Will A Dentist Pull An Infected Tooth On The First Appointment?
- Thomas Baron
- Aug 9, 2025
- 4 min read

If you have an infected tooth, you may be wondering, "Will a dentist pull an infected tooth on the first appointment?" It’s common to worry about immediate tooth extraction. However, most often, the answer is no.
At your first visit, the dentist’s primary goal is to assess your situation and make sure the infection is under control before moving forward with any treatments. Your dentist will evaluate the extent of the infection and check the overall health of the tooth and surrounding gums.
The Examination
Your first visit will start with a thorough examination. The dentist will ask about your symptoms, such as pain, swelling, or any sensitivity to hot or cold.
They may also take X-rays to examine the infection’s severity and make sure there’s no underlying damage that could complicate the situation. The X-rays give the dentist a clear view of your tooth’s structure and help them understand how deep the infection goes.
Treatment Options
Once the dentist has reviewed your X-rays and conducted a physical examination, they will discuss treatment options. When the infection is mild and hasn’t caused significant damage, the dentist might try to save the tooth.
This could involve root canal therapy, which removes infected tissue from inside the tooth and seals the area to stop additional infection. Root canal treatment is typically the initial step in preserving an infected tooth, particularly if the tooth remains structurally sound.
In some cases, if the infection is too severe or the tooth is badly damaged, the dentist may recommend extraction. However, this decision is typically not made on the first visit. Instead, the dentist will most likely recommend a follow-up appointment to monitor the infection and determine the best course of action.
Why Immediate Extraction Is Unlikely
It’s important to understand why dentists often avoid pulling an infected tooth on the first visit. Infected teeth can cause significant pain and swelling, but extracting a tooth in such a state can lead to complications. Immediate extraction may not be the best approach because it could spread the infection.
Removing an infected tooth without proper care could potentially allow bacteria to spread into surrounding tissues, leading to further complications. Additionally, tooth extraction, especially when there is an infection, can be more painful and difficult to manage immediately. The procedure itself may exacerbate the pain and discomfort, which makes recovery harder.
Furthermore, if the infection is not under control, extracting the tooth may delay healing. This is because the body would still be fighting the infection, which could prolong the recovery process. For these reasons, most dentists prefer to treat the infection first and manage the patient’s pain before proceeding with extraction.
How Long Does It Take to Treat an Infected Tooth?
Treatment for an infected tooth varies depending on the severity of the infection. In cases where the infection is localized and not too advanced, a dentist may begin treating the infection with antibiotics. These antibiotics are typically prescribed to control the infection and reduce swelling.
Once the infection is under control, the dentist may either proceed with root canal treatment or schedule a follow-up for an extraction. If the infection is severe, the dentist may recommend a few visits to manage the infection before any extraction or further procedures take place.
Antibiotics are often the first line of defense when treating an infected tooth. The dentist may prescribe a course of antibiotics to help reduce the infection and manage pain. These medications generally take a few days to start working, and the dentist will likely schedule a follow-up visit to assess your progress.
Pain Management for an Infected Tooth
Pain management is one of the most important aspects of treating an infected tooth. Infected teeth are often accompanied by intense pain and discomfort, which can make it difficult to function normally. Dentists will usually prescribe pain relievers to help you manage the pain while the infection is being treated.
For severe pain, your dentist may recommend stronger medications or even a temporary dental dressing to alleviate discomfort. In some cases, the dentist may recommend a pain-blocking procedure, such as a local anesthetic or sedation, to make you more comfortable during your appointment.
When Might a Dentist Pull the Infected Tooth?
While immediate tooth extraction is unlikely during your first visit, there are circumstances where your dentist may decide that pulling the infected tooth is the best option. If the infection is widespread and the tooth is no longer salvageable, your dentist may recommend extraction as the only viable solution.
In cases where the tooth has significant decay and root canal therapy is not possible, extraction may be necessary. Furthermore, if the infection is severe and there’s a high risk of the bacteria spreading to other parts of the body, the dentist may decide that extraction is needed to prevent further complications. In most cases, though, the dentist will first try to save the tooth and manage the infection before resorting to extraction.
What Happens After Your Tooth Is Extracted?
Once your dentist decides that extraction is necessary, you will be guided through the procedure. The tooth extraction process typically involves numbing the area with a local anesthetic to make sure you're comfortable during the procedure. For more complicated extractions, such as those involving infected teeth, sedation may be offered to help you relax.
After the extraction, your dentist will give you detailed instructions for post-operative care. This typically includes managing pain with prescribed medications, avoiding certain foods, and practicing good oral hygiene to prevent further infection. If needed, follow-up visits will be scheduled to monitor your healing process and make sure the infection is fully cleared.
How Brookhaven Dental Associates Can Help
Brookhaven Dental Associates knows how distressing an infected tooth can be. Our team of experienced dentists is here to help guide you through every step of your dental care. We assess the extent of your infection carefully and deliver treatments like root canals, antibiotics, and extractions only when necessary.
We focus on comfort and convenience so that you feel at ease throughout your visit. If your infection requires urgent attention, we aim to manage the situation promptly and provide relief from pain. Our state-of-the-art facilities and compassionate team work together to offer the best care possible for your oral health.
If you're struggling with an infected tooth, don’t wait for the situation to get worse. Schedule an appointment at Brookhaven Dental Associates today, and let us help you get back to a pain-free smile.
