Both the American Veterinary Dental College (AVDC) and American Veterinary Medical Association (AVMA) recommend all dental procedures be performed under general anesthesia. This includes tooth removal. Tooth extractions involve a few steps, and your veterinarian will likely follow a procedure similar to this: Clean all teeth and gums X-ray the affected areas Identify the affected tooth or teeth Surgically create flaps in the gum tissue around the affected teeth Drill affected teeth to isolate roots Clean out the gum line to remove any remaining debris X-ray the area to ensure proper removal Stitch the gum line If your dog requires more advanced treatment, your vet may refer you to a Board Certified Veterinary Dentist. Unlike for humans, dog dentures don’t exist. So if your pooch has many teeth removed, your vet will likely discuss how this can affect their eating and drinking habits. You may be able to get dog teeth implants for your pup. However, there are risks involved, and most dogs can lead normal lives through dietary and routine changes without needing tooth replacement.