Severe tooth pain, swelling, or signs of infection should never be ignored. At Bright Smiles Family Dentistry, tooth extraction in Garner, NC, is recommended only when a tooth cannot be safely restored and removing it is the clearest path to protecting your long-term oral health.
Led by Dr. Hamid Rouhani, DDS, and Dr. Valerie Hartman, DDS, our team takes a conservative, diagnosis-first approach supported by advanced 3D Cone Beam imaging and thorough clinical evaluation. Patients across Garner and surrounding Wake County communities trust us for compassionate, expert care.
Early treatment relieves pain while protecting your smile for years to come. Call (919) 205-0640 to schedule your appointment.
A tooth extraction is the removal of a tooth from its socket when restoration is no longer viable. The goal is to eliminate infection, relieve pain, and prevent further damage to surrounding bone and neighboring teeth.
At Bright Smiles, preserving your natural tooth is always the first priority. Extraction is only recommended after a comprehensive evaluation using digital X-rays, 3D Cone Beam CT imaging, and intraoral cameras confirms that keeping the tooth would increase your long-term risk.
Removal is considered when keeping the tooth causes more harm than good. Common situations include:
The right approach depends on the tooth’s position and structural condition.
Simple extraction is performed when the tooth is fully visible above the gumline and accessible without surgical access. The tooth is carefully loosened and removed with controlled instrumentation to protect the surrounding bone and soft tissue.
Surgical extraction is required when a tooth is broken at or below the gumline, when roots are curved or complex, or when wisdom teeth are fully or partially impacted. A small, controlled incision allows safe removal while preserving as much surrounding bone as possible, which is particularly important when future restorations, such as dental implants, are being considered.
Before any treatment begins, we complete digital X-rays, 3D Cone Beam CT imaging when needed, and a full medical history review. This confirms infection depth, root structure, and the safest approach — including your anesthesia and sedation options.
The area is fully numbed before any instrument is used. Sedation is available for patients with dental anxiety. Most patients feel pressure during removal, not sharp pain.
For simple cases, the tooth is gently loosened and lifted from the socket. For surgical cases, a minimal incision allows section-by-section removal while protecting surrounding bone.
Timeline | What to Expect |
First 24 Hours | Blood clot forms; mild bleeding and early swelling are normal; rest is recommended |
Days 2–3 | Swelling and tenderness may peak as healing begins |
Days 4–7 | Soft tissue begins closing; discomfort gradually decreases |
Week 2 | Surface gum tissue stabilizes; healing becomes noticeably visible |
Weeks 2–8 | Internal bone remodeling continues beneath the surface |
Note: Contact our office if you experience increasing pain after day three, heavy persistent bleeding, fever, or worsening swelling, as these require immediate evaluation.
| Stage | Duration |
| Consultation & Digital Scan | 30–60 minutes |
| Treatment Planning | 1–2 weeks |
| Active Treatment | 6–18 months |
| Refinement Phase | Varies |
| Retention Phase | Long-term |
When the root structure is intact and restoration is predictable, preserving the natural tooth is preferred. Dr. Rouhani and Dr. Hartman evaluate both options carefully before making any recommendation.
Type of Extraction | Estimated Cost Range |
Simple Extraction | $150 – $300 per tooth |
Surgical Extraction | $250 – $800 per tooth |
Impacted Wisdom Tooth | $300 – $800 per tooth |
Our office is in-network with all major insurance providers. Please bring your insurance card to each appointment so we can make sure your information is as up-to-date as possible. If you do not find your insurance provider here; we work with all major insurance provides, please call at (919) 205-0640 for clarity.
Dr. Valerie Hartman is a highly trained implant and cosmetic dentist serving patients in Garner, Raleigh, and the surrounding communities. She is passionate about helping patients restore their oral health, confidence, and quality of life through advanced implant dentistry, full-arch rehabilitation, and natural-looking cosmetic treatments.
Dr. Hartman completed a two-year Advanced Education in General Dentistry residency at UT Health San Antonio, where she served as Chief Resident and received advanced training in complex restorative care, surgical dentistry, implant treatment planning, and comprehensive patient care. She has also pursued advanced implant and full-arch education, including Full Arch Masters training, to further develop her expertise in the diagnosis, planning, and delivery of complex implant-supported restorations.
As the primary doctor managing and performing implant and full-arch treatment at All Star Implants, Dr. Hartman takes a comprehensive, detail-oriented approach to every case. She evaluates each patient’s oral health, facial structure, bite, bone support, aesthetic goals, and long-term needs before developing a personalized treatment plan. Her goal is to provide predictable, functional results that look and feel natural, whether a patient needs a single dental implant, multiple implants, or a complete full-arch transformation.
Dr. Hartman also has a strong interest in cosmetic dentistry, including smile makeovers, veneers, crowns, and other aesthetic treatments. She combines her surgical and restorative expertise with a careful eye for facial balance, proportion, function, and natural-looking beauty. When appropriate, she incorporates cosmetic dentistry into larger restorative or implant treatment plans to help patients achieve a healthy, confident, and harmonious smile.
Patients appreciate Dr. Hartman’s thoughtful communication, surgical precision, and commitment to individualized care. She takes the time to explain each step of treatment, answer questions, and help patients feel informed and comfortable throughout their journey. Whether she is rebuilding a smile with full-arch implants, replacing a single missing tooth, or enhancing the appearance of a healthy smile, Dr. Hartman is dedicated to creating results that support both long-term oral health and lasting confidence.
Dr. Hamid Rouhani, DDS, earned his Doctor of Dental Surgery from the University of North Carolina at Chapel Hill in 2006 and completed an Advanced Education in General Dentistry residency at the VA in Fayetteville, NC. His calm, unhurried approach has made him a trusted provider throughout the Garner community.
Together, they lead the most advanced family dentistry practice in the Raleigh area — committed to conservative care, honest treatment planning, and outcomes that last.
Leaving a gap untreated can lead to shifting teeth, bite imbalance, and gradual bone loss. After initial healing, we assess the best restoration for your situation:
Extraction is recommended only after all restorative options have been evaluated. Preserving your natural tooth remains the priority when it is clinically appropriate.
The practice uses 3D Cone Beam CT imaging, digital X-rays, and intraoral cameras to support accurate diagnosis and precise treatment planning.
Multiple anesthesia options are available to help patients receive treatment in a calm and controlled setting.
Patients with severe pain or active infection are often accommodated the same day for prompt care.
No hidden fees. Insurance is verified before your visit. Membership plans, CareCredit, and Sunbit help make treatment accessible.
Persistent pain, swelling, or signs of infection should not be put off. The sooner you are evaluated, the more options you have, and the lower your risk of the problem spreading.
At Bright Smiles Family Dentistry, you receive a clear diagnosis, honest recommendations, and a treatment plan that fits your health and your needs. Contact us at (919) 205-0640 or visit us at 801 US-70 #101, Garner, NC 27529.
Taking action early protects more than one tooth. It protects your overall oral health.
Simple tooth extractions usually take between 20 to 40 minutes. Surgical extractions may take longer depending on root shape, tooth position, and complexity. Your dentist explains the expected timeline before starting the procedure so you know what to expect.
With modern anesthesia and sedation options, most patients feel pressure but not pain during the procedure. After the extraction, mild discomfort is expected and can be managed with medication, usually improving within a few days.
