No one likes having a tooth extracted including the dentists who detest extracting a tooth and will try everything possible to preserve the tooth. However, sometimes an extraction becomes inevitable and in such cases, the dentist recommends the extraction either in a simple or a surgical procedure.
A simple extraction is a procedure conducted on a tooth that is visible under local anesthesia.
Surgical extractions are for the teeth that are impacted or below the gum line. These procedures are complicated in need to be conducted by a maxillofacial surgeon. Dentists can also perform extractions but often enlist help from an oral surgeon when they are confronted with a complex situation.
When permanent teeth become infected by dental cavities and it cannot be restored either by a dental filling or even a root canal treatment extracting the tooth will be the only option available for the dentist and the patient. Any person infected by dental cavities would not have taken proper care of their dental hygiene and allowed plaque and bacteria in the mouth to work extra hard until the cavity developed. The person can certainly be pitied for losing a tooth for which he or she would be responsible.
Many people have dental infections affecting their gums and leaving them with the problem of gingivitis or gum disease which is entirely preventable. Here again, it will be the patient who is responsible for allowing the condition to progress into a full-blown case of periodontal disease. Gingivitis, when detected early during dental exams and cleanings, can be reversed by preventing its progression. However, a full-blown case of gum disease can only be managed effectively with proper dental care and oral hygiene.
Many people have overcrowded mouths with extra teeth that are not properly aligned. It gives them an appearance that looks out of place making them want to correct the problem with the help of orthodontic treatments. Even in such cases, the orthodontist recommends the extraction of the extra teeth to ensure the orthodontic treatment succeeds by providing sufficient space for the other teeth to move into the space left by the extracted teeth. This is perhaps the only type of extraction that people are happy with because it allows the other teeth to be brought into proper alignment by the orthodontist.
Wisdom teeth usually don’t have the space needed to erupt at the age of 17 to 21. Wisdom teeth despite having the wisdom fail to erupt or remain impacted below the gum line. Sometimes they can be left under the bone and it will not cause any problem. However, there are times when they can cause dental infections to destroy neighboring structures. Therefore, the extraction of the impacted teeth is recommended.
After the procedure of odontectomy on a wisdom tooth, it will be necessary to extract the opposing third molar. Leaving that tooth in place can only be problematic because it does not occlude with anything causing it to supra erupt until it impinges on the gum tissue of the opposing arch.
Children grow up to the age where baby teeth are exfoliating and permanent teeth are erupting. This is a phase known as mixed dentition and if the permanent teeth are already erupting or expected to erupt soon tooth extraction of the baby teeth will be recommended by the dentist. Teeth that exfoliate completely fall out by themselves but many times and extraction will be suggested by the dentist.
Children with baby teeth can develop dental caries and in most cases, the problem is not noticed by the parents or even the dentist because the baby has never been taken to a dental visit. The damage to the baby teeth cannot be restored with a filling or even root canal treatment and in such cases, tooth extraction will become a necessity.
People with healthy dental health generally do not need to have teeth extracted unless they have met with an accident that has left them with an impacted tooth or teeth that needs to be extracted. People with gum disease may also be recommended extractions if the problem has infected their jawbone extensively.
Dentists are attempting always to save the tooth rather than extracting it. The only recommend extractions as a last resort when all other means of saving the tooth have failed for any reason.