Dentists always prefer to try and save a tooth whenever possible, but sometimes it is just too broken down to fix or you may just not want to save it, for whatever reason that may be.  When it”s time, we can often remove the tooth here with the help of some local anesthetic and if necessary, some nitrous oxide to help you relax a little.  If you want to be put to sleep for the extraction or if the tooth removal is going to be complicated, we will refer you to a local oral surgeon for treatment.