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Monday – Thursday: 7:30 a.m. – 4 p.m. · Friday: 7:30 a.m. – 12 p.m. · Saturday and Sunday: ClosedMonday – Thursday: 7:30 a.m. – 4 p.m.About 45 minutes for a consultation

Oral surgery

Extractions and bone grafts

When a tooth can't be saved, Dr. Nair removes it. When the plan includes an implant, she can rebuild the bone at the same visit so it is ready.

What happens

Usually one visit, with a check a week or two later.

  1. 01

    Step 1: Exam and options

    Dr. Nair shows you the tooth, tells you whether it can be saved and what each choice involves.

  2. 02

    Step 2: Numbing

    She numbs the area and checks that it's numb before she begins.

  3. 03

    Step 3: Removal and graft

    The tooth comes out. If you're having a graft, she places the material and covers it.

  4. 04

    Step 4: Aftercare

    Written instructions, a number to call and a follow-up visit to check the area.

Comfort, choices and care

  • Comfort

    A local anesthetic, with sedation if you want it. You feel pressure, not sharp pain, and we stop when you ask.

  • If you wait

    An infected tooth can cause pain and swelling that spreads. A tooth that can be saved is a job for your dentist, and Dr. Nair will say so. Without a graft, the bone where a tooth was can shrink, which matters if you plan an implant.

  • Risks and aftercare

    Bleeding, swelling and soreness for a few days are expected. A graft can fail to take or become infected, and a dry socket can cause pain after a few days. Dr. Nair explains the material she recommends and the risks that apply to you.

  • How it's billed

    Extractions are billed to dental plans, medical plans or both, and grafts are covered differently from plan to plan. The written estimate comes first.

    How fees work

Questions about extractions and bone grafts

Where does graft material come from?

From a tissue bank, from a synthetic material or from your own bone. Dr. Nair explains which she recommends and why.

Do I need an implant afterward?

No. Some people choose a bridge or a denture, or leave the space. We explain the choices, and you decide.

How long until I can chew normally?

It depends on the tooth, the graft and you. We give you a range at your visit.

Provided by an oral and maxillofacial surgeon

Dr. Usha Nair, DDS. Residency in oral and maxillofacial surgery; American Board of Oral and Maxillofacial Surgery. Licensed in Wyoming.