Our experienced dental team works to maintain your natural teeth whenever possible. But there are times when tooth extraction is recommended because the tooth is severely damaged or decayed beyond repair. Sometimes, tooth removal is needed to remove the wisdom teeth or make more room when the mouth is overcrowded. A local anesthetic is used, so you don’t feel pain during the extraction. The tooth is then rocked back and forth gently to release it from the jaw and ligaments. If the tooth is impacted or difficult to remove, then there are times when the dentist needs to take the tooth out in pieces.