Tooth extraction is usually a dentist’s last resort and will usually only be recommended if other forms of restoration or repair have not been effective. A tooth may need to be removed as a result of excessive tooth decay, a severe tooth infection, or crowding issues. In some cases, a tooth (or several teeth) may need to be removed to make room for other incoming teeth or to aid in the tooth straightening process for those who have braces. Tooth extraction is a relatively routine outpatient procedure that can be performed by a dentist or oral surgeon. Depending on the complexity of the extraction, local, general, or intravenous anesthesia may be administered to ensure a painless procedure.