A simple tooth removal or extraction is one in which the dentist can remove the tooth simply by loosening the gums around it, grasping the crown above the gum line, then moving it side to side until it loosens from the bone. Teeth are normally held into the bone by a thin sheathe of soft tissue that separates it from the bone like a sock separates a foot from a shoe. This sheathe is called the periodontal ligament, and it is this structure which ultimately enables the dentist to perform teeth removal. The key to a simple dental extraction is to rock the tooth side to side slowly enlarging the socket in the bone while at the same time breaking the ligament which binds the tooth in the socket.
Unfortunately, not all extractions can be done by simply grasping the tooth with forceps and rocking it out. What if there is nothing left above the gum line to grasp or if the crown breaks off leaving the roots still in the bone? These things can and do happen, and any tooth extraction dentist will have to deal with them routinely. In these cases, it becomes necessary to surgically extract the tooth via a broken tooth extraction or emergency tooth extraction. On single rooted teeth a small flap will be raised for better visualization. A small amount of bone will be gently removed to access more solid tooth structure. The tooth will then be removed like a simple oral surgical extraction. In the case of multiple rooted teeth, the roots are separated so they can be removed individually. If a flap is needed, the dentist will place sutures so healing can proceed normally. Tooth extraction costs will vary depending upon individual situations.