Veterinarians with proper instrumentation and dental x-rays will know the best plan of attack to assure a successful outcome. If the veterinarian is hesitant to extract a tooth because of lack of experience or instrumentation, veterinary oral surgeons are available to perform the procedure successfully. The technique includes non-surgical and surgical extractions. Non-surgical extractions are those accomplished with simple elevation and traction. These are usually Stage 5 and 6 periodontally involved teeth.
Instrumentation is limited to simple extraction forceps, fingers, or needle holders.
The skill required is precision burring with high speed dental equipment. Once the veterinary dentist gains the skills, extractions become quick and minimally painful for the animal. If pain is anticipated, regional blocks are used such as maxillary and mandibular nerve blocks . The author has experienced far more success in healing mouths with proper extractions than heroic measures including guided tissue regeneration with osseous induction and periodontal regeneration.