Tooth extractions refers to removing damaged, broken, or extra teeth that dentist cannot restore or repaired by filling, crowns, or other dental treatment. Tooth removal can be a simple procedure, or surgical extraction, the former is usually used for tooth that can be easily accessed using an instrument called elevator, the latter is a more complex. Broken tooth at the gum line, wisdom teeth are examples where surgical extraction might be necessary. Before a tooth is extracted, a comprehensive review of medical and dental history is conducted along with the appropriate X-rays. The x-rays reveal all relevant information regarding the tooth in question, its surrounding bone to determine whether to do the procedure in house, or refer the patient to the oral surgeon.