A buried tooth is also known as an ambulant tooth. There are usually two types of ambiguous teeth, those that are completely buried inside the bone, those that are partly in the bone and partly in the gums, and those that are partly below the gums, just short of the moment they break out. Whether these buried teeth must be extracted or not depends on what kind of buried teeth they are. Whether the location and depth of the buried tooth has any effect on the difficulty of extraction and other treatments, or whether it affects the treatment. If some patients require orthodontic tooth movement, will the buried tooth interfere with tooth movement. Whether the buried tooth affects the patient’s health, such as independent symptoms, pain or affect the aesthetics, or discomfort in the mouth, or even the neighboring teeth will be affected by the buried tooth leading to root resorption, tooth sensitivity, which may affect the neighboring teeth or the patient’s health and hygiene situation, then the tooth needs to be extracted. If there is no impact on life, no impact on upcoming treatment or future treatment, and no impact on overall oral hygiene and dental health, extraction is not mandatory. It is important to consider whether the tooth should be extracted or retained.