Services / Oral Surgery & Extractions

Oral Surgery & Extractions at Chemung Family Dental

Most practices this size send surgical extractions somewhere else. We do not. Dr. Nicholas Petti, a board-certified oral and maxillofacial surgeon, works here on site, which means the people removing the tooth are the people who already know your history, and the ones restoring the space afterwards.

4.9 out of 5 from 440+ Google reviews

Tooth extraction services at Chemung Family Dental in Elmira, NY
1007 Broadway St, Elmira Mon to Wed 7am to 4pm, Thu 7am to 2pm (607) 734-2045
Gentle tooth extraction at Chemung Family Dental in Elmira, NY

Removal handled properly, in one place

Extraction is the last option, not the first. Where a tooth can reasonably be saved with a root canal and a crown, that is what we will recommend. But some teeth are beyond saving: split below the gumline, too decayed to restore, or loose from advanced gum disease.

A simple extraction removes a tooth that is fully erupted and accessible. A surgical extraction is needed when the tooth is broken at the gumline, impacted, or has roots that will not come out in one piece. Surgical cases are handled by Dr. Petti here in the office.

Having the surgeon on site changes the experience in a way that is hard to overstate. Your records, X-rays, and history do not go anywhere. The plan for what fills the gap afterwards is made by the same team, at the same time, rather than bounced between two offices.

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Why does in-house oral surgery matter?

One team, start to finish

From assessment through extraction to replacement, you stay with people who know your case. On-site partnership, from extraction through restoration, without leaving the practice.

Board-certified surgical training

Dr. Nicholas Petti is a board-certified oral and maxillofacial surgeon. Complex roots, impactions, and bone grafting are routine work rather than an occasional case.

Sedation is available in the same building

For anxious patients or longer surgery, options run up to general anesthesia. See sedation.

The gap gets planned immediately

Decisions about grafting the socket for a future implant are made at the time of extraction, when they are simplest. Waiting often means needing a graft you could have avoided.

Aftercare from people you can reach

If something feels wrong at day three, you call the office that did the surgery and speak to someone who has your chart open.

The Chemung extraction process

  1. Assessment

    An exam and imaging to establish whether the tooth can be saved. If it can, we will tell you so. If it cannot, we explain why and what the options are for the space.

  2. Planning the surgery

    Dr. Petti reviews the imaging, the root anatomy, and anything nearby that matters, such as the sinus and nerve position. You get the plan, the anesthesia options, and a written estimate before booking.

  3. The procedure

    Local anesthetic at minimum, with sedation if you have chosen it. A simple extraction takes minutes. A surgical one takes longer and may involve a small incision and sutures. You should feel pressure but not pain.

  4. Grafting, if it is planned

    If an implant is likely later, placing graft material in the socket at the time of extraction preserves the bone. It adds little to the appointment and can save a much larger procedure down the line.

  5. Healing

    Bite on gauze for the first twenty minutes. Soft foods, no straws, no smoking, no vigorous rinsing for the first day. Most people manage on over-the-counter pain relief within a couple of days.

  6. Follow-up and replacement

    We check the site heals properly, then discuss filling the space: an implant, a bridge, or leaving it, depending on which tooth and what you want.

Tooth extraction aftercare at Chemung Family Dental in Elmira, NY

Dental insurance coverage

We want getting care to be easy. Call us with your plan details and our team will check your benefits and explain what is covered before treatment starts.

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What happens to the space afterwards?

A gap is not only cosmetic. Teeth drift toward an empty space, the opposing tooth can over-erupt into it, and your bite changes in ways that put uneven load on everything else. Front gaps also affect speech.

The jawbone that held the root also begins to resorb once the tooth is gone, fastest in the first year. That is the reason we discuss grafting at the time of extraction: it is far easier to preserve bone than to rebuild it later for an implant.

None of that means you must replace every tooth immediately. It means the decision is worth making deliberately rather than by default.

Read the oral surgery & extractions FAQs

Have questions about oral surgery & extractions?

If you’re considering oral surgery & extractions, it’s normal to have questions. Here’s what patients ask Dr. Dunn most often.

Will you try to save the tooth first?

Yes, wherever it is reasonable. Extraction is the last option. If a root canal and crown give the tooth a realistic future, that is what we will recommend, and we will be honest when the odds are poor rather than taking your money for treatment likely to fail.

Who performs the surgery?

Dr. Nicholas Petti, a board-certified oral and maxillofacial surgeon, works here on site. Simple extractions may be handled by Dr. Dunn; surgical cases go to Dr. Petti.

Does it hurt?

You will be numb, so you should feel firm pressure but not pain. If you feel anything sharp, say so and we will add more anesthetic. Sedation is available if the anticipation is the harder part for you.

How long does recovery take?

Most people are comfortable within two to three days and back to normal eating within a week. Surgical extractions take longer than simple ones. Swelling typically peaks around day two, then improves.

What is a dry socket?

When the blood clot protecting the socket is dislodged before healing, exposing bone. It is quite painful and usually shows up three to five days after surgery. Avoiding straws, smoking, and vigorous rinsing for the first few days is how you prevent it. If it happens, call us. We can treat it and the relief is quick.

Can I be asleep for it?

Yes. We offer sedation options up to general anesthesia, which is unusual for a general practice and is a direct result of having a surgeon on site. See sedation and general anesthesia.

Do I need to replace the tooth?

For most teeth, yes, eventually. Teeth drift into gaps and bite problems follow. Rear molars are sometimes an exception. We will give you a straight answer for your specific tooth rather than a blanket recommendation.

What is socket grafting and do I need it?

Placing graft material into the socket at the time of extraction to preserve bone volume. If an implant is likely later, it is usually worth doing. Bone resorbs fastest in the first year, and rebuilding it afterwards is a bigger procedure than preserving it now.

How soon can I get an implant?

Typically a few months after extraction, once the site has healed. Some cases allow immediate placement. Dr. Petti will assess your bone and tell you which applies. See dental implants.

What should I eat afterwards?

Soft foods for the first few days: yogurt, eggs, soup that is not hot, mashed potatoes. Avoid anything crunchy or with small seeds that can lodge in the socket. No straws for at least a few days.

Can I smoke afterwards?

Please do not, for at least seventy-two hours and ideally longer. Smoking is the single biggest risk factor for dry socket and it measurably slows healing. If you cannot stop entirely, tell us honestly so we can plan around it.

Will insurance cover an extraction?

Most dental plans cover a portion, with surgical extractions often at a different rate than simple ones. We verify your benefits and provide a written estimate before surgery, and Cherry and CareCredit are available for the balance.

Why people love Chemung Family Dental

4.9 out of 5 from 440+ Google reviews

★★★★★

Staff was so amazing, kept us posted on all progress during a wisdom teeth removal and made us feel so welcomed. Thank you!!

Heather S., Google review
★★★★★

The staff is friendly and caring so each visit is easier to deal with no matter what procedure you’re having done!

Dawn S., Google review
★★★★★

I was self conscious about my teeth, but I was very comfortable asking questions. They offered options for my treatment and it was my decision. No pushy sales pitches for more expensive treatments.

John C., Google review

Other services at Chemung Family Dental

Dental Exams & Cleanings

A gentle checkup and cleaning that catches small problems before they get expensive.

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Family Dentistry

One office for every age, from a child's first visit to a grandparent's bridge.

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Tooth-Colored Fillings

Repair a cavity with a filling that matches your tooth instead of announcing itself.

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Same-Day Crowns

A CEREC crown designed, milled, and fitted in a single appointment. No temporary.

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Teeth Whitening

Professional whitening supervised by your dentist, not guessed at from a box.

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Emergency Dentistry

Chipped tooth, lost filling, swelling, or pain? Call us and we'll get you seen.

Call (607) 734-2045

Gum Disease Treatment

Bleeding gums are treatable. Deep cleaning and maintenance that stops the damage.

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Wisdom Teeth Removal

Wisdom teeth assessed and removed in the office you already know.

Call (607) 734-2045

Sedation & General Anesthesia

For anxious patients and longer surgery, sedation options up to general anesthesia.

Call (607) 734-2045

Dental Implants

Replace a missing tooth with a root and crown that work like the real thing.

Call (607) 734-2045

Root Canal Treatment

Save an infected tooth and end the pain, usually in one or two visits.

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Sleep Apnea Therapy

A custom oral appliance for people who can't tolerate CPAP.

Call (607) 734-2045

From the blog

Tooth extraction aftercare

A day-by-day guide to healing well after a tooth is removed.

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Root canal or extraction?

How to weigh saving a tooth against removing it.

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Dental implant vs bridge

Cost, lifespan, and healing time for the two most common tooth replacements.

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