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Conveniently located at 16 Wall Street, Concord, NH 03301

gentle tooth extractions made simple

Removing the sick tooth from girls mouth
When an Extraction Is the Healthiest ChoiceHow We Perform Gentle ExtractionsHealing Support and Next Steps
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EMERGENCY TOOTH EXTRACTION Concord, NH

When an Extraction Is the Healthiest Choice

Saving teeth is always our goal, but sometimes removal protects your smile and overall wellness

A young girl with light brown hair and a white shirt looks surprised and excited, holding one hand to her face and the other raised. The background features a geometric pattern of blue and pink lines.

Tooth removal is never our first recommendation. We explore every reasonable option to repair and preserve a natural tooth, from composite fillings and crowns to root canal therapy. Yet certain situations make extraction the wiser path. Large fractures that run below the gum line, severe decay that compromises most of the tooth structure, advanced gum disease that leaves a tooth without solid support, and crowded wisdom teeth that threaten alignment are common reasons.

An infected tooth that no longer responds to antibiotics or root canal treatment can put the entire body at risk through the spread of bacteria. Removing that source of infection stops pain, eliminates swelling, and protects bone and neighboring teeth. Impacted wisdom teeth can trigger chronic soreness, gum inflammation, and cysts. Clearing them away opens room for healthy tissue and simplifies daily brushing.

Extractions also play a role in orthodontic planning. When a jaw is too small for all teeth to sit in a balanced arch, strategic removal allows braces or aligners to move remaining teeth into a stable, aesthetically pleasing position. Your dentist, orthodontist, and in some cases your medical doctor collaborate to decide whether extraction is needed for airway improvement, jaw function, or systemic health.

During your consultation, we explain X‑ray findings in plain language. We outline benefits and any possible risks, review replacement options if the tooth is not a wisdom tooth, and provide a clear estimate of fees. Every decision is guided by evidence, experience, and your personal priorities.

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WISDOM TOOTH EXTRACTIONConcord, NH

How We Perform Gentle Extractions

Modern tools, experienced hands, and thoughtful planning keep the procedure smooth and stress free

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Calm Preparation and Personalized Anesthesia

Comfort starts long before the tooth comes out. We sit with you, outline each step, and answer every question so you know exactly what to expect. Local anesthetic is delivered slowly and precisely, allowing the area to become completely numb without pressure or stinging. If you feel anxious, we discuss the use of a mild oral relaxant and monitor you closely, ensuring a calm body and clear mind from start to finish.

Surgeons and nurse during a dental operation

Simple and Surgical Removal Techniques

Every extraction is customised to the tooth and the surrounding bone. Dr. Pugliese utilizes atraumatic extraction techniques to ensure minimal damage to adjacent bone and tissue, which allows for faster healing times and significantly decreases post-operative discomfort and complications. 

Professional dentists using technology for oral examination while wearing protection suits at dental clinic

Precision Tools for Speed and Safety

Digital X rays taken ahead of time reveal root shape and nearby structures, guiding exact instrument placement. During the procedure, high speed suction keeps the site clear while a steady water spray cools and protects soft tissue. Years of focused training and a well‑organised team allow most extractions to finish within minutes once the area is numb, reducing chair time and post‑treatment fatigue.

Cropped view of the female dentist holding tooth after extraction. Hand of doctor with loose tooth

Immediate Comfort and Controlled Healing

After removal, we place dissolving sutures when needed, position a soft gauze pad for gentle bite pressure, and hand you an ice pack to control swelling right away. Because the inflamed tooth is gone, most patients feel only mild soreness rather than sharp pain. Over the counter medication such as ibuprofen is usually enough, and a short prescription is available if preferred. Clear printed and digital instructions guide you through the first twenty four hours so healing stays on track and comfortable.

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TEETH EXTRACTION Concord, NH

Leave Tooth Pain Behind and Step Into Relief

Putting off extraction keeps you in discomfort and can jeopardize the health of surrounding teeth and bone. Let our experienced team remove the source of pain and guide you into smooth, confident healing.

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TOOTH REMOVAL Concord, NH

Healing Support and Next Steps

Clear instructions and restorative solutions return your mouth to full strength quickly

Good healing starts the moment you leave our chair. We review printed instructions aloud, then text or email them so you can reread at home. For the first twenty-four hours, you rest the area, avoid spitting or drinking through a straw, and chew on the opposite side. Soft cool foods like yogurt, scrambled eggs, or smoothies keep nutrition high without disturbing the forming clot.

Slight swelling peaks at forty-eight hours. Gentle ice on and off, elevated sleep posture, and rinsing with warm salt water after the first day encourage rapid tissue repair. Most patients resume normal routines within two to three days and vigorous exercise after one week. We schedule a short review visit to confirm progress and remove any non-dissolving sutures if used.

If a functional tooth was removed, replacement keeps nearby teeth from shifting and maintains efficient chewing. We discuss three proven solutions. A single dental implant replaces both root and crown, preserving bone and feeling like a natural tooth. A fixed bridge anchors an artificial tooth to strong neighbors when implant placement is not preferred. A removable partial denture offers an economical option that still restores appearance and some chewing function. Wisdom teeth and teeth removed for orthodontic reasons do not require replacement.

Every restorative plan is mapped out with digital scans, detailed timelines, and transparent pricing. Because our practice provides preventive, restorative, cosmetic, and surgical care in one location, you stay with the same friendly team from start to finish. That continuity shortens treatment time and ensures your health history and comfort preferences are always top of mind.

TOOTH EXTRACTION Concord, NH

Comprehensive Care

Our full range of services designed to protect, restore, and elevate your smile at every stage of life.

3D illustration of a decayed tooth showing multiple cavities or areas of enamel erosion

Dental Emergency

Sudden toothaches, chips, or swelling deserve swift attention. We reserve space for urgent visits, relieve pain fast, and guide you through clear next steps so surprises end quickly. Click to learn how our rapid‑response team gets you back to normal without the panic.

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Dental Implants

Replace missing teeth with the closest match to natural roots and crowns. Secure titanium posts fuse with bone and support lifelike restorations that chew, speak, and look like the real thing. Explore timelines, financing, and why implants protect jaw health long‑term.

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Crowns & Bridges

Cracked or missing teeth regain strength and balance with custom ceramic crowns and bridges. Digital scans and master lab artistry deliver restorations that fit, feel, and shine like natural enamel. Tap to learn how these solutions restore full function in just two visits.

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EMERGENCY TOOTH REMOVALConcord, NH

FAQs

Providing Clarity on Common Queries

  • You will feel pressure but not pain. Local anesthetic blocks sensation completely. If you feel anything sharp or uncomfortable, we pause and deliver more anesthetic before continuing. Mild soreness afterward is managed with over the counter medication, ice, and rest.

  • Most patients return to desk work the following day. Swelling and tenderness fade over two or three days, and tissue closes over the site in about one week. We provide tips that speed the process and check in to ensure healing is on track.

  • Soft foods that do not require heavy chewing are best for the first twenty four hours. Think yogurt, mashed potatoes, creamy soups, or smoothies. Gradually add more texture as comfort allows, avoiding crunchy nuts or seeds until tenderness is gone.

  • Delta Dental and many major plans cover a portion of extraction costs when the procedure is medically necessary. Our administrative team verifies benefits, files claims, and explains your exact share before treatment so there are no surprises.

YOUR NEW DENTISTS IN Concord

Get in Touch With Our Team

OFFICE HOURS

Mon - Thu 8-5

Fri - Sun Closed

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(603) 228-3384 Request Appointment
  • 16 Wall Street, Concord, NH 03301

GENTLE & CARING DENTISTRY IN Concord, NH

Real Smiles. Real Stories.

Check out what our happy clients are saying.

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SARAH L.

“BEST DENTAL EXPERIENCE EVER”

From the moment I walked in, I felt welcomed and cared for. The staff is incredibly friendly, and Dr. Pugliese took the time to explain every step of my treatment. I finally feel confident about going to the dentist again.
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MARK T.

“FRIENDLY, PROFESSIONAL, AND THOROUGH”

I’ve never had such a comfortable dental appointment. Everyone was warm, professional, and clearly passionate about what they do. I left feeling well-informed and with my teeth looking better than ever.
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JENNIFER S.

“HIGHLY RECOMMEND TO ANYONE”

This practice goes above and beyond. From the front desk to the hygienists to the dentist, every person made me feel valued and at ease. It’s rare to find such a combination of skill and compassion.
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DAVID R.

“THEY TRULY CARE ABOUT THEIR PATIENTS”

I’ve been to many dental offices, but none compare to this one. The entire team listens, answers questions, and makes you feel comfortable throughout your visit. I know I’m in good hands every time.

DENTAL CARE TEAM Concord, NH

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