When a tooth cannot be saved, your dentist removes it gently and talks through how and when to replace it.
Removing a tooth is the last option, not the first. Your dentist looks first at whether a filling, a crown, or root canal treatment can save it, and recommends extraction only when keeping the tooth would cause more problems than removing it.
What happens afterward matters just as much. An empty space lets neighboring teeth drift and the bone underneath shrink, so we discuss replacement, including implants and dentures, before the tooth comes out rather than months later. Back molars are their own case, and wisdom teeth removal is planned differently from a tooth nearer the front.
At a Glance
Who We Help
Removal is the last option we look at, not the first. If any of these apply, we will tell you whether the tooth can still be saved.
Your Treatment
We image the tooth and review whether it can still be saved. Extraction is only recommended when the alternatives are worse for you.
The area is fully numbed and the tooth is removed as gently as possible, preserving the surrounding bone for whatever comes next.
Where implants are planned, grafting the socket at the same appointment preserves the ridge and often avoids a larger graft later.
We give you clear aftercare instructions, check the site as it heals, and move forward with the replacement plan agreed beforehand.
After Your Treatment
Recovery varies from person to person. This is what most patients can expect, and your dentist goes through your own instructions with you before you leave.
Your Dentists
Your care here is provided by Dr. Manal Ismail, DDS and Dr. Lakshmi Wakade, DDS, both general dentists who trained at the University of Detroit Mercy. Whichever of them you see, nothing starts until you understand what we found, why we are recommending it, and what your alternatives are.
New patients are usually seen within the same week.
Patient Reviews
Best dentist experience to date
They take every job with great interest and work in detail. I have done fillings, extractions, cleanings. By far the best dentist experience I have had to date. An excellent dentistry practice even to bring the entire family.
Basically a pain free visit
I haven't been to a dentist in many years. I had a couple teeth broken at the gums. I was terrified for years. Dr. Manal was so sweet and caring. Basically a pain free visit.
Treatment should not wait on the money. Here is how patients cover it.
Most plans cover part of the cost of repairing a tooth, and we confirm what yours covers before any work is scheduled.
Insurance and Financing
We offer it for larger treatment plans 
We offer it for one course of treatment Common Questions
The area is fully numbed and most patients feel pressure rather than pain. Soreness for a few days afterward is normal and manageable.
The gum usually closes over within one to two weeks, while the bone underneath continues filling in for several months.
Not immediately, but it should be planned. Leaving a gap lets neighboring teeth drift and the bone shrink, which makes later replacement harder.
Avoid smoking, drinking through a straw, and vigorous rinsing for the first days, since all three can dislodge the clot and delay healing.
Dry socket is what happens when the blood clot protecting the healing socket is lost too early, leaving bone exposed. It shows up as a deep ache two or three days after the extraction, usually worse than the first day was, sometimes with a bad taste. The three things that dislodge a clot are smoking, suction from a straw, and vigorous rinsing, which is why we ask you to avoid all three at the start. It is treatable and settles quickly once we dress the socket, so call rather than waiting it out.
Soft, cool, and nothing that needs chewing on that side. Yogurt, eggs, soup that has cooled, mashed potato, and smoothies eaten with a spoon all work well for the first day or two. Skip anything crunchy, seedy, or very hot, and skip the straw. Most patients are eating close to normally within three to five days and back to everything by the time the gum has closed over, which usually takes one to two weeks.
Yes. We offer sedation with nitrous oxide, also called laughing gas, which you breathe through a small mask during treatment and which wears off before you leave. It takes the edge off without putting you to sleep, so you stay awake and able to respond throughout. It is available to adults and children, and it is not only for surgical visits. Tell our team when you book rather than on the day, so time is set aside for it.
Extractions are covered in part by most major PPO plans. We check your benefits before your appointment and explain what applies. The quickest way to get a real answer for your own case is a short conversation. Call us at (248) 863-9109 or book online.
Location and Hours
4819 Haggerty Road, West Bloomfield, MI 48323
Office Hours
| Monday to Friday | 9:00 am to 5:00 pm |
|---|---|
| Saturday | 9:00 am to 2:00 pm |
| Sunday | Closed |
