We only recommend extraction after confirming a filling, crown, or root canal genuinely won't work. Smile Center Dentistry walks through aftercare before you're numb, not after.
Extraction is often treated as a last resort elsewhere, and we hold to that same standard here. We'd rather spend time exploring alternatives than pull a tooth that could still be saved.
We explore fillings, crowns, and root canals first — extraction is recommended only when those genuinely won't work. We'd rather have that internal conversation than rush a decision that can't be undone.
Straightforward extractions are handled in-house; more complex surgical cases are coordinated with an oral surgeon when needed. We don't attempt cases beyond our scope — we refer out when that's genuinely the better option.
If you're considering an implant later, socket preservation grafting can protect bone volume at the time of extraction. Once bone volume is lost, restoring it later is more involved than preserving it at the time of extraction.
You leave with written aftercare instructions and a direct number to call if something doesn't feel right. Most complications are preventable with the right aftercare, which is why we take this step seriously.
Not every extraction is the same procedure — here's what's typically involved depending on your case.
Local anesthesia keeps the procedure comfortable, and most patients are in and out within an hour. We confirm the socket is stable before you leave.
We explain exactly why a case needs a surgical approach rather than defaulting to it. Recovery expectations are discussed honestly, since these cases take longer to heal.
Bone grafting material placed in the socket immediately after extraction helps preserve volume for a future implant. We explain the added cost and healing time clearly before you decide.
Antibiotics may be prescribed alongside extraction depending on infection severity. We monitor healing closely on infected extraction sites.
A follow-up check is scheduled to confirm the socket is healing as expected. We're reachable directly if something feels off during recovery.
We discuss replacement options — bridge, denture, or implant — before treatment, not after the teeth are already gone. Staging complex cases in phases is sometimes the better approach, and we'll say so.
We ask about pain level and swelling to determine how quickly you need to be seen.
We explore alternatives to extraction first, and only proceed once it's genuinely the best option.
Local anesthesia keeps the procedure comfortable; simple cases are typically quick, surgical cases take longer.
You leave with written recovery instructions and a scheduled follow-up if needed.
"Simple extraction, done in about 20 minutes, and the aftercare sheet answered every question I would have called about."
"Socket preservation grafting was explained clearly since I want an implant eventually. Glad I did it at the same visit."
"Follow-up call a few days later just to check on healing — didn't expect that but it was reassuring."
"Numbness check before they started, and I genuinely didn't feel the extraction itself."
"Needed three teeth out and they staged it over two visits instead of doing everything at once. Recovery was much more manageable."
The extraction itself is done under local anesthesia, so you shouldn't feel pain during the procedure — some soreness afterward is normal. We check in after your procedure if we expect a more involved recovery.
It depends on the tooth's position and condition — visible, accessible teeth are usually simple; broken or impacted teeth may need a surgical approach. We explain which category your case falls into and why, before you're in the chair.
We cover dry socket prevention specifically in your written aftercare instructions. Following aftercare instructions closely is the best prevention.
If you're considering an implant later, grafting at the time of extraction helps preserve bone for that future procedure. Grafting adds a modest amount to recovery time but can save complications later.
Simple extractions typically heal within a week to ten days; surgical cases can take longer. Multiple extractions in one visit may extend overall recovery slightly.
We break down each component of the cost so there's no confusion about what you're paying for. Multiple-tooth cases are quoted per tooth so you can see the full breakdown.
Smile Center Dentistry provides Tooth Extraction to patients throughout Southern Shores and neighboring Southern Shores, NC communities. We coordinate with local oral surgeons for the most complex surgical cases, so a referral doesn't mean starting over elsewhere.
Licensed, careful, and local to Southern Shores — call and get an honest recommendation.
Call +1-866-227-2801