At North Shore Dental we would rather keep a tooth if possible but sometimes unfortunately that is not always possible. Our dedicated team will talk to you about the best options and if an extraction is needed we can arrange that and discuss how to replace the missing tooth If you have any infections, treatment will usually be delayed until the infection has cleared up. Your dentist may prescribe antibiotics to help heal the infection. Before removing a tooth, your dentist will give you a local anesthetic to numb the area where the tooth will be removed. Intravenous Sedation may be used, especially if several or all of your wisdom teeth will be removed at the same time. An oral and maxillofacial surgeon or your dentist can remove (extract) a wisdom tooth.