The short answer: during the procedure, no — modern local anesthetic numbs the area completely. After, expect mild-to-moderate soreness for 2–5 days, usually managed with over-the-counter pain relievers. Here’s exactly what to expect, what makes recovery faster, and when to call us.
During the procedure
Local anesthetic (lidocaine, typically) numbs the tooth, gum, and surrounding bone within 5–10 minutes of injection. You’ll feel pressure as the dentist works — teeth are anchored in bone and removing them takes physical force — but you shouldn’t feel pain. If you do, tell your dentist immediately; more anesthetic is added.
For very anxious patients, we offer optional nitrous oxide (laughing gas) or oral sedation. Both are safe additions to local anesthetic and let you feel relaxed (or barely remember the visit afterward).
The first 24 hours after
Anesthetic wears off 2–4 hours after the procedure. From that point, expect:
- Mild-to-moderate soreness at the extraction site, peaking around 24–48 hours after the procedure.
- Some swelling — ice on your cheek (20 minutes on, 20 off) for the first 12 hours significantly reduces it.
- Minor bleeding for the first few hours — bite down on gauze pads as instructed.
- A blood clot in the socket — this is critical for healing. Don’t disturb it (no rinsing, no straws, no spitting for 24 hours).
Pain management
For most simple extractions, alternating ibuprofen (400 mg) and acetaminophen (500 mg) every 3–4 hours covers the discomfort better than either alone. For surgical extractions or impacted wisdom teeth, your dentist may prescribe a stronger pain reliever for the first 1–2 days.
Recovery timeline
- Days 1–2: peak soreness and swelling. Soft foods only (yogurt, mashed potatoes, smoothies eaten with a spoon — no straws).
- Days 3–4: noticeable improvement. Most people return to work or normal activity.
- Days 5–7: mild residual soreness. Stitches (if any) dissolve or are removed at follow-up.
- Weeks 2–4: gum tissue fully closes over the socket.
- Months 3–4: bone fully heals beneath the gum.
What makes recovery faster
- Don’t smoke for at least 72 hours (smoking is the #1 cause of dry socket, the most common complication).
- Don’t use straws for the first 24–48 hours (suction can dislodge the clot).
- Sleep with your head slightly elevated for the first night to reduce swelling.
- Stay hydrated with water (no carbonated or hot drinks for the first 24 hours).
- Take any prescribed antibiotics on schedule, even if you’re feeling fine.
When to call us
Most extraction recoveries are uneventful. Call us at (817) 431-6995 if you experience:
- Significant pain that worsens after day 3 (could be dry socket — treatable in-office in 10 minutes).
- Bleeding that won’t stop after biting on gauze for 30–45 minutes.
- Fever above 101°F.
- Severe swelling that’s spreading (jaw, neck) or limiting your ability to swallow.
Booking an extraction
We offer simple extractions at $149 and surgical extractions at $249 for uninsured patients. Book online or call (817) 431-6995. Same-day emergency slots are available daily.