When Is a Tooth Extraction Necessary? A tooth extraction in San Francisco, CA may be recommended when a tooth is severely damaged, infected, or no longer able to function properly. While preserving natural teeth is always an important goal, there are situations where removing a tooth can protect your oral health and prevent more serious complications. At Japantown Dental, Dr. Clint Taura carefully evaluates each patient's needs before recommending an extraction. A tooth may ...