Your dentist may have told you that you require a surgical extraction, most commonly for wisdom teeth. It probably sounds very scary!
Technically, much of dentistry is surgery, because it is altering your body in some sense. A filling is doing surgery, which is why you must look for a great dentist! Would you look for the cheapest doctor to perform heart surgery?
A surgical extraction means that an incision must be made in your gums, to expose the bone and tooth. The incision is made with a scalpel and the gums will be separated from the bone. Depending on the situation, bone and tooth will need to be removed to create space and expose the tooth. The tooth will then be removed and the gums stitched back into place.
This process does not hurt more than other extractions, because the anaesthetic will ensure that the entire area is numb.
The suture may need to be removed by the dentist after the gums have healed back, depending on the type of suture used. Stitches that do not fall out themselves result in better healing and prevent premature loss of the stitch.
Recovery to be able to return back to work may take a couple of days but many people are functional the next day. Like any other extractions, you should not physically exert yourself for a couple of days, to prevent excessive bleeding. There may also be some swelling, bruising and pain for up to a week.