Nobody wants to lose a tooth. We would rather save yours, and most of the time we can. But when a tooth is fractured below the gumline, decayed past the point of restoration, or infected in a way that threatens the bone around it, removing it is what protects everything else.
If you are in pain right now, call (732) 613-1125. We offer same-day appointments and welcome walk-ins.
When there is not enough sound structure left to hold a restoration. Dr. Mantias will always look for a way to keep a tooth first — root canal therapy, a crown, or a filling rescues many teeth that look hopeless.
Where a crown cannot get a seal, the restoration fails and the tooth is lost anyway — usually after more time and expense.
When the bone supporting the tooth has been destroyed, there is nothing left to hold it in place.
An infection that persists after root canal treatment sometimes leaves extraction as the reliable option.
Third molars causing pain, crowding, or repeated infection.
A baby tooth that has not shed and is blocking an adult tooth, or a tooth that must come out to allow orthodontic treatment. We will explain what we see on the X-ray and what your options are, including doing nothing and monitoring it. You make the decision.
For a tooth that is fully erupted and accessible. The area is numbed, the tooth is loosened, and it is lifted out. Most patients are surprised by how quickly it is over and how little they feel — pressure, but not pain.
Fully erupted, accessible teeth
For teeth that are broken at the gumline, impacted, or have curved or fused roots. A small incision gives access to the tooth, which may be sectioned into pieces for easier removal. Stitches are sometimes placed afterward.
Third molars frequently fall into the surgical category. The American Association of Oral and Maxillofacial Surgeons provides patient information on impacted third molars.
We assess the tooth, its roots, and the surrounding bone, and check the position of nerves and sinuses before planning anything.
Local anaesthetic is placed and we wait until you are fully numb. Tell us if you feel anything sharp — we will add more.
You will feel firm pressure and hear some sounds. Neither means pain. If anything hurts, raise a hand and we stop.
We clean the socket, place gauze, and add stitches where they help healing. You leave with written aftercare instructions and a number to call.
The first 24 hours matter more than the rest of the week combined.
An empty space does not stay empty for long. Neighbouring teeth drift, the opposing tooth over-erupts, and the bone that held the root begins to resorb once it is no longer stimulated by chewing. We can discuss replacement at the same visit as the extraction, so you leave with a plan rather than just a gap. Implant consultations are complimentary.
A dental implant replaces the root as well as the crown and does not involve altering neighbouring teeth.
Complimentary implant consultations
A dental bridge is a fixed replacement anchored to the teeth either side.
A partial denture is removable, and often the most economical route.
Wisdom teeth are the exception. They are not usually replaced.
Extraction cost depends on whether it is simple or surgical, the tooth involved, and what your plan covers. Extractions are generally classed as a basic or oral surgery procedure and most plans contribute.
We accept Delta Dental, MetLife, Cigna, Guardian, UnitedHealthcare, Blue Cross Blue Shield, and Aetna, and verify coverage before treatment.
Coverage verified before treatment
Flexible monthly payments toward the balance.
A healthcare credit line accepted at our office.
For uninsured patients — one year, two cleanings, exams, X-rays, and treatment discounts, no annual maximum, no deductible.
Cost should never be the reason someone lives with an infected tooth. Talk to us.
Monday, Tuesday, Thursday and Friday 10:00 AM – 7:00 PM. Saturday 10:00 AM – 5:00 PM. Closed Wednesday and Sunday. Evening appointments until 7:00 PM and Saturday hours make it easier to fit treatment around work and school. Our team is fluent in English and Arabic.
Mon 10–7
Tue 10–7
Wed Closed
Thu 10–7
Fri 10–7
Sat 10–5
Sun Closed
We see patients at 63 W Prospect St #1. We are closed Wednesdays and Sundays — if you have a dental emergency on a day we are closed, call and leave a message and we will get back to you as soon as we open. For facial swelling that is spreading, difficulty breathing or swallowing, or a jaw injury, go to the nearest emergency room. See emergency dentistry. Our team is fluent in English and Arabic, and we use music, TVs, and noise-cancelling headphones to help anxious patients through the appointment.
The area is fully numbed beforehand, so you should feel firm pressure but not pain. If you feel anything sharp during the procedure, tell us and we will add more anaesthetic. Soreness afterward is normal and manageable with the pain relief we recommend.
Most patients feel substantially better within three to four days, with soft tissue closing over roughly one to two weeks. Surgical extractions and wisdom teeth generally take longer than simple extractions. Bone continues remodelling underneath for several months.
Dry socket occurs when the blood clot protecting the extraction site is dislodged or fails to form, exposing bone. It typically presents as sharply worsening pain around day three to five, often with a bad taste. Avoid it by not rinsing, spitting, smoking, or using a straw for the first 24 hours. It is straightforward to treat, so call us rather than waiting it out.
Stick to soft, cool foods for the first day, and avoid chewing on the extraction side. Do not use a straw. Reintroduce firmer foods gradually as comfort allows over the following days.
Usually yes, except for wisdom teeth. When a tooth is missing, neighbouring teeth drift, the opposing tooth can over-erupt, and the bone that supported the root gradually resorbs. Dental implants, bridges, and partial dentures are the main replacement options.
We offer same-day appointments and welcome walk-ins during opening hours. Call (732) 613-1125.
We assess wisdom teeth and remove many of them in-office. Complex impactions are referred to an oral surgeon when that is the safer route, and we will tell you clearly which category yours falls into.
With local anaesthetic alone, most patients can drive themselves home. If any form of sedation is used, you will need someone to drive you and stay with you afterward. We will confirm this when your appointment is planned.
An infected or fractured tooth does not improve on its own, and the longer it is left, the more complicated the treatment tends to become.
Call (732) 613-1125 or book online. 63 W Prospect St #1, East Brunswick, NJ 08816.
