Why might I need to have a tooth extraction?

Tooth extractions are incredibly common procedures. It should be reaffirmed that an extraction is used as a procedure of last resort, when nothing more can be done to save the tooth.

Here is a brief overview of some of the main reasons for tooth extraction :

Deep decay

This is easily the most common reason for tooth extraction, accounting for around two-thirds of all extraction procedures performed. When decay affects the surface of the tooth as well as the pulp, root canal procedures cannot be performed. Root canal therapy is only possible where general structure of the tooth is in stable condition.

Extra teeth

There are a variety of explanations associated with extra teeth, but most commonly they are baby teeth that do not shed. Extra teeth take up space on the arch, causing nearby teeth to twist out of place. A tooth extraction is necessary in this case to provide enough space for the teeth to properly realign.

Periodontal disease

Often teeth have to be extracted because the gums and underlying bone are so severely eroded that they can no longer hold the tooth in place securely. The cause of bone and gum recession is almost always advanced periodontal disease (gum disease). Poor bone density means that the change of restoring the natural tooth is minimal.

Prior to braces

Traditional orthodontic braces require enough space to for the teeth to move into ideal alignment. If space cannot be created naturally, a tooth may be extracted as an alternative.

Fractured teeth

Fortunately, dentists are able to save injured teeth in most circumstances with the aid of root canal therapy. However, there are some instances where the tooth has become fractured in a way that makes repair impossible. Your dentist will remove the tooth and use a prosthetic replacement in most cases.

How is the extraction procedure performed?

Generally, tooth extraction can be simple in nature or involve more complex surgical processes. Simple extractions are performed on fully emerged teeth after applying local anesthetic to the treatment site.

Surgical extractions are performed on teeth that are either invisible or inaccessible, like un- erupted wisdom teeth. Sometimes, the tooth has to be split into several pieces to completely remove it.