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Reasons for tooth extraction

A doctor reviewing their extraction case together

Losing a tooth is a very common occurrence in the United States. In fact, approximately 50% of all Americans are missing at least one tooth. Here are the most common reasons why extraction may be necessary:

  • Substantial Decay: A severely decayed tooth that has been left untreated may not have sufficient remaining tooth structure to support a dental restoration.
  • Crack or Damage: A tooth that has been cracked or broken in an accident may not be salvageable, depending on the extent of the damage.
  • Infection: An infection of a tooth can be a serious condition. While a root canal can often resolve this issue and save the tooth, it may not be possible if the infection has spread.
  • Gum Disease: Advanced gum disease can lead to gum recession and the loosening of a tooth. In serious cases, a tooth extraction is required to both treat the gum disease and restore the tooth.
  • Dental Crowding: Sometimes a patient’s jaw simply isn’t large enough for all their teeth to fit. This situation can cause discomfort and misalignment of the teeth. In severe cases, an orthodontist may require a tooth to be extracted before fitting braces to create space for straightening.

When is an oral surgeon recommended

For simple or routine extractions, your dentist will perform the procedure in their office. Teeth located toward the front of the mouth with only one root are especially easy to remove.

More complex extractions include:

  • Roots are curved
  • Tooth is severely damaged or broken
  • Roots are brittle and susceptible to breakage
  • Tooth is only partially erupted or below the gum line
  • Tooth is coming in at an angle or sideways

One of the benefits of choosing an oral surgeon for your extraction is that they are better suited to handle complications. For example, if the tooth breaks off at the gumline during extraction.

Getting a new tooth

There’s no better time to get a dental implant than immediately after extraction. Be sure to speak with your oral surgeon about replacing your missing tooth with a dental implant during your initial consultation. Once your new tooth is in place, your smile will be as good as new.