Surgical extraction is generally recommended when a tooth cannot be removed through a straightforward extraction — for example, when it has broken below the gum line, is impacted, or has a complex root structure. This procedure involves a more careful surgical approach, sometimes including a small incision in the gum tissue to access the tooth safely. We use imaging beforehand to understand the position of the tooth and plan the safest approach for removal. Local anesthesia is used throughout, and we discuss sedation options where relevant to help keep the procedure as comfortable as possible. After extraction, our team provides clear aftercare guidance covering pain management, swelling, and oral hygiene to support smooth healing. Recovery time can vary depending on the complexity of the case, and we schedule follow-up as needed to monitor healing. If you have a tooth that is difficult to extract through routine means, a consultation will help clarify what a surgical extraction would involve in your specific case.