When the tooth cannot be saved
Saving the tooth is always the first option. There are, however, situations where extraction is the right call — fractures below the gum line, decay too deep for endodontics, advanced periodontal disease, or an impacted wisdom tooth pressing on its neighbours.
Planning and the procedure itself
Before the procedure we take an X-ray, or for more complex cases a 3D CBCT, so the position of roots, nerves and adjacent canals is exactly known. Extraction is performed under local anaesthesia. An atraumatic technique preserves the surrounding bone — important if you are later considering an implant.
Healing and the next steps
The socket heals over 1—2 weeks. Avoid hard food, smoking and alcohol for 24—48 hours so the clot can form. Replacement is planned during the same visit or later — usually an implant or bridge — to prevent bone resorption and migration of neighbouring teeth.