Although we make every effort to save teeth, there are instances in which the long-term prognosis is poor and it is necessary to remove them. Depending on the condition of the tooth, your extraction will be either nonsurgical or surgical. A nonsurgical (simple) extraction is one in which the tooth is intact and can be removed without surgical access. Surgical extractions involve accessing and sectioning the tooth surgically and closing the extraction site with sutures. There are occasions when intact teeth fracture during extraction and, therefore, must be surgically removed. In either case, there is often post-operative discomfort following extraction and appropriate medications are prescribed. You will also be given detailed post-operative instructions before you leave.