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.
We're upfront about which category your case falls into before treatment, not after complications arise. 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.
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.
Antibiotics may be prescribed alongside extraction depending on infection severity. 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.
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.
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."
"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. Over-the-counter pain relief is usually sufficient for simple extractions.
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. 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. Grafting adds a modest amount to recovery time but can save complications later.
We give you a realistic timeline specific to your case, not a generic estimate. Multiple extractions in one visit may extend overall recovery slightly.
We break down each component of the cost so there's no confusion about what you're paying for. We verify insurance benefits beforehand so you know your out-of-pocket cost.
Our team serves Fresno and the surrounding zip codes with the same careful, aftercare-focused approach at every visit. Whether it's one tooth or several, our Fresno team handles the full case from consult through recovery.
Licensed, careful, and local to Fresno — call and get an honest recommendation.
Call +1-866-227-2801