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Although permanent teeth were meant to last a lifetime, there are a number of reasons why tooth extraction may be needed.  A common reason involves a tooth that is too badly damaged to be repaired.   Sometimes even primary, or “baby” teeth need to be extracted.  This could be due to severe decay, orthodontic considerations or simply their stubborn refusal to exfoliate.  Dr. Boudreau and his oral surgeon colleagues (dentists with special training to perform surgery) perform tooth extractions.