Complications might occur during complicated and/or uncomplicated extraction, including bony or soft tissue injuries, such as fracture of the tooth roots, fracture of the maxillary tuberosity, displacement of the roots into anatomical spaces. They can be managed by a skillful practitioner who is more confident in dealing with these surgical challenges. Aim: evaluate the competency of dental postgraduate and general practitioner, assess the quality of treatment in universities, government owned hospitals and private centers, enumerate the most common complications, their causes and role of practitioner’s experience in preventing complications from occurring. Study Design: Cross-sectional observational study, based on a sample size of 313 postgraduate and general practitioner dentists. A survey was sent to the participants in a google-form to complete the questionnaire and then to be applied in the comparison tables. All participants answered a comprehensive validated questionnaire. Inclusion criteria: dental postgraduates and general practitioners, who are currently practicing dentistry across Saudi Arabia. Statistical analysis: collected data analyzed by using SPSS version 2020, data descriptive (mean and standard deviation), regression and one-way anova. Results: The response rate was 100%, most of the participants were among university setting group (61%). Practitioners showed higher confidence rates in performing simple extractions (89.8%). Less confidence in performing surgical extraction responders was higher (52.1%). There was a significant correlation between the level of confidence of the practitioner, and the decreased number of procedural complications during surgical teeth extraction among the postgraduates and general practitioner dentists.
