Sometimes, despite every best effort, there is nothing that can be done to save a tooth and, especially if it causing pain or discomfort, it is best to have it extracted (taken out). Before this happens, your dentist will discuss the other options that may save the tooth and what you can do to fill the space afterwards if required. Your dentist will also discuss what will happen after the tooth has been taken out including risks of bleeding, bruising, swelling, discomfort and local infection of the socket left behind. If the tooth is complicated to remove or there is another risk associated with your medical history or other circumstances, your dentist may refer you to the hospital to have the tooth removed by specialists with advanced facilities close to hand. Your dentist will ensure you are numb for the procedure. You will feel a lot of pushing and pulling and pressure but there should be no pain. If it does hurt, let your dentist know and they will take measure to make you more comfortable. Afterwards, your dentist will make sure the bleeding has stopped and give you instructions on how to look after the area. Listen to these carefully as this will help the area heal faster. If there are any problems or concerns after you have left the surgery please do no hesitate to contact the practice for advice.