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. We don't attempt cases beyond our scope — we refer out when that's genuinely the better option.
We discuss this option at your consult, not as an afterthought once the tooth is already gone. This step is optional, and we explain the trade-offs honestly.
Follow-up checks are scheduled proactively, not left for you to remember to book. We'd rather answer a quick call than have you guess whether something is normal.
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.
For teeth that are broken at the gumline or difficult to access, a surgical approach may be needed, coordinated with an oral surgeon. 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.
We explore alternatives to extraction first, and only proceed once it's genuinely the best option.
We check the socket before you leave to confirm bleeding is controlled and stable.
You leave with written recovery instructions and a scheduled follow-up if needed.
"They tried a root canal option first before recommending extraction. Appreciated that they didn't jump straight to pulling it."
"Surgical extraction for an impacted tooth near the gumline — they were upfront it would take longer and it did, but recovery went smoothly."
"Infected tooth pulled same week I called. Antibiotics beforehand and the pain was gone within days."
"They called it correctly as a simple case, no surprise complications, no surprise bill."
"Discussed a bridge versus implant before pulling the tooth, not weeks later when I was scrambling to decide."
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.
We determine this with a digital X-ray and exam before your appointment day, not as a surprise mid-procedure. 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.
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.
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. Multiple-tooth cases are quoted per tooth so you can see the full breakdown.
Smile Center Dentistry provides Tooth Extraction to patients throughout Montara and neighboring Montara, CA communities. Whether it's one tooth or several, our Montara team handles the full case from consult through recovery.
We'll explore every alternative before recommending extraction.
Call +1-866-227-2801