How Much Does Tooth Extraction Cost in US and When You Should Consider it?

For some, the anticipation of a tooth extraction cost is greater than having your tooth pulled. Among the reasons for tooth extraction are a small mouth, oral trauma, and a compromised immune system. Whatever your reason for reading these, allow us to assuage your fears.

Tooth extraction cost is greater than that of root canal therapy, but sometimes that is not an option. Either it has already been tried and was ineffective, or there is another reason for having your tooth removed. Today we will discuss the details of a tooth extraction, the most common reasons for a tooth extraction when you should consider one and how much you can expect to pay. Learn all this and more all in one place. Read on and learn everything you need to know about tooth extraction in one comprehensive article.

What is Tooth Extraction

Tooth Extraction

Tooth extraction refers to the removal of a tooth. A dentist will x-ray your mouth to determine the simplest way to remove your tooth or teeth. A simple extraction is used when the tooth is visible in the mouth. Your dentist uses a tool referred to as an elevator which loosens the tooth. He then removes it with forceps. It is commonly performed using a local anesthetic to reduce the total price you have to pay for the procedure.

A surgical extraction is much more involved and more expensive than a simple extraction. When a tooth is below the gum line because it has not come in yet or the tooth has broken down that far, this procedure is usually called for. The dentist makes a small incision in the gum. In some cases, he may have to cut a tooth in half or remove some bone to get the tooth out. You can usually get this procedure done with local anesthesia, greatly reducing any downtime. You will feel pressure, but you will not feel pain.

Elevate your head above your heart with pillows to reduce the risk of bleeding. To avoid dislodging the clot formed in your tooth socket, avoiding spitting forcefully or rinsing after the extraction. Your dentist will have several other instructions for you to follow. These are all crucial for the success of your post-op recovery.

After the Extraction


Follow your dentist's instructions for aftercare. Expect to take NSAIDs like ibuprofen to keep any post-operational pain at bay. Your doctor may recommend this pain relief method three or four times per day. Ice packs applied to your face will reduce any swelling. Starting 24 hours after surgery, keep the extraction site clean with a gentle salt water rinse. Remember, everyone heals at varying rates, so do not worry if it takes up to two weeks to recover from the procedure.

To heal as fast as possible, abstain from nicotine. Eat soft foods such as applesauce, yogurt, pudding, and soup the day following the extraction. As the site of extraction heals, you should slowly reintroduce solid foods back into your diet. To prevent infection, floss your teeth and brush and floss your teeth as you normally would. Just be sure to avoid the extraction site.

Your dentist may recommend a replacement of the extracted tooth or other methods to prevent issues related to chewing ability and shifting teeth.

Common Reasons For Tooth Extraction

girl  tooth pulled

Permanent teeth ought to last a lifetime, but sometimes extenuating circumstances happen. If you take part in a contact sport without a mouthguard, you may experience oral trauma so severe you must have your tooth pulled. Another common reason for tooth extraction is severe decay. This can occur if your doctor recommends a root canal, but you go against his professional judgment.

Occasionally, your dentist tries root canal therapy or antibiotics, but the tooth infection is so severe this method is ineffective. Infection occurs when damage or tooth decay reaches the pulp, or center of the tooth containing blood vessels and nerves. Despite the tooth extraction cost, having your tooth removed may be your only option to prevent the infection from spreading to the surrounding tissues and teeth.

If you are receiving an organ transplant or chemotherapy, your immune system is compromised. Your dentist will recommend a tooth extraction if he fears you have a great risk of infection. Gum (periodontal) disease is an infection of the bones and tissues which support and surround the teeth. If it loosens the teeth, you may need to have the affected tooth or teeth removed.

Sometimes tooth extraction cost is necessary before you get braces or invisible braces such as Invisalign. If your mouth is crowded, or your teeth are too big for your mouth, you may need to have a tooth or four removed before orthodontia (tooth alignment) can occur. Similarly, if there is not enough room in your mouth for your tooth to erupt (break through the gum), you may get a recommendation from your dentist for its extraction.

Wisdom teeth can be removed before or after they come in. This is normally during the late teens or early 20s. Extraction is often performed when they are infected, decayed or causing severe pain. A simple extraction is all that is required if the tooth is still above the gum line. It becomes problematic when impaction has occurred and requires surgical removal. This means the tooth is wedged in the jaw and will not come in.

Average Tooth Extraction Cost

doctor and client

The average tooth extraction cost for a simple extraction is $110 to $220 for a permanent tooth. The lower range of the fee represents a small rural city while the higher end of the range represents a large metropolitan area. This fee should include the local anesthetic, the procedure and the placement of any necessary sutures. It should also include routine aftercare the patient requires for 30 days post-op.

This includes removing stitches and potentially the treatment of dry sockets. It does not include x-rays or any other examinations to diagnose the tooth's condition in the first place. It also does not include any supplementary services such as general anesthesia.

The average surgical tooth extraction cost is between $185 and $370. The average simple tooth extraction cost for a deciduous (baby) tooth is between $53  and $98.

Factors Affecting Price

There are several factors affecting the price of your tooth extraction. IV sedation costs $250 to $500 more than local anesthesia and is sometimes used in surgical extraction. Surgical extraction itself may cost $150 to $300 more than a non-surgical extraction of a tooth when the tooth is broken off at the gumline. A partially impacted tooth requiring a soft tissue extraction may cost $200 to $350 more than a simple extraction. If the tooth has some bone covering it, a partial bony extraction may cost you $300 to $600 more than a simple extraction.

If you do not have insurance, you may pay between $185 and $600 for a surgical tooth removal. The average cost is $334. Out-of pocket expenses with insurance are between $60 and $885 with an average cost of $601. This is because it is easier for a dentist to justify an up-charge if he knows a dental insurance provider will foot 70 to 80% of the bill. The extraction of a third molar, commonly called a wisdom tooth can cost between $75 to $200 for a simple removal of an impacted tooth, $225 to $600 for a complicated extraction or $1,000 to $3,000 or more to remove four impacted third molars in a single appointment.

The initial exam is usually between $50 and $300. Diagnostic x-rays are typically between $20 and $250. Make sure you understand if these are included in the quoted price. Make sure you go with an in-network provider if you have dental insurance. Seek out dental school clinics and have your extraction serviced by supervised students for a massive discount. If you are not concerned about price, make sure your dental professional is certified by the American Association of Oral and Maxillofacial Surgeons or the American Dental Association.

Consider These items for better oral care

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There is no need to worry about tooth extraction cost. If you live in a high cost-of-living area, prices will be higher for you. However, there are ways you can save money. If possible, seek out a local dental school and ask to be serviced by a dental student under the watchful eye of a certified dentist. Shop around for a dentist but make sure he is board certified.

A simple extraction will cost you much less than a surgical extraction as the level of difficulty involved is much lower. You are much more likely to have local anesthesia than general anesthesia. Simple extractions are performed on teeth which have erupted from the gum line. A surgical extracted is necessary when a tooth is broken above the gum line or surrounded by a great deal of bone.

There are many reasons why your dentist may recommend a tooth extraction. Maybe you opted out of root canal therapy. Maybe you tried root canal therapy and antibiotics, but you still have an infection threatening to spread. You could have a weakened immune system due to chemotherapy or organ transplant.

Maybe your mouth is too small for your teeth, or you received severe dental trauma. The bottom line is regardless of a tooth extraction cost, once diagnosed you need to follow your dentist's advice and get the procedure and follow all post-procedure care guidelines. Your teeth will thank you when they do not fall out requiring you to get expensive dentures

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