Dental extraction, or exodontia, is one of the oldest and safest minor surgical procedures, usually performed under local anaesthesia. It is a safe procedure, well-tolerated by most individuals when performed for an identified purpose, but those with underlying medical comorbidities may require special planning to mitigate risks and complications. Like all surgeries, minor complications do occur occasionally even in otherwise healthy people, but they are easily managed with minimal interventions. However, the occasional severe complications need early recognition and urgent hospital referral to ensure patient safety.