At Smiles by Design, our team of dentists look at tooth removal as a last resort. Our philosophy is if you are over 30 years of age and the preliminary X-rays do not show signs of abscess, cyst formation, or decay in the tooth or adjacent teeth then the tooth should remain. Though we believe strongly in our philosophy, there are times when an extraction is recommended as the best solution for our patient. In these cases, the staff at Smiles by Design work tirelessly to ensure your comfort and reduce your anxiety.