My opinion is often requested about whether or not a tooth should be extracted (pulled). “Is the tooth good or bad?” I believe that all teeth are good! The real question is whether or not the tooth will function normally for at least the next 5 years. Some of the things I will evaluate are how much decay is present, the tooth’s location in the mouth, and the bony support of the tooth. All factors need to be considered before a tooth is extracted. Once a tooth is extracted (pulled) it is gone – forever!