At Advanced Dental Care of Stafford, we have one mission and that is to provide the right information to every patient. A surgical extraction is a slightly more complex procedure that occurs when a tooth has not yet broken through the gum line or has not yet fully grown into the mouth. When a surgical extraction is needed, your oral surgeon makes a small incision into your gum in order to access the affected tooth. From here, the procedure is similar to a simple extraction. Your oral surgeon may stitch the incision site if necessary.