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“Extraction” in the dental world simply refers to removing a tooth. There are many reasons why a tooth may be removed. General dentists largely partner with patients to preserve natural teeth. Sometimes, a badly damaged tooth can present a threat to the health of the rest of the mouth and even the rest of the “system” (body). These dentists often turn to specialists like the Liberty Oral & Facial Surgery team in Post Falls, Idaho, and Spokane Valley, Washington. Our surgeon, Dr. Bryan McLelland, lend considerable expertise in treating conditions affecting patients’ mouth, jaws, and face. And we also want to be your first choice for oral and maxillofacial surgery in the Inland Northwest.


Generally, root canal therapy is considered the last resort to “save” a severely damaged or badly decayed tooth. Not all teeth are good candidates for nonsurgical root canal therapy. These teeth may be beyond repair. Some root canal-treated teeth may fail, and retreatment or other endodontic procedures to resolve damage at the tooth’s center may fall short of removing the infection and preserving the natural tooth.

Sometimes, trauma to the tooth resulting from accidents or injuries to the mouth during sports can be irreparable. The tooth may not be appropriate for therapeutic procedures if it sustains some fractures that damage the roots or nerves. Conditions such as severe infections or abscesses may be accompanied by persistent painful toothaches and require emergency treatment. Without treatment, these infections can spread to other areas of the face and body. Systemic infections are a medical emergency.

Removal of impacted wisdom teeth represents a common type of dental extraction. These third molars are generally the last teeth to develop in your mouth. They usually try to surface during a patient’s late teens or early adulthood (that phase when individuals are “gaining wisdom”). The problem with these teeth is that, by the time they attempt to erupt, there is little to no room left for them in the mouth to do so correctly. In turn, they may become impacted or partially or fully trapped under the gums or gums and bone. Since these teeth are vestigial structures that are unnecessary for healthy function, our specialists may recommend removal. We like to monitor the development of these teeth and make recommendations for removal before they cause intense pain and other life-altering symptoms or complications.


There is no reason to “sit” on potential concerns. We use precision diagnostics and treatment technologies to remove teeth comfortably, predictably, and fast. Depending on if your tooth remains intact and is easy to access, our doctors may be able to loosen and lift the tooth from its socket gently. Badly broken or impacted teeth essentially require surgical extraction, but these procedures are also well-tolerated with pain-relieving medications and relaxing sedative options. We also provide detailed and clear instructions on preparing for treatment and how to care for the extraction site following your appointment.


We perform different types of extractions at our Spokane and Post Falls oral surgery centers – generally speaking these are simple and complex.

A simple extraction is performed when the tooth is still intact above the gumline. The procedure is quick and your recovery time will only be couple days. Once you are numb, Dr. McLelland will gently rock your tooth back and forth to loosen the ligaments and then use an instrument called an elevator to lift the tooth so it can be removed.

Complex extractions are necessary when we are dealing with a tooth that is impacted (completely or partially covered by gum tissue or bone), has shattered, or is broken beneath the gum. To perform this type of extraction, Dr. McLelland may need to make an incision in your gum to get to the tooth. Following the extraction, your gum will be sutured. You can expect recovery from a complex extraction to take a bit longer than a simple extraction.


Your comfort is extremely important to us, and we take it seriously. Dr. McLelland will discuss your procedure with you ahead of time, your pain control options, and what to expect both before and after your appointment.

Dr. McLelland will also discuss your sedation options for your procedure. We will use anesthetic during your procedure to make sure you are comfortable, and if you are feeling anxious or worried about the procedure, we can look at other sedation choices, as well. Please let us know your concerns so that we can address them.


We welcome your questions and encourage you to call us at 509-922-2273 or schedule your appointment today.


  • The staff was great here. Both professional and fun to be around. I had all 4 wisdom teeth pulled and my normal dentist said that the surgery was going to... read more

    James Story Avatar James Story
    January 29, 2020

    Dr. McClellan was great. His staff was so friendly and comforting. Kris and Justin took such great care of my son. I would highly recommend them!!!

    Hope Harper Avatar Hope Harper
    December 16, 2019
  • Had a tooth pulled Monday. Having no issues . Staff is very professional and helpful. Had a implant put in on 11/13/19. No pain what so ever staff very... read more

    Brent Lewis Avatar Brent Lewis
    December 16, 2019

    I felt very comfortable here. Staff are very nice and knowledgeable. They definitely made sure that I was aware all risk and care for before and after post surgery on... read more

    Saundra Bergquist Avatar Saundra Bergquist
    December 7, 2019
  • I felt very comfortable here. Staff are very nice and knowledgeable. They definitely made sure that I was aware all risk and care for before and after post surgery on... read more

    Saundra Bergquist Avatar Saundra Bergquist
    December 7, 2019

    Excellent service. Staff is amazing. I understood exactlly what was being done and everything went beyond my expectations. The Exparel pain relief is amazing no soreness in my mouth... read more

    Paul Carroll Avatar Paul Carroll
    December 6, 2019
  • Great hospitality. Super quick procedure for my wisdom teeth. In and out in less than an hour!

    Marvin Reyes Avatar Marvin Reyes
    November 22, 2019

    I love the doctors. Made the pre and post surgery easy and little to no pain. Also loved the helpful email reminders after my surgery

    Kaela DuChesne Avatar Kaela DuChesne
    November 16, 2019
  • Such a nice environment! Just had my wisdom teeth pulled out and it was such a good experience! They even called me later in the day to make sure I... read more

    November 10, 2019

    Had number 9 pulled. No pain no swelling, staff was very caring and pleasant.

    Jim Oxford Avatar Jim Oxford
    October 22, 2019
  • It was an amazing experience! Dr. McLelland made it very quick and there was hardly any pain. I was nervous about it being painful, but it hardly hurt at all!... read more

    Abi Michaelis Avatar Abi Michaelis
    August 16, 2019

    Went in for a FREE consultation and then I was told when leaving that I owed $127.00 for an X-ray that I did not ask for. I paid said bill and... read more

    Jeffrey Long Avatar Jeffrey Long
    July 19, 2019
  • I had an oral implant in May 2019, and from my original consult to pre-op to the actual procedure and post-op, I can say I am highly satisfied and impressed!... read more

    Vickie Dawson Avatar Vickie Dawson
    May 17, 2019

    Dr. McLelland and his staff are the best in the business. Dr. McLelland talks you through all the procedures. His staff is very attentive, kind and friendly

    Douglas Stewart Avatar Douglas Stewart
    April 11, 2019
  • I just love this place! Dr. Moody is awesome! And all the staff are friendly and caring. I have and will continue to recommend liberty to anyone seeking dental care.

    bridgette terrell Avatar bridgette terrell
    April 2, 2019

    I had 3 teeth extracted here, one being an impacted wisdom tooth. Dr. Moody did an amazing job. It was painless during the procedure and the procedure didn't take much... read more

    Kati Doney Avatar Kati Doney
    March 27, 2019
  • Amazing staff Bryan Mclelland was great would not go anywhere else. They got it down.

    Michael Phillips Avatar Michael Phillips
    March 18, 2019

    Dr. Jones pulled my wisdom tooth 4 days ago and it's healing perfectly. He forewarned me that my tooth was sitting close to a nerve that might result in facial... read more

    Becca B Avatar Becca B
    January 29, 2019
  • Wonderful caregivers. Make sure you are well educated on everything going on. Dr Mclelland is a very skilled surgeon and called later the day of to check up on my... read more

    Laura Wright Avatar Laura Wright
    January 25, 2019

    This was such a positive experience for me!...the staff at Liberty are absolutely attentive, concerned and wonderful...Thank you, Liberty Oral Surgery, for the comfort and speed of my tooth extraction!!

    Laineyrose7 Avatar Laineyrose7
    December 31, 2018