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Dr. Shannon makes every effort to preserve your natural teeth. However, extractions are necessary when decay has made the tooth unsalvageable or when you have an advanced periodontal disease. When a tooth is malformed, damaged, impacted or ingrown, different procedures are used, but all extractions are considered surgery. If an extraction is necessary, Dr. Shannon can determine if the extraction can take place in our office, or if the patient needs to be referred to an oral surgeon. Depending on which tooth is removed, we can offer you a replacement in the form of a dental implant or oral prosthetic.