When Is a Tooth Extraction Necessary? Hearing that you may need a tooth extraction in Stone Oak, TX can understandably bring up questions about why the tooth needs to be removed and whether there are alternatives. At Bella Smiles Family & Cosmetic Dentistry, Dr. Ibis Clyde takes the time to evaluate the condition of each tooth before determining the most appropriate course of treatment. A tooth extraction may be necessary when severe decay, infection, trauma, advanced ...