Extractions are performed for a wide variety of reasons, including tooth decay that has destroyed enough tooth structure to prevent restoration. Extractions of impacted or problematic wisdom teeth are routinely performed, as are extractions of some permanent teeth to make space for orthodontic treatment. There are 2 basic types of extractions:

  • Simple Extraction: tooth removal procedure that can be accomplished using a traditional "elevator and forcep". Simple implies that the tooth is not cut into pieces and no incision is made in the gum tissues to gain access to the tooth.
  • Surgical Extraction: tooth removal procedure in which surgical access is required to completely remove a tooth. This includes sectioning the tooth into two or more pieces, whether or not a soft tissue incision is made. We typically will refer our patients to a specialists in circumstances in which we expect that surgical intervention is required.


Bone grafts may be indicated if there isn't enough bone or your bone is too soft to support an implant or prosthesis. Bone grafts can either be from an extraction site, or other body part such as the hip or skull (autologous), from a cadaveric human bone bank (allograft), from another species eg: cow (xenograft), or synthetic (often made of hydroxyapatite or other naturally occurring and biocompatible substances) with similar mechanical properties to bone. Most bone grafts act as a scaffold and are resorbed and replaced as the natural bone heals over a period of months.

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