When Is a Tooth Extraction Necessary? A tooth extraction in Sacramento, CA may be recommended when a tooth has become too damaged, infected, or unstable to restore effectively. Although preserving natural teeth is an important goal in modern dentistry, removing a severely compromised tooth can sometimes be the best way to protect your oral health. At Perfect Smile Dental, Dr. My Hanh Trieu carefully evaluates each patient's condition before recommending treatment. A tooth may ...