Our dentists make every effort to preserve your natural teeth. However, extractions are necessary when a tooth is made unsalvageable or when you have advanced gum disease. When a tooth is malformed, damaged, impacted or ingrown, different procedures are used, but all extractions are considered surgery. Depending on which tooth is removed, we may be able to offer you a replacement in the form of an oral prosthetic or refer you for a dental implant should you wish.