

About the service
What is a tooth extraction?
A tooth extraction is the careful removal of a tooth that can't be saved in a way that will last. At our Sonoma, CA office, tooth extractions are never our first move: we always try to save a natural tooth first when it makes sense. When removing it really is the healthier choice, we make the visit calm, clear, and as comfortable as possible.
When a tooth extraction makes sense
- A tooth that's too badly broken to repair
- A tooth that's loose and can't be stabilized
- A tooth that keeps causing problems despite treatment
- Impacted wisdom teeth (referred to a trusted oral surgeon)
What to expect during an extraction
- An honest look. Dr. Oliver checks the tooth with digital X-rays and tells you whether it can be handled here or is better suited to an oral surgeon.
- Thorough numbing. We numb the area with local anesthetic, so most people feel pressure rather than pain.
- A gentle removal. We work slowly and check in with you, going at your pace.
- Aftercare basics. You'll bite on gauze to help a clot form, then protect it: no straws, smoking, or spitting at first, and soft foods while you heal.
Simple extractions here, complex cases with trusted partners
We handle some extractions in-house, depending on the tooth, such as one that's badly broken or loose. More complex cases, like impacted wisdom teeth, go to a trusted oral surgeon we work with. We'll tell you honestly which is best for you, and we stay involved in your care either way.
Why Sonoma patients plan ahead for replacement
A gap can let neighboring teeth drift and change your bite over time, so we talk about replacement before your extraction. Options include an implant restoration (the implant is placed by a surgical partner and we restore it here), a dental bridge, or dentures, depending on your needs.
Hard days, handled with heart

About us
Tooth extractions at Sonoma Springs Dental
To us, boutique dental care means you matter: personal, cozy, unhurried, and held to an exceptionally high standard. That's how we approach every tooth extraction at Sonoma Springs Dental, Dr. Riley Oliver's boutique dental home in Sonoma.
- Unhurried by design. One patient at a time, so we can numb you thoroughly, work gently, and never rush the part you're nervous about.
- A space that feels like home. Our standalone office is built around a green, light-filled atrium, with brand-new chairs that keep you comfortable and easy parking right outside.
- A team that knows you. Our small, all-female team is warm, bilingual in English and Spanish, and will walk you through aftercare so you go home confident.
- A genuinely high bar. Carefully chosen, never compromised: digital X-rays read with Overjet AI and trusted oral surgeons for complex cases. Only the treatment you actually need, never more.
Meet the team
“What I love most about working with this team is the ladies themselves. They all have sparkling personalities, and they're all really fun.”
Chelsie, office manager
“My favorite part is the positive atmosphere and being able to help the Spanish-speaking community get access to care.”
Monsé, patient care coordinator
“I love that I can be myself in the office and with my patients, and I show it by wearing crazy colored scrubs each day.”
Cindy, registered dental assistant
“The office isn't a sterile medical atmosphere. It's homey, it's comfortable, it's an enjoyable place to be.”
Mandy, registered dental assistant
Hear it from our patients
“I don't normally associate a dentist's office with being cozy and comforting, but this is. The work has been absolutely exemplary.”
Karen, patient
“This place is definitely not judgmental at all. You can open up about your past dental experiences, and there will be no judgment.”
Jocelyn, patient
“Ever since I was young, I dreaded going to the dentist, but I never expected to actually like coming here. They really treat you like family.”
Jahaziel, patient
Book your tooth extraction in Sonoma, CA
"It feels more like visiting a friend at their house than going to the dentist."
Tooth extraction FAQs
When does a tooth need to be extracted?
A tooth may need to come out when it's too badly broken or loose to be saved. We always try to save a natural tooth first when it makes sense. If extraction really is the best option, we'll explain why and make sure you're comfortable with the plan.
Do you do tooth extractions in the office?
We handle some extractions here, depending on the tooth, such as one that's badly broken or loose. More complex cases, like impacted wisdom teeth, go to a trusted oral surgeon we work with. We'll tell you honestly which is best for you.
Does a tooth extraction hurt?
You shouldn't feel pain during the extraction itself. We numb the area thoroughly with local anesthetic, so most people feel pressure rather than pain. Some soreness afterward is normal. If you're nervous, just tell us, and we'll take things slowly.
What should I do after a tooth extraction?
Bite gently on gauze to help a blood clot form, then protect that clot. For a few days, avoid straws, smoking, and spitting, since each can pull the clot loose and cause a painful problem called dry socket. Stick to soft foods while the area heals, and call us with any questions.
Should I pull the tooth or try to save it?
If the tooth can be saved in a way that will last, that's usually our first choice, since a filling or crown can often rescue a damaged tooth, and we'll always look at those options first. When a tooth can't be restored reliably, removing it can be the healthier choice. Dr. Oliver will walk you through both paths, honestly and without pressure.
How can I replace a tooth after it's removed?
You have a few good options. An implant restoration is one, with the implant placed by our surgical partner and the final tooth restored here. A bridge or denture can also fill the gap, depending on your needs. We'll talk it through before your extraction so you know what comes next.
Is a tooth extraction covered by insurance?
Simple extractions are often partly covered by dental insurance. We accept all major insurances and will go over your estimate before we begin. For any remaining balance, you can pay monthly with Cherry or CareCredit.
Where can I get a tooth extraction in Sonoma?
Call us at (707) 935-8200 or visit our contact page for more options. You'll find us at 17776 Sonoma Hwy in the Boyes Hot Springs area, with parking right outside. We'll take a careful look first and let you know whether we can take care of it here or refer you to a trusted oral surgeon.