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hello Im Dr Rich if you have a severely broken down tooth your dentist may have to perform a surgical extraction to remove it a surgical extraction involves cutting the gum open and raising a flap next some bone on the cheek side of the tooth is removed to create some space but usually not as much as shown in the animation then they will section the tooth into individual roots and remove them if you are going to get a dental implant to replace the tooth they will place a bone graft in the extraction socket cover it with a membrane that suits you the gums clothes and let it heal the site should be ready for the dental implant in about three to four months [Music]