In general, we try to save teeth, however, there are some circumstances that we have to extract. Extraction is best for: • Extensive tooth decay • Fractured teeth below the gumline • Advanced gum disease. • Crowded baby teeth. • Impacted wisdom teeth • Orthodontic purposes The most common type of tooth extraction is that of the wisdom tooth. A wisdom tooth is removed to remedy a problem or prevent future problems that may arise in the future. When wisdom teeth appear, several issues can result: • Your jaw may be too small to accommodate them, resulting in impaction or inability to erupt. • Your wisdom teeth may break partway through your gums, causing a piece of gum tissue to grow over them. Food and germs can get trapped under the gum and cause the area to become red, swollen, and painful. • More serious problems can develop from impacted teeth, such as infection, damage to other teeth and bone around them. Before we start the extraction procedure, we'll numb the area with anesthetic to keep you comfortable. A few minutes later, we check the area to make sure that it's completely numb. You may feel pressure when the tooth is removed, but you shouldn't feel any pain at all. Often we recommend sedation such as nitrous-oxide or oral conscious sedation to do the procedure in a more calming environment.