We make every effort to preserve your natural teeth. However, extractions are necessary when decay has made the tooth unsalvageable or when you have advanced periodontal 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 can offer you a replacement in the form of a dental implant or oral prosthetic. Also, in some orthodontic cases, your orthodontist may recommend that certain teeth be removed, typically premolars and/or wisdom teeth.