Dental Extractions in Las Vegas & Summerlin: 20 Frequently Asked Questions
Everything patients from The Summit, The Ridges,
Queensridge, Henderson, Centennial Hills, and Spring Valley need to know about
tooth extractions at Summerlin Dental Solutions the practice voted Best of
Las Vegas 19 times.
When a Tooth Cannot Be Saved:
What You Need to Know About Dental Extractions
No dentist who truly cares about their patients
recommends an extraction lightly. At Summerlin
Dental Solutions, Dr. Marianne Cohan
exhausts every conservative option fillings, crowns, root
canals, gum disease treatment
before concluding that extraction is the best path forward. When it is, she
performs the procedure with the same precision, compassion, and commitment to
patient comfort that has earned her practice 19 Best of Las Vegas awards and
the trust of patients across Summerlin and the entire Las Vegas Valley.
Whether you are facing a wisdom tooth that has become
impacted, a tooth damaged beyond repair by trauma or decay, or an extraction
that is part of a larger restorative treatment plan such as dental
implants or All-on-4, these 20
frequently asked questions will give you a clear understanding of what to
expect and why Summerlin Dental Solutions is the practice patients trust for
this procedure.
20 Frequently Asked Questions About Dental Extractions
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Q1. When does a tooth need to be extracted?
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A tooth may need to be extracted when it is too severely damaged by decay or fracture to be restored with a filling, crown, or root canal; when advanced gum disease has destroyed the bone supporting the tooth to the point where it is loose and non-functional; when a wisdom tooth is impacted, partially erupted, or causing crowding or infection; when a tooth is broken at or below the gum line with no viable restorative option; when orthodontic treatment requires space; or when a primary (baby) tooth has not fallen out naturally and is blocking the permanent tooth from erupting. At Summerlin Dental Solutions, Dr. Cohan uses our 3D CBCT scanner and AI-assisted diagnostics to evaluate every angle of the tooth, the surrounding bone, and the adjacent structures before recommending extraction ensuring the decision is based on the most complete diagnostic picture available.
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Q2. What is the difference between a simple extraction and a surgical extraction?
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A simple extraction is performed on a tooth that is fully visible above the gum line and can be loosened and removed with standard dental instruments. It typically requires only local anesthesia and takes just a few minutes. A surgical extraction is needed when a tooth is broken below the gum line, impacted within the jawbone (common with wisdom teeth), or when the roots are curved or fragmented in a way that prevents straightforward removal. Surgical extractions may require a small incision in the gum tissue and, in some cases, removal of a small amount of bone to access the tooth. Dr. Cohan performs both types of extractions at Summerlin Dental Solutions and uses our advanced 3D CBCT imaging to determine which approach your case requires before the procedure begins so there are no surprises during the appointment.
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Q3. Is a dental extraction painful?
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Modern dental extractions are far less uncomfortable than most patients expect. Dr. Cohan uses local anesthesia to completely numb the extraction site before beginning, so you should not feel any sharp pain during the procedure only pressure and a sense of movement. For patients who experience dental anxiety or who are having multiple teeth or a surgical extraction, Summerlin Dental Solutions offers three levels of sedation dentistry: nitrous oxide (laughing gas) for gentle relaxation while remaining fully conscious, oral sedation for deeper calm through prescription medication taken before your appointment, and IV sedation for patients who want to feel as though they slept through the entire procedure. Combined with our spa-like comfort amenities warm blankets, noise-canceling headphones, complimentary beverages, and personal entertainment screens at every chair the extraction experience at Summerlin Dental Solutions is as comfortable as modern dentistry can make it. Our team is the friendliest you will ever encounter at a dental office, and they will check on you throughout the procedure to ensure you are comfortable at every moment.
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Q4. How much does a tooth extraction cost in Las Vegas?
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Tooth extraction costs in Las Vegas depend on the complexity of the case. A simple extraction of a fully erupted tooth typically ranges from $150 to $350 per tooth. Surgical extractions, including impacted wisdom teeth, generally cost between $300 and $800 per tooth depending on the depth of impaction and the complexity of the procedure. Bone grafting, if needed to preserve the socket for a future dental implant, adds an additional cost. Most dental insurance plans cover extractions as a “basic” or “major” service at 50–80% after your deductible. At Summerlin Dental Solutions, our team verifies your insurance benefits before treatment and provides a clear, detailed estimate so you know your exact out-of-pocket costs.
For patients without insurance or with remaining balances, we offer 0% interest financing through HFD with approval in under a minute and no impact on your credit score.
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Q5. What should I expect during a tooth extraction procedure?
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At Summerlin Dental Solutions, a typical extraction appointment follows a clear, comfortable process. First, Dr. Cohan reviews your 3D CBCT images and digital X-rays with you on the dual-screen monitors in your treatment room, showing you exactly why the extraction is needed and how the procedure will be performed. Local anesthesia is administered to numb the area completely. For a simple extraction, Dr. Cohan uses specialized instruments to gently loosen the tooth and remove it from the socket. For a surgical extraction, she may make a small incision and carefully section the tooth for easier removal. The entire procedure typically takes 20 to 40 minutes depending on complexity. Once the tooth is removed, Dr. Cohan places gauze over the extraction site, discusses bone grafting if it is appropriate for your treatment plan, and provides detailed aftercare instructions. You will rest in the treatment chair with your warm blanket and headphones until you feel ready to leave, and our team will check on you before you go to ensure you are comfortable and prepared for recovery at home.
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Q6. How long does it take to recover from a tooth extraction?
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Recovery from a simple extraction typically takes three to five days, with most patients returning to normal activities the following day. Surgical extractions, particularly wisdom tooth removals, may require five to seven days for the initial healing phase, though complete soft tissue closure and bone remodeling continue for several weeks. During the first 24–48 hours, you can expect some swelling, mild to moderate discomfort, and minor bleeding all of which are normal and manageable with the prescribed medications and ice application. Most patients report that the discomfort is less severe than the pain that prompted the extraction in the first place. Dr. Cohan provides thorough aftercare instructions and is personally available for follow-up questions during your recovery. A follow-up visit is scheduled to confirm that healing is progressing normally and to discuss tooth replacement options if applicable.
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Q7. What can I eat after a tooth extraction?
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For the first 24–48 hours after extraction, stick to soft, cool, or lukewarm foods that require no chewing on the extraction side. Excellent choices include yogurt, applesauce, mashed potatoes, scrambled eggs, smoothies (without using a straw), lukewarm soups, and ice cream. Avoid hot foods and beverages for the first 24 hours, as heat can increase bleeding. Do not use a straw for at least 72 hours, because the suction can dislodge the blood clot forming in the socket and lead to a painful condition called dry socket. Avoid crunchy, hard, spicy, and acidic foods until the site has healed usually five to seven days. After the initial healing period, you can gradually reintroduce firmer foods as comfort allows. Dr. Cohan and her team at Summerlin Dental Solutions provide a complete dietary guide as part of your post-extraction care instructions.
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Q8. What is dry socket and how do I prevent it?
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Dry socket (alveolar osteitis) occurs when the blood clot that forms in the extraction site is dislodged or dissolves prematurely, exposing the underlying bone and nerve endings to air, food particles, and bacteria. Symptoms include severe, radiating pain that begins two to four days after extraction, a visible empty socket where the clot should be, bad breath, and an unpleasant taste. Dry socket occurs in approximately 2–5% of routine extractions and up to 20% of impacted wisdom tooth removals. To minimize your risk, avoid using straws, smoking, or spitting forcefully for at least 72 hours; do not rinse vigorously for the first 24 hours; eat soft foods; and follow all of Dr. Cohan’s aftercare instructions carefully. If you suspect dry socket, call Summerlin Dental Solutions at (702) 341-9160 immediately the condition is easily treated with a medicated dressing that provides rapid pain relief, and our team will see you promptly.
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Q9. Does Summerlin Dental Solutions perform wisdom tooth extractions?
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Yes. Dr. Cohan performs both simple and surgical wisdom tooth extractions at Summerlin Dental Solutions, including fully impacted wisdom teeth that are embedded within the jawbone. Our 3D CBCT scanner is particularly valuable for wisdom tooth cases because it reveals the precise position of the tooth, its relationship to the inferior alveolar nerve (the major nerve in the lower jaw), the proximity of adjacent teeth, and the density and thickness of surrounding bone all of which are critical for planning a safe, efficient surgical approach. Many patients who would otherwise be referred to an oral surgeon for wisdom tooth removal can have the procedure completed by Dr. Cohan in the comfort of our spa-like Summerlin office with full sedation options available. This means fewer referrals, fewer appointments, and a single trusted team managing your care from consultation through recovery.
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Q10. What are my options for replacing a tooth after extraction?
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Replacing an extracted tooth is important for preserving your bite alignment, preventing the neighboring teeth from shifting, maintaining jawbone density, and restoring your smile’s appearance. Dr. Cohan discusses replacement options during your extraction consultation so you have a clear plan before the tooth is even removed. The three primary replacement options are: dental implants a titanium post surgically placed in the jawbone that supports a permanent crown, widely considered the gold standard because it looks, feels, and functions like a natural tooth and preserves bone density; dental bridges a fixed prosthetic that anchors to the teeth on either side of the gap; and dentures removable partial or full dentures for patients missing multiple teeth. For patients who need all teeth extracted, All-on-4 implant-supported restorations provide a full arch of fixed teeth supported by just four strategically placed implants. Dr. Cohan’s AACD Accreditation anddecades of restorative experience ensure that whatever replacement you choose, the result looks natural and lasts for years.
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Q11. Should I get a bone graft after my tooth extraction?
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A bone graft at the time of extraction is recommended when you plan to replace the tooth with a dental implant. When a tooth is removed, the surrounding jawbone immediately begins to resorb (shrink) because it no longer has a tooth root to support. Without a bone graft, this bone loss can become significant enough within a few months to make implant placement difficult or impossible without more extensive surgery later. A socket preservation graft where bone grafting material is placed into the extraction socket at the time of removal is a relatively quick, minimally invasive step that maintains the volume and density of the bone so the site is ready for implant placement once it has healed. Dr. Cohan uses our CBCT 3D imaging to assess your bone quality before the extraction and will recommend grafting when it is appropriate for your treatment plan. The additional cost of a bone graft is modest compared to the cost and complexity of bone augmentation procedures that may be needed later if the bone is allowed to deteriorate.
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Q12. What technology does Summerlin Dental Solutions use for tooth extractions?
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Summerlin Dental Solutions has invested in the most advanced dental technology available to make extractions safer, more precise, and more comfortable. Our AI-assisted radiological analysis reviews every diagnostic image alongside Dr. Cohan, identifying root curvature, proximity to nerves, hidden infections, and bone density variations that affect the surgical approach. The 3D CBCT scanner provides a complete three-dimensional map of the tooth, its roots, the surrounding bone, and adjacent structures like the sinus floor and inferior alveolar nerve critical for avoiding complications during surgical extractions and wisdom tooth removal. Digital X-rays deliver instant imaging at up to 90% less radiation. The TRIOS digital scanner captures precise impressions for any immediate replacement restorations. Our soft tissue laser can be used to perform minimally invasive incisions with less bleeding and faster healing than traditional scalpel techniques. And dual-screen exam rooms let you see exactly what Dr. Cohan sees, so you understand why the extraction is recommended and how it will be performed before any work begins.
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Q13. Is Dr. Cohan qualified to perform surgical extractions?
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Dr. Marianne Cohan is exceptionally qualified for both simple and complex extractions. She earned her Doctor of Dental Surgery degree from the State University of New York at Buffalo with dual honors, including the Operative Dentistry Award specifically recognizing excellence in clinical dental procedures and the Periodontics Award. With more than 31 years of clinical experience and over 25 years serving the Las Vegas community, she has performed thousands of extractions ranging from straightforward single-tooth removals to complex multi-tooth surgical cases involving impacted wisdom teeth and full-arch pre-prosthetic extractions. She is an Accredited Member of the American Academy of Cosmetic Dentistry (fewer than 1% of dentists), a member of the American Academy of Implant Dentistry, a Best Dentist in America through peer nomination, and a 19-time Best of Las Vegas winner across four categories including Best Dentist and Best Customer Service. She maintains additional memberships in the AAFE, ADA ,Academy of Laser Dentistry, and Academy of General Dentistry. When a tooth needs to come out, you genuinely could not be in better hands.
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Q14. Can I be sedated for my tooth extraction?
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Absolutely. Many patients even those without significant dental anxiety prefer some level of sedation during extractions for added comfort. Summerlin Dental Solutions offers three sedation dentistry options. Nitrous oxide (laughing gas) provides gentle relaxation and wears off quickly, making it ideal for simple extractions where you want to feel calm but stay fully aware. Oral sedation delivers deeper relaxation through prescription medication taken before your appointment, excellent for patients with moderate anxiety or those having multiple extractions. IV sedation offers the deepest level of comfort and is recommended for complex surgical extractions, impacted wisdom teeth, or patients with severe dental anxiety most patients have little to no memory of the procedure. Dr. Cohan evaluates each patient individually and recommends the most appropriate sedation level for your specific case, anxiety level, and medical history.
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Q15. Where is the closest tooth extraction dentist to The Summit and The Ridges?
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Summerlin Dental Solutions is located at 851 S Rampart Blvd, Suite 230, Las Vegas, NV 89145 centrally positioned in the heart of Summerlin between Tivoli Village and Boca Park. Residents of The Summit reach our office in approximately 10–12 minutes via Town Center Drive to Rampart Boulevard. Residents of The Ridges travel south on Rampart or connect via the 215 Beltway in a similarly short drive. Both communities are among Summerlin’s most exclusive, and residents appreciate having access to a dentist with AACD credentials, 3D surgical planning technology, and full sedation capabilities within minutes of home eliminating the need to travel to the Strip or medical district for complex dental procedures.
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Q16. Can Queensridge residents get tooth extractions at Summerlin Dental Solutions?
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Yes, and Queensridge is one of our closest neighboring communities just 5–10 minutes from our front door on Rampart Boulevard. Many Queensridge families have been patients of Dr. Cohan for over two decades, and they trust her for everything from routine preventive care to complex extractions and full-mouth reconstructions. The combination of clinical expertise, advanced technology for precise surgical planning, and a spa-like environment that makes even a surgical procedure feel manageable is exactly what Queensridge residents expect from their healthcare providers. Call (702) 341-9160 to schedule your extraction consultation.
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Q17. Does Summerlin Dental Solutions accept extraction patients from Henderson?
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Yes. Henderson, Green Valley, and Anthem patients reach our Summerlin office in approximately 25–30 minutes via the 215 Beltway. Henderson residents choose Summerlin Dental Solutions for extractions because Dr. Cohan’s 31 years of surgical experience, CBCT-guided extraction planning, and comprehensive on-site capabilities including bone grafting and immediate implant planning mean the extraction and the entire restorative plan can be managed under one roof by one trusted doctor rather than being split between a general dentist, an oral surgeon, and a prosthodontist. Fewer offices, fewer appointments, and a single clinical vision from extraction through final restoration.
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Q18. Is there a dentist near Centennial Hills and Spring Valley, who performs surgical extractions?
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Yes. Summerlin Dental Solutions serves patients from throughout the Las Vegas Valley, including Centennial Hills and Spring Valley. Centennial Hills and North Las Vegas residents travel south on the 215 or US-95 in approximately 20–25 minutes, while Spring Valley patients are just 10–15 minutes south along the 215 Beltway. Both communities represent significant and growing segments of our surgical patient base. Patients from these areas tell us they choose Summerlin Dental Solutions because the combination of Dr. Cohan’s surgical expertise, advanced 3D imaging for extraction planning, multiple sedation options, and the spa-like comfort of the office makes the drive worthwhile especially for a procedure that benefits significantly from precision technology and experienced hands.
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Q19. What makes the extraction experience different at Summerlin Dental Solutions?
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Three things set the experience apart. First, precision: Dr. Cohan uses 3D CBCT imaging and AI-assisted diagnostics to map every root, every nerve, and every structural consideration before the procedure begins. This level of pre-surgical planning reduces complications, shortens procedure time, and improves healing outcomes. Second, comfort: after a stunning renovation, our office features a gorgeous, spa-inspired environment with warm blankets, noise-canceling headphones, complimentary beverages, personal entertainment screens, and three levels of sedation dentistry. Patients consistently tell us the experience was far more comfortable than they expected. Third, Continuity: Dr. Cohan does not just extract the tooth and send you away. As the sole dentist at the practice, she manages your entire care journey from the extraction through bone grafting, healing, and whatever replacement option you choose dental implants, bridges, dentures, or All-on-4. One doctor, one vision, one relationship built on trust. And the team? Hundreds of five-star reviews confirm they are the friendliest, most genuinely caring dental team patients have ever encountered.
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Q20. How do I schedule a tooth extraction consultation at Summerlin Dental Solutions?
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Call (702) 341-9160 and let our team know you need an extraction evaluation. You can also book online through our website or begin with a virtual consultation from the comfort of your home. If you are a new patient, complete your patient forms online before your visit to save time. Your consultation includes a comprehensive examination with Dr. Cohan, advanced 3D diagnostic imaging, a clear explanation of why extraction is or is not recommended, a discussion of replacement options and timeline, and a detailed cost estimate with insurance verification and financing options. We are located at 851 S Rampart Blvd, Suite 230, Las Vegas, NV 89145, centrally positioned in Summerlin near Tivoli Village and Boca Park. We serve patients from The Summit, The Ridges, Queensridge, Henderson, Centennial Hills, Spring Valley, and throughout the Las Vegas Valley.
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Communities We Serve for
Dental Extractions and Oral Surgery
Summerlin Dental Solutions is centrally located at 851 S
Rampart Blvd, Suite 230, in the heart of Summerlin between Tivoli Village, Boca
Park, and Downtown Summerlin. Our office is easily accessible from the 215
Beltway and Summerlin Parkway, making us a convenient destination for
extraction and oral surgery patients throughout the Las Vegas Valley.
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The Summit
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One of Summerlin’s most prestigious guard-gated communities, The Summit is approximately 10–12 minutes from our office. Summit residents who need extractions appreciate having a dentist with 3D CBCT surgical planning, full sedation capabilities, and the ability to manage everything from extraction through implant restoration without referrals — all within minutes of their community.
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The Ridges
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Nestled against Red Rock Canyon, The Ridges is a short drive from our office via Rampart Boulevard or the 215 Beltway. Ridges residents value Dr. Cohan’s sole-practitioner model for complex procedures like surgical extractions — seeing the same trusted doctor at every stage of treatment, from the initial 3D scan through post-operative follow-up, provides a level of continuity that multi-provider practices simply cannot match.
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Queensridge
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Our closest neighboring community at just 5–10 minutes from our office. Queensridge families have trusted Dr. Cohan with everything from their children’s wisdom tooth removals to complex extraction-and-implant cases for over two decades. The geographic proximity means recovery check-ups and follow-up visits are exceptionally convenient.
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Henderson
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Henderson, Green Valley, and Anthem patients reach our Summerlin office in approximately 25–30 minutes via the 215 Beltway. Henderson patients choose us for extractions because Dr. Cohan’s advanced surgical planning technology, comprehensive restorative capabilities, and 19 Best of Las Vegas awards represent a standard of care that justifies the drive.
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Centennial Hills
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North Las Vegas and Centennial Hills residents travel south on the 215 or US-95 in approximately 20–25 minutes. This growing community is one of our fastest-expanding patient demographics for surgical procedures, with patients citing the combination of expertise, technology, and comfort amenities as the deciding factors.
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Spring Valley
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Located just south of Summerlin along the 215 Beltway, Spring Valley patients reach our office in 10–15 minutes. As one of our largest patient communities, Spring Valley residents frequently discover us through word-of-mouth from friends and neighbors who experienced unexpectedly comfortable extractions and exceptional aftercare.
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Advanced Technology for Safer,
More Precise Extractions
The safety and success of a dental extraction —
particularly a surgical extraction depends heavily on the quality of the
pre-surgical diagnosis and the precision of the technique. Summerlin Dental
Solutions has invested in every meaningful advancement in dental technology to ensure that every extraction is planned meticulously
and performed with the highest level of precision and patient safety.
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AI-Assisted Radiology
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Our artificial intelligence diagnostic system analyzes radiographic images alongside Dr. Cohan, identifying root anomalies, hidden infections, bone density variations, and proximity to vital structures like nerves and sinuses. For extraction patients, this AI second opinion ensures the surgical approach accounts for every anatomical variable, reducing the risk of complications.
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3D CBCT Scanner
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The cone beam CT scanner is the single most important technology for extraction planning. It produces a complete three-dimensional map of the tooth, its root structure, the surrounding bone, the inferior alveolar nerve, the maxillary sinus floor, and adjacent teeth — all in a single scan that takes seconds. For impacted wisdom teeth, this 3D view reveals exactly how the tooth is positioned and the safest path for its removal.
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Soft Tissue Laser
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For surgical extractions requiring gum tissue incisions, our dental laser provides a minimally invasive alternative to traditional scalpel techniques. Laser incisions produce less bleeding, less post-operative swelling, reduced risk of infection, and faster healing — a meaningful comfort advantage for patients recovering from surgical extractions.
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TRIOS Digital Scanner
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When extraction is part of a larger restorative plan such as removing a failed tooth and replacing it with an implant-supported crown the TRIOS scanner captures precise digital impressions for the replacement restoration without messy putty trays, streamlining the treatment timeline.
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Digital X-Rays
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Providing instant diagnostic images at up to 90% less radiation than conventional film, digital X-rays are the first line of assessment for any tooth being evaluated for extraction. Results appear on screen immediately, enabling Dr. Cohan to begin her analysis without delay.
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Dual-Screen Exam Rooms
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Every treatment room features dual monitors that display your 3D scans, X-rays, and treatment plan in real time. Dr. Cohan walks you through the images before the extraction, showing you exactly why the tooth needs to come out, where it sits in relation to surrounding structures, and how the procedure will be performed. This transparency eliminates uncertainty and builds the trust that anxious patients need most.
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Computerized Smile Design
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For patients who need front teeth extracted, smile design software helps Dr. Cohan plan the replacement restoration. whether a temporary prosthetic, an implant-supported crown, or a bridge so the aesthetic result is mapped out before the extraction even occurs. No patient leaves with a visible gap unless they choose to.
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Experienced, Gentle Hands: Dr.
Cohan and the Team That Makes Extractions Manageable
Dr. Marianne Cohan
has been performing dental extractions for more than 31 years, from
straightforward single-tooth removals to complex surgical wisdom tooth cases
and full-arch pre-prosthetic extractions. She earned her DDS from the State
University of New York at Buffalo with dual honors the Operative Dentistry
Award, recognizing excellence in clinical dental procedures, and the
Periodontics Award, recognizing expertise in the tissues and bone that support
the teeth. This dual foundation is directly relevant to extraction surgery,
where understanding both tooth structure and the surrounding bone is essential
for optimal outcomes. Her AACD Accreditation (fewer than 1% of dentists), AAID
membership (implant dentistry), Best Dentist in America peer nomination, and 19 Best of Las Vegas wins across four categories confirm that her clinical skills
and patient care are recognized by both her peers and her community. She is the
sole dentist at the practice, which means you see the same doctor from your
extraction consultation through your final restorative appointment no
hand-offs, no unfamiliar faces, just one trusted relationship. You genuinely
could not be in better hands.
The team surrounding Dr. Cohan is equally committed to
your comfort during extractions. The front desk team schedules your appointment
with empathy and efficiency. The assistants prepare the operatory to minimize
wait time. The treatment coordinators walk you through every financial option
without pressure. And throughout the procedure, the team checks in with you
continuously adjusting your blanket, offering water, ensuring your sedation
level is right, and reminding you that you are doing great. Hundreds of five-star patient reviews and a Best Customer Service award from the Las Vegas
Review-Journal confirm what patients experience firsthand: this is the
friendliest, most genuinely caring dental team you will ever encounter.
A Spa-Like Environment for
Comfortable Oral Surgery
Having a tooth pulled is not anyone’s idea of a good
time, and Summerlin Dental Solutions does not pretend otherwise. What we do is
minimize every source of discomfort, anxiety, and unpleasantness so the
experience is as manageable as possible. After a stunning, top-to-bottom
renovation, our office features a gorgeous, modern interior with warm lighting,
contemporary design accents, and a calming atmosphere that patients
consistently describe as spa-like. Every treatment chair is equipped with warm
blankets to keep you cozy during the procedure, noise-canceling headphones so
you do not hear the instruments, complimentary beverages before and after, and
a personal entertainment screen where you can watch a show or listen to music
while Dr. Cohan works.
For extraction patients who need additional support, our
full range of sedation dentistry
options nitrous oxide, oral sedation, and IV sedation ensures there is a
comfort solution for every patient and every level of anxiety. The combination
of clinical precision, physical comfort, emotional support, and a team that
treats every extraction patient with genuine compassion is why patients across
the Las Vegas Valley choose Summerlin Dental Solutions for procedures they once
dreaded.