Yes, a periodontist can extract teeth, and in fact, they are often the most suitable dental specialists for complex or delicate extractions. Their advanced training in gum health, bone preservation and oral surgery allows them to handle extractions that may be too challenging for a general dentist, particularly when the tooth is broken, impacted or surrounded by advanced gum disease.
By focusing on the surrounding tissues and bone, periodontists ensure the extraction process is as safe and precise as possible, while also planning for long term solutions such as implants or gum treatment where needed.
Periodontists are best-placed to preserve your natural bone during the extraction – and they can also offer the ability to even add more bone (bone graft) at the time of extraction. This restores the anatomy of the jaw as well as improves the outlook for any future implant placement that you may be considering at the site.
What Is A Specialist Periodontist?
A periodontist is a dental specialist who undergoes additional years of training beyond general dentistry. Their focus is primarily on the prevention, diagnosis and treatment of gum disease, but their expertise extends to surgical procedures involving the gums and supporting bone.
This makes them highly skilled in procedures such as gum grafting, bone regeneration, implant placement and tooth extraction. Patients with advanced periodontal disease or complicated dental concerns are often referred to a periodontist for specialist care.

Periodontists’ focus is primarily on the prevention, diagnosis and treatment of gum disease.
Do Periodontists Extract Teeth?
Periodontists do extract teeth, particularly in cases where gum disease has caused loosening, infection or significant bone loss. They are also called upon when a tooth is fractured beneath the gum line, impacted or needs removal before further periodontal or implant treatment can take place.
What sets a periodontist apart is their ability to combine surgical precision with an understanding of how the gums and jawbone will heal after extraction. This ensures the site is carefully managed to reduce the risk of complications and to preserve as much bone and gum tissue as possible.
When Might A Periodontist Extract A Tooth?
There are several scenarios where a periodontist may be the best choice for extraction. These include cases where severe gum disease has destroyed the supporting structures of a tooth, leaving it unstable and painful. They may also carry out extractions before placing dental implants or when performing other surgical treatments.
Impacted teeth, such as wisdom teeth, can also be managed by a periodontist when their position makes removal more complex. For patients who experience anxiety about dental procedures, a periodontist’s surgical expertise and focus on patient comfort can provide reassurance and reduce stress during treatment.
What Are The Benefits Of Having A Periodontist Extract A Tooth?
One of the main advantages of choosing a periodontist for tooth extraction is their focus on both the removal itself and the long term health of the mouth. They are trained to protect the bone and gum tissue, which is especially important if the patient is considering a dental implant or other restorative treatment in the future. Their careful technique can reduce healing time and minimise complications such as infection or excessive bleeding.
Periodontists also have the expertise to offer additional treatments during or after extraction, such as bone grafting, which can prepare the site for an implant. This comprehensive approach not only deals with the immediate problem but also supports long term oral health and aesthetics.
How Common Are Tooth Extractions?
Tooth extraction is a relatively common dental procedure, with studies showing that more than 70% of extractions in adults are due to advanced gum disease or tooth decay. This highlights the importance of periodontal expertise, as gum disease is one of the leading causes of tooth loss.
By addressing both the extraction and the underlying gum condition, a periodontist ensures that patients receive a more complete and preventative form of care.
What Happens After A Tooth Extraction By A Periodontist?
After an extraction, the healing process begins immediately. A periodontist will provide tailored aftercare instructions, which may include managing discomfort, protecting the extraction site and promoting tissue healing.
If future treatment such as an implant is planned, the periodontist will prepare the area to ensure the best possible outcome. In cases where gum disease caused the extraction, ongoing periodontal care will also be advised to protect the remaining teeth and prevent further issues.
Why Choose A Periodontist For Tooth Extraction?
For patients with complex oral health issues, a periodontist’s advanced training provides peace of mind. They can manage extractions with a high degree of precision, preserve vital bone and gum tissue, and integrate the procedure into a broader treatment plan.
This is particularly valuable for patients who have already experienced significant damage due to gum disease or bone loss. At The Perio Centre in Harley Street in London, patients benefit from specialist care tailored to both their immediate and long term oral health needs.

At The Perio Centre in Harley Street, patients benefit from specialist care.
Final Thoughts
A periodontist can extract teeth, and in many situations, they may be the best professional to carry out the procedure. With their expertise in gum health, bone preservation and oral surgery, they offer a level of precision and care that goes beyond simple removal.
For patients facing extractions due to gum disease, fractures or complex dental conditions, a periodontist not only ensures safe removal but also supports the healing and restoration of the mouth afterwards. Choosing a periodontist means choosing a specialist who can address today’s problem while also planning for the healthiest possible future for your smile.

Dr Simon Stern is a registered Specialist Periodontist at The Perio Centre. His qualifications include BDS MJDF RCS (Eng) MClinDent MPerio RCS (Ed). He lectures at both national and international conferences, and has published papers in several well-respected journals.


