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. 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. 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. 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. We'd rather answer a quick call than have you guess whether something is normal.
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.
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.
Local anesthesia keeps the procedure comfortable; simple cases are typically quick, surgical cases take longer.
We're reachable directly during recovery if swelling or pain seems off.
"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."
"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.
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.
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.
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 Stevenson and neighboring Stevenson, WA communities. Whether it's one tooth or several, our Stevenson team handles the full case from consult through recovery.
We'll explore every alternative before recommending extraction.
Call +1-866-227-2801