When do I need a Tooth Extraction? Causes and Treatment Options

Tooth extractions are among the most common dental procedures performed. While no one looks forward to losing a tooth, extractions may be necessary to treat various dental issues and protect oral health. This article explores the leading causes of extractions as well as techniques to minimize discomfort.

Dental Decay and Infection
By far the primary driver of extractions is tooth decay. As decay penetrates the enamel and damages the inner pulp, it can lead to infection, pain, and ultimately tooth loss if left untreated. Infection occurs when bacteria from decay penetrate the blood supply and spread. Beyond just

removing decay

, extractions may be needed to fully eliminate deep infection.

Overcrowding and Wisdom Teeth
In cases of severe crowding, orthodontists may recommend extraction of one or more teeth to create space and allow the remaining teeth to align properly. Wisdom teeth often need to be extracted as well due to inadequate room in the jawline for proper eruption. Impacted wisdom teeth can develop painful problems if left in place.

Damage from Accidents or Trauma
chipped, cracked, or severely broken teeth may no longer be restorable and require extraction. Even minor accidents can sometimes cause a tooth to become non-vital internally over time, eventually necessitating its removal.

Periodontal (Gum) Disease
Advanced periodontitis where bone and tissue attachment around teeth is destroyed may lead dentists to extract problematic teeth rather than attempt to save them. This is to halt further periodontal involvement as well as potential root infections beneath the gumline.

Modern Extraction Techniques
While extractions were once performed solely with forceps, technologies now provide gentler options. Local anesthesia minimizes pain while modern minimally invasive surgical techniques reduce post-op discomfort compared to traditional extractions. Orthodontists may use temporary anchorage devices like mini-implants to aid orthodontic tooth movement in place of extractions when feasible. And some restorative procedures like root canals, crowns, dental implants, or bridgework can now save teeth that may have required extraction in the past.

If extractions are needed, be sure to discuss your concerns with an experienced dentist. Their expertise and use of advanced techniques can often make the process as easy as possible while protecting long-term oral health.
 

Here you can find a selection of relevant ADA Dental procedure codes related to tooth extractions:

D7140 - Extraction, erupted tooth or exposed root
D7210 - Surgical extractions including flap entry and closure
D7220 - Removal of impacted tooth, soft tissue
D7230 - Removal of impacted tooth, partially bony
D7240 - Removal of impacted tooth, completely bony
D7241 - Removal of impacted tooth, completely bony with unusual surgical complications

To find affordable dental care like tooth extractions near you, consider dental insurance plans, or check out our dental auction service matching patients with discounted local dentists. Affordable options help ensure necessary treatment remains accessible to all.