A tooth may need to be extracted for a number of reasons, the most common of which is advanced tooth decay. If a tooth has decayed to a point where restorative procedures such as drilling and placing crowns, onlays, or inlays will not save it, then an extraction is needed to protect the mouth from further infection and damage. Tooth extractions are also performed on patients who have impacted teeth or who need more room in their mouths in order to receive the benefits of orthodontic treatment.
When the tooth is visibly above the gum line, we perform a simple tooth extraction that only requires local anesthesia. For teeth that are still below the gum line, a surgical extraction is necessary. Patients undergoing a surgical tooth extraction may opt for sedation in addition to local anesthesia.