It is important to weigh up all the pros and cons before extracting a tooth. Discussing your options with our dentists will help with your concerns. Every effort is made to help preserve your natural teeth as they can function better than artificial teeth. A missing tooth can cause nearby teeth to move out of their normal position and tilt towards the gap. This can cause issues with cleaning your teeth, increase the risk of decay and difficulty with chewing. A bridge, denture or implant may be necessary to avoid this issue. Most tooth extractions at Gentle Care Dentistry is under local anaesthetic. This is an injection into the gum to numb the area around the tooth, and make the procedure more comfortable for you.