Tooth Extraction Makati

DevelopDent · Legazpi Village, Makati CBD

When a tooth cannot be saved through restorative treatment, removal is the clinical next step. At DevelopDent, extractions are performed with careful, atraumatic technique — with attention to preserving the surrounding bone and tissue for whatever comes next, whether that is an implant, bridge, or long-term healing.

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What This Page Covers

When extraction is and isn't necessary

Types of extractions performed

What the procedure involves

What to expect after removal

Tooth replacement options

Overview

Extraction as a considered clinical decision

Tooth extraction is recommended when a tooth is beyond reliable restoration — due to severe decay, structural fracture, advanced periodontitis, or a clinical situation where keeping the tooth would compromise the surrounding teeth and bone.

It is not recommended lightly. At DevelopDent, the case for extraction is assessed against the realistic alternatives — including root canal treatment, crown buildup, and periodontal intervention — before a recommendation is made. Where extraction is the appropriate decision, the conversation also covers what comes next: how the site heals, what happens to the bite, and how the space can be managed over time.

This page covers general tooth extractions. If your concern is specifically a wisdom tooth (impacted or partially erupted), see the wisdom tooth removal page instead. This page is part of the Dental Implants & Oral Surgery services at DevelopDent.

When Extraction is Indicated

Clinical situations where removal is the right call

Extraction is considered after a full clinical assessment and, where relevant, periapical radiography. The most common reasons extraction is recommended include:

Decay so extensive that insufficient tooth structure remains for a reliable restoration or crown

A vertical root fracture, which cannot be repaired and leads to ongoing infection

Advanced periodontal disease causing significant bone loss around the tooth root

A failed root canal with no viable retreatment option and ongoing periapical pathology

Severe crowding where a strategically selected tooth is removed to facilitate orthodontic treatment

A tooth involved in a cyst or pathological lesion requiring removal as part of treatment

A retained deciduous (baby) tooth blocking a permanent successor

A tooth that poses an infection risk during planned medical treatment (chemotherapy, organ transplant)

Extraction is a last resort, not a first option Before recommending extraction, the treating dentist will assess whether restorative treatment — root canal, crown buildup, or periodontal therapy — offers a clinically sound alternative. If extraction is the right call, you will understand why before anything is scheduled.

The Process

What happens during a tooth extraction

Most routine extractions are completed in a single appointment. The approach depends on whether the extraction is simple (fully erupted tooth) or surgical (tooth with complex roots, or where additional access is needed).

Assessment and radiography

Before any extraction is performed, the treating dentist reviews the clinical situation and takes a targeted periapical radiograph to assess root anatomy, surrounding bone, and any pathology. This guides the extraction approach and informs the plan for the site after removal.

Anaesthesia

Local anaesthesia is administered to numb the tooth and surrounding area completely before the procedure begins. The extraction does not proceed until the area is confirmed to be fully numb. If you are anxious or the procedure is expected to be complex, the treating dentist will discuss options for managing comfort before the appointment.

Extraction — simple or surgical

A simple extraction involves loosening the tooth with an elevator instrument and removing it with forceps. A surgical extraction — used when the tooth is broken, has curved or fused roots, or cannot be accessed directly — may involve a small incision and, in some cases, sectioning the tooth into parts for removal. Atraumatic technique is used throughout to minimise disruption to the surrounding bone and soft tissue.

Haemostasis and aftercare instructions

After the tooth is removed, the socket is inspected and a gauze pad is placed to control bleeding. Aftercare instructions are given clearly — covering what to eat, how to manage discomfort, signs of normal healing versus signs that warrant a follow-up call, and when to return for a post-extraction check if needed.

Planning for the space

A missing tooth affects the surrounding teeth over time — adjacent teeth can drift and opposing teeth can over-erupt into the gap. As part of the extraction appointment, the treating dentist will discuss your options for managing the space: whether an implant, a bridge, or monitored observation is appropriate for your situation.

Why DevelopDent

How extractions are approached here

Atraumatic technique as standard

The goal of atraumatic extraction is to preserve as much bone and soft tissue as possible around the socket. This matters especially when an implant or bridge is planned — a well-preserved socket heals more predictably and creates a better foundation for the eventual restoration.

Radiography before every extraction

Root anatomy varies significantly between patients. Curved, hypercementotic, or fused roots change the extraction approach entirely — and cannot be assessed by clinical inspection alone. Periapical radiography is taken at DevelopDent before every extraction so the procedure is planned, not improvised.

Extraction and restoration planned together

Removing a tooth is rarely the end of the conversation. At DevelopDent, the extraction and the downstream plan — implant, bridge, or observation — are discussed at the same appointment. Patients leave knowing the full picture, not just that a tooth is coming out.

Honest assessment before extraction is agreed

Some patients arrive having been told their tooth needs extraction elsewhere. If there is clinical doubt — or if restorative treatment has not been considered — the treating dentist will say so before proceeding. A second opinion consultation is also available for patients who want an independent assessment.

Pricing Guidance

Extraction fees

Extraction fees at DevelopDent reflect the complexity of the procedure — simple erupted teeth, teeth with difficult root anatomy, and teeth that have undergone previous root canal treatment are priced differently, since each involves a different level of clinical work.

Starting fees at DevelopDent Simple tooth extractions are priced from ₱2,500 — routine extractions of erupted teeth, handled under local anaesthesia with the procedure discussed in full before any step begins. Surgical extractions, extractions with curved or difficult roots, and root-canal-treated teeth (which are more brittle and require careful sectioning) are priced separately at consultation. The applicable fee is confirmed once the treating dentist has examined the tooth and reviewed the radiograph — so you know the cost before anything is scheduled.

Note: this page covers general tooth extractions only. Wisdom tooth removal (odontectomy) is a separate procedure with its own fees — see the wisdom tooth removal page for details.

Questions

Tooth extraction — frequently asked

Will it hurt?

The extraction itself should not be painful — local anaesthesia numbs the area thoroughly before any instrument is placed. You will feel pressure and movement, but not pain. Some soreness in the area is normal in the days following removal and is manageable with over-the-counter analgesics. The treating dentist will advise on what to take and when.

How long does healing take?

The initial clot forms within the first 24 hours and soft tissue closure over the socket typically takes one to two weeks. Complete bone healing takes several months. Most patients return to normal eating and activity within a few days. Aftercare instructions — including what to avoid in the first 24 hours — are given at the appointment.

What is dry socket and how do I avoid it?

Dry socket (alveolar osteitis) occurs when the blood clot that forms in the extraction socket is dislodged or dissolves before the socket heals — exposing the underlying bone. It is painful and slows healing. Avoiding smoking, straws, and vigorous rinsing in the first 24 to 48 hours significantly reduces the risk. If dry socket occurs, it is treated at a follow-up visit.

Do I need to replace the tooth?

In most cases, yes — particularly for back teeth that support bite function. A missing tooth allows adjacent teeth to drift and opposing teeth to over-erupt over time, changing your bite and making future restoration more complex. The dental implant is the closest functional replacement; a bridge is an alternative where implant placement is not indicated. The treating dentist will discuss which option suits your clinical situation.

Can I get a same-day implant?

In some cases, immediate implant placement — placing the implant into the fresh extraction socket at the same appointment — is clinically appropriate. This depends on the condition of the surrounding bone and soft tissue. The treating dentist will assess this during the pre-extraction evaluation. If immediate placement is not suitable, a healing period is observed before implant placement.