When a tooth won't erupt

When a tooth remains below the surface of the gums, it is known as a “impacted” tooth. In some cases, a tooth will not erupt at all. A tooth that remains beneath your gums can be painful, and can cause problems with surrounding teeth. When this occurs, an extraction might be necessary.

When a tooth is loose

There are a variety of reasons a tooth may become loose. The tooth may be broken from trauma or decay. A root canal may fail. The bone that holds the tooth in place may have disappeared. In some cases, a loose tooth is asymptomatic.

When a tooth is loose, it’s usually important to see a dentist. Some dentists are able to save the tooth. Others will recommend an extraction.

When a tooth is cracked or fractured

If a tooth is cracked or fractured, it is best to have the tooth removed. The tooth will not heal properly and it cannot be saved.

When a tooth has severe decay

An infection, or severe decay, could lead to a tooth being damaged beyond repair. In these cases, an extraction might be necessary. If a tooth is beyond repair, it will likely need to be removed. An extraction may also be necessary if a tooth is severely decayed, making the tooth less functional. An extraction may be another option for you if you suffer from severe dental anxiety, or if you’re unable to commit to proper dental hygiene.

When a tooth has severe gum disease

Many patients do not realize that their dental health affects their overall health. In fact, poor dental health can even lead to heart disease. Gum disease is caused when bacteria form a biofilm.

The biofilm is hard and sticky, which allows it to cling to the teeth. If left untreated, the bacteria can cause significant damage to the soft tissues in the mouth. An infection can even lead to tooth loss.

When wisdom teeth are impacted

When the teeth do not fully erupt from the gums, they are said to be impacted. Impactions can cause pain, infection, and damage to nearby teeth. Impacted wisdom teeth are also difficult to clean properly, which can lead to periodontal disease. For these reasons, we recommend wisdom teeth removal in young adults.

When orthodontic treatment is necessary

When extractions are necessary for orthodontic treatments, it may be because the teeth are crowded. Crowded teeth can be more difficult to keep clean and floss, so orthodontic treatment may be necessary. Several teeth can be extracted before braces are put on, or as braces are being adjusted.