publish set fees online because treatment plans vary from patient to patient. Our team will review your insurance benefits with you and give you a clear cost estimate before any work begins, so there are no surprises. If you have questions about coverage or payment, give our office a call and we'll help you understand your options.

Good To Know

FAQ

Is tooth extraction painful?

Most patients feel pressure rather than sharp pain during a tooth extraction because the area is numbed with local anesthesia beforehand. Some soreness and swelling afterward is normal and can usually be managed with over-the-counter pain relief and the aftercare instructions we provide.

How much does a tooth extraction cost?

Tooth extraction cost varies based on whether it is a simple or surgical procedure, plus your insurance plan. Our team will review your benefits and give you a personalized cost estimate before treatment begins, so call the office for specifics.

What if I need an emergency tooth extraction?

If you are dealing with sudden tooth pain or a dental emergency, call our office right away so we can check availability and guide you on next steps. Our hours are Monday through Thursday, 8:30 AM to 4:30 PM, and we are closed Friday through Sunday.

Restoring Function. Rebuilding ConfidenceThinking About a Tooth Extraction? Here's How We Can Help

Dr. Randi and our team are ready to talk through your symptoms, your options, and what a tooth extraction would mean for your smile going forward. Reach out today to schedule a visit or ask a question about your care.

Call us (603) 436-2951

Contact Us for more information.