Complicated tooth extraction is a surgical dental procedure performed when a tooth cannot be removed with a simple extraction. This may be due to deep roots, curved or fractured roots, impacted position, proximity to nerves, or severe structural damage.

The procedure may involve making a small incision in the gum, sectioning the tooth, or removing surrounding bone to allow safe extraction. It is performed under local anesthesia and, when needed, additional pain control methods. Complicated extraction aims to remove the tooth completely while minimizing trauma, supporting proper healing, and reducing the risk of postoperative complications.