Sometimes saving a tooth isn’t possible, but modern dentistry makes removal safe, comfortable, and stress-free. Tooth extraction in Laguna Niguel, CA at Laguna Heights Dental focuses on precision, gentle care, and patient comfort. Dr. Nazita Gaff, a fourth-generation dentist and Tufts University School of Dentistry graduate, performs both simple and surgical extractions with advanced techniques that promote faster healing.
Losing a tooth doesn’t have to mean losing your confidence. This article explains when an extraction may be needed, what to expect during the procedure, and how Dr. Gaff ensures a smooth recovery.
When Tooth Extraction Is Necessary
Dr. Gaff always prioritizes saving your natural teeth whenever possible. However, extraction may be the best option if a tooth is severely decayed, fractured, or infected beyond repair. It may also be required to prepare for orthodontic treatment or dentures.
Common reasons for tooth extraction include:
- Extensive decay or infection.
- Impacted or problematic wisdom teeth.
- Advanced periodontal (gum) disease.
- Overcrowding before orthodontic work.
- Severe trauma or fractures below the gumline.
During your consultation, Dr. Gaff evaluates your condition with digital imaging and discusses all available options before recommending extraction. Her conservative approach ensures that removal is only performed when absolutely necessary.
Simple vs. Surgical Extractions
The type of extraction depends on the position and condition of the tooth. Dr. Gaff explains each option clearly so patients feel comfortable and informed.
| Type | Description | Typical Use | Recovery Time |
| Simple Extraction | Tooth visible above the gumline removed with gentle pressure | Loosened or damaged teeth | 1–3 days |
| Surgical Extraction | Involves small incision or sectioning of tooth | Impacted or broken teeth | 3–5 days |
Regardless of the type, each procedure is performed under local anesthesia to ensure complete comfort. Sedation options are also available for patients with dental anxiety.
What to Expect During the Procedure
Dr. Gaff and her team prioritize patient comfort and communication throughout the extraction process. Every step is designed to make the experience as easy as possible.
The procedure generally includes:
- Numbing the area: Local anesthesia ensures a pain-free procedure.
- Loosening the tooth: Gentle movement allows for safe removal with minimal trauma.
- Removing the tooth: The tooth is carefully extracted from the socket.
- Cleaning and protection: The site is disinfected, and gauze is placed to control bleeding.
- Aftercare instructions: You’ll receive detailed guidance for home recovery.
Most extractions take less than an hour, and patients can return to normal activities within a day or two with proper care.
Recovery and Aftercare
Healing from a tooth extraction is usually quick and uncomplicated. Dr. Gaff provides customized aftercare instructions to promote comfort and prevent infection.
Aftercare tips include:
- Keep gauze in place for 30–45 minutes after surgery.
- Avoid drinking through straws or spitting for 24 hours.
- Eat soft foods like yogurt, eggs, or mashed potatoes.
- Take prescribed pain medication as directed.
- Maintain gentle brushing, avoiding the extraction site.
Swelling and mild discomfort are normal for the first day or two. Dr. Gaff monitors healing closely to ensure complete recovery and may recommend replacement options such as bridges or implants once healing is complete.
Replacing an Extracted Tooth
Leaving a gap in your smile can affect chewing, speech, and alignment. Dr. Gaff provides several options to restore both appearance and function after extraction.
Replacement solutions include:
- Dental implants for long-term stability.
- Dental bridges for functional restoration.
- Partial dentures for flexible, removable replacement.
Restoring the missing tooth helps maintain a balanced bite and prevents neighboring teeth from shifting.
The Dr. Nazita Gaff Difference
Dr. Nazita Gaff, DMD (License #53334), brings over 30 years of experience to every extraction procedure. Her advanced training in laser dentistry through the Academy of Laser Dentistry allows her to perform extractions with precision, reduced discomfort, and faster healing.
Her patients from Laguna Niguel, Rancho Niguel, and Monarch Point appreciate her calm, reassuring presence and her focus on patient education. Dr. Gaff treats every patient like family, ensuring comfort and confidence before, during, and after the procedure.
Taking the Next Step
If you’re experiencing pain or suspect you may need a tooth removed, it’s important to act quickly. Prompt evaluation and treatment can prevent infection and preserve your oral health. Dr. Nazita Gaff and her team provide gentle, effective care that prioritizes your comfort at every stage.
Call (949) 363-1200 today to schedule an appointment and learn more about your options for tooth extraction and replacement. For additional patient resources, visit Laguna Heights Dental.

