Every tooth is invaluable for a healthy, functional smile, so why would your periodontist recommend extractions? Removing teeth is only suggested when there aren’t any other options to rehabilitate them, such as when treating advanced periodontal (gum) disease. The preventable infection can be resolved in the early stages to avoid tooth loss. However, if it spreads to the bone, your periodontist will advise you to remove your teeth to stop the infection.