A child may require tooth extraction for several reasons including dental decay, trauma to the tooth or surrounding bone, having extra teeth, or orthodontic (braces) therapy. Your dentist or orthodontist will help you understand why a primary (baby) tooth or a secondary (adult) tooth needs to be extracted and they may refer you to an oral & maxillofacial surgeon to make sure your child receives the most efficient and comfortable treatment possible. Families often elect for their child to be asleep for minor procedures such as dental extraction.