Gentle, Expert Tooth Removal by Dr. Adam Vitelli, DMD

Tooth extractions may sound intimidating, but at Vitelli Comprehensive Dentistry, they’re performed with advanced techniques that prioritize comfort, precision, and long-term oral health. Whether you need a simple removal or a more complex surgical extraction, Dr. Adam Vitelli and our caring Germantown team are here to help you feel at ease every step of the way.

When Is a Tooth Extraction Necessary?

Tooth extractions are recommended when a tooth is:

  • Severely decayed beyond repair
  • Cracked or fractured below the gumline
  • Loosely held due to advanced gum disease
  • Crowding other teeth before orthodontic treatment
  • Impacted or infected (often wisdom teeth)

Our general and family dentistry services emphasize preventive care, but when extractions are necessary, we ensure the process is stress-free and efficient.

What to Expect During Your Extraction Appointment

At Vitelli Comprehensive Dentistry, we follow a patient-first approach. Here’s what your extraction visit may include:

  1. Digital Imaging: Using modern diagnostics like digital impressions with iTero, we assess the tooth's position and root structure.
  2. Comfort-Focused Anesthesia: We offer local anesthesia and nitrous oxide sedation for a relaxed, pain-free experience.
  3. Tooth Removal: Depending on the complexity, we may perform a simple or surgical extraction.
  4. Aftercare Instructions: You’ll receive detailed guidance for healing, including managing swelling, bleeding, and dietary restrictions.

For patients who are anxious about treatment, we provide anxiety-free dentistry to create a calm and reassuring environment.

Recovery After Tooth Extraction

Healing from a tooth extraction typically takes a few days. To help your recovery go smoothly, we recommend:

  • Avoiding hard or hot foods for the first 24 hours
  • Keeping the area clean without brushing directly on the site
  • Using an ice pack to reduce swelling
  • Taking any prescribed medications as directed

Our office is always available if you have questions during recovery. We also offer same-day and next-day appointments in Germantown, Gaithersburg, and Boyds.

Tooth Replacement Options After Extraction

If your tooth won’t be replaced by a natural one (such as a wisdom tooth), we may recommend a restorative solution to maintain your smile’s function and appearance:

These solutions restore your bite, prevent shifting teeth, and protect your jawbone health.

Why Choose Vitelli Comprehensive Dentistry?

  • Trusted Local Dentist: Dr. Adam Vitelli, DMD, has years of experience performing gentle, effective extractions.
  • Advanced Technology: We use cutting-edge tools like iTero scanners and pain-free Dental Pain Erasers to ensure comfort.
  • Convenient Germantown Location: Our office serves Germantown, Gaithersburg, and Boyds with flexible hours and emergency availability.
  • Multilingual Team: English and Spanish spoken for better patient communication.

You can also learn more about our office environment and what patients are saying on our reviews page.

FAQs About Tooth Extractions

How long does a tooth extraction take?
Most extractions take about 30 to 60 minutes, depending on the tooth’s location and condition.

Is tooth extraction painful?
With proper anesthesia and sedation, you should feel only pressure—not pain—during the procedure.

Can I go back to work after a tooth extraction?
We usually recommend taking the rest of the day off to rest, especially if sedation is used.

How much does a tooth extraction cost in Germantown?
Costs vary depending on the complexity. We accept insurance plans like Cigna and DHA—learn more about our financial information.

Do you offer emergency extractions?
Yes. If you're experiencing urgent pain or infection, contact us for same-day emergency care.

Schedule a Tooth Extraction Consultation Today

If you're dealing with a painful or damaged tooth, don’t wait. Dr. Adam Vitelli and the team at Vitelli Comprehensive Dentistry are here to provide expert extractions in a supportive, modern environment. We welcome patients from Germantown, Gaithersburg, and surrounding areas.

Call us today at (301) 750-9482 or request an appointment online to get the relief you need.

Contact us to schedule