At YourSmileDental we consider tooth extraction to be a last resort, and do everything to maintain the lifespan of your natural teeth. However, sometimes, when the prognosis is too poor, a tooth cannot be saved.
The most common reasons for needing an extraction are:
Pain/infection If tooth decay/damage extends to the pulp (the centre of the tooth containing nerves and blood vessels) bacteria in the mouth can enter the pulp, leading to infection. If the infection is so severe that treatment and antibiotics cannot cure it, extraction may be needed to prevent the spread of infection. Untreatable advanced gum disease (periodontal disease) or an acute gum infection (periodontal abscess) can also be the reason why a tooth may need to be removed. You may or may not be experiencing associated pain with these type of infections.
Wisdom teeth removal If there's not enough space for wisdom teeth to grow at the back of your mouth, they can become impacted, causing pain, swelling and/or infection, so may need to be removed.
Overcrowding Sometimes dentists extract teeth to prepare the mouth for orthodontics. The goal of orthodontics is to properly align the teeth, which may not be possible if your teeth are too big for your mouth. Likewise, if a tooth can’t break through the gum, because there’s no room in the mouth for it, we may recommend extraction.
If the removal of a tooth causes a space (which can be unsightly, have a negative effect on your chewing, speech or the remainder of your teeth), you may need to replace the missing teeth. Your dentist can discuss the options for replacement, such as dentures, bridges or implant restorations.