Tooth Extractions in Bethesda & Chevy Chase, MD

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While experienced dentist Dr. Despina Markogiannakis makes every effort to save and preserve your natural teeth, there are cases in which a tooth or teeth may need to be extracted. A simple extraction removes a tooth that is visible above the gumline. This is typically used for a tooth that is damaged or decayed beyond repair while a surgical extraction removes a tooth that has not erupted above the gumline. Whatever the reason for getting a tooth extraction at Smiles of Chevy Chase, our team will treat you with the best care. Our Chevy Chase, MD office performs simple tooth extractions on patients and offers many different sedation techniques, like nitrous oxide, The Wand anesthesia, and oral-conscious sedation, allowing you to remain calm and comfortable during your procedure. Contact our team for more information or to schedule an exam with Dr. Markogiannakis to improve your oral health.

Best Candidates

If your tooth has been broken or damaged from decay, Dr. Marko will make every effort to repair it with a crown, dental bonding, or a filling. However, in some cases, a tooth may be too damaged and will need to be extracted to prevent the decay from spreading and to save the health of the remaining teeth. You may also need a dental extraction to remove teeth that cannot fit comfortably in your mouth. In older children, baby teeth that have not fallen out naturally may need to be pulled so they don't block the permanent teeth. If you are getting braces or considering Invisalign, you may need a tooth extraction to make room for other teeth as they move into their proper positions.

What To Expect

Extractions are performed in our office with local anesthesia to numb the area around the tooth being removed. Other forms of sedation may be used, depending on the extent of the procedure and to help keep you relaxed if you have any dental anxieties. Once you are ready, Dr. Marko will begin the procedure. For a simple extraction, Dr. Marko will loosen the tooth with a special device known as an elevator before removing the tooth. If needed, the tooth may be broken into smaller pieces so it can be removed. Dr. Marko may prescribe antibiotics to be taken before and after the procedure — in case you have a current infection, if your immune system is weak, if the procedure is extended, or if you have other specific medical conditions. For those requiring a surgical extraction, such as impacted or wisdom teeth, Dr. Marko will refer you to a local oral surgeon so the tooth can be taken care of.


Depending on the sedation used during your extraction, you may need to have a responsible adult drive you home. While your mouth heals, you should avoid smoking, using straws, and spitting. Your recovery process will vary, depending on the complexity of your extraction, but most patients prefer to eat soft, cool food for the first few days after the extraction. Dr. Marko will talk to you about what to expect during your recovery and how to care for your mouth. Your mouth will be swollen after the extraction so Dr. Marko recommends cold compresses and over-the-counter pain medication. In some cases, Dr. Marko may write you a prescription for pain medication and antibiotics. In addition to any suggested follow-up visits, you should continue to schedule appointments at Smiles of Chevy Chase for dental exams and cleanings so Dr. Marko can monitor your oral health after an extraction.

Insurance Coverage

A tooth extraction is usually covered by dental insurance, but your sedation method may or may not be fully covered. Before your procedure, we will contact your insurance company to get the most out of your specific coverage and estimate your costs. If you don't have dental insurance, Dr. Marko can talk to you about the many payment methods we accept along with information about medical financing.

Simple TOOTH Extraction

Whether you have a tooth that is damaged or require more room in your mouth for orthodontics, a dental extraction at Smiles of Chevy Chase can help improve your smile and oral health. Schedule an appointment with experienced dentist Dr. Markogiannakis at her office in Chevy Chase, MD to learn more about simple and surgical tooth extractions. If you have dental anxieties or fears, ask about sedation options to help keep you calm and relaxed during your procedure.

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*Individual results are not guaranteed and may vary from person to person. Images may contain models.