Dec 5, 2025
Can Emergency Dentists Handle Complicated Tooth Extractions?
By Dr. Raheel Thobhani, DMD
When you have a tooth that needs to come out, you might picture a simple "pull." But what happens when the tooth is broken off below the gumline? Or what if it has long, curved roots that refuse to budge? This is known as a complicated extraction, and it can be a source of significant anxiety for patients in pain.
A common fear is showing up to an emergency appointment only to be told, "This is too hard, you need to see a specialist." At Smyrna Dental Studio, we want to put that fear to rest. Our team is equipped with the surgical training and advanced technology to handle even the most difficult extractions right here in our office, getting you out of pain efficiently and safely.
Simple vs. Surgical: Understanding the Difference
Not all extractions are created equal.
Simple Extraction: This is performed on a tooth that is fully visible above the gumline and has a straightforward root shape. It is typically loosened and removed with forceps in a matter of minutes.
Surgical (Complicated) Extraction: This is required when a tooth cannot be easily accessed or removed. This includes teeth that have broken off at the gumline, have not fully erupted (impacted), or have complex, curved roots that lock them into the jawbone.
How We Handle Complicated Cases
Instead of using brute force (which can damage your jaw), we use precision and technique.
1. Advanced Diagnostics (3D Imaging)
We never go in blind. We use a 3D CBCT scanner to create a precise map of the tooth. This allows us to see exactly how the roots are curved and where they sit in relation to your nerves and sinuses, preventing complications.
2. Sectioning the Tooth
This is the secret to a smooth surgical extraction. Rather than trying to pull a difficult tooth out in one piece, Dr. Thobhani will often cut the tooth into smaller sections. This allows each piece to be removed gently with minimal pressure, preserving your jawbone for a future implant.
3. Sedation for Comfort
Because a surgical extraction takes a little longer than a simple one, we often recommend sedation dentistry. This allows you to relax completely or even sleep through the procedure, ensuring you have no memory of the surgery.
FAQs: Complicated Extraction Questions
Will a surgical extraction hurt more than a simple one?
During the procedure, no. You will be just as numb. However, because the procedure involves more manipulation of the gums and bone, the recovery period may be slightly longer (3-5 days of soreness versus 1-2 days). We will provide you with appropriate pain management instructions.
What if the tooth breaks while you are trying to pull it?
This is actually very common with brittle, infected teeth. If a tooth breaks during an extraction, we simply switch techniques. We transition from a "simple" extraction to a "surgical" approach, using specialized instruments to gently elevate the remaining root tips out of the socket.
Do I need to see an oral surgeon?
For the vast majority of cases, no. A comprehensively trained dentist like Dr. Thobhani can handle complex extractions, including wisdom teeth and broken roots, right in our Smyrna office. This saves you the time and hassle of a referral.
Can I get an implant after a complicated extraction?
Yes, and it is often the best time to plan for one. Because surgical extractions can leave a larger defect in the bone, we almost always recommend placing a bone graft (socket preservation) at the same time. This rebuilds the bone instantly, ensuring you have a solid foundation for an implant once the site heals.
Expert Care for Difficult Problems
A complicated tooth requires a skilled hand, not just force. At Smyrna Dental Studio, we combine surgical expertise with advanced technology to ensure that even the most difficult tooth removal is safe, predictable, and as comfortable as possible.
If you have a broken or painful tooth that you're worried might be "too difficult" to fix, contact Smyrna Dental Studio today. We have the skills to help you.
