Tooth Extractions | Southern Pines

You and Dr. Lombrano may determine that you need a tooth extraction for any number of reasons. Some teeth are extracted because they are severely decayed; others may have advanced periodontal disease, or have broken in a way that cannot be repaired. Other teeth may need removal because they are poorly positioned in the mouth (such as impacted teeth), or in preparation for orthodontic treatment.

The removal of a single tooth can lead to problems related to your chewing ability, problems with your jaw joint, and shifting teeth, which can have a major impact on your dental health.

To avoid these complications, in most cases, Dr. Lombrano will discuss alternatives to extractions as well as replacement of the extracted tooth.

Click here for a copy of our Post Op Instructions

The Extraction Process

At the time of extraction the doctor will need to numb your tooth, jawbone and gums that surround the area with a local anesthetic.

During the extraction process you will feel a lot of pressure. This is from the process of firmly rocking the tooth in order to widen the socket for removal.

You feel the pressure without pain as the anesthetic has numbed the nerves stopping the transference of pain, yet the nerves that transmit pressure are not profoundly affected.

If you do feel pain at any time during the extraction please let us know right away.

Sectioning a tooth

Some teeth require sectioning. This is a very common procedure done when a tooth is so firmly anchored in its socket or the root is curved and the socket can’t expand enough to remove it. The doctor simply cuts the tooth into sections then removes each section one at a time.

After Tooth Extraction

After tooth extraction, it’s important for a blood clot to form to stop the bleeding and begin the healing process. Bite on a gauze pad for 30-45 minutes immediately after the appointment. If the bleeding or oozing still persists, place another gauze pad and bite firmly for another 30 minutes. You may have to do this several times to staunch the flow of blood.

After the blood clot forms it is important to not disturb or dislodge the clot. Do not rinse vigorously, suck on straws, smoke, drink alcohol or brush teeth next to the extraction site for 72 hours. These activities may dislodge or dissolve the clot and hinder the healing process. Limit vigorous exercise for the next 24 hours, as this increases blood pressure and may cause more bleeding from the extraction site.  It is recommended to cease smoking for at least 5 days after your surgery.  Gentle rinsing can commence after 24 hours. 

After the tooth is extracted you may feel some pain and experience some swelling. An ice pack or an unopened bag of frozen peas or corn applied to the area will keep swelling to a minimum. Take pain medications as prescribed. The swelling usually subsides after 48 hours.

Use pain medication as directed. Call our office if the medication doesn’t seem to be working. If antibiotics are prescribed, continue to take them for the indicated length of time even if signs and symptoms of infection are gone. Drink lots of fluids and eat nutritious, soft food on the day of the extraction. You can eat normally as soon as you are comfortable.

It is important to resume your normal dental routine after 24 hours. This should include brushing and flossing your teeth at least once a day. This will speed healing and help keep your mouth fresh and clean.

After a few days you should feel fine and can resume your normal activities. If you have heavy bleeding, severe pain, continued swelling for 2-3 days, or a reaction to the medication, call our office immediately.

Ready to Restore Your Smile?

Call us with any questions or to make an appointment.


Southern Pines OMS Center

5 out of 5 stars based on 13 reviews.

Patient Testimonial

Thank u

- James O

5 out of 5 stars on

Patient Testimonial

Very helpful

- Kwamesha P

5 out of 5 stars on

Patient Testimonial

The Receptionist, Nurses, and Doctor were all friendly as if we were good neighbor's for years and Doctor Almony succeeded were all others failed. The Doctors and Nurses are really with you all of the way making sure that you are ok Every Step Of The Way. I will be recommended my friends and family. Thank You

- Curtis Q

5 out of 5 stars on

Patient Testimonial

My spouse and I enjoyed what could have Been a nervous experiment but it wasn’t!We were given great information on our procedure as things to do before and after!Not only did Dr.Almony have a great spirit,they were knowledgeable and his team was very pleasant!!They definitely won me over when we did a presurgery prayer!!Thank you all so much !!Godbless!

- Quintana G

5 out of 5 stars on

Patient Testimonial

Everyone,from reception to completion of my procedure was very pleasant, reassuring, and professional. The prayer did wonders for me. This is someone who you van trust.

- Jo-El M

5 out of 5 stars on

Patient Testimonial

Dr Almony and his staff go above and beyond to provide the very best care. I absolutely would not allow any other oral surgeon to work on my teeth. He provides an explanation of the procedure in away that is easy to understands. Him and his staff does everything necessary to make sure not only the patient is comfortable but also the accompanying family member.

- Victoria S

5 out of 5 stars on

Patient Testimonial


- Cheryl H

4 out of 5 stars on