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.

A socket that isn't managed properly can complicate healing — we plan for that from the start. We'd rather spend time exploring alternatives than pull a tooth that could still be saved.

A second opinion within our own team is standard for borderline cases before extraction is finalized. 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. 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. Once bone volume is lost, restoring it later is more involved than preserving it at the time of extraction.
Follow-up checks are scheduled proactively, not left for you to remember to book. 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.
This step is optional but often recommended if you're considering replacing the tooth later. 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.
A follow-up check is scheduled to confirm the socket is healing as expected. 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.
Call +1-866-227-2801 and describe the tooth and symptoms — that shapes what we check at your exam.
Digital X-rays confirm the tooth's condition and whether a simple or surgical approach applies.
We check the socket before you leave to confirm bleeding is controlled and stable.
We're reachable directly during recovery if swelling or pain seems off.
"They tried a root canal option first before recommending extraction. Appreciated that they didn't jump straight to pulling it."
"Socket preservation grafting was explained clearly since I want an implant eventually. Glad I did it at the same visit."
"Infected tooth pulled same week I called. Antibiotics beforehand and the pain was gone within days."
"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. Knowing this in advance also sets accurate recovery expectations.
Dry socket happens when the healing blood clot dislodges — avoiding straws, smoking, and vigorous rinsing for the first few days helps prevent it. It's uncomfortable but treatable if it happens — call us right away if you suspect it.
It's optional — we explain the cost and benefit so you can decide based on your future plans. We won't push this if you're not planning to replace the tooth.
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.
Cost depends on whether it's simple or surgical, and whether grafting is involved — we quote this after your exam. Multiple-tooth cases are quoted per tooth so you can see the full breakdown.
Our team serves Pasadena Hills and the surrounding zip codes with the same careful, aftercare-focused approach at every visit. 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 Pasadena Hills — call and get an honest recommendation.
Call +1-866-227-2801