Sometimes a tooth is too damaged, decayed, or infected to save, and Tooth Extraction is the honest next step. 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.
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.
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.
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.
Bone grafting material placed in the socket immediately after extraction helps preserve volume for a future implant. 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.
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.
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."
"They called it correctly as a simple case, no surprise complications, no surprise bill."
"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.
We determine this with a digital X-ray and exam before your appointment day, not as a surprise mid-procedure. 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. 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.
Simple extractions typically heal within a week to ten days; surgical cases can take longer. 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. Multiple-tooth cases are quoted per tooth so you can see the full breakdown.
Our team serves Des Peres 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 Des Peres — call and get an honest recommendation.
Call +1-866-227-2801