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.
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.
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.
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.
Not every extraction is the same procedure — here's what's typically involved depending on your case.
For teeth that are visible and accessible, a simple extraction using an elevator and forceps is usually quick. 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.
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."
"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. 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. 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. We schedule a follow-up to confirm healing is on track for your specific case.
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 Bel Air and neighboring Bel Air, MD communities. We coordinate with local oral surgeons for the most complex surgical cases, so a referral doesn't mean starting over elsewhere.
We'll explore every alternative before recommending extraction.
Call +1-866-227-2801