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Tooth Removal

Perio & Implant Centers of Monterey Bay - Silicon Valley -  - Periodontist

Perio & Implant Centers of Monterey Bay - Silicon Valley

Periodontists & Dental Implant Specialists located in Monterey, CA & Sunnyvale, CA

Adult teeth are supposed to last throughout your life. Sometimes, though, tooth removal is necessary to prevent oral and general health complications. At Perio & Implant Center of Monterey Bay and the Silicon Valley, we use only the latest in techniques such as PiezoElectric to gently avoid any damage or inflammation to the soft gum tissue,  when removing a tooth. This amazing UltraSonic ' knife' does not touch anything that is not rock hard, allowing the tooth be removed using our minimally invasive technique, allowing little to no pain, usually no discomfort as we are not bruising or harming the tissue surrounding to tooth. Dr Pechak and his team are trained in this technique, used often for Wisdom Teetth, causing little to no pain, less downtime, faster healing. All can be done using Oral Sleep Sedation or an IV, where you sleep through your entire procedure. With offices in Sunnyvale  and Monterey, California, Jochen Pechak DDS, MSD, offers safe and minimally invasive tooth removal techniques, also for Wisdon teeth known as ' third molars' to avoid spreading decay and misalignment of the neighboring teeth. Call the nearest office or book an appointment online if you have a bothersome tooth that needs an evaluation. We beleive your best tooth, is your natural tooth and we have many techniques to save the tooth as well, using Laser technolgies.

Tooth Removal, also known as an extraction.

Why might I need tooth removal?

Although it’s not usually the first line of treatment, tooth removal is sometimes the best course of action for a diseased tooth. Lifestyle choices, trauma, and decay are all things that can lead to the need for an extraction.

Specific issues that could call for a tooth removal are:

  • Extensive tooth decay
  • Possible infection from a failed root canal
  • Possible infection during an organ transplant or chemotherapy
  • Crowded or extra teeth
  • Advanced periodontal (gum) disease
  • No room for third molars (wisdom teeth)

Everyone’s situation is different. Dr. Pechak takes the time to evaluate your case and provide the most minimally invasive solution possible.

What happens during a tooth removal?

Dr. Pechak offers the most minimally invasive tooth removal possible. Teeth can be removed   using Dr. Pechak’s  unique trained methods of minimally invasive techniques: 

Simple extraction

Simple extractions are done when the majority of the tooth can still be seen inside your mouth. Dr. Pechak prefers to use an instrument and technique known as the Piezoelectric Instrument. This UltraSonic-like method only focuses on hard matter, such as the root of the tooth, and similar to light laser therapy, the Piezoelectric procedure leaves any pink tissue undisturbed.

Surgical extraction

A surgical extraction is required if you have a tooth that’s broken off at your gumline or is impacted, meaning it hasn’t come through the surface of your gums. Dr. Pechak may choose to use the PiezonElectric to remove the tooth.  If you can feel your wisdom teeth with your tongue, you may qualify for a minimally invasive wisdom tooth removal.

Dr. Pechak gives you a local anesthetic during tooth removal, and is certified to provide all levels or sedation, from oral  Conscious Sleep Sedation, to IV sleeping entirely. Our patients always note no pain or discomfort during the procedure. With some extractions, like wisdom teeth removal, he can offer you moderate IV or oral sedation. This leaves you alert enough to follow verbal prompts but unaware of the work being done on your mouth.

If you plan to get a dental implant in the future, or if you wish to avoid shifting of your current teeth after a tooth removal,  Dr. Pechak can place a bone graft to preserve your jawbone. Shifting of healthy neighboring teeth after tooth removal is a common occurrence which can result in loss over time, something we work hard to prevent in our patients.

In many cases, the loss of a single tooth causes your body to resorb the supporting bone. This can shift your bite, compromising the health and integrity of your surrounding teeth. A bone graft maintains your bone structure and health.

How soon can I expect to heal from a tooth removal?

Your healing will depend on your body’s personal healing track and the type of extraction done.

With a simple extraction, new bone and gum tissue grow into space where the tooth used to be. Until that area has healed completely, you’ll have some discomfort and difficulty chewing.

Trust Dr. Pechak and the team at Perio & Implant Center of Monterey Bay and the Silicon Valley if you need a tooth removed. Call the office or schedule online today.


Dental Implants


Bone Grafting


LANAP Laser Dentistry


Gum Disease


Sleep Dentistry


Tooth Removal


Pinhole Gum Rejuvenation


Wisdom Teeth


Failing Implants


3D Guided Implants