Tooth extraction is the removal of a tooth from its socket in the jawbone. It may be necessary for teeth that are severely decayed, damaged, loose, or impacted (such as wisdom teeth). Extractions can be simple or surgical, depending on the condition of the tooth. The procedure is performed under local anesthesia for a painless experience. After extraction, your dentist may suggest options for tooth replacement, such as implants or bridges, to restore full function and aesthetics.