Tooth Extractions in Manchester, NH

Tooth extractions at Mann Family Dental in Manchester, NH gently remove a tooth that is broken, infected or too damaged to save, with nitrous or IV sedation if you feel anxious. Dr. Russell Mann plans your replacement before the tooth comes out, whether that means a bone graft and implant or a denture, so you always know what comes next.

Feeling at ease when a tooth needs to come out

Hearing that a tooth needs to come out can stir up every nervous memory you have of the dentist, especially if you dread needles or you've been putting off a tooth that's hurt for a while. Dr. Mann understands that fear, and he'll sit down with you first, show you on your scans exactly why the tooth can't stay, and answer every question before anything happens. "It's okay, it's safe," he tells anxious patients, and he wants you to know "you're brave to be here," because the hardest step is often simply making the call.

Choosing what fills the space ahead of time

Before your extraction, Dr. Mann already has a plan for what will fill that space, because he believes every tooth in your mouth is there for a reason — "Our mouth is made so that all your teeth are in there for a purpose," he says. Your 3D scan shows him how much bone you have, so he can plan an implant, a bone graft to rebuild the bone first if it's thin, or a new denture made from a digital scan of your mouth. "Gone are the days where you have to put the goop in your mouth," he tells patients, so the whole process stays comfortable.

Resting comfortably with the sedation you choose

You get to choose how relaxed you'd like to feel: nitrous oxide, "a little bit of gas" to take the edge off, or IV sedation, which Dr. Mann is licensed to provide himself in New Hampshire and which makes patients "really sleepy," as he puts it, "enough that they don't really remember it." Either way, he makes sure you're thoroughly numb before he begins. And after you're home, don't be surprised by a phone call from Nicole, one of our dental assistants, who often checks in on patients after an extraction just to see how they're feeling.

When does a tooth need to be extracted?

A tooth usually needs to come out when it's broken beyond repair, badly infected, or loosened by gum disease to the point that it can't be saved. Many of these teeth cause no pain at all, which is why Dr. Mann always shows you on your scans what he's seeing and why he recommends removing the tooth, so you can make the decision with a full understanding.

How much does a tooth extraction cost in Manchester, NH?

The cost depends on the tooth, whether you'd like sedation, and whether you need a bone graft, so Dr. Mann gives you a clear plan and price before anything begins. Your first step can be a complimentary consultation with a digital scan and photos, and we offer financing through Cherry and CareCredit. We're out of network, but our Manchester dental office files your claims so any reimbursement comes straight to you.

Does having a tooth pulled hurt?

Most people feel very little, because Dr. Mann makes sure you're completely numb before he starts — "numb as a skunk," as he likes to say — and nitrous or IV sedation can help you relax even further. You may feel some pressure as he works, and he'll send you home with clear instructions and an easy way to reach us if anything feels off afterward.

Should I replace a tooth after it's removed?

In most cases, yes, because the teeth around an empty space tend to drift and your chewing can shift to one side over time. Dr. Mann talks through every option with you, from a single implant to a bridge or a denture, and plans your replacement before the extraction, so the space never has to stay empty any longer than it needs to.

How do I take care of myself after an extraction?

Dr. Mann gives you clear instructions before you leave, covering what to eat, how to keep the area clean, and what's normal while you heal, so you go home knowing exactly what to do. If anything feels off, call us and we'll help right away, and you may hear from Nicole, who often calls patients in the days after an extraction just to see how they're doing.

Saving your natural tooth whenever that's best

Dr. Mann only recommends an extraction when it's truly the right call for you — "I treatment plan what's necessary," he says — and if your tooth can be saved, he'll tell you so, even when saving it means care a trusted specialist does best and he refers you there. When many teeth need to come out at once as part of full-mouth implants, he brings Blue Sky Anesthesia into our Manchester dental office so you can rest more deeply, and he'll help you choose the approach that fits you and your budget.

Taking care of you from start to finish

  • A calm visit and a plan for after
  • Advanced training in surgery and bone grafting
  • Everything planned from your very first scan
  • Nitrous or IV sedation if you're nervous



Frequently Asked Questions

  • I hate needles. Can you help me stay calm?

    Yes. Nitrous oxide can help you relax before anything else happens, and Dr. Mann takes his time, explains each step, and makes sure you're completely numb before he begins. Many anxious patients tell us they were surprised by how at ease they felt.
  • Can you take my tooth out the same day I come in?

    Sometimes, yes. Dr. Mann regularly sees new patients with a painful or swollen tooth, and when removal is the right call and your plan is clear, he can often take care of it quickly at our Manchester dental office.
  • Will I be awake during my extraction?

    That's your choice. With nitrous oxide you stay awake but relaxed, and with IV sedation from Dr. Mann you'll be very sleepy and likely remember little of the visit. He'll help you choose what feels right for you.
  • Can I get an implant right after my tooth comes out?

    Sometimes. Dr. Mann checks your 3D scan to see whether there's enough healthy bone to place an implant the same day, and when there isn't, he may place a bone graft first so your implant has a solid foundation later.
  • Will I need someone to drive me home?

    If you choose IV sedation, yes: a friend or family member will need to drive you home, whether that's across Manchester or back to Bedford. Our team will go over everything with you ahead of time so you can plan.