Routine Tooth Extractions

Picture of a woman having a toothache who needs a tooth extraction

Why might I need to have a tooth extracted?

Tooth extractions are common procedures, but it should be emphasized that an extraction is used as a procedure of last resort, when nothing more can be done to save the tooth. Here is a brief overview of some of the main reasons for tooth extraction:

Deep decay – This is easily the most common reason for tooth extraction, accounting for around two-thirds of all extraction procedures performed. When decay affects the surface of the tooth as well as the pulp, root canal procedures cannot be performed. Root canal therapy is only viable where the general structure of the tooth is in stable condition.

Extra teeth –There are a variety of explanations associated with extra teeth, but most commonly they are baby teeth that did not fall out. Extra teeth take up space on the arch, causing nearby teeth to move out of place. A tooth extraction is necessary in this case to provide enough space for the teeth to properly realign.

Prior to orthodontic treatment Orthodontic treatment may require enough space  for the teeth to move into ideal alignment. If space cannot be created naturally, a tooth may be extracted as an alternative.

Periodontal disease – Often teeth have to be extracted because the gums and underlying bone are so severely eroded that they can no longer hold the tooth in place securely. The cause of bone and gum recession is almost always advanced periodontal disease (gum disease). Poor bone density means that the chance of restoring the natural tooth is minimal.

Fractured teeth – Fortunately, Dr. Souliman is able to save many injured teeth with the aid of root canal therapy. However, there are some instances where the tooth has become fractured in a way that makes repair impossible. Your oral health professional will remove the tooth and use a dental implant in most cases.

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How is the extraction procedure performed?

When tooth extraction can is simple in nature the extraction is performed on fully emerged teeth after applying local anesthetic to the treatment site. Instruments are used to elevate the tooth and then sever the periodontal ligament. The tooth is then carefully removed with dental forceps.

More complex extractions involve surgical processes. Surgical extractions are performed on teeth that are either invisible or inaccessible, like un-erupted wisdom teeth. An incision is usually made in the gum tissue and a drill is used to precisely remove some of the adjacent bone tissue. Sometimes, the tooth has to be split into several pieces to completely remove it.


If you have any questions or concerns about tooth extraction, please contact us.

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Image of wooden pliers exacting a wooden tooth
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