Tooth Extraction Services
If a tooth becomes too damaged, decayed, or impacted to be saved, an extraction may be the healthiest option.
Tooth extractions may also be necessary to create space and prepare for orthodontic treatment.
At Carolinas Center for Oral & Facial Surgery, our oral surgeons use advanced surgical techniques and in-office anesthesia to make tooth removal safe, comfortable, and stress-free from start to finish.
Understanding Tooth Extraction
Our goal is always to preserve your natural teeth whenever possible. However, when a tooth cannot be saved, our team is here to provide safe, expert care.
With years of specialized training, our board-certified oral surgeons manage everything from simple extractions to the most complex surgical cases. We focus on making the process clear and easy, explaining your options, preparing you for treatment, and supporting you throughout recovery.
When is Tooth Removal Necessary?
Tooth removal may be recommended to relieve pain, prevent infection, or support another treatment, such as orthodontics or dental implants.
We only recommend extraction when it’s the best way to protect or improve your overall oral health.
Our Surgical Approach to Extractions
At Carolinas Center for Oral & Facial Surgery, your care starts with a comprehensive exam and advanced imaging to assess the condition of your tooth.
We tailor every procedure to your needs and utilize precise techniques and anesthesia options to ensure comfort during and after treatment.

Signs You May Need a Tooth Removed
When a tooth is damaged beyond repair or poses a risk to surrounding teeth and tissues, extraction may be necessary to relieve pain, stop infection, or prepare for future dental work. Here’s what to look for:
Symptoms
Signs you may need a tooth extracted include:
- Persistent tooth pain or sensitivity
- Swollen, red, or bleeding gums
- Pain when biting or chewing
- Loose or shifting teeth
- Visible cracks or deep decay
- Gum abscesses or pus around the tooth
- Jaw pain or stiffness
Causes
The need for tooth extraction includes:
- Severe tooth decay or infection
- Advanced periodontal (gum) disease
- Overcrowding of teeth
- Preparation for braces or other orthodontics
- Cracked or broken teeth that can’t be restored
- Failed root canal
- Impacted teeth, especially wisdom teeth
Risks
Delaying a recommended extraction may lead to:
- Spread of infection to the surrounding teeth or jawbone
- Worsening pain and inflammation
- Bone loss in the jaw
- Tooth misalignment or bite problems
- Increased difficulty with future dental procedures
- Emergency tooth extraction needs
Tooth Extraction Services Designed for Your Needs
Every smile is different, and so is every tooth extraction.
At Carolinas Center for Oral & Facial Surgery, our board-certified oral surgeons personalize care to your specific needs, whether it’s a straightforward extraction or a complex surgical tooth removal. We use advanced imaging and diagnostic tools to carefully plan your treatment, making sure each step is safe, precise, and as comfortable as possible.
Simple Tooth Extractions
Ideal for teeth that are visible and easily accessible, such as loose or severely decayed teeth. Your surgeon gently removes the tooth using specialized techniques, and local anesthesia is typically all that’s needed to ensure comfort.
Choosing an Oral Surgeon for Tooth Extractions
Tooth extractions may seem straightforward, but they often involve more than just removing a tooth.
Our board-certified oral and maxillofacial surgeons have the specialized training, tools, and experience to provide efficient, comfortable, and comprehensive care.
Specialized Expertise
With 4–6 extra years of advanced surgical training beyond dental school, our oral surgeons are experts in managing complex extractions and providing advanced IV sedation and anesthesia, ensuring your procedure is safe and comfortable.
Faster Recovery
Advanced techniques and precise care minimize the impact of your extraction on the surrounding teeth, bone, muscles, and nerves, for quicker healing and a smoother recovery.
Compassionate Care
Losing a tooth can feel overwhelming, so we listen, support, educate, and guide you through every step. From simple extractions to options for tooth replacement, you can count on our experienced oral surgeons to provide compassionate care focused on you.

The Trusted Choice for Tooth Extractions in the Carolinas
For decades, Carolinas Center for Oral & Facial Surgery has been part of the community, earning the trust of patients across the Carolinas.
Your safety, comfort, and results always come first, which is why our surgical centers are equipped with the latest technology, including 3D imaging and CBCT scans for precise planning and treatments.
With 20+ convenient locations throughout North and South Carolina, expert surgical care is never far from home.

The Tooth Extraction Process
Initial Consultation
When you visit us for a consultation, our oral surgeon will review your health history, perform a detailed oral exam, and take digital X-rays or 3D scans to assess your extraction needs. We’ll explain your treatment options, answer your questions, and help you feel confident and supported moving forward.
Personalized Treatment Plan
Every treatment is unique, and we will develop a customized extraction plan tailored to your needs. From simple tooth extractions to complex surgical removals, our oral surgeon will guide you through your treatment plan, including anesthesia and sedation options to maximize your comfort and recovery.
Procedure & Recovery
On the day of your extraction, your surgeon will complete your procedure in our comfortable surgical suites. You’ll return home with detailed instructions to help you heal smoothly, from resting and ice to guidance on eating and brushing. Our team is always available to answer questions and ensure you feel cared for every step of the way.
Tooth Extractions FAQs
We understand that having a tooth extracted can raise many questions. To help you feel more informed and comfortable, here are answers to some of the most common questions our patients ask about the procedure, recovery, and costs.