Complicated retained tooth extraction is a surgical procedure performed to remove impacted or unerupted teeth with complex positioning, deep location, or close proximity to nerves and adjacent structures. Such teeth often require advanced surgical techniques for safe removal.

The procedure may involve creating a surgical flap, removing surrounding bone, and sectioning the tooth to minimize trauma. It is performed under local anesthesia with appropriate pain control. This type of extraction helps prevent infection, pain, cyst formation, and damage to neighboring teeth while supporting proper healing and long-term oral health.