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Tooth extraction is most definitely the last resort.
However, there are some cases where a tooth cannot be saved, or to do so would incur a great deal of expense for short-term gain. Removing the tooth itself takes relatively little time and is not painful.
The only thing you will feel is a bit of pressure. and a local anaesthetic is usually sufficient for most people. Once the tooth is removed we will discuss your options in terms of replacement, such as a bridge or implant.