Tooth Extractions in Winston-Salem, NC

At Trenton B. Bottoms, DDS, we believe in preserving natural teeth whenever possible — but when a tooth is too damaged, infected, or impacted to restore, a tooth extraction may be the healthiest option. If you're experiencing pain, swelling, or have been told you may need a dental extraction, we’re here to guide you through it with compassion, clarity, and expert care.

We offer gentle tooth extractions in Winston-Salem, using modern techniques and advanced imaging to minimize discomfort and support optimal healing.

When Is a Tooth Extraction Needed?

Dr. Bottoms will only recommend extraction after thoroughly evaluating all restorative options. However, extraction may be the best course of action in the following cases:

• Severely decayed or broken teeth beyond repair
  
• Advanced gum disease affecting tooth stability
  
• Impacted or problematic wisdom teeth
  
• Orthodontic preparation (to create space)
  
• Failed root canals or fractured roots
  
• Infection that can’t be resolved conservatively
  
• Retained baby teeth preventing permanent eruption
  

We use digital X-rays and CBCT imaging when necessary to ensure a complete, detailed view of the affected area — helping us plan the most efficient, least invasive procedure.

What to Expect During an Extraction

1. Consultation & Imaging
   We’ll begin with an exam and imaging to determine the tooth’s condition and the best extraction method.
   
2. Comfort-Focused Anesthesia
   We use local anesthetic and, when needed, oral sedation to ensure a comfortable, anxiety-free experience.
   
3. Tooth Removal
   The tooth is gently loosened and removed with care. In some cases, a surgical extraction is needed for impacted or broken teeth.
   
4. Post-Op Instructions
   You’ll receive detailed aftercare guidance, including how to manage discomfort, prevent dry socket, and promote healing.
   
5. Replacement Planning (if needed)
   If a permanent tooth is removed, we’ll discuss long-term replacement options such as dental implants, bridges, or dentures.
   

Our goal is to make every extraction as stress-free and seamless as possible — while helping you protect your long-term smile health.

Gentle, Expert Care Every Step of the Way

• Conservative First Approach
  We only extract when absolutely necessary, and we’ll always explore every alternative first.
  
• Advanced Imaging
  Our use of CBCT and digital diagnostics ensures we know exactly what to expect before we begin.
  
• Post-Op Support
  We’ll monitor healing closely and offer options for pain management, follow-up, and eventual restoration.
  
• Tooth Replacement Planning
  If extraction is part of a broader treatment plan, we’ll coordinate timing and solutions to minimize disruption to your bite and smile.
  

If you’ve been searching for a dentist near me who offers tooth extractions with genuine care and technical precision, we’re here to help you feel informed and supported.