Request Appointment
905-848-2250
Mississauga, ON · Gentle & Efficient

Tooth Extractions in Mississauga

When a tooth can’t be saved, extraction is the right next step. Our team performs gentle, efficient extractions, and always discusses replacement options so you have a clear plan from the start.
Request an Appointment
905-848-2250
Overview

What is a tooth extraction?

A tooth extraction is the removal of a tooth from its socket in the jaw bone. While we always prefer to save natural teeth when possible, extraction is sometimes the most appropriate treatment, when a tooth is too damaged or infected to restore, when decay or fracture has progressed beyond repair, when overcrowding requires space, or when wisdom teeth are causing complications.At Tomken Dental, extractions are performed as gently and efficiently as possible. Local anesthetic ensures you feel pressure but no pain throughout the procedure. We also discuss tooth replacement options, such as implants or bridges, at the same appointment, so you leave with a clear plan for restoring the space.

Resolve Pain & Infection

A severely infected or abscessed tooth that cannot be saved poses a risk to surrounding bone and tissue. Extraction removes the source of infection, stops the spread, and allows the area to heal. Relief is often felt quickly after the procedure.

Prevent Further Damage

A tooth that is fractured beyond restoration, deeply decayed, or causing crowding can damage adjacent teeth over time. Timely extraction prevents a deteriorating situation from becoming a more complex and costly one.

Planned With Replacement in Mind

We plan extractions with the end result in mind, not just the removal. We discuss replacement options, sequencing, and timing at your extraction appointment, so the path forward is clear before you leave.
Who This Is For

When a tooth extraction may be recommended.

Extraction is not our first recommendation, we always explore restoration options first. When extraction is the right path, we make sure you understand why and what comes next.

Severe Decay or Fracture

When decay or a fracture extends below the gumline, or the remaining tooth structure is insufficient to support a crown, the tooth cannot be reliably restored. Extraction and replacement preserves the health of surrounding teeth and bone.

Dental Abscess or Advanced Infection

If root canal therapy is not feasible or has failed, extracting the infected tooth stops the spread of infection. We assess whether an abscess can be treated non-surgically first, extraction is the alternative when it cannot.

Wisdom Teeth

Wisdom teeth that are impacted, partially erupted, causing crowding, or repeatedly infected are commonly recommended for extraction. We take X-rays to assess the position and root configuration before proceeding, and refer to an oral surgeon for complex impactions.

Orthodontic Space Creation

In some orthodontic cases, one or more premolars are extracted to create space for proper alignment of remaining teeth. This is always part of a planned orthodontic treatment sequence, never done in isolation.
What To Expect

Your extraction appointment, step by step.

1

Assessment & Treatment Discussion

We review X-rays to assess root shape, bone levels, and proximity to nerves or anatomical structures. We confirm that extraction is the most appropriate option and explain why. We discuss sedation options if anxiety is a concern, and outline replacement choices for after healing.

2

Anesthesia

Local anesthetic is administered to completely numb the tooth and surrounding area. We wait until the area is fully numb before beginning. You will feel pressure and movement but no sharp pain. Nitrous oxide is available for patients who want additional relaxation.

3

Extraction

Using instruments to gently loosen the tooth from the periodontal ligament, we remove the tooth in one piece when possible. Some teeth require sectioning into smaller pieces for easier removal, this is common for multi-rooted teeth or those with curved roots.

4

Clot Formation & Immediate Aftercare

Gauze is placed over the socket and you bite down firmly to encourage clot formation. We provide detailed written aftercare instructions and go through them with you before you leave. Most extractions heal without complications when aftercare is followed carefully.

5

Follow-Up & Replacement Planning

We confirm healing is progressing at a follow-up check and discuss the next steps for tooth replacement, typically beginning the implant or bridge planning process four to six weeks after extraction, once initial healing is complete.
Honest Expectations

Benefits and realistic considerations.

What You Gain

  • Resolution of pain, infection, or damage that cannot be resolved through restoration
  • Prevention of further damage to surrounding teeth and bone
  • A clear, well-planned path to tooth replacement from the outset
  • A gentle, efficient procedure with local anesthetic ensuring your comfort throughout

Things to Know

  • Post-extraction soreness for two to four days is normal, manage with medication as directed
  • A blood clot must form and remain undisturbed, dry socket is the main complication when it doesn't
  • Teeth adjacent to the gap will shift over time without replacement, plan your restoration
  • We're a CDCP office, extractions are often a covered procedure under most dental plans
Preparation & Aftercare

Before, during, and after your extraction.

Before Your Appointment

Take any prescribed antibiotics as directed before the procedure if they’ve been recommended for active infection. Eat a normal meal beforehand, the area will be numb for several hours after and eating will be uncomfortable. Arrange transportation if sedation is being used. Avoid blood-thinning over-the-counter medications like ibuprofen or aspirin unless prescribed, these can increase bleeding.

Immediately After

Bite firmly on the gauze pad for 30 to 45 minutes to encourage clot formation. Do not rinse, spit forcefully, or use a straw for the first 24 hours, these actions can dislodge the clot. Apply ice to the outside of your cheek for 15 minutes on, 15 minutes off, for the first few hours. Rest for the remainder of the day.

Recovery

Eat soft foods for three to five days and chew on the opposite side. Swelling typically peaks at 48 hours and begins to subside. Starting the day after extraction, rinse gently with warm salt water two to three times daily. Brush and floss normally, avoiding the extraction site. Contact us immediately if you experience increasing pain after three days, fever, or a bad taste, these can indicate dry socket or infection.
At-Home Care

Caring for the extraction site at home.

Following these instructions carefully reduces your risk of complications and promotes faster healing.
Do not rinse, spit, or use a straw for the first 24 hours
Bite on gauze firmly for 30 to 45 minutes immediately after the procedure
Eat soft, cool foods for the first three to five days and avoid the extraction site
Rinse gently with warm salt water starting the day after extraction
Avoid smoking, it significantly increases the risk of dry socket and infection
Contact us if pain increases after three days rather than improves, this needs prompt attention
Related Treatments

Treatments that follow tooth extraction.

Dental Implants

An implant is the gold standard for replacing an extracted tooth, permanently anchored in the jaw bone, preserving bone volume, and functioning like a natural tooth. We discuss implant planning at your extraction appointment.

Crowns & Bridges

A fixed bridge uses crowns on adjacent teeth to replace an extracted tooth without surgery. This is a viable alternative to an implant when the neighbouring teeth already need crowns, or when implant surgery is not appropriate.

Dentures

For patients having multiple teeth extracted, partial or complete dentures may be the most appropriate replacement. We can plan immediate dentures so you’re never without teeth during the healing process.
Why Tomken Dental

Why Mississauga patients trust us for extractions.

Gentle Technique, Efficient Recovery

Extraction outcomes depend significantly on technique. A carefully performed extraction, with proper tissue handling and minimal trauma to the socket, heals faster, hurts less, and produces better conditions for future implant placement. We don’t rush through extractions.

Same-Day Access for Urgent Cases

Severely infected or broken teeth are emergencies. When extraction is necessary and urgent, we work to see you the same day. Delaying an infected tooth causes the infection to worsen and makes the procedure more difficult.

In-House Replacement Options

Extraction and replacement happen under the same roof at Tomken Dental. Dr. Ameen’s implant expertise means we can perform both the extraction and the implant surgery in-house, with coordinated planning from the first appointment.
Common Questions

Tooth extraction FAQ.

Will a tooth extraction hurt?
The procedure is performed under local anesthetic, you will feel pressure and movement but no sharp pain. Post-procedure soreness for two to four days is normal and managed with over-the-counter pain relievers. Most patients are surprised at how manageable the recovery is.
Initial healing (clot formation and tissue closure) takes about one to two weeks. Complete bone healing of the socket takes three to six months. For most daily activities, patients are comfortable within three to five days.
Dry socket occurs when the blood clot that forms after extraction is dislodged before healing is complete, exposing the bone. It causes significant pain and requires treatment. Avoid rinsing, spitting, straws, and smoking for the first 24 hours, these are the main causes.
Yes, even back teeth that aren’t visible cause problems when left unreplaced. Adjacent teeth drift into the gap and opposing teeth over-erupt, altering the bite and creating hygiene challenges. We recommend replacement for any extracted tooth, and will walk you through the options.
In many cases, an implant can be placed immediately at the time of extraction or shortly after. In others, a healing period of eight to twelve weeks is recommended to allow the socket to heal before implant placement. We plan this sequence at your consultation. Call (647) 692-6053 to discuss.

When a tooth must go, we make it as easy as possible.

Gentle extractions, clear next steps, and same-day access for urgent cases. Call (647) 692-6053 or request online.
Request an Appointment