★★★★★ 4.9 Rated (184 Google Reviews)  •  Main Line Dental Arts • Specialized Periodontics & Dental Implants  •  Dr. Milita Borguet, DMD • Dr. Margaret Hodgson, DMD • Dr. Peter Susanin, DMD  •  Call (610) 664-9510  •  110 N Essex Ave, Narberth, PA 19072
Surgical & Other Dental Services

Tooth Extractions

Tooth Extractions
Board-Certified Periodontal Care Narberth, PA

Gentle Atraumatic Tooth Extractions in Narberth, PA

Preserving Surrounding Bone and Socket Architecture with Modern Microsurgical Technique

Duration 1–2 Hours Typical
Comfort Local & Sedation
Clinician Board-Certified
Partnership Dentist Coordinated

While our foremost philosophy at Main Line Dental Arts is to save natural teeth whenever clinically possible, certain teeth become non-restorable due to severe vertical fractures, catastrophic decay beneath the bone, or advanced periodontal bone loss. When tooth extraction is inevitable, the method of extraction makes an enormous difference to your future oral health.

Traditional extractions can be forceful and damage the fragile surrounding socket bone. Our periodontal surgeons perform atraumatic tooth extractions using specialized periotomes and microsurgical instruments that gently disconnect the periodontal ligament without fracturing the delicate facial bone plate.

At the same time, we routinely perform socket preservation bone grafting to preserve ridge height and width, keeping your jawbone ready for seamless immediate or future dental implant placement.

Who Is a Candidate?

You may benefit from this treatment if you experience any of the following:

Severe tooth fracture, split root, or catastrophic crack extending below the bone crest
Extensive tooth decay that has destroyed all coronal and subgingival tooth structure
Advanced periodontitis with severe horizontal/vertical bone loss and extreme tooth mobility
Failed root canal treatment where apicoectomy or retreatment is not viable
Crowded teeth requiring therapeutic extraction for orthodontic or prosthetic planning

What to Expect: Step-by-Step

1

1. 3D Anatomical Scan & Root Curvature Analysis

We examine 3D radiographs to inspect root curvature, proximity to the mandibular nerve or maxillary sinus, and adjacent tooth safety.

2

2. Complete Local Anesthesia & Sedation

Profound local anesthesia ensures complete numbness. Nitrous oxide or oral conscious sedation is available for total calm and comfort.

3

3. Atraumatic Ligament Disconnection & Gentle Removal

Micro-instruments separate the ligament fibers, allowing the tooth to be lifted gently out of its socket without damaging the surrounding bone walls.

4

4. Socket Debridement & Preservation Grafting

The socket is curetted of all chronic infected tissue, filled with mineralized bone graft and PRF, and sealed with a resorbable suture to preserve the ridge.

Key Clinical Advantages

Protects Jawbone for Future Implants

Preserves the thin outer bone plate, preventing the 40-50% bone collapse common after raw extractions.

Atraumatic & Virtually Painless

Gentle microsurgical technique minimizes tissue trauma, bleeding, and post-op swelling.

Same-Day Implant Readiness

Often enables immediate dental implant placement in the very same appointment.

Comfortable Sedation Options

Rest peacefully while our experienced periodontal surgeons take care of everything.

Patient Preparation & Recovery Guide

Practical instructions to ensure an anxiety-free visit and smooth, rapid healing.

Pre-Procedure Preparation
  • Health & Medication Review: Continue taking prescribed routine medications unless specifically advised by our doctors.
  • Pre-Op Nutrition: Eat a light, nourishing meal prior to procedures performed under local anesthesia. (If conscious sedation is scheduled, follow fasting guidelines provided).
  • Comfort Attire: Wear comfortable, loose-fitting clothing. Feel free to bring earbuds to listen to relaxing music during care.
  • Escort for Sedation: If receiving conscious oral sedation, arrange a trusted companion to drive you home and assist you afterward.
Post-Procedure Recovery Care
  • Rest & Cold Therapy: Rest quietly with your head slightly elevated. Apply an ice pack externally (20 minutes on, 20 off) to reduce swelling.
  • Gentle Soft Diet: Enjoy nutritious soft foods (protein shakes, Greek yogurt, broths, scrambled eggs). Never drink through a straw.
  • Gentle Oral Hygiene: Do not spit or rinse vigorously during the first 24 hours. After 24 hours, begin gentle warm salt-water rinses after meals.
  • Dedicated Follow-Up: Our clinical team phones you to check on your comfort, and we coordinate digital records directly with your general dentist.

Treatment Roadmap & Clinical Milestones

What to expect from your initial specialist consultation through complete recovery.

Phase 1
Consultation & 3D Scan

Careful clinical examination, diagnostic imaging, and personalized treatment sequencing.

Phase 2
Comfort-First Surgery

Minimally invasive microsurgical procedure with gentle local anesthesia and sedation support.

Phase 3
Rapid Tissue Healing

Structured recovery protocol, proactive post-op care calls, and dietary guidance.

Phase 4
Long-Term Protection

Follow-up confirmation and ongoing preventative care coordinated with your primary dentist.

The Specialist Advantage

Why Choose a Board-Certified Periodontist?

Periodontists undergo 3 additional years of accredited university surgical residency beyond dental school, focusing exclusively on jawbone biology, tissue regeneration, and micro-precision implant placement. We partner closely with your family dentist to deliver lasting clinical excellence.

Frequently Asked Questions

No. Thanks to modern local anesthetics and optional sedation, you will not feel sharp pain during the extraction. You will only feel gentle pressure. Postoperative discomfort is mild and easily managed with prescribed or OTC medications.

Immediately after a tooth is pulled, placing a small amount of bone graft material inside the empty socket acts as a scaffold, preventing the bone walls from collapsing inward as they heal.

A dry socket occurs when the healing blood clot is dislodged before tissue heals, exposing bone. You can prevent it by avoiding drinking through straws, smoking, spitting forcefully, or vigorous rinsing for the first 72 hours.

Most patients resume normal work and daily activities within 24 to 48 hours. The gum tissue closes over the socket within 10 to 14 days.
Main Line Dental Arts

Schedule Your Personal Consultation Today

Our board-certified periodontists, Dr. Borguet, Dr. Hodgson, and Dr. Susanin, are here to help restore your oral health with compassionate, personalized care.