When Is a Tooth Extraction Necessary? Hearing that you may need a tooth extraction in Fort Myers, FL can understandably raise questions. While dentists generally prioritize saving natural teeth whenever possible, removing a tooth may be recommended when it is too damaged, infected, or compromised to be predictably restored. At Avalon Dental, we evaluate the condition of your tooth and surrounding structures before recommending extraction or discussing potential alternatives. A tooth extraction may be necessary ...