Fillings and Extractions


Why do I need a tooth extraction?

  • Severe decay that has poor prognosis if restored
  • Severe decay that cannot be restored
  • Severe periodontal (gum) disease
  • Infection caused by dental abscess
  • Fractured tooth root that is not restorable
  • Irreparable damage from trauma to teeth
  • Impacted wisdom teeth causing infection, discomfort, or damage to adjacent bone or teeth
  • For orthodontic treatment
  • To allow dentures or implants to be fitted
  • Over retained baby/primary teeth to allow eruption of adult/permanent teeth
  • Certain medical reasons

How are teeth removed?

When it is determined that a tooth needs to be removed, our office may extract it during a regular checkup or schedule another visit for this procedure. The root of each tooth is encased within your jawbone in a "tooth socket," and your tooth is held in that socket by a ligament. In order to extract a tooth, a dentist must expand the socket and separate the tooth from the ligament that holds it in place.

While this procedure is typically very quick, it is important to share with us any concerns or preferences for sedation. Teeth removal can be simple or surgical.

Simple or routine extractions are usually straightforward. The procedure is performed under local anesthetic. Sedation may be used for extremely anxious patients.

Once the patient is numb in the area, we will carefully loosen the tooth/teeth and remove it from the socket. After removal, the socket is rinsed, and if root was infected, the infection will be curetted to ensure good healing.

Our team may use a bone graft and a barrier membrane to help heal the socket and preserve bone. Finally, sutures may be placed to secure the gum tissue and stabilize the clot, which is essential for healing.

If we determine you need surgical extraction in addition to the above, bone removal and manipulation may be needed.

What happens after tooth/teeth is extracted?

Once a tooth has been removed, neighboring teeth may shift, which can cause problems with chewing or your jaw joint function. To avoid these complications, we may recommend you replace the extracted tooth.

Wisdom Teeth

What are Wisdom teeth?

Wisdom teeth are the last molar in our mouth that may or may not develop and erupt fully. They are also called the third molar. Most common problems with wisdom tooth/teeth develop when they have not enough space in the jaw and become impacted, which leads to damage to adjacent bone and teeth, pain, and infection.

Why do I have to get my wisdom tooth/teeth extracted?

Wisdom teeth may be fully erupted, partially erupted, or impacted.

Fully erupted: Most of the time we will decide to leave it alone, unless it is decayed or its position is causing damage to adjacent health structures.

Partially erupted: This is when only part of the wisdom tooth is exposed in the oral cavity and the rest is covered with gum tissue and bone. Depending on the angle of the tooth, age of patient, and proximity to other structures, our team may recommend to extract your wisdom tooth to avoid damage to adjacent teeth, or for orthodontic treatment.

Completely impacted: This is when a wisdom tooth is completely under the gum tissue and/or inside the jaw bone. Depending on your age, and the proximity to adjacent teeth, nerves, or other structures, we may decide either to extract if related to any pathology or prospective risks, or just monitor it.

Fillings or minor dental restorations

What is a dental cavity?

Tooth decay is also called cavity. Decay of a tooth is like decaying wood. Once a tooth starts to decay, the only way to stop its progress is to remove the decayed part and fill/restore it with a filling/restoration.

If left untreated, the small cavity/decay will progress from the enamel to dentin and ultimately to the pulp of the tooth, which has nerves and blood vessels. A cavity in the enamel typically does not present with any pain or symptoms.

Once it reaches the dentin, which has some nerve endings, you may feel some mild-to-moderate pain or sensitivity. If the cavity reaches the pulp and gets left untreated for a long time, it will lead to necrosis and a dental abscess, which can be extremely damaging, and in rare cases a fatality has been reported.

How to know if you have a cavity?

Initial cavities show no symptoms and are usually discovered by a dentist on routine exams with appropriate X-rays. Some cavities show up as tiny or large dark spots, which can be seen with an intraoral camera or with naked eyes. 

Early cavities are usually painless. If left unchecked, they can grow severe and will invade the dentin or pulp, which is when the pain/discomfort shows up.

Other symptoms may include increased sensitivity to hot and cold foods and drinks. If you find yourself feeling pain when you take a sip of cold water, for example, your teeth may need some attention.

How to treat a cavity or tooth decay?

If you catch the problem in the early stages, before the enamel layer has been fully eroded, our office may be able to remove the infected tooth structure and replace it with a small filling. If left unchecked, or if decay is extensive, you may require a crown with or without a root canal.

What Our Patients Are Saying

“I initially sought Dr. Nodesh for his specialty and advanced experience in prosthodontics. Dr. Nodesh, along with his entire staff, has been incredibly helpful and thorough in responding to all my questions and concerns in developing a treatment plan. This practice has completely exceeded my expectations! I see Dr. Nodesh and staff for all general dentistry concerns as well and I recently had a wonderful cleaning visit! I’d also like to note that the front desk is composed of two of the most delightful women I have ever met!” Krista Read More “Dr. Raina is absolutely amazing! She is professional, compassionate, and just so friendly and pleasant. She made the 'braces experience' wonderful for my son and her confidence gives me every confidence!! Dr. Raina explains her decisions for treatment and your child's progress every step of the way. She's the best and my family loves her!” Kacie & Drake Read More “I don’t have to smile with my mouth closed anymore! Dr Nodesh’s expertise at Beaches Dentistry made me smile big again. I’m so happy to have a healthy smile. He truly cares about his patients and their needs. I highly recommend Dr. Nodesh. He is gentle, patient, trusting, and positive, & has a wonderful staff, especially my hygienist of many years, Anethette.” Esther Read More “CAN'T say enough about what a great experience I've had, and continue to have, with Dr. Nodesh and all the girls at Beaches Dentistry. If anyone out there needs a dentist that's kind, gentle, and very caring, this is the dentist for you! Thank you Dr. Nodesh and staff!” Sylvia Read More “We have had only positive experiences with Dr. Raina. She is excellent with children and has a way to make everyone feel comfortable. She explains each part of the process clearly and lets you have an informed decision in your treatment plan. I would recommend anyone to her, and if any of my other children need braces, I wouldn't even look someplace else. We feel so blessed to have Dr. Raina as part of this community.” Rassoull Read More “Dr. Nodesh and staff are very friendly and knowledgeable. I’m very impressed with the up-to-date technology and procedures. The office is very clean, decorated professionally, and gives a warm home effect. I would highly recommend this dentist office.” Shelly Read More “I love Dr. Nodesh’s 'bedside' manner. I feel very cared for when I visit. The hygienist is conscientious of my time, the front staff makes me feel like family, and they have the latest technology making dental care much more advanced. Great place!” Wendy Read More “Dr. Raina is a wonderful professional. She made my son and myself feel not only as a patient but as a family. She always gave us a smile and made every appointment with her a great experience. She did a good job with my son's braces and made us enjoy the journey with confidence. We are going to miss Dr. Raina.” Anonymous Read More “I highly recommend Dr. Nodesh. He recently handled a dental emergency that required an implant. I was pleased with the way he answered all of my questions, provided information about my options, and most importantly, with the skill with which he handled the procedures from start to finish. I appreciate that he makes the time to communicate not only during the office visit but with followup.” Victoria Read More
Get in Touch With Us
(904) 246-6714
324 3rd Ave N
Jacksonville Beach, FL 32250

Office Hours:

Mon: 8AM - 5PM Tue: 8AM - 5PM Wed: 8AM - 5PM Thu: 7AM - 3PM Fri: Appointment
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