Why the tooth needs to be extracted, where it is located, and the overall health of the tooth will all affect the treatment and extraction process. A simple extraction, where the tooth is easily accessible, involves numbing the gum area first. The tooth will then be extracted by employing specially designed devices to grip the tooth. When a tooth is impacted, stuck beneath other teeth, or broken, an incision into the gums may be required. Many patients request to be sedated for this form of extraction. In this situation, the tooth is typically removed in pieces rather than in one section.