our quest for dental excellence focuses on continuous improvement.
both in ourselves, our team, and our methodologies.

A tooth extraction is a procedure to remove a natural tooth from its socket.

Tooth Extractions

A tooth extraction is a procedure to remove a natural tooth from its socket. Extractions can be the result of a variety of causes, but usually because the tooth has become unrestorable from damaging tooth decay, periodontal disease, or unfortunate dental trauma. Impacted wisdom teeth can result in infections and may need to be extracted as well. With orthodontics corrections, if your teeth are too crowded, healthy teeth could need be removed to allow more space for the rest of the teeth to be straightened.


Many Americans today over the age of 65 still have many of their natural teeth. With the continued advances in the dental technology, there are new ways of keeping teeth clean and free of bacteria and decay. Yet, even with our efforts, our teeth can still become infected and need to be treated.


The entire team at Missouri River Dental is committed to providing a patient experience unlike any other. The foundation of that philosophy is our personable and professional staff. We collectively strive to blend technology, art, and healthcare for each patient. Our goal is to provide you with an individualized patient experience unlike any other you have had at a dental office. We strive to create a positive and comfortable atmosphere for our patients while still meeting their dental needs, wishes, and exceeding expectations. Call us today at 701-751-7177 or enter your request online to schedule an appointment for your evaluation regarding the benefits of a tooth extraction for you. You can conveniently find Missouri River Dental at 1600 Uptown Lane, Bismarck, ND, 58503.

Wisdom Teeth, A Common Tooth Extraction

Wisdom teeth most often erupt in our late teens or early twenties. Wisdom teeth often come in crooked and start moving your teeth in undesirable directions, causing misalignment. Missouri River Dental removes wisdom teeth quite often, whether they have erupted or are still impacted, we can remove them simply or surgically.


We often recommend having wisdom teeth removed before they start growing in and causing issues. Even if your wisdom teeth have grown in and have created no problems, they can be troublesome in the future as they become more susceptible to infection in your thirties and forties.

Detailed Preparation for a Tooth Extraction

Before removing a tooth, Missouri River Dental will review your medical and dental history and take the necessary X-rays. X-rays will reveal the condition and the position of the tooth and the surrounding bone. From this we can determine the best way to remove the tooth.


Before a simple extraction, we will numb the immediate area using a local anesthetic. During a surgical extraction we might find it necessary to add some dental sedation, which can vary from conscious sedation to general anesthesia.

When Are Tooth Extractions Necessary?

Often, we can repair a tooth that is damaged with a filling, crown, or other dental treatment. Sometimes, the damage is simply too severe to repair, and Missouri River Dental will recommend a tooth extraction.


Here are some other reasons tooth extractions can be necessary:


  • Trauma or an Injury- Accidents happen, and when it involves a tooth, it can be painful. Missouri River Dental often repair damaged teeth by using a dental filling placed in the cracks or fractures that were caused by the trauma. The cracks must be filled to prevent infection from spreading, and to prevent decay. If a filling is not adequate, we may suggest a dental crown, which will cover the entire tooth above the gum line. When neither of these options are possible to prevent decay from spreading, our team may have no choice but to extract the tooth to prevent further damage.
  • Decay or infection- In the center of every natural tooth, there is soft tissue called the pulp that is connected to the nerves of the tooth. If a tooth is damaged and begins to decay into the pulp, the pulp will become infected. Infected pulp will cause serious toothaches. Often this infected tooth can be saved by performing a root canal.
  • Lack of Space- Successful orthodontic treatment could require a tooth extraction to create enough space for the teeth as they are moved into their correct positions.
  • Gum Disease- One of the primary causes of tooth loss is periodontal disease. Gum disease causes the gums to detach from the teeth when there is an excessive amount of plaque build-up around the gum line. The gums pull away from the teeth that create pockets that harbor more infection. Now your gums become extremely swollen, red and bleed often. If left untreated, the connectivity tissue that stabilizes your teeth will lose its grip on your teeth. A tooth may begin to loosen, and a tooth extraction may be necessary.
meet Dr. Timothy Anderson
meet Dr. Timothy Anderson

dr. anderson

“I believe in comprehensive, quality oral health care that is patient-centered. I strive to create a positive and comfortable experience for each patient while still meeting their dental needs, wishes and expectations.”

meet Dr. Bethany Schuetzle
meet Dr. Bethany Schuetzle

dr. schuetzle

“I view my professional success as earning the trust of each individual patient and will work to build this by focusing on clinical thoroughness, comfort, and education so they can make the best informed decision.”

our amazing team
our amazing team

our team

At Missouri River Dental, our goal is to create an exceptional patient experience. We strive to exceed that experience through being compassionate, clinically thorough and providing excellent communication.

our team

Every little detail matters,
relationships matter,
experience matters,
first-class dental care matters.

Aftercare Following Your Tooth Extraction

The important objective after a tooth extraction, is keeping the area clean and preventing infection. Immediately following your extraction, Missouri River Dental will ask you to bite down gently on a piece of sterile gauze, which should remain during the clotting process. We provide aftercare instructions, but for 24 hours following your extraction, you should not rinse your mouth vigorously, smoke, or clean the teeth near the extraction site.


You can expect minor discomfort following a tooth extraction. We might recommend a pain reliever or prescribe one. It will help to apply an ice pack to your cheek to reduce swelling. You should limit strenuous activity, avoid hot liquids, and do not drink through a straw.

The Two Types of Tooth Extraction Procedures

  • A Simple Procedure- Using a local anesthetic to numb the immediate area, we will simply loosen your tooth and extract it with a tool called an elevator. This is the procedure used when the tooth that needs to be removed has grown above the gum line for easy access. The dental tools will lift it up and out of the gum line for a clean extraction.
  • A Surgical Procedure- A surgical extraction is more complicated as it will require us to cut into the gum line to remove the tooth. This is often needed when removing an impacted wisdom tooth or if a tooth is broken off below the gum line. A local anesthetic will negate any discomfort during these types of extractions. We may also discuss a dental sedation to address your anxiety.
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Changing the Dental Experience Norm
One Patient at a Time

Missouri River Dental provides you with a clean, comfortable, and modern feel. Our team goal is to provide you with the best possible care utilizing the most current dental technologies and services. The entire team at Missouri River Dental focuses on providing comprehensive, quality oral health care that is always centered on you, our patient. We appreciate the value of your time. That is why we are flexible with our hours of operation; open early, open late, and open Saturdays. Call us now at 701-751-7177 or make your appointment online for your personal evaluation and consultation regarding the benefits of a tooth extraction for you. Our office is located at 1600 Uptown Lane, Bismarck, ND, 58503.

dr. anderson using the solea laser. missouri river dental <br>features the latest in dental technologies.
dr. anderson using the solea laser. missouri river dental
features the latest in dental technologies.


We were the first to bring the Solea Laser to North Dakota which allowed us to do fillings without anesthetic which was a game changer for the patient experience.

the missouri river dental team focuses on one thing. you.
the missouri river dental team focuses on one thing. you.


All team members have an education focus in being constant learners in all things dental and you will experience that the minute you walk into our doors.

the primary focus of smile design is to reach the best aesthetic result for your smile.
the primary focus of smile design is to reach the best aesthetic result for your smile.


We believe that our guests deserve the best in cutting edge technology and information; and we pride ourselves in being experts to answer questions for our guests.

our entire practice centralizes on <br>patient experience and positive dental outcomes.
our entire practice centralizes on
patient experience and positive dental outcomes.


Our goal of this office was to create a dental atmosphere like no other in our community, almost a modern high end hotel-like experience for guests to arrive and feel at ease all while receiving exceptional dental care.