Tooth Extractions
A tooth that aches every time you bite down, a baby tooth that refuses to let go, or a molar that has broken below the gumline — these are the kinds of situations that bring people into our Chesapeake office asking whether a tooth needs to come out. Most of the time, our goal is to save a tooth. But when a tooth is beyond repair or is causing problems for the teeth around it, removing it is often the most straightforward way to stop the pain and protect your long-term oral health. We offer extractions, and we take the time to explain exactly why one is being recommended before anything happens.
When an Extraction Is Needed
We recommend extractions in a handful of common situations. Severe decay that has destroyed too much tooth structure for a filling or crown is one. Advanced gum disease that has loosened a tooth past the point of stability is another. We also remove teeth that have cracked in a way that cannot be restored, stubborn baby teeth that are blocking an adult tooth from coming in, and teeth that need to make room as part of a broader treatment plan. If you came to us through an emergency dental appointment with a tooth that is fractured or throbbing, an extraction may be part of getting you comfortable the same day.
Comfortable, Gentle Care
We understand that extractions can feel intimidating. Our team focuses on creating a calm experience, using gentle techniques and sedation options when needed to keep you comfortable throughout your visit.
What to expect
1. Exam And Discussion: We examine the tooth, review your options, and confirm a simple extraction is the right choice.
2. Gentle Removal: We numb the area completely and lift the tooth out with steady, careful pressure.
3. Healing At Home: You’ll leave with clear aftercare instructions and a way to reach us if anything concerns you.
Planning for What’s Next
Meet Your Doctor
Dr. Colleen Moreno provides gentle, personalized care focused on comfort, precision, and lasting results. She takes the time to understand each patient’s needs, helping create healthy, confident smiles in a relaxed, welcoming environment.
Yes, we take insurance.
We accept many major insurance plans, including Humana, Cigna, United Healthcare, MetLife, GEHA, Ameritas, and select Anthem plans. Our team is happy to help you understand your coverage and make your visit as simple and stress-free as possible.








Why People Love Signature Smiles
Stone J.
Absolutely incredible people all around! The entire staff is very polite and efficient! I got 12 fillings done in quick order with little to no discomfort (I honestly could have slept through most of it lol).
My teeth look brand new, and I’d highly recommend this dentist!
Sherry A.
I had been going to another local dentist for over 20 years but switched to Signature Smiles about a year ago because of a change in my insurance. I am very happy that my dentist is now Dr. Moreno! She is extremely thorough and competent! I highly recommend her and her office staff!
Mayra R.
I am a new patient of Dr. Moreno! The office scheduled me very quickly, i called and they had me in the very next day! the whole staff is super nice. Dr. Moreno made sure to explain my treatment plan to where i could understand and made me feel like she genuinely cares about my oral health.
Donna B.
I’ve haven’t laughed this much since my former dentist of 30 years retired (Dr. K. Grindley). Change is hard for many but change has been great with the new practice Signature Smiles! I lived in GB for 35 years and do not mind the drive to their office from Norfolk. It’s worth the trip!
Dr. Moreno is an amazing dentist and her support staff is awesome!
Hailey M.
I am a new patient of Dr. Moreno! The office scheduled me very quickly for both of my 6 month cleanings this year and also fit me right in for a filling appointment in the same week. I was in and out in 15 minutes for a filling too! Signature Smiles is very efficient and made coming to the dentist not feel like such a chore.
Todd S.
This was my first visit since Dr. Moreno took over from Dr. Graham, and I couldn’t be happier! Dr. Moreno and her team were super friendly, professional, and made me feel right at home. The whole experience was smooth and comfortable — definitely glad to be staying with Signature Smiles!
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