If a cavity has progressed to the point where a root canal is no longer possible, it may be necessary to extract the infected tooth. Extractions are performed under local anesthesia with minimal discomfort to the patient. Most patients notice mild to moderate pressure during the procedure, and pain is not felt because they are numb. Once the procedure is over, the doctor will review special home care instructions with you that will help the area heal up fast. It is important to remember that once a tooth is extracted, it usually needs a replacement (with the exception of extra teeth, such as wisdom teeth). The doctors at Delaware Smile Center practice comprehensive dental care and will review with you your options for replacing any missing teeth you may have. After the tooth is extracted you may feel some pain and experience some swelling. An ice pack or an unopened bag of frozen peas applied to the area will keep swelling to a minimum.  Swelling usually subsides after 48 hours. Take medications as prescribed by your doctor.  If antibiotics are prescribed, continue to take them for the indicated length of time, even if signs and symptoms of infection are gone. Drink lots of fluid and eat nutritious soft food on the day of the extraction. You can eat normally as soon as you are comfortable.  It is important to resume your normal dental routine after 24 hours.