Reasons Why You May Need Your Tooth Extracted

Reasons Why You May Need a Tooth Extraction

A tooth extraction is a dental procedure through which a tooth is removed from its socket. This procedure can be performed by either a general dentist or an oral surgeon. Our goal at ThoroughDent Smiles is to preserve your natural teeth, but in some situations, a tooth extraction is inevitable. In this article, you’ll learn the reasons why you may need a tooth extracted.

Severe Tooth Decay

When oral bacteria grow in the mouth, it forms plaque that can harden on your teeth. This hard form of plaque is called calculus or tartar. When you take long without removing (through flossing, brushing, and professional cleaning) the biofilm that ends up as plaque and tartar, decay can set in.

If you don’t visit your general dentist in Georgetown for regular dental cleanings, the decay can progress to such an extent that it may no longer be possible to save the tooth. In such a case, Dr. Kristina Neda or Dr. Jordan Smith can schedule a tooth extraction procedure at ThoroughDent Smiles in Georgetown, KY. If your tooth is not extracted, further problems may arise. 

Periodontal Disease

Gum disease, or as it is often called periodontal disease, refers to an infection that affects the gums and other tissues that surround the teeth. In its initial stages, gum disease is referred to as gingivitis. This first stage is easily reversible by paying extra attention to oral hygiene (brushing and flossing, as well as having your teeth cleaned by a professional).

If gum disease remains untreated, it can progress to moderate periodontal disease and eventually advanced periodontal disease. This phase of gum disease can be characterized by the affected teeth becoming loose. Dr. Kristina Neda, a Georgetown KY dentist, explains that this looseness can be linked to the effect of gum disease on the alveolar bone and periodontal ligaments.

In some cases, tooth extraction is one of the options considered when periodontal disease has advanced to such a degree that your teeth are no longer firm in their sockets. However, the experts at ThoroughDent Smiles will not recommend tooth extraction until all other options to save your tooth have been considered.


Accidents happen, and in some cases, those accidents involve your teeth. For example, you may be involved in a car crash and your teeth may become fractured. At ThoroughDent Smiles, our priority is to treat you and save your teeth. For example, we offer dental crowns, dental bonding, dental veneers and bridges as treatment options for those who have been involved in trauma that affects the teeth.

Dr. Kacos, an emergency dentist who is very familiar with an emergency tooth extraction, says that sometimes, dental trauma is so extensive that it may not be possible to save the tooth. He adds that a tooth extraction procedure may be recommended and we shall work with you to get an appropriate replacement for that extracted tooth.

Alleviating Dental Crowding

Another reason why tooth extraction may be considered is if your teeth are crowded and this is affecting your bite, your smile, dental hygiene procedures, and other considerations.

Dr. Jordan Smith, a dentist at ThoroughDent Smiles in Georgetown KY, points out that some people are born with a small jaw, so the teeth become crowded. For some other people, their teeth are so large that they end up being crowded in the mouth.

In each of those cases, it may be deemed necessary to extract one or more teeth in order to create room for the remaining teeth to grow and be spaced normally.

Tooth extraction may also be necessary if you are due to undergo orthodontic treatment and there is hardly any space for the appliance you need to correct the defect you have. Once the tooth is extracted, your orthodontic treatment can proceed and you will end up with a beautiful smile and a functional bite.

Problematic Wisdom Teeth

We asked our friend, Dr. Ben Kacos, an endodontist in Shreveport, LA, about wisdom teeth. Dr. Kacos says that nearly 9 in 10 Americans have their wisdom teeth extracted for just about any of the reasons that have been discussed earlier. For instance, you may need to have your wisdom teeth extracted because they are too far back that you are finding it difficult to clean them properly. So, you risk tooth decay and other diseases, so a Georgetown dentist may recommend extraction as a proactive step.

Alternatively, Dr. Kristina Neda may recommend that the wisdom tooth be extracted if there isn’t enough space for the tooth to erupt normally in your mouth.

Types of Tooth Extraction

Simple Extraction. This type of tooth extraction is performed when the tooth to be removed is visible above the gum line. Dr. Jordan Smith, a Georgetown KY dentist, says that the affected tooth is first loosened using an “elevator” (a special tool for that purpose). Thereafter, the dentist pulls the crown and root from the dental socket. This type of tooth extraction is normally done under local anesthesia so that you don’t feel any pain.

Surgical Extraction. Surgical tooth extractions are done if your tooth hasn’t fully erupted above the gum line. In this case, the team at ThoroughDent Smiles in Georgetown KY will put you under general anesthesia before an incision is made to get access to the tooth. Sometimes, it may be necessary to break the tooth into several smaller pieces which are easier to remove. This option is normally done for impacted wisdom teeth since they are already far back in the mouth.

Listen to Your Georgetown Dentist

It is crucial that you follow the instructions given to you by your dentist in Georgetown KY so that your recovery after the tooth extraction is smooth. We also have a number of tooth replacement options, such as implants, when you lose a tooth to trauma or other unavoidable circumstances. Talk to us today if you think you may need to have a tooth extracted and we shall give you our considered opinion on the matter, including what happens after we have extracted that tooth.