Tooth Extractions – San Luis Obispo

You and Dr. Janette may determine that you need a tooth extraction for any number of reasons. Some teeth are extracted because they are severely decayed; others may have advanced periodontal disease, or have broken in a way that cannot be repaired. Other teeth may need removal because they are poorly positioned in the mouth (such as impacted teeth), or in preparation for orthodontic treatment.

The removal of a single tooth can lead to problems related to your chewing ability, problems with your jaw joint, and shifting teeth, which can have a major impact on your dental health.

To avoid these complications, in most cases, Dr. Janette will discuss alternatives to extractions as well as replacement of the extracted tooth.

The Extraction Process

At the time of extraction the doctor will need to numb your tooth, jaw bone and gums that surround the area with a local anesthetic.

During the extraction process you will feel a lot of pressure. This is from the process of firmly rocking the tooth in order to widen the socket for removal.

You feel the pressure without pain as the anesthetic has numbed the nerves stopping the transference of pain, yet the nerves that transmit pressure are not profoundly affected.

If you do feel pain at any time during the extraction please let us know right away.

Sectioning a tooth

Some teeth require sectioning. This is a very common procedure done when a tooth is so firmly anchored in its socket or the root is curved and the socket can’t expand enough to remove it. The doctor simply cuts the tooth into sections then removes each section one at a time.

After Extraction Home Care


Some bleeding may occur. Placing a piece of moist gauze over the empty tooth socket and biting down firmly for 45 minutes can control this.

Blood clots that form in the empty socket.

This is an important part of the healing process and you must be careful not to dislodge the clot.

  • Avoid rinsing or spitting for 24 hours after the extraction.
  • Avoid use of a straw, smoking or hot liquids.


If swelling occurs you can place ice on your face for 10 minutes and off for 20 minutes. Repeat this cycle as you feel necessary for up to 24 hours.

Pain and Medications

If you experience pain you may use non-prescription pain relief medications such as acetaminophen or ibuprofen.


For most extractions just make sure you do your chewing away from the extraction site. Stay away from hot liquids and alcoholic beverages for 24 hours. A liquid diet may be recommended for 24 hours.

Brushing and Cleaning

After the extraction avoid brushing the teeth near the extraction site for one day. After that you can resume gentle cleaning. Avoid commercial mouth rinses, as they tend to irritate the site. Beginning 24 hours after the extraction you can rinse with salt water (1/2 teaspoon in a cup of water) after meals and before bed.

Dry Socket

Dry socket occurs when a blood clot fails to form in the socket where the tooth has been extracted or the clot has been dislodged, and the healing is significantly delayed.

Following the post extraction instructions will reduce the chances of developing dry socket. Dry sockets manifest themselves as a dull throbbing pain, which doesn’t appear until three or four days after the extraction. The pain can be moderate to severe and radiate from the extraction area. Dry socket may cause a bad taste or bad breath and the extraction site appears dry.

Dr. Janette will apply a medicated dressing to the dry socket to soothe the pain.


After a tooth has been extracted there will be a resulting hole in your jaw bone where the tooth was. In time, this will smooth and fill in with bone. This process can take many weeks or months. However, after 1–2 weeks you should no longer notice any inconvenience.

Patient Reviews: Tooth Extractions

Please read testimonials from our patients, below. If you wish to rate your experience with San Luis Oral and Maxillofacial Surgery and Dental Implant Center, we invite you to fill out an online patient review.

You may also read and write patient reviews on our Google listing.

For more information, or to make an appointment with Dr. Janette, please use our Appointment Request form or call our office: Oral Surgery & Dental Implant Office in San Luis Obispo CA Phone Number 805-541-5611.

San Luis Oral and Maxillofacial Surgery and Dental Implant Center

5 out of 5 stars based on 11 Extractions reviews.

Patient Testimonial by Mary M

The staff and Dr. Janette were all very friendly and professional. Everyone created a relaxing atmosphere for the procedure. I also commend everyone in regards to protecting patients by sanitizing everything in the waiting room and beyond given the situation we are in with COVID-19. Thank you, I highly recommend the office.

- Mary M

5 out of 5 stars on

Patient Testimonial by Michael F

Dr. Janette and his staff were great. I was nervous, I had never had a tooth extracted before, but the staff and Dr. Janette made me feel very comfortable. I asked if I could be “put under” using general anesthia but Dr. Janette said that he will numb my gums enough so that I will be comfortable. He did that, I didn’t feel any discomfort and since general anesthia wasn’t used I saved a couple hundred dollars. I will come back here if I ever need oral surgery again and I strongly recommend Dr. Janette to anyone that is looking for an oral surgeon.

- Michael F

5 out of 5 stars on

Patient Testimonial by megan m

I cannot say enough good things about my experience. I have a real fear of dentistry due to bad experiences in the past. The moment I walked into Dr. Janette's office, I was very impressed. The office itself is very inviting and comfortable. I was then greeted by smiling faces. Everyone was super understanding about my anxiousness and effortlessly put me at ease. I had Sabrina and Gretchen as Dr. Janette's assistants. They were awesome and very knowledgeable. I was then greeted by Dr. Janette. Dr. Janette, is amazing to say the least. He was informative, funny, and again, made me feel completely comfortable. He even offered to look at all the dentists my insurance covers and recommend the best one to me, as I'm new to the area. He and his staff go far and above anything I would have ever expected. My fiance who came with me, was so impressed himself, that he is eager to schedule and appointment. I would highly recommend (and already have) Dr. Janette's office to everyone!

- megan m

5 out of 5 stars on

Patient Testimonial by Roland P

For having a molar extracted, this was actually a wonderful experience. Every effort was made to ensure my comfort before, during and after the procedure. Everything was explained in detail ahead of time and I was kept informed what was going on during. Could not have asked for anything better.

- Roland P

5 out of 5 stars on

Patient Testimonial by Pamela S

I cannot say enough great things about my experience with Adam Janette and his staff. I have always been treated with respect and kindness. I surely appreciate the treatment that I have always received at this dental office. Adam Janette and his staff are outstanding professionals and I am glad for the opportunity to publicaly say how satisfied I am with their care.

- Pamela S

5 out of 5 stars on

Patient Testimonial by Elizabeth R

Professional, courteous, helps guide patient through the process with know-how and empathy.

- Elizabeth R

5 out of 5 stars on

Patient Testimonial by pete s

Dr. Janette is both very intelligent and very knowledgeable in his field. From my experience with multiple extractions over the years, Dr.Janette is an expert at performing extractions with minimal trauma to the patient. He is terrific at putting his patients at ease, especially when they are naturally apprehensive. His staff is part of a well-oiled and caring organization.

- pete s

5 out of 5 stars on

Patient Testimonial by Samuel B

I have had my wisdom teeth extracted by Dr janette and just recently two teeth from an abscess under a failed crown/root canal from about 25yrs ago. He also performed a bone graft and will be placing 2 implants in a few months. He and his staff were very friendly. I was not sedated for any of these procedures but did not experience any discomfort due to his high level of skill.

- Samuel B

5 out of 5 stars on

Patient Testimonial by Stephanie V

Dr.Adam Janett and his staff are Awesome!!!! I am terrified of the dentist! But they made me feel so comfortable. Took the time to explain everything and answer all my questions. Dr. Janett is so good at what he does, I promise you, you won't want to go anywhere else. Very grateful to him and his wonderful staff.

- Stephanie V

5 out of 5 stars on

Patient Testimonial by Eugene Fabricius F

Everything went well, no pain, fast extracting, negligible bleeding, reasonably fast recuperation.

- Eugene Fabricius F

5 out of 5 stars on

Patient Testimonial by Brad W

I have had several dentist over the years and Dr. Janette is by far the most professional and personnel. He was highly educated and up to date with the most modern practices. Because he has great communication skills he was able to explain everything in simple terms that even I could understand. He not only showed great compassion, but also took a genuine interest in my circumstance. My horrifying ordeals with past dentist made me very reluctant to return to a dentist. I am glad I did because since my treatment with Dr. Janette I have a renewed trust in dentistry, and my anxiety is gone.

- Brad W

5 out of 5 stars on

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