Tooth Extractions in NYC

At Herald Square Dental, conveniently located at 224 W 35th Street in Midtown Manhattan, our specialists —Dr. Ian Pasch, Dr. Arthur Yam, and Dr. Alfred Shirzadnia—perform tooth extractions daily, with over 43,000 successful procedures completed. While our first priority is always to preserve your natural teeth through fillings, root canals, and crowns, extraction becomes necessary in certain situations.

Why Extractions Sometimes Become Necessary

Every effort is made to preserve your natural teeth—fillings, root canals, and crowns are explored first. However, extraction emerges as the best solution when:

• Decay or Infection has reached the tooth’s pulp and cannot be resolved with endodontic therapy.
• Periodontal Disease has eroded the supporting bone and tissue, leaving the tooth unstable.
• Orthodontic Needs require additional space for Invisalign® or braces.
• Wisdom Teeth are impacted, causing pain or crowding.
• Fractures occur at or below the gumline, making restoration unfeasible.

Your dentist will combine a clinical examination with digital X-rays—and, when indicated, cone-beam CT scans—to determine whether extraction is the safest and most effective path forward.

Simple vs. Surgical Extractions

Feature	Simple Extraction	Surgical Extraction
Visibility of Tooth	Fully erupted, crown visible	Impacted or broken below gumline
Anesthesia	Local only	Local plus optional sedation (nitrous, oral)
Procedure Duration	15–20 minutes	15–60 minutes, depending on complexity
Healing Timeline	Most improvement in 7–10 days	Initial healing in 10–14 days; full bone remodeling over months

In both scenarios, our team uses gentle techniques to minimize trauma. Surgical cases leverage CBCT imaging as needed to map the precise location of adjacent nerves and roots, ensuring accuracy and safety.

What to Expect

1. Consultation & Planning
   

   During your first visit, we review your medical history, perform an oral exam, and take necessary imaging. Extractions can very often be performed on the same day as the consultation if needed. Gentle techniques are always administered for local anesthesia and all extractions.

2. Socket Management
   

   We irrigate and debride the socket, smooth any rough bone edges, and—when future implants or immediate dentures are anticipated —place bone graft material to preserve ridge contour.  It is always a wise idea to have your oral surgery consultation here, where we plan for your tooth replacement based on your individual needs and provide you with options.   There really is no substitute for experience and we perform so many gentle extractions in our calming setting regularly that you can feel confident in doing so.

3. Aftercare Instructions
   

   You’ll receive a detailed recovery plan covering diet, oral hygiene, activity restrictions, and pain management.

Wisdom Teeth Removal

Wisdom teeth often erupt unevenly or remain partially submerged, creating risks such as pericoronitis (gum inflammation), crowding of adjacent molars, and cyst development. We use panoramic X-rays and CBCT scans to determine exactly how each wisdom tooth lies within your jaw. Depending on the tooth’s angle and depth, we choose the least invasive surgical approach, always prioritizing your comfort.

Advanced Comfort & Technology

Herald Square Dental prides itself on expert integration of the latest in dental technology and patient-focused amenities:

• VELscope® Oral Cancer Screening to detect any tissue abnormalities before surgery.
• TRIOS® Intraoral Scanner for fast, accurate digital impressions for various procedures.
• CBCT 3D Imaging for unparalleled visualization of bone anatomy, roots, and nerves.

Frequently Asked Questions

Is extraction painful?

You’ll feel minimal to no pain during the procedure. Post-op soreness is typically mild and easily controlled with medication.

How long is the process?

Simple extractions generally take 15–20 minutes. More complex surgical cases—such as impacted wisdom teeth—may require up to an hour.

How much do tooth extractions cost in NYC?
In NYC, the cost of a simple tooth extraction can range from $199 to $399, while a surgical extraction can cost between $350 to $600 and up. Impacted wisdom teeth extractions can range from $800 to $1,100, depending on factors like impact severity and anesthesia needs. Many dental insurances cover 80–90% of the cost for extractions.

When can I return to work or school?

Most patients resume light activities the day after extraction. Avoid vigorous exercise for 3–5 days to minimize bleeding risks.

Can I get an implant later?

Yes. We often place bone graft material or APRF at the time of extraction to preserve ridge height, streamlining future implant placement.

Are there alternatives to extraction?

Whenever possible, we recommend restorative options—root canals, crowns, or periodontal therapies—before removing a tooth. Extraction is considered only when these treatments cannot guarantee long-term health.

Related Oral Surgery & Specialty Services

Beyond extractions, our renown cosmetic dentists perform a comprehensive suite of surgical and restorative services to support your oral health journey:

• Bone Grafting (to rebuild and preserve jawbone)
• Advanced Platelet-Rich Fibrin (APRF) Therapy
• Dental Implant Placement & Restoration
• Alveoloplasty (bone reshaping)
• Endodontic Surgery (apicoectomy)
• Prosthodontic Surgery (ridge augmentation, sinus lifts)
• Cosmetic Oral Surgery (smile lift, gum contouring)
• Tori Reduction (removal of bony oral growths)

Ready for expert care you can trust?

Call Herald Square Dental Phone Number (212) 689-0024 or book your consultation online today. At Herald Square Dental, we combine advanced technology, deep expertise, and a compassionate approach to deliver safe, efficient, and comfortable tooth extractions—so you can return to life pain-free with a brighter and more confident smile.