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When Is Tooth Extraction Necessary?

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Understanding when and why a tooth extraction is required can help you feel more at ease.

While preserving natural teeth is always the goal in dentistry, there are some situations where tooth extraction becomes necessary. We understand that having a tooth removed can be daunting. However, in some instances, extraction is the best option for your overall oral health.

Gum Disease Dentist St. Louis

Common Reasons for Tooth Extraction

Tooth extraction is necessary in various situations, from advanced decay to orthodontic needs. Here are some of the most common reasons:

  • Severe Decay or Damage: Extraction may be the only viable option when a tooth is extensively decayed or damaged beyond repair. This can occur due to:
    • Large cavities that have destroyed most of the tooth structure
    • Fractures or cracks that extend below the gum line
    • Failed root canal treatments

In these cases, there may not be enough healthy tooth structure to support a restoration such as a crown.

  • Advanced Gum Disease: Periodontal disease can lead to bone loss around the teeth if left untreated. When the supporting bone is severely compromised, teeth may become loose and need to be extracted to prevent further infection and bone loss.
  • Overcrowding: Sometimes, tooth extraction is necessary as part of orthodontic treatment. If there isn’t enough space in the jaw for all the teeth to fit correctly, one or more teeth may need to be removed to properly align the remaining teeth.
  • Impacted Wisdom Teeth: Wisdom teeth, or third molars, often don’t have enough room to emerge properly. This can lead to:
    • Partial eruption, creating a flap of gum tissue prone to infection
    • Impaction, where the tooth remains trapped beneath the gum line
    • Damage to adjacent teeth

In these cases, extracting the wisdom teeth is often recommended to prevent complications.

  • Infection Risk: For patients undergoing specific medical treatments (like chemotherapy or organ transplants), teeth that pose a risk of infection may need to be removed. This is done to protect the patient’s overall health during times of compromised immunity.
  • Trauma: Accidents or injuries can sometimes damage teeth beyond repair, necessitating extraction.

The Extraction Process at The Dental Anesthesia Center

If you require a tooth extraction, rest assured that our team at The Dental Anesthesia Center is committed to making the process as comfortable as possible. We offer various sedation options, including:

  • Nitrous oxide (laughing gas)
  • Oral conscious sedation
  • IV sedation
  • General anesthesia

Our experienced anesthesiologists will work with you to determine the best sedation method for your needs, ensuring a pain-free and anxiety-free experience.

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The only board-certified dental anesthesiologist in Missouri, including St. Louis.

Updated: September 10, 2024