When Should a Tooth be Extracted?

Beautiful surprised woman isolated on white

Although our goal is to preserve natural teeth whenever possible, dental extractions are necessary and even unavoidable in some cases. Our dentist in North Hollywood offers a variety of treatments designed to preserve and restore the natural tooth, but significant trauma, advanced decay, and certain treatment needs can necessitate the removal of the tooth to save the other teeth.

You might benefit from an extraction if you have:

• A tooth that has been too badly damaged to save
• A tooth with severe decay or cavities
• An impacted tooth
• A diseased or impacted wisdom teeth
• An infected tooth
• A tooth that is threatening the health of nearby teeth
• Teeth that have been loosened or damaged by periodontal disease

Some candidates for orthodontic treatment might also benefit from extractions if they have badly crowded teeth and a jaw that cannot be properly expanded.

In most cases, an extraction can be performed under local anesthesia. Today’s technology enables us to complete this procedure safely, effectively, and comfortably. We can discuss your restoration options at the time of your extraction. Call us today to learn more or to schedule an appointment with our expert in dental extraction in Hollywood.


Why Would a Tooth Need to be Extracted?

Terrible tooth ache.

Permanent teeth are supposed to last forever. The objective of dentistry is to save teeth. But sometimes this is not possible. For various reasons, a tooth may need to be pulled. Here are some reasons our expert in emergency tooth extraction in Los Angeles may need to remove a tooth.

• Severely decayed or damaged tooth: A tooth that is too badly damaged from decay or trauma to be saved will need to be pulled.
• Infected tooth: Sometimes tooth infections can be treated with root canal therapy. But if the infection is too severe, or if root canal therapy was tried and failed, the tooth may need to be pulled.
• Fractured tooth: Some fractures cannot be repaired. This is especially the case with fractures that occur along the root of a tooth. A non-repairable fracture gives bacteria easy access to the tooth and the ability to cause repeated infections. For this reason, a fractured tooth may need to be removed.

Several non-emergency situations may also necessitate removal of teeth. Overcrowding, impacted teeth and periodontal disease may lead to the need for tooth extraction.

If you have a badly damaged tooth or are suffering from tooth pain, contact our Los Angeles emergency dentist to find out if your tooth can be saved.

Reasons a Tooth May Have to be Extracted

Two women hugging and smilingWhile the practice of dentistry generally focuses on the preservation of teeth, sometimes it is not possible to hang onto all of your teeth. To preserve your overall oral health, it may occasionally become necessary to pull a tooth. Here are reasons why a dental extraction may need to be performed.

• A severely damaged tooth: Sometimes a tooth is too severely injured or decayed to be restored. In these cases, the only option may be to pull the tooth.
• An infected tooth: While a root canal can often remove an infection, a tooth with a severe infection or a complex inner anatomy of canals can make a root canal extremely difficult to perform. If a root canal in such a tooth is not attempted or if one is attempted and fails, the tooth often needs to be pulled.
• Overcrowding: Sometimes a mouth is too full to safely accommodate all of the teeth. In these cases, a tooth often needs to be pulled to preserve the health of adjacent teeth.
• Periodontal disease: If periodontal (gum) disease has progressed to the point that teeth have become loose, it may become necessary to pull them.

No one wants to lose a tooth unless it is necessary. Our dentist in West Hollywood is highly experienced in evaluating the condition of teeth and assessing whether a tooth can remain in the mouth or needs to be pulled. Call our office to schedule a consultation.

Different Types of Dental Extraction

In many cases of decay or trauma, a tooth can be saved through a root canal treatment. Unfortunately, there are some cases where your tooth will not be able to be saved. In these instances, your tooth will need to be extracted. Depending on the case and severity of the tooth, simple extraction and surgical extraction are the two different types of dental extraction that can be performed.

A simple extraction is done when the dentist is able to see the entire crown of the tooth in the mouth. For this type of extraction, usually only local anesthetic is necessary. However, for some patients, our San Fernando Valley dentists may administer a mild sedative, as well. During this procedure, the dentist uses a tool called an elevator to loosen your tooth. Forceps are then used to pull the tooth out of your mouth.

A surgical extraction is required when a tooth has broken off at or near the gumline, or when a tooth has not yet fully erupted through the gums. Patients will be given a local anesthetic and a heavier dose of sedation for a surgical extraction. Sometimes general anesthesia is even used in this procedure. The dentist will then make an incision in your gum and lift it back to remove the tooth. In some cases, the tooth may need to be removed in pieces.

It is always important to follow the aftercare instructions of your dentist as soon as you have had a tooth extracted. This is the best way to prevent a painful condition known as dry socket.

If you have a tooth that you think may require extraction, contact our expert in tooth extractions in San Fernando Valley to set up a consultation.

Recovery After Dental Extraction

Recovery After Dental ExtractionA dental extraction is often reserved as a last resort when there is no way to save the natural tooth. Our dentists in San Fernando Valley will review all the options available to the patients and decide which one is best for maintaining overall health. When a tooth is pulled, it can be replaced with a restoration after the patient has healed from the extraction. Following the procedure, the expert in dental extraction in San Fernando Valley will tell you everything you need to know about dental extraction recovery.

There might be some slight pain or discomfort in the first few days, but you can relieve this with painkillers. It is very important that you relax after surgery. You should take it easy for the first few days to prevent bleeding. Avoid smoking, and stick to eating soft foods. You can gradually add solid foods back to your diet as the area begins to heal.

You should continue to brush and floss your teeth to remove bacteria, but you should do this carefully. You do not want to irritate the surgical site. After the first 24 hours, you can rinse your mouth out with warm salt water several times a day to reduce swelling and help relieve pain.

Why Do I Need to Have My Tooth Extracted?

Why Do I Need to Have My Tooth Extracted?With proper care, you can probably maintain your natural teeth for your entire life. However, many things can happen that could necessitate an extraction. A tooth that has been severely infected beyond being able to be treated with a dental filling or root canal will need to be extracted to prevent the infection from spreading. Our Los Angeles dentist typically reserves extraction as a last resort when there is no other way to save a tooth.

Many patients are concerned about getting a tooth pulled because they do not want a huge gap in their smile, but our expert in dental extraction in Los Angeles offers several different kinds of restorations to replace the missing tooth. Crowns and bridges look just like your natural teeth, and they will prevent the surrounding teeth from shifting out of position.

There are several ways our dentist may go about extracting a tooth. If enough of the tooth is exposed, we may be able to perform a simple extraction using forceps to gently rock it out of place. If a tooth is not completely erupted from the gums, as would be the case for wisdom teeth, our dentist will need to perform a surgical extraction.