Dr. Rebecca Hartfield, DMD
A Great Dentist


No one wants to lose a tooth, but sometimes it does become necessary. Extractions are one of the many services Dr. Rebecca Hartfield commonly performs as a general dentist. Dr. Hartfield can do most extractions in her office, with the exception of impacted wisdom teeth.

Teeth may need to be extracted (taken out) if they are:

  • Broken and fractured
  • Severely decayed
  • Malpositioned
  • Infected
  • Loose
  • Impacted (trapped under the gums or the bone)
  • Needing to be removed for orthodontic treatment (braces)
  • Needing to be removed prior to denture treatment

If you think you need a tooth extracted, Dr. Rebecca Hartfield will be happy to talk to you about it. Sometimes teeth that you think need to be extracted can be saved with root canal treatment and or crowns. Other times, even though a tooth could be saved, the treatment required can be extensive and a patient may opt to have the tooth extracted instead.

Nitrous Oxide/Sedation

When Dr. Hartfield takes a tooth out, she does it using a local anesthetic (which is what is used when you have a tooth filled). If you choose to, you can add nitrous oxide (laughing gas) to the procedure to help you relax. Nitrous is delivered through a tube to your nose and breathing it in helps to relax you. Oxygen is delivered through the tube at the end of the procedure to clear the nitrous out of your system. Since there are no after-effects, you’ll be able to drive yourself to and from your appointment.

If you feel you need a little more help to relax, medicines can be prescribed to aid with this. Typically with these medicines, you will take one dose just before bedtime and one dose an hour before your appointment. These medicines can make you feel somewhat drowsy, and because they stay in your system for a while, you do need to have a driver with you if you choose this option.

If you want to be fully sedated, you will need to see an oral surgeon for your extractions. Dr. Hartfield will be happy to refer you to an oral surgeon (a dentist who specializes in taking teeth out). An oral surgeon can do extractions using:

  • Local anesthetic
  • IV sedation
  • General anesthetic

If you decide to be sedated, IV sedation can be a good option (many patients choose IV sedation when having their impacted wisdom teeth taken out). IV sedation will not totally knock you out, but it will often relax you enough that you fall asleep during the procedure. If you want further sedation, oral surgeons can use a general anesthetic, which will knock you out totally until they wake you up after the procedure is over. You will need a driver if you chose to have your extractions done using IV sedation or a general anesthetic.

Please Call for an Appointment

Dr. Hartfield is happy to discuss all treatment options and help you choose the option that is best for you. If it is an emergency, please call the office at (618) 234-7100 as early in the morning as possible, and we will do our best to get you in that same day.

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