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Tooth Extractions

Tooth Extractions in Sunset Hills, MO

When Removing a Tooth May Be the Right Next Step

Our goal is always to help patients keep their natural teeth whenever possible. Sometimes, though, a tooth is too damaged, infected, loose, or problematic to restore predictably. When that happens, a tooth extraction may be recommended to protect your comfort, oral health, and long-term smile.
At Sunset Tower Family Dentistry, Dr. Vince Riggio helps patients in Sunset Hills understand when a tooth can be saved and when removal may be the better option. If you have tooth pain, a broken tooth, swelling, or have been told a tooth may need to come out, our team can evaluate the area and explain your next steps clearly.
Close-up dental exam with mirror for preventive dentistry at Sunset Tower Family Dentistry

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When Is a Tooth Extraction Needed?

A tooth extraction may be recommended when a tooth cannot be repaired in a way that supports long-term health and function. The reason for removal can vary from patient to patient, which is why an evaluation is important before making a decision.

Extractions may be discussed for:

  • Severely damaged teeth
  • Teeth with deep decay
  • Broken teeth that cannot be predictably restored
  • Infection or swelling related to a tooth
  • Loose teeth affected by gum or bone support concerns
  • Teeth causing ongoing pain or difficulty chewing
  • Teeth that affect a broader restorative treatment plan
Dr. Riggio will explain what he sees and discuss whether the tooth can be repaired or whether removal should be considered.
Dr Vince Riggio of Sunset Tower Family Dentistry in Sunset Hills, MO with Patient

Saving the Tooth When Possible

Tooth removal is not the first choice when a tooth can still be saved. Depending on the situation, Dr. Riggio may discuss options such as a filling, crown, root canal therapy, or another restorative treatment before recommending extraction.

If saving the tooth is realistic, we will help you understand what treatment may involve. If extraction is the better option, we will explain why and help you plan for what comes next.

The goal is not just to address the immediate problem. It is to help you make a confident decision about your smile and long-term oral health.

What to Expect During an Extraction Evaluation

Your visit starts with a conversation about what you are experiencing. We may ask when the pain started, whether the tooth is sensitive, whether you have swelling, whether the tooth broke, and whether chewing feels uncomfortable.

Dr. Riggio will evaluate the tooth and surrounding area. X-rays may be recommended to better understand the tooth, roots, bone, and nearby structures. After the evaluation, he will explain whether extraction is recommended and what other options may be available.

If the tooth needs to be removed, our team will walk you through what to expect before, during, and after the appointment so you feel prepared.

Dr Vince Riggio of Sunset Tower Family Dentistry in Sunset Hills, MO with Patient

Planning for Tooth Replacement

If a tooth is removed, it is important to talk about whether it should be replaced. Not every extracted tooth needs the same follow-up plan, but leaving a gap untreated can sometimes affect chewing, bite balance, nearby tooth position, and the appearance of your smile.

Depending on your needs, Dr. Riggio may discuss replacement options such as a dental implant, bridge, denture, or another restorative plan. Planning ahead can help you understand the full picture before treatment begins.

Dr. Riggio’s advanced training in dental implants and complex restorative procedures supports a thoughtful approach when extractions are part of a larger treatment plan.

Tooth Pain, Swelling, or a Broken Tooth

Many patients ask about extractions because something suddenly feels wrong. A painful tooth, swelling, or a broken tooth should be evaluated promptly so we can understand what is happening.
If you have swelling that is severe, spreading, or affecting your ability to breathe or swallow, seek emergency medical care right away. For tooth pain, broken teeth, or dental swelling that needs evaluation, contact our office and tell us what you are experiencing.

No Insurance? Ask About the Sunset Advantage Plan

For patients without dental insurance, Sunset Tower Family Dentistry offers the Sunset Advantage Plan, an in-house membership option designed to support preventive care and provide savings on additional treatment.
If you need a tooth evaluated or are considering an extraction, our team can answer questions and help you understand your next step.

Tooth Extractions in Sunset Hills

Sunset Tower Family Dentistry provides tooth extraction evaluations and restorative dental care for patients in Sunset Hills, South County, and nearby St. Louis communities. If you are dealing with tooth pain, a damaged tooth, or a tooth that may need to be removed, our team is here to help you feel informed and supported.

Frequently Asked questions

When is a tooth extraction needed?
A tooth extraction may be recommended when a tooth cannot be repaired in a way that supports long-term health and function. This may involve severe damage, deep decay, infection, swelling, loose teeth, ongoing pain, or a tooth that affects a broader restorative plan.
No. The goal is to help patients keep their natural teeth whenever possible. Depending on the situation, Dr. Riggio may discuss a filling, crown, root canal therapy, or another restorative treatment before recommending extraction.
Dr. Riggio will ask about your symptoms, evaluate the tooth and surrounding area, and may recommend X-rays to better understand the tooth, roots, bone, and nearby structures. He will then explain whether extraction is recommended and what other options may be available.
It depends on the tooth and your overall smile. In some cases, leaving a gap untreated can affect chewing, bite balance, nearby tooth position, or appearance. Dr. Riggio may discuss replacement options such as a dental implant, bridge, denture, or another restorative plan.

Patient Stories

What our patients are saying

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Friendly, caring, no pain. Love them all!!
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Cathy Sansom
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Not a 5 due to being taken late for my appointment. Otherwise the staff is wonderful, especially the dental hygienist who worked on me (she has white hair) she is one of the best I have ever had there.
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Laura Sanders
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I walked in not in the best mood from a text. Who would think you can walk into the dentist in a bad mood and come out refreshed. The hygienist (Terri) was very experienced, explained everything, had a positive attitude, did a good job, and I walked out with a set of clean teeth and happy. Her advice was better than most dentists.
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Stephen Winkelhoch
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Very friendly and professional staff. Have been a patient for over 30years. Excellent care.
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jan ritter
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Fantastic people! Very professional!
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Barry Guiot
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Love all you guys!! Been over 25 years!
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Jeff Terrell
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We have gone to this practice for many years. They are respectful, kind, professional and are there when you need them.
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Mary Jane Pieber
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I have been a patient of Sunset Tower Family Dentistry for many years and have received exceptional care from the staff. They are always friendly, always efficient, always professional.
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Rob Mihalevich
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Everyone at Sunset Tower Family Dental are fantastic, caring, professional and make you feel you are the most important patient.
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Joe Gleason