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Dental Extractins
Image by Jake Nackos

Think you may be in need of a tooth extraction? If you are in or near Jacksonville, FL, and think you may need a tooth extraction, come see Dr. Ryan at Parkway Prosthodontics so we can properly evaluate the situation. In some cases, a crown, Root Canal, or filling will do the job before an extraction is even necessary.  Occasionally, a tooth may become so damaged from injury, illness, infection, or decay that it must be extracted.  Additionally, adult teeth may be overcrowded and tooth removal is a necessary part of the alignment process.

At Parkway Prosthodontics, our experienced prosthodontist. Dr. Kathryn Ryan, is extremely qualified to safely pull teeth and deliver the aftercare you need to recover and regain health, function, and a beautiful smile. 


A tooth extraction also known as tooth pulling or dental extraction is the removal of a tooth from the socket of the bone. The process of extracting, pulling, or removing a tooth can be performed for multiple reasons. Typical reasons for tooth extractions are as follows:

  • Tooth decay

  • Broken beyond repair

  • Make room for orthodontic work

  • Poorly positioned teeth (i.e. impacted teeth)

  • Infection and/or Risk of Infection

  • Periodontal (Gum) Disease

Once a tooth extraction has been deemed the best course of action for you, our Prosthodontist, Dr. Ryan, will set up a date and time for your tooth extraction procedure. An antibiotic may be prescribed before or after the procedure varying on a case-by-case basis.

At the beginning of your procedure, Dr. Ryan will numb the area with local anesthesia. Once the extraction begins you will likely feel pressure but does not result in pain. Once the tooth extraction is complete it’s natural for the socket to bleed, even if stitches are in place.  Our Parkway Pros support staff will provide you with gauze pads and instruct you to gently place them onto the socket to absorb the drainage, staunch any bleeding, and promote clotting.

Typically, you’ll want to leave gauze in place for 3-4 hours following your tooth extraction, changing it out as necessary. To promote clotting, we recommend patients avoid rinsing, smoking, and drinking through a straw for 24 hours. To help with pain and swelling, ice can be applied to the side of your face in ten-minute intervals. Finally, make sure to get plenty of rest.  Plan to rest for at least 24 hours after extraction and take it easy for a couple of days thereafter.  Prop your head up on pillows when resting to minimize bleeding.

Once you are fully healed, you can discuss tooth replacement options with our Parkway Prosthodontics team to restore your smile and avoid shifting of other teeth.  Contact Parkway Prosthodontics today at (904)647-5793 or online to schedule your appointment.


Dental extractions come in two basic types – simple and surgical. Which kind is right for you will depend on the situation we are looking to fix.

Ideally, we prefer to save your natural teeth whenever possible. Unfortunately, this sometimes is not the appropriate solution and it becomes necessary to extract a tooth in order to protect the health of your other teeth. Some of the situations that may warrant an extraction include:

  • Severely broken or fractured teeth

  • Severely decayed teeth

  • Impacted wisdom teeth

  • Crowding


Simple extractions are performed when the tooth is above the gum line and can be removed with a lifter and forceps. The process and healing time are both quick. This may be used for a decayed tooth or a tooth that is broken but is still above the gumline. It’s also used to remove teeth when the root has died or if your teeth are crowded and removal is necessary to facilitate orthodontic treatment.

Surgical extractions, on the other hand, are more complicated. A surgical extraction requires an incision into the gum to get to the tooth. This type of extraction is necessary if your tooth has broken below the gumline or if it is multiple pieces and some are stuck beneath the gums. A surgical extraction is also necessary for impacted wisdom teeth that are partially or completely covered by gum tissue.


The most common reasons for wisdom tooth removal is they become impacted or produce other dental issues such as overcrowding of the teeth, cavity formation, or pain.  Since wisdom teeth are located in the back of the mouth, they may not form properly resulting in tooth impaction. Tooth impaction can vary by location and cause.

Impacted wisdom teeth can also be defined as follows:

  • No Impaction: The crown of the tooth is above the jawbone and gum line. If wisdom teeth are not impacted, and actually come in straight and above the gum line, they may still need to be removed due to infection caused by food debris and bacteria that are trapped behind the wisdom tooth. Cavity formation can occur in wisdom teeth because they are not easily accessible with a toothbrush or dental floss.

  • Soft Tissue Impaction: The tooth is covered by gum tissue.  Soft tissue impaction occurs when a wisdom tooth is partially exposed and the gum extends over the biting surface of the tooth itself. This issue causes a biting problem.

  • Partial Bony Impaction: The tooth is partially exposed, but part of the crown is trapped below the gum line and in the jaw bone. 

  • Complete Bony Impaction: The tooth is completely encased in the jaw bone. This is more common with sideways (horizontal) and backwards (distoangular) teeth. 

Not everyone will need to get their wisdom teeth removed. It’s possible for the teeth to come in just like any other and never be a cause for concern. The most common reasons your dentist will recommend extraction are:

  • Tooth Damage: The pressure and awkward placement of impacted wisdom teeth can damage the teeth in front of them. Tooth decay, gum disease and even bone loss can occur.

  • Nerve Pain: Mouths are tight spaces. If a wisdom tooth comes in at the wrong angle, it can easily become inflamed. The pain can be considerable.

  • Infection: Your normal teeth have a rim of gum tissue around the bottom edge. Wisdom teeth often erupt with excess gum tissue covering too much of the tooth. Food and bacteria can get trapped under the tissue, leading to tooth decay and painful infection.

  • Disease: In rare cases, impacted wisdom teeth can cause cysts or tumors in the surrounding tissues.

Once your wisdom teeth have been removed, the healing process begins.  Every patient responds differently to wisdom teeth removal. You may experience mild pain or discomfort, and swelling.  Pain and swelling are usually limited to the area of the extraction(s). The dental team at Parkway Prosthodontics will provide you with the necessary instructions to help you recover quickly and comfortably post-surgery. You can also find them here. 

Whether you need one, two, three or all four wisdom teeth extracted, our highly trained and experienced Prosthodontics team is at your side providing personal and gentle care throughout the entire process! Call the Parkway Prosthodontics team today to schedule an initial examination.  We’ve proudly served our North Florida neighbors, friends, and family for more than 10 years

Wisdom Teeth Extractions


  • Rest quietly with your head elevated for the remainder of the day.

  • Always get up slowly from a reclined position to prevent dizziness

  • Limit physical activity for the first 24 hours and avoid excessive exertion for the first 72 hours.

  • Healing will occur much faster with rest!


Swelling and Bruising:

  • Some swelling often occurs and this is normal in the healing process.

  • However, if swelling seems excessive and is accompanied by fever or severe pain, please call immediately.

  • Use an ice pack for the first day following surgery. This will contribute to your comfort and minimize swelling. Place an ice pack on your face over the surgical area; 20 minutes on and 20 minutes off.

  • Moist heat may be applied the day following surgery for added comfort.



  • Red saliva is expected for the first 24 hours, however extensive bleeding should not occur. If such bleeding should occur, apply firm pressure with moist gauze to the area for 20 minutes. If the bleeding does not subside, please call.


Mouth Care:

  • AVOID RINSING, SPITTING, OR SUCKING THROUGH A STRAW for three days after surgery. Blood is clotting and this will disturb the healing process.

  • You may begin gentle rinsing three days after surgery, but do not rinse vigorously for seven days.

  • Do not rinse with an over-the-counter mouthwash for seven days

  • You may begin to brush the NON-SURGICAL areas the day of surgery



  • Eat softer foods for the first week such as pasta, eggs, fish, yogurt, soup, pudding, and soft-cooked vegetables.

  • For the first few days, avoid extremes: very hot, very cold, or acidic/spicy foods.

  • Do not eat hard crunchy foods such as popcorn, small seeds (like in strawberries, sesame, and poppy), nuts or chips for the first week after surgery.

  • Maintain a balanced diet.



  • We strongly advise NOT SMOKING after surgery. Smoking delays the healing process, increases discomfort, and may encourage bleeding and infection in the surgical site.


If you have any questions or concerns please call us (904)647-5793.

Post-Operative instructons
    Prosthodontics is a dental specialty that’s specifically devoted to the art of restoring and replacing dental structures like teeth and the jawbone. You can rely on a prosthodontist to provide high-quality services like porcelain veneers, dentures, bridges, crowns, dental implants, and complex full mouth reconstruction.
    Dr. Ryan completed a three-year residency program in Prosthodontics at the Marquette University School of Dentistry in Milwaukee, earning her Master’s in Prosthodontics in 2010. She also was a surgical implant fellow in the Graduate Prosthodontic program at the University of Florida College of Dentistry. In this program, she not only became very skilled in oral surgery techniques like dental implant placement, but she also taught dental students about dental implants and other restorative concepts. In fact, she continues to serve as a guest faculty member at the school, regularly lecturing and working with the prosthodontic residents. Her dedication to this specialty truly goes above and beyond!
    In most cases, Dr. Ryan will strongly recommend dental implants as the premier reconstructive solution. Implants replicate the entire structure of the natural tooth, improving health and function as well as aesthetics; their longevity is also unmatched, lasting for decades or even the rest of the patient’s life. Our practice is home to several state-of-the-art implant options that can be matched to each patient’s unique needs, including implant-retained prosthetics and All On 4. Of course, no treatment plan can be the right fit for every patient in need. Dr. Ryan will be happy to review all available options with you in detail during your initial consultation so that we can discover the ideal path.
    Full mouth reconstruction isn’t a specific service – it’s actually a personalized treatment plan that incorporates any number of restorative and cosmetic-minded procedures in order to fully revitalize a patient’s oral health. Dr. Ryan’s expertise enables her to guide patients through even the most complex journeys, resulting in a complete, confident smile that’s finally regained its full potential.
    Of course. Parkway Prosthodontics is home to several cosmetic services that can erase visual smile flaws and create stunning improvements for your teeth. Possible options include teeth whitening, porcelain veneers, metal-free restorative work, and more.
    Yes! If you are a victim of mild to moderate obstructive sleep apnea (OSA), a trained dentist like Dr. Ryan can prescribe customized oral appliance therapy in order to clear the airway and help patients rest easier.
    Our team is happy to accept many major dental insurances and payment plans through CareCredit. We want to help make your care as affordable as possible! To learn more, please visit our new patients page.
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