
Saving the Tooth Is Always the First Priority.
We never recommend extraction lightly. Every effort is made to preserve natural teeth through restorative dentistry — crowns, root canals, periodontal treatment. But when a tooth is too severely decayed, fractured, or compromised by gum disease, removal is the kindest option for the surrounding teeth and bone.
Common reasons for extraction include advanced decay that cannot be restored, irreparable fracture below the gumline, failed root canal, severe infection threatening the jawbone, or crowding that requires strategic removal to protect alignment.
- Severe decay or infection beyond restoration
- Fractured roots or vertical cracks
- Advanced periodontal bone loss around the tooth
A Comfortable, Precise Process.
Imaging & Evaluation
We take 3D cone-beam CT imaging to assess root anatomy, proximity to nerves, and surrounding bone — before a single instrument is used.
Anesthesia & Sedation
Local anesthetic ensures you feel no pain. IV sedation or nitrous oxide is available for patients who want deeper relaxation.
Minimally Traumatic Removal
We use specialized instruments to expand the socket and ease the tooth out — preserving as much surrounding bone as possible for future restoration.
Socket Preservation
When implant replacement is planned, we place a bone graft in the socket immediately — preventing bone loss and simplifying future implant placement.

Don't Leave the Gap. Plan Your Replacement Now.
A missing tooth — even one that isn’t visible — triggers bone loss that begins within weeks of extraction. That bone loss affects neighboring teeth, your bite, and your facial structure over time. The best time to plan your replacement is before the extraction, not after.
At Sonrisa, we discuss implant replacement during your extraction consultation so there are no gaps in your treatment plan. In some cases, a same-day implant can be placed at the time of extraction — eliminating the wait and preserving bone from the moment of removal.
- Bone loss begins within weeks of extraction
- Same-day implant placement possible in eligible cases
- Socket preservation included when implant is planned
Gentle Removal, Clear Path Forward.
Book a consultation and we’ll evaluate your tooth, explain all options, and — if extraction is recommended — plan your replacement at the same time. No surprises, no gaps in your care.