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. Extraction is treated as the last option, not the default one.
Straightforward extractions are handled in-house; more complex surgical cases are coordinated with an oral surgeon when needed. Knowing which category applies to you shapes what we tell you about recovery time.
If you're considering an implant later, socket preservation grafting can protect bone volume at the time of extraction. This step is optional, and we explain the trade-offs honestly.
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.
We explain which category applies to you before treatment day, not as a surprise in the chair.
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.
When an abscess or infection has damaged a tooth beyond repair, we prioritize these cases for prompt removal. We monitor healing closely on infected extraction sites.
Written aftercare instructions cover swelling, diet, and dry socket prevention specific to your procedure. We're reachable directly if something feels off during recovery.
When several teeth need removal, we plan the sequence and sedation approach to minimize total recovery time. 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.
Digital X-rays confirm the tooth's condition and whether a simple or surgical approach applies.
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."
"Surgical extraction for an impacted tooth near the gumline — they were upfront it would take longer and it did, but recovery went smoothly."
"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."
We check numbness thoroughly before starting, and manage post-procedure discomfort with clear aftercare guidance. 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. It's uncomfortable but treatable if it happens — call us right away if you suspect it.
If you're considering an implant later, grafting at the time of extraction helps preserve bone for that future procedure. We won't push this if you're not planning to replace the tooth.
We give you a realistic timeline specific to your case, not a generic estimate. Multiple extractions in one visit may extend overall recovery slightly.
Cost depends on whether it's simple or surgical, and whether grafting is involved — we quote this after your exam. We verify insurance benefits beforehand so you know your out-of-pocket cost.
Smile Center Dentistry provides Tooth Extraction to patients throughout Southern Pines and neighboring Southern Pines, 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 Pines — call and get an honest recommendation.
Call +1-866-227-2801