Extractions

Dentists prefer to preserve your natural teeth as much as possible, but sometimes that just isn’t an option. There are two ways a tooth can be removed, depending on how severe the damage is to the tooth:

  • Simple extraction: Local anesthesia is used, which is a numbing agent either applied or injected into the extraction site. Simple extractions are performed on teeth that are visible to the naked eye. An elevator and forceps will only be needed to remove the tooth.
  • Surgical extraction: Under general anesthesia, where you are completely unconscious during the procedure, surgical extractions are performed when the tooth cannot be easily accessed. Either the tooth has not fully erupted or it has broken under the gum line. A small incision in your gum will need to be made in order for the surgeon to gain access to the tooth. Gum tissue will be pushed back and bone surrounding the problem tooth will be removed, or part of the tooth itself will be cut. This process makes it easier for your surgeon to remove your tooth with an elevator and forceps.

Tooth extractions are most commonly discussed in reference to removing wisdom teeth. However, a tooth extraction can be required for a number of other reasons, such as tooth decay, gum disease, overcrowded teeth, impacted teeth, broken teeth, and baby teeth that have not fallen out naturally.

Why You Might Need a Tooth Extraction

  • Tooth decay - this is the most common reason for removing a tooth. Patients who have avoided visiting their dentist for years may face this reality. Without the bi-yearly checkups and professional cleanings, your dentist will never be able to diagnose early onset tooth decay before it’s too late. As time goes on, your tooth will experience these stages:
  1. Tooth decay affects tooth enamel.
  2. Once worn through tooth enamel, the inner part of the tooth begins to deteriorate.
  3. As the decay eats a hole through the center of the tooth, the tooth suffers even more damage.
  4. When bacteria reach the center of the tooth, the ending result is a root canal infection.

The longer you go without treatment, the more severe the infection and damage will be. If your dentist has come to a point where your tooth cannot be saved, an extraction, followed by a bridge or implant, will be strongly recommended. Cavities detected early can be resolved with a simple filling.

  • Gum disease: Just as destructive as tooth decay in its advanced stages, gum disease attacks the gum tissue, ligaments, and bone that support the teeth. As these structures deteriorate, the teeth become looser until finally they fall out on their own or require an extraction, followed by gum disease and tooth replacement treatment.
  • Overcrowded teeth: As part of a patient’s orthodontic treatment plan, a tooth extraction may be necessary if there is overcrowding in the mouth. The extraction creates more space for the remaining teeth to be pulled and shifted into proper alignment.
  • Impacted teeth: Impaction occurs when a tooth has not fully erupted beyond the gum line, or only partially erupts. Overcrowding, a tooth that is twisted or tilted at abnormal angles, or a tooth that comes in displaced, are all reasons why a tooth may become impacted. Wisdom teeth are often impacted because the jaw is not large enough to accommodate these teeth.
  • Broken teeth: A tooth may need to be extracted when a tooth breaks at or near the gum line, making it nearly impossible to perform a tooth restoration.
  • Baby teeth: Sometimes, baby teeth can come in at an abnormal position, causing the permanent tooth underneath it to not erupt normally. Removing this baby tooth will allow the permanent tooth to erupt without issue.

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Hours of Operation

Our Regular Schedule

Long Island City

Monday:

9:00 am-6:30 pm

Tuesday:

9:00 am-5:00 pm

Wednesday:

9:00 am-6:30 pm

Thursday:

9:00 am-5:30 pm

Friday:

Closed

Saturday:

9:00 am-2:00 pm

Sunday:

Closed

Manhattan

Monday:

Closed

Tuesday:

Closed

Wednesday:

Closed

Thursday:

9:00 am-5:00 pm

Friday:

Closed

Saturday:

Closed

Sunday:

Closed

  • "Dr Steve Manson... Superb! Janese... Top notch manager

    Jan 14, 2016 5/5 stars"
    - Morison, Jacqueline
  • "best dentist in town, very modern.

    Dec 27, 2015 5/5 Stars"
    -Toure, Elhadji
  • "The stairs will become more difficult as I age.

    Nov 5, 2015"
    - Hogan, Debra
  • "great dentist great secretary most important his treatment is outstanding. special treatment who have fear!!

    Oct 22, 2015 5/5 Stars"
    - Scime, Rose
  • "There was time between appointments.. You don't feel that the doctor has no time for you. Dr Manson has time for your individual needs... What a great man!

    Aug 27, 2015 5/5 Stars"
    - Morison, Jacqueline
  • "The visit was with staff that was friendly and professional.
    June 27, 2015 5/5 Stars"
    - McEvoy, Joe
  • "Professional staff, make you feel comfortable as you can be in the dental chair. Any questions you have are always answered & explained to the fullest. Taken for your appt. on time.

    Jun 25, 2015 5/5 Stars"
    - Phelps, Ruth
  • "Dr Steve Manson exceeds the standards of excellence in dentistry. We need another ten more of Dr Steve around New York City.

    May 21, 2015 5/5 Stars"
    - Morison, Jacqueline
  • "The Staff is wonderful. Dr. Manson is the best Dentist I ever went to. Does excellent work, and NO PAIN... Hes mine forever. I tell everyone I know to only go to him...He is a professional in every way. 5 STARS ALL THE WAY!!!

    May 8, 2015 5/5 Stars"
    - scime, Rose
  • "I was treated by staff and colleagues very well.

    June 27, 2015 5/5 Stars"
    - Rywak, Tamara
  • "Always feel confident I am getting the best advice possible on any dental situation.

    Mar 24, 2015 4/5 Stars"
    - Phelps, Ruth
  • "You guys are awesome!!!
    Aug 5, 2014 5/5 Stars"
    - Antoian, Kerrianne
  • "Besides being a great dentist, Dr. Manson is kind and caring.

    Jul 2, 2014 5/5 Stars"
    - Immordino, Rosary
  • "Fantastic dentist; been going to him for 15 years. Very nice and professional receptionist/assistant. Dr. Manson is the best of all professionals: he is meticulous, extremely skilled and has a warm but focused manner. The best old school professionalism with state-of-the art dental care.

    Jun 20, 2014 5/5 stars"
    - DiLeo, Leslie
  • "the office is run in a very professional manner. No changes are really needed.

    Jun 17, 2014 5/5 Stars"
    - Daly, William
  • "As always Dr. Manson and his assistant Janice are excellent. I travel from eastern Long Island because they are excellent! I have been a patient for approximately 40 years.

    June 12, 2014 5/5 Stars"
    - Tavano, Claudia
  • "Fantastic office. Fantastic work.

    Jun 11, 2014 5/5 stars"
    - Rusin, Ruza
  • "Janice is excellent!!!!!!

    May 6, 2014 5/5 Stars"
    -Tavano, Lawrence
  • "ALL'S WELL THAT ENDS WELL!

    Apr 24, 2014 5/5 stars"
    - Mushorn, William
  • "Janiece is a wonderful addition to Dr. Manson's practice. She is so helpful and wonderful with a calm demeanor. Perfect hire Dr. Steve!

    Apr 21, 2014 5/5 Stars"
    - Duffy, Robin
  • "No issues. Dr. Manson seemed very knowledgeable and I really appreciated his hands on approach.

    Apr 8, 2014 5/5 Stars"
    - Lodato, Anthony
  • "Dr. Manson was thorough, gentle and very understanding. Would absolutely recommend!"
    - Ikeguchi, Jennifer
  • "Don't change a thing...continue to do the excellent job and service I receive every three months.

    Mar 18, 2014 5/5 stars"
    - Morison, Jacqueline
  • "A fast thorough no nonsense cleaning procedure performed in a pleasant friendly manner.

    Mar 11, 2014 5/5 Stars"
    - Chu Mun, Donald
  • "No pain! Janice is great!

    1/19/2014"
    – K. Dicicco 5/5 Star
  • "PAINLESS....FOR ME....THAT SAYS IT ALL.!

    11/12/2013"
    - B. Mushorn 5/5 Stars
  • "Caring, efficient, meticulous, professional. What more do you want?

    11/6/2013"
    – D.Chu Mun 5/5 Star
  • "I have been going to Dr. Manson's office for 30 years. Starting with his Dad and then moving on to Dr. Steven Manson who is wonderful! I was someone who avoided dentists for many many years because i was fearful but if you do have that fear he will put you completely at ease. I know for a fact that had i not started when i did with him I would more than likely not have a tooth left in my head. I have very soft teeth with lots of decay from bad eating habits and he has fixed them all just perfectly. I do believe my fear came from having teeth pulled which didn't really have to be at a young age so just give him a try, just once, and your fears will be settled. You should also know I do not write reviews normally and that is how strongly i feel you will be happy with this choice. Good Luck and You're Welcome :)

    11/6/2013"
    – Anonymous 5/5 Star
  • "DR. Manson is highly skilled, caring and professional with an excellent staff that makes a trip to the dentist a pleasant experience. If you're looking for a great dentist in Long Island City- he's your man!

    10/13/2013"
    N. Ricci 5/5 Star
  • "Competent, caring, gentle, friendly. What more could you want?

    10/11/2013"
    – Immordino, R. 5/5 Sta
  • "I started going there with Dr. Roy Manson and when he retired I now see his son, Steven. They have been the most concerned about caring for you and not causing you any pain which other dentists did cause a great deal of pain in my youth. Very knowledgeable and always trying new and better methods of dentistry. I didn't have to wait long this time either which is a BIG plus.

    10/3/2013"
    - B. Trazino 5/5 Star
  • "Dr. Manson is a wonderful dentist that I have been going to for years and would highly recommend him…

    9/26/2013"
    – Costello, M. 5/5 Star
  • "Dr. Manson and his staff are extremely professional. I feel very confident at having my dental health in their care. Typically, my latest visit was a pleasant experience. My cleaning was performed successfully and efficiently.

    9/22/2013"
    – Daly, W. 5/5 Star
  • "Awesome

    8/23/2013"
    – Cheffolway, L. 5/5 Star
  • "The best dentist in all of the city, been going to Dr. Manson for 20+ years, he is kind, gentle and just an amazing dentist.

    8/23/2013"
    - R. Michele Marigliano 5/5 Star
  • "Dr. Manson is probably one of the BEST dentists in the area. Other then the fact that my entire family goes to him he really DOES care about his patients and his work (something that is hard to find these days.)

    8/21/2013"
    -– Anonymous 5/5 Stars
  • "As always the care was tops!

    7/27/2013"
    –Tavano, C. 5/5 Stars
  • "Every time I leave Dr. Manson's office (and it's been well over ten years since I first saw him), I think "what a fantastic dentist." He is skilled and meticulous in his work and senstitive to the patient's comfort. He makes smart use of the latest dental technology, and he is old-fashioned in the best sense of that description: focusing on quality care for the patient.

    7/5/2013"
    – Dileo, L. 5/5 Stars
  • "Another great and gentle dental experience with Dr. Manson!

    6/26/2013"
    – Anonymous 5/5 Stars
  • "Dr. Manson is the greatest. Puts you at ease and has hands of a surgeon.

    6/1/2013"
    – R. Motta 5/5 Stars
  • "Dr Manson is an excellent doctor.

    5/13/2013"
    – R. Tavano 5/5 Stars
  • "I have been a patient of Dr. Manson's for nearly thirty years, and would recommend him to anyone interested in receiving excellent dentistry without pain or stress.

    5/6/2013"
    – R. Owsley 5/5 Stars
  • "I always feel comfortable with Doctor Manson and i always get praise on my teeth and i said Thanks to Dr. Manson

    5/6/2013"
    – R. Cavaliere 5/5 Stars
  • "Dr. Manson is on my opinion the "Best Dentist" in New York. I have been a patient of Dr Manson fit over 25 years and would recommend him to everyone. As a Dentist he makes his patient feel at home and relaxed. Everyone in the office will make your visit as comfortable as you can be.

    5/1/2013"
    – R. Hidalgo 5/5 Stars