Tooth extraction is a common dental procedure that can sound intimidating, especially if it’s your first time. Whether it’s due to a decayed tooth, overcrowding, or wisdom tooth issues, knowing what to expect and how to prepare can ease your anxiety and set you up for a smooth recovery. Preparation doesn’t just involve showing up to the dentist’s office. It starts well before your appointment and continues afterward with proper aftercare.

Understanding the Procedure
The first step in preparing for a tooth extraction is understanding why the procedure is necessary. Your dentist or oral surgeon will typically explain the reasons behind the extraction, whether it’s due to tooth damage, gum disease, or orthodontic preparation. Having a clear understanding of the purpose helps frame the extraction as a step toward better oral health rather than something to fear.
Your dentist will also perform a full examination, including X-rays, to assess the condition of the tooth and surrounding bone. This evaluation helps them determine whether a simple extraction or a more complex surgical procedure is required. Don’t hesitate to ask questions about what will happen during the procedure, how long it will take, and what kind of sedation or anesthesia will be used.
Planning Ahead
Once you schedule the extraction, there are a few steps you can take to prepare for the day of your appointment. Make sure your dentist knows about any medications you’re currently taking and any medical conditions you have. Certain medications, such as blood thinners, may need to be paused or adjusted prior to the procedure. Your dentist or doctor will guide you on this based on your individual health needs.
Arrange for transportation to and from the dental office, especially if you’ll be receiving sedation or anesthesia. Even if you feel alert afterward, it’s safer to avoid driving and allow your body to rest. Taking the day off work or school is also recommended. Depending on the complexity of the extraction, you might need an extra day or two to fully recover.
The Day Before and Morning Of
In the 24 hours leading up to your extraction, follow any specific instructions your dentist provides. If you’ll be under general anesthesia or IV sedation, you’ll likely be asked to fast for several hours before the procedure. This typically means no food or drink, including water, for at least six to eight hours before the appointment.
Wear comfortable, loose-fitting clothing to your appointment and avoid wearing jewelry, makeup, or contact lenses. If you’re anxious about the procedure, speak to your dentist about options for sedation. Many patients find peace of mind knowing they can be relaxed or even asleep during the process.
What to Expect During the Procedure
On the day of the extraction, your dentist will begin by administering local anesthesia to numb the area around the tooth. If you’re receiving sedation, this will be given beforehand to help you relax. A simple extraction usually takes just a few minutes. A surgical extraction may take longer if the tooth is impacted or broken. You might feel pressure during the procedure, but you shouldn’t feel pain. The dentist will remove the tooth, clean the area, and in some cases, place stitches to help the site heal properly.
Aftercare and Recovery
After your extraction, the dentist will place a gauze pad over the site to stop any bleeding. They’ll give you detailed instructions for caring for your mouth over the next few days. Rest is essential during the first 24 hours. Avoid smoking, drinking through straws, and eating hard or hot foods, as these can disrupt the healing process or cause a painful condition called dry socket. Stick to soft foods like yogurt, applesauce, and mashed potatoes, and keep your head elevated when lying down to reduce swelling. Gently rinse your mouth with salt water starting the day after the extraction, unless advised otherwise.
Tooth Extraction in Truckee, CA
Dr. Baldwin and his team are dedicated to preserving your natural tooth structure whenever possible. However, there are times when an extraction is necessary to prevent worsening damage or prepare for further treatment. Contact his office today to schedule a consultation and learn more about the procedure so you can face your appointment with confidence.
