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Permanent teeth are meant to last you a lifetime, and dentists prefer to treat problems affecting your teeth and gums to the fullest extent possible. However, sometimes teeth are too damaged due to trauma or decay to treat the problem. These are some common reasons for tooth extraction. In these cases, a tooth extraction dentist or oral surgeon, such as those at Summit Oral and Maxillofacial Surgery, have no choice but to pull the affected teeth. Dentists only resort to removing a tooth as a last resort, after all other treatment options have been exhausted.

Two Different Extraction Procedures

There are two different type of procedures used to extract a tooth. If the tooth is visible in the mouth and can be grasped with forceps, it can be pulled out via a simple extraction. This procedure can be performed in your regular dentist’s office, usually under local anesthesia so you don’t feel any pain.

However, sometimes the problem teeth are not visible or cannot be accessed. A tooth may have broken below the gumline or it may not have fully erupted, i.e. emerged from the gums. In this case, a surgical extraction is necessary. This procedure is performed by a tooth extraction dentist or hospital, typically under general anesthesia that renders you completely unconscious.

Reasons for Tooth Extraction

reasons for tooth extraction

There are plenty of reasons for tooth extraction. The following situations can lead to circumstances in which there is no other option but to have the affected teeth pulled by a tooth extraction dentist.

Traumatic Damage

Your teeth may become injured in a traumatic accident such as a car collision, a fall, or a blow to the face. There are typically two types of damage that may arise from this type of injury that may require extraction:

  • Luxation: Loosening of a tooth
  • Fracture: Breaking of a tooth


Overcrowding occurs when your teeth are too big to fit correctly into your mouth. It causes your teeth to become crooked, which can be treated with orthodontia. In order for orthodontia to be effective, however, there needs to be room in your mouth for your teeth to move. If there’s no space in your mouth for your teeth to go, you may need to have one or more teeth extracted to make room for the others to move into a straighter position.


A tooth is impacted when it is prevented from growing up out of the gums into its intended position. Either the gums fail to erupt completely and allow the tooth to emerge or something is blocking the tooth and preventing it from growing in as it is supposed to. It is very common for wisdom teeth, the third molars that are not expected to grow in until adulthood, to become impacted. Extraction involving wisdom teeth may involve either removing the impacted wisdom tooth itself or removing the molar next to it so that the wisdom tooth has room to grow.

Periodontal Disease

Periodontal disease affects the structures that surround the teeth and hold them in place. The most visible of these structures are the gums. Another important periodontal structure is the socket in which the tooth sits, called the alveolus. Plaque that forms on your teeth after eating contains bacteria that can cause periodontal infection. A severe periodontal infection that affects both your gums and alveolus can cause your teeth to become loose and may require extraction.

Severe Tooth Decay

Tooth decay is severe when it affects the pulp at the center of the tooth, making it vulnerable to bacterial infection. If the infection does not respond to a root canal procedure, extraction may be needed to protect the other teeth.

Put Your Fear and Anxiety to Rest

When the reasons for tooth extraction increase and surgery becomes necessary, let the experienced and compassionate oral surgeons at Summit Oral and Maxillofacial Surgery guide you calmly through the process. Use our convenient online form to schedule an appointment.