When Is a Tooth Extraction Necessary? A tooth extraction in Arlington, VA may be recommended when a tooth is too damaged, infected, or compromised to be restored successfully. Although preserving natural teeth is always an important goal, removing a severely affected tooth can sometimes prevent additional problems and protect your long-term oral health. At Gorgeous Smile, Dr. Ahmed Salim evaluates each patient's individual condition before recommending an extraction. A tooth may need to be ...