When is tooth extraction necessary?

Tooth extraction may be indicated for several reasons:

• when the tooth has been irreparably affected by decay and can no longer be saved;
• a tooth that has received root canal treatment in the past and over time has developed a root infection and can no longer be re-treated;
• Dental trauma , usually a vertical fracture along the length of the tooth root. In this case, tooth extraction is indicated because the tooth can no longer be saved and bacteria can infiltrate the fracture area, leading to complications: infections, pain, abscesses.

Refusal to extract certain teeth with indications for extraction that are affected by decay or infection and are not extracted on time can also lead to damage to neighboring teeth in many cases. 

Wisdom molar extraction

Dental extraction, in this case, is performed with the aim of preventing complications caused by them. Wisdom molars, from a structural point of view, are weaker than other teeth, they decay more easily, they have a more complex morphology at the root level, sometimes presenting variations of 3-5 roots and up to 6-7 canals, being difficult to treat endodontically. Being the last teeth to appear in the arch, very often there is no longer the necessary space for them to erupt, causing quite significant pain and complications. 

Also because of their position, hygiene in this area is difficult, and food is deposited more easily and more, and teeth decay faster. In some cases, wisdom teeth also present positional anomalies, horizontal molars that cannot erupt and also affect neighboring teeth due to their position.

Tooth extraction can also occur for the purpose of aligning teeth with braces. Sometimes, when patients need braces, there may be dental crowding and there is not enough space in the arch to align the teeth. In this case, after a thorough evaluation, it is recommended to extract certain teeth: usually the extraction of wisdom teeth and sometimes, if necessary, the extraction of two or more premolars, depending on the case. 

Tooth extraction in case of hyperdontia

In the oral sphere there are various anomalies such as the appearance of supernumerary teeth or hyperdontia , that is, one or more teeth in addition to the 32 that a person should normally have. Dental extraction is indicated in this case because they can create complications, pain and sensitivity. These teeth can be positioned anywhere in the arch. Usually, dental anomalies of any kind appear in patients with genetic medical conditions and various syndromes. Their extraction is indicated to create dental balance. 

Tooth extraction in case of irreversible periodontal disease

Patients with periodontal disease that affects the jawbone and teeth through bacteria acting at this level can end up affecting certain teeth irreversibly. In this case, tooth extraction and periodontal disease treatment is recommended to avoid having to extract all the teeth.

In any of these cases, tooth extraction is proposed after a complete medical evaluation and the establishment of the appropriate treatment with the dentist, as well as the treatment to replace the extracted teeth if they were not extracted for prevention purposes. If you also think you need a tooth extraction, do not hesitate to contact us or make an appointment in one of the 11 clinics in the country.