What type of tooth extraction requires advanced skills and additional instrumentation?

Complex extractions require advanced skills and additional instrumentation due to the nature of the procedure. These extractions are typically performed when teeth are impacted, have extensive decay, are fractured, or have abnormal root anatomy that makes removal more difficult. The complexity may also arise from the location of the tooth, such as wisdom teeth that are not fully erupted, requiring surgical intervention.

During a complex extraction, specialized tools and techniques may be necessary, such as surgical retractors, elevators, and bone removal instruments, to access the tooth safely and effectively. The process may also involve the need for local anesthesia, sedation, or even general anesthesia, depending on the patient's situation and the difficulty of the extraction. Proper training and experience are crucial for practitioners performing these types of extractions to minimize complications and ensure patient safety.