When teeth are no longer restorable, loose from gum disease, or too crowded, the dentist may recommend having it extracted or taken out. The teeth are removed with local anesthesia in the office to make the procedure as comfortable as possible. Any bleeding, swelling or post-operative discomfort usually diminishes within the first 24-48hrs. We recommend that a restorative procedure such as bridges or implants be planned for after removal of a tooth, as missing teeth can cause shifting and difficulty chewing.