Tooth extractions involve the complete removal of a primary or a permanent tooth. A tooth extraction can be surgical or non-surgical depending on the difficulty of the extraction and whether or not the tooth is impacted (below the gum) or erupted (above the gum), and whether it has straight or curved roots. No one looks forward to a tooth extraction, but modern anesthesia and a variety of sedation modalities will help keep you comfortable and calm throughout the procedure.