Extracted tooth with dental tools

Tooth Extraction

While tooth extraction is typically a last resort in dentistry, there are times when it is the best option to maintain a healthy smile.

Our dentists, Charles and Patrick Casey, perform tooth extractions as needed to protect your oral health.

Learn how a tooth extraction at our practice in Montreal, QC, can relieve pain and boost your oral health.

Relief, Improved Health, and More

Pain Relief

A tooth that requires extraction is usually severely damaged and decayed, causing extreme pain. Removal eliminates the source of the pain, allowing patients to relax and heal.

Improved Oral Health

A tooth extraction can prevent infection or decay from spreading to surrounding teeth and gums. Wisdom teeth are notorious for trapping bacteria and creating oral health problems.

Preparation for Orthodontics

Crowded or impacted teeth cause damage to surrounding teeth over time. Extraction creates room for surrounding teeth to gradually shift into place during orthodontic treatment.

Exceptional Treatment Before, During, and After Tooth Removal

Our state-of-the-art practice in Montreal is proud to offer most dental procedures under one roof. There’s no need to worry about finding an outside doctor after tooth extraction. We offer dental implants and bridges to fill the gap once your extraction is over and healing is complete. Our father and son team work together to provide the highest quality of care possible and treat our patients like family. To schedule a consultation or learn more, send us a message online or call our Montreal office at:

(514) 937-6558

our dental office

How Often do Canadians Have Their Wisdom Teeth Removed?

"Third molar extraction is one of the most common oral surgeries performed on Canadian patients, particularly young adults." Journal of the Canadian Dental Association

Wisdom Tooth Removal We Can Remove It Before It Becomes a Problem

Wisdom teeth are a third set of molars and they are the last set of adult teeth to erupt. Wisdom teeth are not necessary for a healthy mouth to function. Third molars can erupt at an angle or become partially or fully trapped in the jawbone, which can cause a host of oral health issues like gum disease, infection, and tooth decay. 

At the moment, your wisdom teeth may not be impacted at all. However, it's possible your wisdom teeth will emerge and shift over time. Our dentists can prevent these problems entirely with a preventative wisdom tooth removal at our Montreal, QC, practice. We use digital scans and x-rays during appointments to assess if a wisdom tooth will become impacted and should be removed to preserve your oral health.

Extracted tooth

"Best Dentist I've Ever Been To"


Gregory Fischer-Rush


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Best dentist I've ever been to easy. I'm an extremely rough patient who is petrified of needles and has panic attacks. Dr. Casey AND HIS STAFF (can't stress this enough, many reviews speak of Dr. Casey but his staff is equally unbelievable and exceptional) have never judged me and have always been nothing but understanding. If you want the highest level of care possible, this is the place to go.

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Sue Winslow-Spragge


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A family run office that has been in business for over 50 years. Both Father and Son Dentists, as well as their Hygienists are professional and remain on the cutting edge of technology. Everyone is caring and friendly. Highly recommended.

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Reasons Why You Might Need a Tooth Extracted

In the case of mild or moderate tooth decay, we may be able to restore your oral health with a dental crown or tooth-colored-filling. However, there are several instances when your condition may be too advanced to treat with a restoration successfully. You may require this procedure if you have any the following dental issues:

  • A tooth severely weakened by oral trauma
  • Tooth loss due to advanced periodontal disease
  • Endodontic infection that can’t be eliminated with root canal therapy
  • A fracture located below the gum line
  • Impacted wisdom teeth
  • Overcrowding

Using gentle techniques and local anesthetic, extractions can be virtually painless. If the impacted tooth is not removed, it can become infected or cause alignment problems.

What to Expect during Treatment


We utilize advanced 3-D imaging technology to decide whether tooth extraction is the best option for you. This allows us to plan your extraction more precisely for reduced procedure time and expedited recovery.


Your dentist will administer local anesthesia to numb the treatment area and help you feel more comfortable during the procedure. If you have a dental phobia or anxiety, we have additional sedation options available to help you relax.


Once you are numb, your dentist will gently loosen the tooth by rocking it back and forth. It is normal to hear noises and feel pressure during this process, but you should not feel any pain.


If your extraction is complex and requires incisions in your gum tissue, your dentist will apply sutures to the area. A blood clot will eventually form in this area and begin the healing process, which usually takes a few days. 
gum-suturesCreated with Sketch.

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What to Expect after Treatment


Bleeding after treatment is normal and will subside over time. Gauze is applied to the extraction site to control bleeding. We recommend changing the gauze periodically.


Over-the-counter medication can help with soreness. We may also prescribe painkillers, depending on the extent of the procedure.

Dry Socket

Do not drink anything through a straw or make a sucking motion with your mouth, as this can cause the blood clot to become dislodged. If dry socket occurs, please call our office right away.


You may experience minor swelling, but this should subside over the next few days. Using an ice pack for a few minutes throughout the day can help calm the area.


We recommend a soft food diet for a few days following treatment. Once you feel comfortable, you can start incorporating solid foods carefully back into your diet.

Restoration Options

In general, our dentists recommend replacing your tooth with a prosthetic after it is extracted, unless it was a wisdom tooth or a tooth that caused overcrowding. Here are some options available at our Montreal, QC, office for replacing a missing tooth:

Implant-Supported Crowns

Implant-Supported Crown

An implant-supported crown can prevent jaw atrophy associated with missing teeth. This restoration matches your natural teeth and fills in the gap in your smile. 

Dental Bridge

Dental Bridge

If had a few teeth in a row extracted, you may be a candidate for a traditional or implant-supported bridge. 



If you need to replace an entire arch of teeth, traditional or implant-supported dentures can allow you to speak comfortably and restore your ability to chew. 

Why Choose Implants?

"Implants can cost more than other kinds of replacement teeth and might not be covered by your dental plan. But in most cases this is a one-time cost, unlike other kinds of tooth replacement procedures."

Canadian Dental Association

Do I Need an Oral Surgeon?

While oral surgeons are great to visit, they are not necessary for tooth extraction. The dentists at Smile Montreal are known for quality care when it comes to general dentistry and cosmetic dentistry. 

No matter which tooth is being extracted during your appointment, our dentists will use minimally invasive techniques to protect your remaining natural teeth. In follow-up appointments, you and your dentist can discuss any swelling issues, check your blood clots, and review any other concerns you may have after your tooth extraction. 

Tooth Extraction
Dr. Charles Casey & Dr. Patrick Casey

Smile Montreal

Our team of dental professionals is focused on patient care and comfort. Our dentists use the latest techniques and innovative technologies to provide fast and efficient treatment. Dr. Patrick Casey is a member of a number of international associations, including:
  • Academy of General Dentistry
  • International Congress of Oral Implantologists
  • Academy of Laser Dentistry
  • International Academy of Orthodontics
Contact us or call (514) 937-6558 to schedule an appointment.

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"I felt more like I was talking to a friend than I was to a dentist." Nancy Lanzolla, Patient

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