Tooth Extractions in Durham, Nc

Conservative Care That Protects Bone and Supports Future Replacement

  • Keep your comfort high with careful planning and anesthesia
  • Protect your jawbone with preservation at extraction time
  • Move toward implant placement with a stronger healing site
  • Table of Contents
    Table of Contents

    Does This Sound Like What You're Facing?

    A struggling tooth has a way of taking over everything, from how you eat to how you feel. You may have been putting off the decision, hoping it would settle on its own. We understand, and we’re here when you’re ready.
  • Chewing only on one side now
  • Embarrassed by a painful, failing tooth
  • Throbbing pain that won't let up
  • Holding back your smile in photos
  • An infection that keeps coming back
  • Skipping foods you used to love
  • If any of these feel familiar, relief is closer than you think. The right plan can ease your discomfort and protect what comes next.

    Waiting Rarely Makes It Easier

  • Infection Can Spread

    A tooth infection can move into nearby bone and tissue if it goes untreated.

  • Treatment Grows Complex

    The longer a damaged tooth stays, the more involved its removal often becomes.

  • Costs Add Up

    Delaying care can lead to added procedures that cost more than acting early.

  • Bone Begins to Shrink

    A failing tooth can damage the bone around it, narrowing your future options.

  • Daily Pain Wears You Down

    Ongoing discomfort affects your sleep, your meals, and your focus throughout the day.

  • Healthy Teeth Shift

    Nearby teeth can drift toward an open space, creating bite problems over time.

  • Acting sooner usually means a simpler visit and a smoother recovery.

    Understanding Tooth Extractions and Bone Preservation

    A tooth extraction is the careful removal of a tooth that can no longer be saved, often because of deep decay, infection, or injury. Taking out a tooth that is too damaged to repair relieves pain and stops problems from reaching neighboring teeth. In many cases, a small amount of bone graft material is placed in the empty socket, a step called socket preservation that keeps the area strong and ready for a future tooth replacement.

    Before any removal, our team at Old North Dentures and Implants uses advanced 3D imaging to map the tooth, its roots, and the structures around it, so your treatment is planned with precision. This planning is what makes tooth extractions in Durham, NC more predictable and comfortable, while protecting the bone you’ll rely on later.

    Bone preservation can be done during the same visit
    Planned with advanced 3D imaging for accuracy
    Sedation options available for anxious or complex cases

    Benefits of Tooth Extractions

    Choosing to remove a tooth that’s holding you back can be the turning point you’ve been hoping for. The right care does more than solve today’s problem; it sets up everything that comes next.
  • Eat comfortably without pain
  • Peace of mind at last
  • Smile and laugh freely again
  • A clean, comfortable healing site
  • Fewer dental problems ahead
  • Foundation kept for new teeth
  • See What's Possible for Your Smile

    These aren’t just teeth; they’re life-changing transformations that restore confidence and comfort. Each before-and-after photo represents a patient who trusted us with their smile journey.
    After
    Before
    After
    Before

    Be our Next Success Story!

    Request an appointment with one of our doctors and start your smile journey today.

    Is a Tooth Extraction Right for You?

    Wondering whether removal is really your best option is completely normal. Many people who come to us are surprised to learn that a thoughtful extraction, paired with bone preservation, often protects their long-term health better than holding on to a failing tooth. Most patients are good candidates.
  • Have a tooth damaged by deep decay or injury
  • Are dealing with a painful tooth that won't heal
  • Want to stop a recurring infection at its source
  • Have been told a tooth is beyond saving
  • Are planning ahead for a future tooth replacement
  • Not Sure If It's Necessary?

    It’s normal to want certainty before moving forward with a tooth extraction. A consultation gives you a clear answer, an honest look at your options, and a recommendation built around your specific situation.

    Your Tooth Extraction, Step by Step

    If the thought of having a tooth removed makes you uneasy, you’re in good company, and our patients often tell us the visit was calmer than they expected. Every step is designed around your comfort, from the first scan to the moment you head home.
    1

    Evaluation and 3D Imaging

    We start by examining the tooth and capturing detailed 3D images that show its roots and the bone around it. This lets us plan the gentlest path forward and answer your questions before anything begins. You'll leave this visit understanding exactly what to expect and why removal is the right call.

    2

    Comfort and Numbing

    On the day of your visit, we make sure you're settled and relaxed before we begin. We gently numb the area completely, and if you prefer, oral or IV sedation can keep you calm throughout. Most patients feel only light pressure once the area is numb, with no sharp sensations at all.

    3

    Gentle Tooth Removal

    Using techniques that protect the surrounding bone and gums, we ease the tooth out with steady, controlled motion. You may notice gentle pressure, but nothing sharp. Because we work conservatively, the area stays as healthy as possible, which supports faster healing and a strong foundation for whatever comes next.

    4

    Bone Preservation and Recovery

    When you're planning to replace the tooth, we often place bone graft material in the socket right away to keep the bone strong. We then share simple aftercare guidance so your healing stays smooth. You'll head home with a clear plan, less worry, and a site that's ready for your next step.

    Ready to Put That Pain Behind You?

    Healing After Your Tooth Extraction

    Most patients are surprised by how straightforward recovery feels once the tooth is out. Healing does take a little time, and our team stays close by with guidance whenever you need it.

    First 24 to 48 Hours

    In the first day or two, expect mild swelling and some tenderness around the site, both of which are completely normal. Resting, sticking to soft foods, and gently following our instructions will keep you comfortable. A little care now sets the tone for smooth healing ahead.

    The First Week

    Over the following days, any discomfort fades quickly and most patients return to their usual routine within a day or two. You'll gradually add more foods as the area feels stronger. By the end of the week, the site is well on its way to full healing.

    Every patient heals at their own pace, so your recovery may look a little different. We’ll give you a personalized aftercare plan with clear instructions, and our team is always just a call away if questions come up.

    Curious About Recovery? Happy to walk you through it.

    Flexible Payment Plans for Your Smile

    We believe everyone deserves quality dental care, regardless of budget. Our flexible financing options and in-house payment plans help you get the treatment you need with comfortable monthly payments that work for your situation.
    Streamline your dental care investment with Proceed Finance. Their flexible plans make achieving your smile goals easy and affordable.

    NO Credit Score Impact Until Plan Selected.

    CareCredit healthcare credit card offers promotional financing for dental care at over 260,000 providers nationwide with reusable credit.

    NO Credit Score Impact Until Plan Selected.

    Cherry makes dental financing accessible with approvals up to $50,000, true 0% APR options, and an 80% approval rate.

    NO Credit Score Impact Until Plan Selected.

    Don't Wait to Smile. Check out Our Payment Options.

    Tooth Extraction FAQs

    Having questions before a tooth extraction is natural, and clear answers make the decision easier. Below you’ll find honest, straightforward information about what to expect. If anything you’re wondering about isn’t covered here, we’re always glad to talk it through.

    Will my extraction be painful?

    You shouldn’t feel pain during the removal itself. We numb the area fully, so most patients notice only mild pressure. Any tenderness afterward is usually mild and easily managed with over-the-counter relief or prescribed medication. Many people are surprised by how comfortable the whole experience turns out to be.
    Recovery is usually quicker than people expect. Initial healing of the site typically takes one to two weeks, and most patients are back to their normal routine within a day or two. The bone underneath continues to fill in over the following months, but you won’t feel that part.
    Soft foods and liquids are your best friends for the first few days. Think smoothies, yogurt, mashed potatoes, and soups. Steer clear of hot, spicy, crunchy, or chewy items that could irritate the area. As healing progresses and comfort improves, you can gradually return to your usual diet.
    Timing depends on the type of replacement and how you heal. In many cases, we place a bone graft at the time of removal, then allow a few months to strengthen before an implant, a permanent tooth replacement, goes in. We’ll map out the right schedule during your consultation.
    Good healing looks like steadily decreasing tenderness, a clot forming in the socket, and no growing swelling or fever. Some mild soreness early on is expected. Reach out to us if you notice severe discomfort, bleeding that won’t stop, or anything that feels off, so we can check on you.
    Comfort is yours to choose. Local numbing keeps the area completely numb, and many patients do well with that alone. If you’d rather feel more relaxed, we offer oral sedation and IV sedation administered by a certified nurse anesthetist. We’ll help you pick the option that suits your comfort level.
    Sometimes, yes. When a tooth can be preserved through other treatment, that’s often the better path. But when decay or infection has gone too far, removal becomes the most reliable way to relieve pain and protect your other teeth. Dr. Long will give you an honest assessment of your options.
    Not every gap requires a replacement, but leaving one open, especially where it shows or where you chew, can let nearby teeth shift and bone fade over time. We’ll talk through whether replacing it makes sense for your health and your goals, with no pressure either way.
    Preparation is simple. We’ll review your medical history and current medications ahead of time, and share clear instructions based on your plan. If you’re choosing sedation, you’ll arrange for someone to drive you home. Beyond that, arriving rested and having soft foods ready at home is all you really need.
    Good habits go a long way. Steady brushing and flossing, regular checkups, and treating small problems early help many people keep their natural teeth longer. Still, some extractions become necessary because of injury or advanced disease beyond anyone’s control. Catching issues sooner is your best protection against bigger procedures later.

    Still Have Questions?​

    Can't find what you're looking for? Don't worry, we are here to help! Reach out to us and we would love to assist you personally.

    MEET OUR DOCTOR

    Expert Surgery From a Doctor Who Understands

    At Old North Dentures and Implants, we focus exclusively on implant dentistry and full-mouth restoration, taking the time each case truly deserves. Our quality-over-quantity approach means you receive personalized attention from a doctor who genuinely understands what you’re going through.

    Dr. Robert Long

    DMD

    Before becoming an implant dentist, Dr. Long was a patient himself. Growing up with a severe nine-millimeter underbite, he underwent double jaw surgery and spent three months on a soft-food diet. That experience shapes how he approaches every consultation today, with genuine empathy that can’t be taught in residency.

    After earning his DMD from the University of North Carolina, he completed a hospital-based residency at Augusta University under internationally recognized mentors. He has logged over 600 hours of advanced implant training, including the AAID MaxiCourse and ORCAA full arch program. With five years of private practice in the Triangle and thousands of implants placed, Dr. Long brings both surgical precision and lived understanding to every patient he treats.

    Protect Your Investment in Your Smile

    We Stand Behind Every Implant We Place

    Dental implants are a long-term commitment, and so are we. Our Implant Membership Plan combines the ongoing care your implants need with a 5-year warranty on our work, so you can enjoy your new smile with confidence.

    Implant Care Membership

    For Old North Dentures and Implants Patients

    $

    50

    /month

    or $600/year

    🎉 Members typically save $120+ annually

    *This is not an insurance policy. Coverage applies only to implants and restorations placed by Dr. Long at our Durham, NC office. Your warranty remains active with continuous membership and attendance at all scheduled maintenance appointments. Some exclusions apply.

    Join the Implant Care Membership

    Enroll after your implant treatment is complete, and your warranty starts the moment your final restoration is placed.

    What Our Patients Say

    Real Stories From Patients Who Found Their Confidence Again

    Our patients share how we’ve helped them regain confidence, comfort, and the freedom to smile again. Their stories reflect the personalized care, exceptional experience, and lasting results you can expect.
    It’s been great partnering with Dr. Long, and providing his implant restorations. We love working with him because his attention to detail and accuracy is incredible! He uses great materials and always wants what’s best for his patient. You will be in great hands with Dr. Long!
    Adam Ahokas
    2 months ago
    Dr. Robert Long is an exceptional dentist who combines professionalism, expertise, and genuine care for patients. From the first appointment, I was impressed by how thorough and attentive he was in explaining the treatment process and addressing every concern with patience and honesty.What stood out most was the attention to detail and the commitment to making sure I was comfortable throughout the entire visit. Dr. Long is clearly very skilled and knowledgeable, and it gave me a great sense of confidence knowing I was in such capable hands.I truly appreciate the high level of care I received and would highly recommend Dr. Long to anyone looking for a dentist who is both highly competent and compassionate.
    B
    3 months ago
    I’ve had the privilege of working with Dr. Long for over five years, even before he opened his own practice, and I can say without hesitation that he has played a significant role in preserving my trust in truly ethical, patient-centered dentistry.Dr. Long consistently demonstrates a rare combination of professionalism, integrity, and genuine compassion. He takes the time to listen, treats every patient with respect, and approaches his work with a level of honesty that is increasingly hard to find—recommending only what is truly necessary and always prioritizing the patient’s best interest.What stands out most to me is the exceptional quality of his implant work. Over the years, I’ve had the opportunity to see firsthand the precision, care, and expertise he brings to every case, and the results have been nothing short of outstanding.It is an honor to know and work alongside a clinician of his caliber, and I would recommend him with the highest level of confidence.
    Christian Sinondon
    4 months ago
    Dr. Long is a great person and thorough dentist! Dr. Long always gives his honest professional opinion and care!
    Miller Harris
    4 months ago
    I’ve worked with Dr Long for 4 years I would trust him with all my work!
    Sade Jeffers
    4 months ago
    Dr. Long is the best! He makes you feel very comfortable with his expertise and pleasant demeanor. He skillfully handled my procedure and addressed all of my concerns. 10/10 would recommend!
    Allie Coggins
    9 months ago

    Join the Patients Who Smile with Confidence Every Day

    Experience personalized dental care designed to help you achieve your dream smile.

    Come Visit Us

    Quality Implant Care Close to Home

    Our Durham office is easy to reach from anywhere in the Triangle, serving patients from Raleigh, Chapel Hill, and surrounding communities. We have made every aspect of visiting us straightforward, so life-changing implant care is always within reach.

    Get Directions and Plan Your Visit With Us Today

    Remove Pain, Protect What Remains

    Relief Now, Plus a Cleaner Path for Future Implant Care

  • Less trauma to nearby bone
  • Shorter recovery with clear aftercare
  • Socket preservation when replacement is planned
  • Call Us Now

    Contact us today and experience the difference of personalized, compassionate dental care.

  • Opening Hours Icon
    MON - THU
    9:00 AM - 5:00 PM
  • Opening Hours Icon
    FRI - SUN
    Closed
  • Search Our Website

    Search for services, dental procedures, and expert tips from our patient resources.

    Popular searches: Dental Implants, Cleanings, Insurance.

    Discover If Sleep Apnea May Be Affecting You
    Answer a few quick questions to identify common signs of sleep apnea and learn whether a professional evaluation may be right for you.
    Discover the Best Option to Get a Beautiful White Smile
    Answer a few quick questions to discover the whitening treatment that's best for your smile.
    Discover your orthodontic options to see which is the best for you
    Answer a few quick questions to discover the orthodontic treatment that's right for your smile.
    Can Dental Implants Work For You?
    Take This 60-Sec Quiz to See If Dental Implants are Right for You!
    Request an Appointment
    Our dedicated team is here to provide you with personalized attention and exceptional care, tailored to meet your unique dental needs.