You and Dr. Kisella may determine that you need a tooth extraction for any number of reasons. Some teeth are extracted because they are severely decayed; others may have advanced periodontal disease, or have broken in a way that cannot be repaired. Other teeth may need removal because they are poorly positioned in the mouth (such as impacted teeth), or in preparation for orthodontic treatment.

The removal of a single tooth can lead to problems related to your chewing ability, problems with your jaw joint, and shifting teeth, which can have a major impact on your dental health.

To avoid these complications, in most cases, Dr. Kisella will discuss alternatives to extractions as well as replacement of the extracted tooth.

The Extraction Process

At the time of extraction the doctor will need to numb your tooth, jaw bone and gums that surround the area with a local anesthetic.

During the extraction process you will feel a lot of pressure. This is from the process of firmly rocking the tooth in order to widen the socket for removal.

You feel the pressure without pain as the anesthetic has numbed the nerves stopping the transference of pain, yet the nerves that transmit pressure are not profoundly affected.

If you do feel pain at any time during the extraction please let us know right away.

Sectioning a tooth

Some teeth require sectioning. This is a very common procedure done when a tooth is so firmly anchored in its socket or the root is curved and the socket can’t expand enough to remove it. The doctor simply cuts the tooth into sections then removes each section one at a time.

After Tooth Extraction

After tooth extraction, it’s important for a blood clot to form to stop the bleeding and begin the healing process. Bite on a gauze pad for 30-45 minutes immediately after the appointment. If the bleeding or oozing still persists, place another gauze pad and bite firmly for another 30 minutes. You may have to do this several times to staunch the flow of blood.

After the blood clot forms it is important to not disturb or dislodge the clot. Do not rinse vigorously, suck on straws, smoke, drink alcohol or brush teeth next to the extraction site for 72 hours. These activities may dislodge or dissolve the clot and hinder the healing process. Limit vigorous exercise for the next 24 hours, as this increases blood pressure and may cause more bleeding from the extraction site.

After the tooth is extracted you may feel some pain and experience some swelling. An ice pack or an unopened bag of frozen peas or corn applied to the area will keep swelling to a minimum. Take pain medications as prescribed. The swelling usually subsides after 48 hours.

Use pain medication as directed. Call our office if the medication doesn’t seem to be working. If antibiotics are prescribed, continue to take them for the indicated length of time even if signs and symptoms of infection are gone. Drink lots of fluids and eat nutritious, soft food on the day of the extraction. You can eat normally as soon as you are comfortable.

It is important to resume your normal dental routine after 24 hours. This should include brushing and flossing your teeth at least once a day. This will speed healing and help keep your mouth fresh and clean.

After a few days you should feel fine and can resume your normal activities. If you have heavy bleeding, severe pain, continued swelling for 2-3 days, or a reaction to the medication, call our office immediately.


Kisella Surgery Center

5 out of 5 stars based on 21 Extractions reviews.

Patient Review By 704 965 6187

Best wisdom teeth doctor ever! Not only was the procedure quick and well done, Dr. Kisella took the time to really connect with the patient too.

- Gregory O

5 out of 5 stars on

Patient Review By 704 668 3759

Dr. Kisella put my daughter at ease about her extractions from the beginning. She is a very nervous young lady when it comes to anything medical and he made her feel comfortable about the surgery. Our procedure was very quick and she was amazed that the Dr. HIMSELF called to check on her that evening and answered all the questions she had for him. I would recommend this office to anyone needing these type of services.

- Keli H

5 out of 5 stars on

Patient Review By 317 696 2099

good service, friendly. professional. The assistant to the doctor was very efficient, making the procedure time reduced.


5 out of 5 stars on

Patient Review By 704 400 8143

JD and his staff provide exemplary customer service. He is a most knowledgeable MD as well as an outstanding dental surgeon.

- Jack Bowman R

5 out of 5 stars on

Patient Review By 704 242 2020

No complaints. Scheduled numerous visits with this Dr. Kisella and have been satisfied every time. Would recommend Kisella Surgery to Family and Friends...

- Robert M

5 out of 5 stars on

Patient Review By 704 713 0510

I was a walk in patient that needed a molar extraction. It was a difficult extraction and my oral surgeon goofed on the appointment and never confirmed it!! Dr. Kisella not only took me at the last min. I was a new patient and he treated me like I've been going to him for years. I was extremely nervous and he made me so comfortable he even played music while he was doing the extraction!!! He is awesome and I will recommend him to everyone!!

- Amber B

5 out of 5 stars on

Patient Review By 704 288 7439

Very pleased

- James V

5 out of 5 stars on

Patient Review By Abbigail G

Dr. Kisella extracted 8 of my teeth (4 wisdom & 4 premolars) and I was completely satisfied with both of my procedures. He's friendly and was very honest about what I would experience during and after each procedure. Although I had the option to have my dentist extract my first premolars, I purposely went back to Dr. Kisella because of the awesome experience that I had when he extracted my wisdom teeth. I value his straightforward approach and expertise. I would definitely recommend his practice to friends or anyone seeking the treatment options that he offers.

- Abbigail G

5 out of 5 stars on

Patient Review By Alejandra O

Thank you for the kindness shown to me, something you don’t see very often.

- Alejandra O

5 out of 5 stars on

Patient Review By Charles C

The whole process was quick and easy from setting the appointment to follow up. Staff and doctor explained everything very well and were very kind. The procedure itself was super fast and was almost painless. I prepared for the worst and was surprised how painless it was. At the slightest whence, he asked if I was experiencing any pain. Since I was, he waited a couple more minutes to let the local anesthesia do it's work before proceeding further. I'm very grateful for the teams excellent work. Thank-you!

- Charles C

5 out of 5 stars on

Patient Review By Karen G

Dr Kisella and the entire staff were wonderful. The procedure was pain free and recovery simple.

- Karen G

5 out of 5 stars on

Patient Review By Warren [Pat] P

Very good service from the staff. Everyone is very friendly and concerned for your well being. Dr. Kisella was very upfront and on point. Made you feel at ease and no pain. Highly recommend.

- Warren [Pat] P

5 out of 5 stars on

Patient Review By Teresa H

Staff are welcoming and are very friendly and helpful. I would not hesitate to refer friends and family to Dr. Kisella.

- Teresa H

5 out of 5 stars on

Patient Review By Luke C

Made a tough experience as easy as could be expected. Good staff .. very friendly and reassuring. Dr. K easy to talk with..

- Luke C

5 out of 5 stars on

Patient Review By Catherine O

Dr. Kisella sits down and talks over medical histories with patients, explains the procedure and is an amazing Oral Surgeon.

- Catherine O

5 out of 5 stars on

Patient Review By Lynn S

I would recommend this surgery center to anyone that had needs beyond a regular dentist. I posted my recent experience on Facebook, because it was a very positive ordeal for me. Dr. Kisella explained everything that he was going to do and asked often how i was doing during the procedure!!!

- Lynn S

5 out of 5 stars on

Patient Review By Carol J

Would highly recommend dr kisella and this facility. Excellent care and clearly explained expectations.

- Carol J

5 out of 5 stars on

Patient Review By Joseph B

Great job. Excellent care and compassion.

- Joseph B

5 out of 5 stars on

Patient Review By Terry C

Spent adequate time reviewing proceedure. Appreciated the follow up call the next day from my Oral Surgeon.

- Terry C

5 out of 5 stars on

Patient Review By Briana M

Very impressed with the care shown by Dr. Kisella and staff. It made me want to come back again...although I am hoping I won't have to !

- Briana M

5 out of 5 stars on