Tooth extraction is the pulling of the tooth or removal of a tooth from the jawbone. This method can involve a single tooth extraction or multiple tooth extraction. Extraction becomes necessary when teeth cannot be restored because of Dental trauma, Tooth Decay or Periodontal disease. There are several options available for painless extraction including “laughing gas” to reduce anxiety and anesthesia numb the area. As the gum portion around the tooth is numb, the tooth can be extracted without pain.