Pre-Prosthetic Extractions and Surgery

The preparation of your mouth before the placement of a prosthesis is referred to as pre-prosthetic surgery.

Some patients require minor oral surgical procedures before receiving a partial or complete denture in order to ensure the maximum level of comfort. A denture sits on the bone ridge, so it is very important that the bone is the proper shape and size. If a tooth needs to be extracted, the underlying bone might be sharp and uneven. For the best fit of a denture, the bone might need to be smoothed or reshaped. Occasionally, excess bone may need to be removed prior to denture insertion.

One or more of the following procedures might need to be performed in order to prepare your mouth for a denture:

  • Smoothing and reshaping of bone
  • Removal of excess bone
  • Bony ridge reduction
  • Removal or re-contouring of excess gum tissue
  • Lowering of muscle attachments in order to increase ridge height
  • Bone or soft tissue grafting to optimize ridge shape and/or dimensions

In some cases where your jaw ridges are not suitable for a well fitting and functional denture, implants may represent a treatment option by providing anchorage for removable dentures. For more information see the dental implant section of this website or ask your restoring dentist and/or surgeon.

We will review your particular needs with you during your consultation appointment.


Call one of our locations with questions or to schedule a consultation.

Pre-Prosthetic Extractions

A tooth may be extracted for many reasons. Some teeth are extracted because they are severely decayed, others may have advanced periodontal disease, or may have been broken in a manner in which they cannot be repaired. Other teeth may need removal because they are poorly positioned in the mouth such as wisdom teeth or in preparation for orthodontic treatment.

If the tooth is not fully erupted (impacted), it may be necessary to first remove some of the overlying gum and bone tissue in order to access the tooth. Some teeth must be cut and removed in sections. The extraction site may or may not require one or more stitches to close the incision.

When multiple teeth require extraction, the remaining bone or soft tissue often needs to be shaped to allow for a comfortable fitting prosthesis and to prevent sharp bony ledges from developing, this procedure is called an alveoloplasty.

Tooth extraction can be performed with local anesthesia, nitrous oxide (laughing gas) or I.V. sedation.

Virginia Oral & Facial Surgery

5 out of 5 stars based on 17 Extraction reviews.

Patient Testimonial

Dr. Pak is an excellent dentist. He has a great personality and lets the patient know what is happening at every moment. I highly recommend. I had two extractions and the procedure was without any complication.

- Keondra N

5 out of 5 stars on

Patient Testimonial

This is the best tooth extraction that I have gone through. Got all my questions and my wife's questions answered. Felt comfortable in leaving.

- Mark M

5 out of 5 stars on

Patient Testimonial

Dr.agaihotria...is the best .but I have always been sedatated during surgery..but this time I won't be.due to my insurance.so I will be awake..I am very nervous..but I trust him to help me feel ok.with whatever he will give me...I hope it will be ok .he is super nice and very understanding of my anxiety issues.just hope that God is with me and I don't freak out...he told me it was bad...so I just pray that it isn't.. I put my trust in dr.neil...he is the best..maybe he will make sure that I am worry free.he is my favorite..I love his work and he is the best...I give him 6gold stars...he is off the charts.awesome...

- Dorine y

5 out of 5 stars on

Patient Testimonial

I truly appreciate the care, concern, patience and treatment received from Dr. Wlodawsky and staff. It's always a great thing when you find a great doctor and staff. Dr. Wlodawsky is smooth as Hennesy... the best. I'd recommend him to anyone.

- Lisa J

5 out of 5 stars on

Patient Testimonial

Our daughters experience was great. Her surgery was very successful. We are very pleased with Dr. Watson services.

- M

5 out of 5 stars on

Patient Testimonial

Dr . wlodawsky is the best after two teeth being removed only one day of pain and the best staff

- Paul A

5 out of 5 stars on

Patient Testimonial

Everyone I have met during this process of dental surgery and implantation, from front desk to Dr. Agnihotri and his surgical staff, has been pleasant, cheerful, and more importantly, clearly enjoying working at this surgery practice and knowing they are part of an important team. That energy I noticed and felt was very positive, refreshing and much appreciated!

- Barbara S

5 out of 5 stars on

Patient Testimonial

Dr. Agnihotri is a very kind and top notch doctor as well as his assistant Rhonda and the rest of the staff at Virginia Oral and Facial Surgery. Care and instructions were very clear and no problem to ask or call with questions. Would not hesitate to return for any other surgery needed that they do.

- Debbie V

5 out of 5 stars on

Patient Testimonial

These guys are the best they eased me thru my surgery like the champs they are. I was so nervous but before I knew it I was home and in bed. Followed after surgery care instructions and I am feeling great. Just had my surgery today will be returning to work tomorrow. I can not say enough about Dr.Metzer and his team!!!

- Regina S

5 out of 5 stars on

Patient Testimonial

Best experience with a dentist

- Mary G

5 out of 5 stars on

Patient Testimonial

I'd highly recommend this practice if you ever require this type service. The office is easy to find, clean & nicely decorated. The front office staff are warm & friendly. The medical staff professional and made me feel comfortable almost immediately. Unfortunately, I have one more trip to complete my treatment, but knowing that this office made me feel comfortable and treated me as an individual, makes the dental process not so-bad....

- Ida L

5 out of 5 stars on

Patient Testimonial

Dr. Watson was very friendly & positive. I felt at ease during my visit. He took care of me and before I knew it my tooth had been extracted. It was amazing, I felt no pain or discomfort. I would definitely refer friends or family to the staff of Virginia Oral & Facial surgery and to Dr. Watson for sure.

- Rose G

5 out of 5 stars on

Patient Testimonial

Dr. Wlodawsky took time out of his busy schedule to fit me in and extract an infected and very painful tooth. I am so grateful!

- Trish W

5 out of 5 stars on

Patient Testimonial

Being a cancer patient required some very special insight from Dr. Wlodawsky and he took great care to make sure that my overall health was in good shape before making the wisdom tooth extraction which in turn has made the healing process go very well. Thanks Dr. W. for being careful and cautiuos with my health needs!

- Gary P

5 out of 5 stars on

Patient Testimonial

Dr.Neil is so amazing...he saved my life...

- Dorine T

5 out of 5 stars on

Patient Testimonial

Thank you so much for your service. I really appreciate the patience and kindness shown to me. Again thank you!!!

- Karolyn W

5 out of 5 stars on

Patient Testimonial

Dr. Monroe Harris and his entire staff are SIMPLY OUTSTANDING. I cannot say enough good things about our experiences at their office. We have had several procedures there and HIGHLY recommend Dr. Harris. I am deeply appreciative of the excellent care we received. THANK YOU

- Anne H

5 out of 5 stars on