When Saving Isn't the Right Answer
Our default instinct is always to save teeth — that's why we offer root canals, crowns and gum therapy. But some teeth are past rescue: split roots, decay below the bone, advanced gum disease, or infections that keep returning. In those cases, a well-executed extraction stops the pain, clears the infection and opens the door to something better. If a tooth can be saved and it's worth saving, we'll tell you. If it can't, we'll remove it gently and plan what's next — before you're ever in the chair.
Reasons Teeth Need Removal
- Severe decay that has destroyed too much structure to restore
- Cracked or split roots — the fracture no dentistry can fix
- Advanced periodontal disease that has dissolved supporting bone
- Persistent infection unresponsive to root canal treatment
- Crowding — occasionally teeth are removed for orthodontic reasons
- Wisdom teeth — impacted, infected or crowding their neighbours
In pain now? Extractions are one of our most common same-day emergency treatments — call (613) 491-3300.
What a Gentle Extraction Looks Like
Comfort is a process, not a promise. We numb generously and test carefully before touching anything. Modern technique emphasizes patience — easing the tooth loose rather than forcing it — which means less trauma, faster healing and easier future implant placement. For anxious patients, nitrous oxide or oral moderate sedation can turn a dreaded appointment into a non-event; Dr. Grewal holds a moderate sedation certificate.
You'll leave with clear written aftercare instructions, gauze, and a direct line to call with any concern. We mean it — call.
Think One Step Ahead: The Space
The best time to plan tooth replacement is before extraction. If an implant is in your future, we may recommend a socket preservation graft at extraction time to keep the bone ready — a small step that makes implant placement simpler later. If a bridge or partial denture fits your plans better, we'll sequence that too. And for wisdom teeth? No replacement needed — just relief.
Get the tooth assessed honestly. Book online or call (613) 491-3300 — direct insurance billing and CDCP accepted.
Tooth Extractions — Frequently Asked Questions
Does getting a tooth pulled hurt?
You'll feel pressure but not pain — we anesthetize thoroughly and verify numbness before starting, and we stop immediately if you feel anything sharp. Anxious patients can add nitrous oxide or oral sedation. Most patients say afterwards, 'that was it?'
How long is recovery after an extraction?
The first 24–48 hours are the tender window — manageable with over-the-counter medication for most simple extractions. Most people work the next day. The socket itself closes over one to two weeks; we'll give you clear written aftercare instructions.
What is dry socket and how do I avoid it?
Dry socket happens when the healing blood clot is dislodged, exposing bone — it's painful but treatable. Avoid it by skipping straws, smoking, vigorous rinsing and hard exercise for the first few days. If pain worsens on day 2–4 instead of improving, call us.
Should I replace an extracted tooth?
Usually yes, apart from wisdom teeth. Neighbouring teeth drift into the space and the bite degrades over time. We'll discuss replacement — implant, bridge or partial denture — before the extraction, because some choices (like preserving the socket with a graft) are best made on extraction day.