When a tooth decay has become very bad that the tooth cannot be fixed or the bone structures supporting the teeth cannot support it anymore due to a severe periodontal disease, then an extraction is necessary. The different situations that might require removing a tooth include:
- An infected or severely decayed
- Severe periodontal disease leading to a loss of bone and soft tissue support
- Insufficient space for erupting permanent teeth or extra teeth that are blocking others from erupting
- Preparation for orthodontic treatment (braces)
- Inadequate space for your wisdom teeth
- The visible portion of a tooth or root is severely fractured
Extractions can be simple or either be surgical depending on the tooth’s degree of decay, the positioning of the tooth and amount of bone surrounding it.
- Simple – A simple extraction involves removing a tooth that is still visible. This type of extraction is done after local anesthetic has been used and instruments that elevate and grasp the visible portion of the tooth. A simple extraction can be done in a routine dental visit.
- Surgical –Surgical extraction involves removing a portion of a tooth that is inaccessible due to a severe fracture, significant decay or an incompletely erupted tooth. In a surgical extraction, the dentist will uncover the tooth by raising the soft tissues around it. The tooth may then be divided into pieces for easy removal. Complex surgical extractions are performed by special oral surgeons.
Wisdom Teeth Extraction
Wisdom teeth are the last molars to grow in your mouth. Their eruption runs between 17 and 25 years of age. Most people do not have room for these molars and that is why they can cause so much pain when erupting. Most common treatment for the pain caused by the wisdom teeth eruption is to remove them. A consult visit is recommended to determine the type of extraction needed