Dental extractions are done at our Apex, NC office using local anesthesia to keep patients comfortable. If you or your child need additional sedation, our clinic also offers nitrous oxide to help calm any anxieties. When you're prepared, one of our dentists will begin the procedure. For a simple extraction, we will loosen the tooth with a special device called an elevator before removing the tooth. A surgical extraction entails making incisions in your gums to get to the tooth. If needed, the tooth could be broken into smaller pieces so it can be taken out. Once the tooth is removed, we will close the incision in the gums. We may write a prescription for antibiotics that should be taken before and following the procedure — in case you have a current illness, if your immune system is weak, if the procedure is lengthy, or if you have some other special medical conditions.