A dental extraction is most commonly required if one of your teeth is damaged beyond practical repair. The most common reasons for tooth extractions include: Severe tooth decay or infection may make it impossible or too costly to repair a tooth Advanced gum disease may require a tooth to be pulled so it doesn’t affect the supporting tissues and bone structures of your mouth A tooth may be extracted if it is blocking other teeth from coming in During orthodontic work, teeth may need to be extracted to create room for the teeth that are being moved into place Wisdom teeth are often extracted either before or after they come in What to expect Your dentist will first administer anesthetic to numb the area and reduce discomfort. During the extraction, you will feel the pressure of the tooth being removed, but will not feel any pain. Typically, the dentist is able to remove your tooth within a matter of minutes A small amount of bleeding is normal and a patch of gauze will be placed in the affected area. The area may bleed minimally for the next 24 hours or so and taper off after that. Follow your dentist’s instructions on how often to change the gauze, and what other post-procedure steps to follow. It is important to decide if you want to replace the tooth being removed. There are several different options for tooth replacements e.g. Bridges or Implants. Depending on the situation, your dentist will be able to discuss the best long term option for you.