At Pollard Dental, we do everything in our power to save your natural teeth. However, unfortunately, that is not always possible. In certain circumstances, we need to make the difficult decision to extract a tooth. A tooth extraction is when the entire tooth structure, including the root, is fully removed. There can be a number of reasons that a tooth may need to be removed, including a medical condition, severe decay due to neglect, trauma, gum disease, and spacing issues before orthodontic treatment.