When Do I Need an Extraction?

A well trained dentist will do everything in his power to save your living teeth, sometimes even resorting to measures that may seem unlikely and expensive. This is because missing teeth lead to tooth loss as a condition, meaning the more teeth you lose, the more teeth you are going to lose in the future. This is because the firmness of the ligaments and the periodontal tissue relaxes and loosens over time. The alveolar and periodontal tissues remain hard and in good shape as long as they are holding teeth, when those teeth go missing, there is no more reason for them to remain in good shape, and thus they loosen, which can lead to further tooth loss, which leads to further loosening and we can quickly find ourselves in a cycle of tooth loss and periodontal tissue atrophy, and to prevent this, dentists try and do everything in their power to not have to extract your teeth. 

But sometimes, it is more of a health risk to have the tooth stay in than for it to come out. If the tooth is in very bad condition, it will eventually lead to the dentist having to extract it. There are many tooth replacement options that can maintain the rest of your teeth, and these will be offered. I just want to take some time and have a look at what situations warrant an extraction, so the reader can prepare mentally and financially for the inevitable. 

- Previously filled teeth: 

More often than not, if a previously filled tooth starts to ache, more work will have to be done to it, and eventually, there will not be that much of the tooth left to salvage. If at this point it is still infected or causing pain, the tooth will have to be removed. If the tooth has previously been root canalled, and is still causing pain at a later date, that is a pretty good indication that it will have to be removed. 

- Wisdom teeth:

If a wisdom tooth becomes infected, impacted, or one of the many ills that usually befall wisdom teeth happens to befall yours, dentists will usually opt to remove it/them. Wisdom teeth are vestigial and usually only serve to become infected and thus we can get to know our dentist a little bit better. Some dentists remove healthy wisdom teeth before they become infected, as they consider any existing wisdom teeth to be a liability. 

- Orthodontics: 

Sometimes teeth will be extracted when orthodontics are applied. In cases of severe crowding, a tooth or two will be removed and the remaining teeth adjusted in a way so as to fill in the gaps that are caused by the extraction, thus making the teeth evenly aligned. This will make the smile more even, and more attractive, and the extraction will not be visible, either. 

- Trauma: 

If in the case of a trauma that leaves the tooth so badly broken, and such a large piece of it has become destroyed that an infection in the future is all but inevitable, your dentist may find it wiser to extract your tooth.