Are You In Need Of Tooth Extraction?


Permanent teeth are meant to last a lifetime but that doesn’t always happen. Tooth extraction is a last resort. Saving the natural tooth is the ultimate goal. However, it is sometimes necessary for a wide range of reasons.

Reasons for Tooth Extraction

Tooth extraction is often the last resort for patients who have exhausted all other treatment options. Some of the most common reasons that dentists pull teeth include:


Teeth are sometimes extracted due to overcrowding in the mouth, especially in patients preparing for orthodontia. Orthodontia is designed to align the teeth but this is not possible if the teeth are too large for your mouth or if a tooth cannot erupt due to a lack of space. Removing one or more teeth creates more room for the teeth to fully erupt and become aligned.


Tooth decay can extend deep into the center of a tooth where there are nerves and blood vessels. When bacteria in the mouth enter the pulp, it can lead to an infection. While root canal therapy is one treatment for severe tooth decay, it may not be possible to treat a tooth with a severe infection. In this case, the tooth must be extracted.

Gum Disease

When gum disease is left untreated, it can cause destruction to the teeth. Advanced stages of gum disease can result in the degeneration of bone, ligaments, and gum tissue. When these supporting structures start to deteriorate, teeth can loosen and eventually fall out or may require extraction.

Impacted Teeth

Impaction refers to a tooth that has erupted only partially or not at all. Several things can cause impaction, such as overcrowding in the mouth or a tooth that tries to erupt at an odd angle. Wisdom teeth are the most common teeth to become impacted and often require a surgical extraction to remove.

Broken Tooth

Teeth can break due to excessive tooth decay or trauma. When this happens, your dentist will analyze the condition of the remaining tooth and determine if it can be fixed or if an extraction is necessary to restore the tooth’s appearance and function.

How Extractions are Performed

When you arrive at your appointment, your dentist will examine the affected tooth and take dental X-rays to get a better look at the tooth’s condition. You’ll then have the option to receive sedation in combination with your local anesthetic. Sedation medications used in dentistry include nitrous oxide (laughing gas), intravenous (IV) sedation, and oral conscious sedation.

At the start of the extraction, your dentist will numb the affected tooth and surrounding gum tissue. The tooth will then be loosened and carefully lifted from its socket using special dental instruments. If the tooth is impacted, the dentist may need to make an incision into your gum to gain access to the tooth. Once the affected tooth has been removed, the socket is cleaned and disinfected. Finally, stitches are put in place to promote healing.

Like any surgical procedure, a tooth extraction carries some slight risks. Some of the most common complications experienced by patients include post-surgical infection, nerve injury, dry socket, delayed healing, or perforation of the maxillary sinus. These risks are relatively rare if you follow all instructions provided by your dentist. You may; however, experience common side effects like swelling, bleeding, and slight discomfort.

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How long it takes to recover after a tooth extraction can range depending on the complexity of the case. However, most people can return to their routine activities in just a day or two. It does take the jawbone several weeks to heal completely at which time you’ll want to follow all instructions provided by your dentist to prevent infection and promote healing.

To learn more about dental extractions or to schedule an appointment, contact Bonham Dental Arts.