A surgical extraction may be necessary if Dr. Boyter deems a tooth non-salvagable due to complications from periodontal disease, infection, fractures, or impactions. A difficult extraction involving an impacted tooth or a tooth with curved roots typically requires cutting through gingival tissue to uncover the tooth. It may also require removing portions of bone to loosen the tooth. Some teeth must be sectioned and removed in pieces. The extraction site will likely require one or more stitches to close the incision. Under some circumstances, a referral to an oral surgeon may be needed for this procedure. If completed in our office, Dr. Boyter will administer local anesthesia to comfortably numb the area, and after the procedure, he will review homecare instructions that will help keep the site clean and pain-free.