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Dentistry For Dummies Part 4

12 Step Tooth Extraction Protocol

Painless Extraction with Minimal Post-extraction Pain and Swelling

Did you know that extraction of teeth can be done with little to no post-operative pain and swelling>

That’s right. This author’s 56 plus years of clinical practice enabled a reproducible protocol. Taking the following 12 steps will greatly reduce surgical tissue trauma and post-extraction pain and swelling:

  1. Check patient’s oral pH: local anesthesia does not work effectively in an acid environment. An oral pH reading of 6.5 or below requires the patient to be alkalized using organic mineral tablets (Standard Process Labs); 4 tablets for a pH of 6.5; 6 tabs for a pH of 6.2 and 8 tablets for a pH of 6.0.
  2. Wait 15 minutes before injecting a local anesthetic.
  3. Do not use lidocaine. Why? Because Lidocaine breaks down into aniline, which is a known carcinogen. Use Citanest Forte or Citanest Plain.
  4. Warm the carpule before injecting. Reduces trauma to the tissues. Inject slowly to prevent tearing the tissue.
  5. Lower molars: section the tooth midway buccal-lingually and extract each root as if it was a bicuspid tooth.
  6. Upper molars: section the three roots and remove each section.
  7. Curette out all granulation tissue and periodontal fibers.
  8. Remove any decalcified infected bone.
  9. Flush out the extraction socket with colloidal silver 10ppm. Helps reduce pathogens.
  10. Flush out the socket with 12 ML volume using ozone at 58 micrograms/ML. Destroys all remaining pathogens.
  11. Energetically test Sanum remedies (homeopathic remedies from Germany) for compatibility and flush out the socket.
  12. Final step: soak a piece of Gel Foam or similar self resorbing product in the homeopathic remedies and place into the extraction site. This prevents bacterial contamination and any food debris from entering the wound during the healing process.

The take-away message is to establish a physiologic environment for the anesthetic to work; use a less toxic local anesthetic; reduce tissue trauma during extraction; and protect the surgical site from bacterial and food contamination. The end result will be a happier patient and less post surgical emergency visits.


Copyright © 2026, Dr. Gerald H. Smith, DNM, IMD • 800-272-2323
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