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Extractions & Root Canals

You’re in Good Hands with Our Team

At Fort Worth Cosmetic & Family Dentistry, our goal is to keep your natural teeth healthy (and in your mouth!) for as long as possible. Hopefully forever! However, we’re all human, and sometimes things happen. If you have a tooth that is infected, you may need a root canal to save the tooth. If the tooth is damaged past the point of repair, or if you have wisdom teeth that are causing problems, an extraction may be in your best interest. Don’t worry, you are in the most skilled, compassionate, and capable hands with our team. We will do everything we can to make you feel comfortable every step of the way.

Root Canals

A root canal is a procedure that extracts decayed pulp from the central part of the tooth, reshapes the canal and replaces it with strengthening filler. A cavity is the result of superficial decay of the enamel of the tooth. Left long enough, this decay can burrow into the deeper reaches of the tooth, causing extensive damage to tooth structure. When the damage goes beyond what can be treated with a filling, dentists can perform a root canal (endodontics), preserving the tooth and retaining its original integrity; thereby, saving a tooth that in the past would have to have been pulled.


  • The patient undergoes anesthesia.
  • A dental dam is used to isolate the tooth.
  • A small access hole is made to allow for removal of infected or dead dental pulp.
  • The tooth is comprehensively cleaned, including any cracks and canals.
  • With special tools, the doctor carefully reshapes the canals.
  • The tooth is filled again with cutting edge biocompatible filling material.
  • A temporary covering is used to cover the access opening.
  • Patients MUST see their regular dentist quickly for a permanent restoration of the tooth.

Tooth Extractions

Your third molars are more commonly called “wisdom teeth.” Usually appearing in the late teens or early twenties, third molars often lack the proper space in the jaw to erupt fully or even at all. This common condition is called impaction. When any tooth lacks the space to come through or simply develops in the wrong place of your jaw and becomes impacted, problems can arise. Primarily, damage to adjacent teeth and crowding occur.

In certain cases, the wisdom tooth that cannot come through becomes inflamed under the gums and in the jawbone, causing a sac to develop around the root of the tooth that then fills with liquid. This can cause a cyst or an abscess if it becomes infected. If either of these situations goes untreated, serious damage to the underlying bone and surrounding teeth and tissues can result.

To potentially stave off this result, an extraction of one, several or all of the wisdom teeth may be advised. If that is the case, we have the equipment and training needed to perform such extractions with minimum discomfort.

Is the Extraction Process Complicated?

Usually, wisdom tooth extraction is fairly simple, but it depends on how severely the tooth is impacted and whether it has been damaged in any way. If the tooth is only partially impacted, we can make a small incision in the gum tissue and, using specific instruments designed for this procedure, rock the tooth back and forth in the socket to loosen the ligaments before gently lifting it out.

If the tooth is completely impacted or has been damaged by decay or trauma, then we may have to perform a more complex extraction, which may require breaking the tooth before we remove it or suturing the gums following the extraction.

At your appointment to discuss the procedure, we’ll let you know what to expect so that you can prepare appropriately.

What About Sedation?

Your comfort, both physical and mental, is extremely important to us. We offer sedation dentistry, which may include nitrous oxide, oral sedation, or even IV sedation. If you are feeling anxious about this procedure, please let us know right away so that we can discuss sedation options and decide which one is right for you.

Before we begin your procedure, we’ll make sure that you are fully anesthetized and sedated so that you are completely comfortable. We don’t want you to feel a thing!

Contact Us

Dr. Green can assess the health of your wisdom teeth and determine whether they should be removed. Call our Fort Worth dental office at (817) 653-8859 to schedule your appointment.

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