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At Sheppard Village Dental, our goal is to help you keep your teeth for a lifetime. We treat each of our patients as unique cases and will take care to thoroughly assess a tooth for all other solutions before removing it. Sometimes the only solution is to extract a tooth that is beyond repair and you can rest easy knowing that our doctors will ensure the experience is as positive as possible. At Sheppard Village Dental, we pride ourselves in being able to educate our patients on their options and only resort to extractions as a final solution when nothing else can be done to save a tooth.

What leads to a tooth needing to be extracted?

Taking out a tooth is an irreversible process, so we attempt to save a tooth whenever feasible. If possible, the preferred treatment is a filling or crown to restore badly decayed teeth. If a significant portion of the tooth is missing or broken below the gumline, the tooth may not be able to structurally support a restoration and may need to be extracted. If the root of the tooth fractures, then it may be necessary to remove the tooth. A tooth can also be extracted due to periodontal disease, meaning the infection has led to bone loss, which can now no longer support the tooth. Wisdom teeth extractions are very common and often necessary because they grow in at an angle that makes them difficult to clean, they are non-functional, they will affect the overall bite and interfere with overall alignment, or they have chronic infection from the gum covering the head of the tooth, which does not allow the tooth to fully erupt.

Which conditions make it less safe to extract a tooth?

The most common condition is pregnancy. The second trimester of pregnancy is considered the “safest” time to have dental procedures performed. Patients who are taking blood thinners or have diabetes should also consult their Medical Doctor before having any type of invasive dental procedures. Heavy smoking along with many other factors can affect healing time. To ensure your comfort and safety, our doctors will consult with you before you undergo an extraction.

At Sheppard Village Dental, we pride ourselves in offering local anaesthetic or sedation for our patients who may be anxious or have difficult cases. Sedation allows you to relax during your dental work and may help if you have extensive or complicated treatment to be completed at one time.

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We believe in empowering our patients through education. Read below for the most commonly asked questions. We always invite you to call us to set up a no-obligation consultation to determine which options are best for you.


There are several factors that can affect the fee for an extraction including: whether the tooth is intact or if it is broken off at the gumline, if it has had a previous root canal and is now brittle, if it is impacted, under soft tissue or deeper under the bone, if more than one tooth is extracted at one time, or if you need to be sedated for the procedure. Lastly, we may suggest placing bone grafting materials to preserve the ridge where the tooth was for a future implant, bridge or partial denture. Because of these many factors, we treat each case on an individual basis and only determine the fee, which follows the Ontario Dental Association fee guide, once the doctor has had a chance to thoroughly examine the area and xrays.


Your overall health, age, and pain threshold can affect your healing process, which varies from person to person. Most people are recovered and back to normal within a few days. To avoid swelling, bruising and other potential complications, it is best to avoid chewing on the area of the extraction and avoid taking aspirin a few days before and after the treatment. In addition, taking a good quality multi-vitamin with Vitamin C may help reduce bruising and expedite healing. Our dentists can offer more suggestions for more comfortable healing.


When a tooth is extracted, the bone in the area is no longer stimulated and can start to dissolve. As the bone shrinks, the tissue also shrinks. This can cause both aesthetic and functional issues if bone grafting materials are not placed in the area to preserve the ridge or restore the height of the bone. In addition, the adjacent and opposing teeth can start to shift into the area of the missing tooth causing food traps, tilting, irregular gum heights and super-eruption. An implant, bridge or partial denture can be placed to restore the space, improve chewing function, stabilize the bite and improve aesthetics.


The most common reasons for wisdom teeth extractions include: infection, cavity, pain, swelling, or crowding. For approximately 80% of the population it is better to have the wisdom teeth extracted. They often grow in at an angle that makes them non-functional and because of their location in the back of the jaw, there isn’t enough space for them to grow in. As a result, the tissue often covers part of the tooth and allows food and bacteria to become trapped, which causes infection. Often these teeth come in between the ages of 16-23 years old. Using a panoramic x-ray, our dentists can identify the exact location of your wisdom teeth and determine the best course of action depending on how they are growing in.

Meet Our Team

Friendly, experienced dental care professionals.
Dr. Brach
Principle Owner/Dentist
As the owner of Sheppard Village Dental for over 25 years, Dr. Brach is extremely passionate about making a difference in the holistic health of his patients.
Dr. Wong
Specially skilled at making younger patients feel comfortable, Dr. Wong thrives on watching her patients grow and become young adults with healthy, beautiful teeth.
Dr. Ghorbani
An active member of the Royal College of Dental Surgeons of Ontario, Dr. Ghorbani is dedicated to the newest advancements in implant dentistry.
Dr. Ma
Dr. Ma feels extremely privileged to be able to change people’s lives by improving their smiles and establishing a healthy bite.