Extracting teeth is always a last resort in the 21st Century. We are lucky to have so many great treatments available to help you keep your teeth into advanced old age, but occasionally a tooth becomes so badly damaged that extraction is the best choice. Most extractions are simple, and can be done painlessly with local anaesthetic, though for particularly difficult cases we sometimes refer patients to a local specialist. After an extraction your mouth will feel a little tender for a few days, and it’s best to stick to a softer diet than normal, but most patients experience little or no pain. If an extraction socket becomes very painful you are probably suffering from what is known as Dry Socket, and you will need to return to have a dressing placed to relieve the pain. Any surgical or invasive procedure carries risks. Before proceeding you should seek a second opinion from an appropriately qualified health practitioner.