If you've been told you need a surgical extraction, you're likely wondering what the procedure involves, how much it costs, and where to go for treatment. Whether it’s for a broken tooth, impacted wisdom teeth, or a severe infection, surgical tooth extraction is a common but more complex dental procedure that requires specialist care. What Is a Surgical Tooth Extraction? A surgical extraction is more advanced than a simple extraction. It’s performed when a tooth cannot be easily accessed for example, if it hasn’t fully erupted or has broken off at the gum line. The procedure often involves cutting into the gum, removing bone, or sectioning the tooth to take it out safely.