When Is a Tooth Extraction Necessary?

Your teeth are designed to last a lifetime, so hearing that you need a tooth extracted can be devastating. Your oral healthcare professional will do everything they can to save your tooth.

However, in some cases, extraction may be the only treatment option. While every smile and every case is unique, here are a few instances in which you may need a tooth extraction to treat the problem and begin restoring your smile!

When a Deep Crack Has Compromised Your Tooth

There are different levels when it comes to fractures in your teeth. Some people have superficial cracks called craze lines that don’t affect the health of the tooth—but for others, fractures can cause bigger problems.

Whether you have a crack in your tooth from an injury or teeth grinding—or a chip that’s turned into a crack—some fractured teeth can’t be saved. If the fracture is contained above the gumline, chances are your dentist can save your tooth.

However, if you have a deeper crack that goes beneath the gumline and into your tooth’s root, root canal therapy likely won’t fix the problem and your tooth will need to be extracted [1].

If You Have Impacted Wisdom Teeth

Wisdom teeth are those third molars that come in during your late teens or early adult years. For some people, wisdom teeth erupt through the gums without issue. However, for a growing number of people, these third molars are impacted.

Impacted wisdom teeth may partially come through the gums or not come through at all. The teeth may be sideways and push against your other teeth. These teeth are problematic in most cases and can’t be treated—the best option is to remove them before they cause tooth alignment issues or infected gum tissue [2].

You Have a Severe Tooth Infection

A tooth infection typically happens when tooth decay has compromised your tooth and affected your tooth’s root. If the decay is deep and the infection severe, your dentist may not be able to save your tooth.

If caught early, the tooth can be saved with either a filling or root canal therapy [3]. This makes getting those regular checkups with your dentist important so that you can spot decay before it has a chance to lead to a tooth extraction!

Gum Disease Has Loosened Your Teeth

For some people with severe gum disease, extraction is the only option. Gum disease starts out mild but progresses over time. The gum tissue becomes infected and begins to pull back from the teeth, exposing tooth roots and damaging the connective tissue that helps hold your teeth in place.

Loose teeth are a symptom of gum disease. With treatment, you may be able to get your gum disease under control and help restore the connection between your teeth and your gums.

However, for severe cases, extraction may be the only choice.

Can You Prevent Tooth Extraction?

Tooth extraction can be prevented in many cases. For example, tooth decay and gum disease are preventable. Unfortunately, impacted wisdom teeth aren’t preventable as they’re usually the result of genetics and facial structure.

Accidents that crack and chip teeth may also be unavoidable. Regardless of what issues your smile has experienced, your dentist can help you determine whether or not a tooth extraction is the right choice for you!

Sources:
1. https://www.aae.org/patients/dental-symptoms/cracked-teeth/
2. https://www.mouthhealthy.org/en/az-topics/w/wisdom-teeth
3. https://www.mayoclinic.org/diseases-conditions/tooth-abscess/diagnosis-

Summary
Article Name
When Is a Tooth Extraction Necessary?
Description
While every smile and every case is unique, here are a few instances in which you may need a tooth extraction to treat the problem and begin restoring your smile!
Author
Leesburg Premier Dental