When a tooth has to come out, we make it quick, numb and calm — same-week appointments in Hewlett.
A tooth extraction is the last option we reach for, not the first. At DNTL SPOT in Hewlett, NY, Dr. Inessa Murdakhayeva and Dr. Regina Murdakhayeva will tell you honestly whether a tooth can be saved — and when it genuinely cannot, remove it comfortably and plan what goes in its place.
In pain or swollen? Call (516) 226-9160. We hold time for urgent cases and will do our best to see you the same day.
On this page
Painful teeth get seen quickly. We hold time each day we are open, including Sundays.
An itemized estimate with your insurance applied, before treatment starts.
Dr. Inessa and Dr. Regina treat you themselves, start to finish.
A tooth extraction becomes the right answer in a handful of clear situations:
The American Dental Association sets out much the same list. What none of it covers is the situation we see most often: someone who assumed extraction was inevitable, when the tooth could in fact have been saved.
Ask us this directly, and we will give you a straight answer. A tooth extraction is quick and comparatively cheap on the day, which is exactly why it deserves scrutiny: the cost lands later.
When a tooth comes out, the bone that supported it starts to resorb. The teeth either side drift into the gap and the opposing tooth over-erupts into the space, which changes your bite and makes the neighbors harder to clean. Replacing the tooth then means a bridge, which involves cutting down two healthy teeth, or an implant, which costs more than the root canal and crown would have.
So the comparison is never extraction versus root canal on price alone. It is extraction plus replacement, versus saving what you have. Where the tooth is restorable, keeping it is almost always the better outcome, and we will say so even though it is the more expensive appointment for you that day.
In pain right now?
We hold urgent slots every day we are open — including Sundays.
A simple tooth extraction applies to a tooth that is fully erupted and visible. The tooth is loosened in its socket and lifted out. There is no cutting and no stitching, and it is usually over in a few minutes.
A surgical tooth extraction is needed when the tooth is broken at the gum line, impacted, or has curved or splayed roots. A small incision gives access, a little bone may be removed, and the tooth is sometimes divided into sections so each root comes out along its own path. That sounds more alarming than it feels — sectioning a tooth is what lets it come out gently instead of being forced.
We handle both kinds of tooth extraction here, including surgical removal of impacted wisdom teeth. Tooth extraction cases that genuinely belong with an oral surgeon — a root sitting against the nerve canal, or a patient whose medical history calls for sedation we do not provide — get referred, and we say so at the assessment rather than partway through.
Before any tooth extraction an X-ray shows the root shape, how close the roots sit to the sinus or the nerve canal, and the density of the surrounding bone. We tell you at this point whether it will be simple or surgical, and roughly how long it will take.
This matters more for a tooth extraction than for most treatments. Blood thinners, bisphosphonates and related bone medications, diabetes, and immune conditions all change the plan. Bring a list of everything you take, including supplements.
Topical gel first, then local anesthetic, then we test the area before starting. You should feel firm pressure and movement during the procedure — that part is unavoidable and normal — but not sharpness. Tell us immediately if you do.
The tooth is loosened steadily rather than yanked. Most patients are surprised how undramatic this is; the anticipation is consistently worse than the event.
After the tooth extraction the socket is cleaned of any infected tissue. If you are likely to want an implant later, this is the moment in a tooth extraction to place a socket-preservation graft — it keeps the bone width that an implant will need and it costs far less than rebuilding the site in two years.
Surgical sites usually get a stitch or two, often dissolving. You bite on gauze for twenty to thirty minutes to form the clot, and we go through the aftercare before you leave.
First 24 hours. Bite firmly on the gauze for half an hour. Do not rinse, spit, use a straw, or smoke — all of these can dislodge the clot. Cold compress on the outside of the cheek, twenty minutes on and twenty off. Soft food, nothing hot. Rest with your head slightly raised.
Days two and three. Swelling after a tooth extraction usually peaks around day two. Start gentle warm salt-water rinses after meals from day two — gentle is the operative word. Keep brushing your other teeth normally, avoiding the site.
Days four to seven. Discomfort and swelling fall away steadily. Most people are back to normal eating on that side within a week for a simple extraction; a surgical one takes a little longer.
Two to four weeks. The gum closes over. Bone fills in underneath over several months.
Call us if pain is increasing rather than decreasing after day three, if swelling worsens after day three, if bleeding does not settle with firm pressure, or if you develop a fever. Those are the signs worth acting on rather than waiting out.
Worried that it will hurt?
You will be fully numb before anything starts, and we will tell you exactly what to expect.
Food is the practical question everyone actually has after a tooth extraction, and the standard advice to “eat soft foods” is not much help at six in the evening.
Day one. Cool and soft, nothing that needs chewing on that side. Yoghurt, smooth apple sauce, cold soup, mashed potato that has been left to cool, scrambled egg, ice cream. Nothing hot, because heat encourages bleeding, and nothing through a straw.
Days two to four. Warm and soft. Pasta, soft fish, well-cooked vegetables, oatmeal, soup at a moderate temperature. Keep chewing on the opposite side.
What to avoid for a week. Anything with small hard fragments that can lodge in the socket — nuts, seeds, granola, popcorn, crusty bread. Also spicy food, which irritates the site, and alcohol, which interferes with healing and does not mix with pain medication.
Eat properly rather than skipping meals. Healing after a tooth extraction is an active process and it needs protein and calories. People who live on soup for four days often feel worse than they need to, and put it down to the surgery rather than to not eating.
Dry socket is the complication people have heard of and the one worth taking seriously. The blood clot that forms in the socket is the dressing over the healing bone. If it dislodges before the tissue has closed, the exposed bone and nerve endings produce a deep, radiating ache that typically starts three to five days after the tooth extraction, often with a bad taste.
It is uncommon overall but much more likely after a lower wisdom tooth removal, in smokers, and in people who rinse vigorously or use a straw in the first day.
Avoiding it is mostly about the first 24 hours: no smoking, no straws, no spitting, no vigorous rinsing, and nothing hot. If it happens anyway, it is easily treated — we irrigate the socket and place a medicated dressing, and the relief is usually immediate. Do not tough it out at home; this is a five-minute fix in the chair.
Want the cost before you commit?
An itemized estimate with your insurance applied, and the replacement options priced alongside it.
Plan this before the tooth extraction, not months later. What you decide changes what we do on the day — specifically whether to place a socket graft.
We will give you the honest version of what happens if you do nothing, which is usually gradual drifting rather than anything dramatic. Whether that matters depends on which tooth it is.
A simple tooth extraction costs less than a surgical one, and an impacted wisdom tooth costs more again because of the time and technique involved. A socket graft, if you are planning an implant, is an additional item.
Most dental plans cover a tooth extraction as a basic or oral-surgery service, frequently at a higher percentage than major restorative work. We are in network with fourteen PPOs — Aetna, AlwaysCare, Ameritas, Anthem, Cigna, Delta Dental, GEHA, Guardian, Humana, Lincoln Financial, MetLife, Principal, United Concordia, and United Healthcare — and we check your benefit and give you a written figure before the appointment. We do not participate in Medicaid or Medicare.
Financing options are on our financial information page, and our membership plan discounts treatment for uninsured patients.
DNTL SPOT is owned and run by two sisters, Dr. Inessa Murdakhayeva and Dr. Regina Murdakhayeva. The dentist who assesses the tooth is the dentist who removes it and follows you up.
Ready to get it taken care of?
Pick a time online in under a minute, or call and speak to the front desk.
We are at 1455 Broadway in Hewlett. Patients come to us for tooth extraction and urgent care from Cedarhurst, Lawrence, Inwood, North Woodmere, Lynbrook, Far Rockaway, East Rockaway, Atlantic Beach, and Valley Stream.
Sunday hours mean a tooth that flares up over the weekend does not have to wait until Monday. See our emergency dentist page if you need to be seen now, or our new patient resources page if you are new to the practice.
Ready when you are
If a tooth is painful, loose or broken, get it looked at before the options narrow. We will tell you whether it can be saved and what each path costs. Check available times online or call the office.
1455 Broadway, Hewlett, NY 11557
(516) 226-9160
Monday & Wednesday 9:00 AM–5:00 PM · Sunday 9:00 AM–3:00 PM
