What Are The Reasons I May Need A Tooth Extraction?

Typically, about six months after you’re born, some of your 20 primary (baby) teeth start to appear. By 12 years old, your baby teeth should have fallen out to make room for your 32 permanent teeth. At some point, most people in Cary, NC will need to have one or more teeth extracted. There’s many reason why you may need to have a tooth extracted. Most commonly, people need their wisdom teeth pulled in their late teens or early twenties, but there’s plenty of other reasons your Cary, NC dentist may suggest an extraction. At DentalWorks – Cary Crossroads, we perform both simple and surgical extractions to help spacing, in case a tooth is damaged and can’t be repaired, after a trauma, and other reasons. Our skilled team uses different levels of sedation based on your needs so you feel comfortable and relaxed during your extraction. We’ve listed a few of the most typical reasons why a dental extraction might be performed:

A simple extraction is performed once a tooth has erupted above the gumline and needs to be removed. After using local anesthesia to numb the gums around the tooth, your dentist will use advanced instruments to loosen and extract the entire tooth. Some of the reasons why a simple extraction might be needed are:

    Whenever you do not have enough space for all of your teeth to develop correctly, a simple extraction might be needed. Your smile might be crowded if they are too large, your baby teeth did come out soon enough, or if one or more teeth grow in wrong. Crowding can cause gum disease, tooth decay, pain, as well as difficulty chewing or speaking. A simple extraction can make room for your other teeth, so they can grow properly.
    A dental injury can be the result of playing sports, a car crash, or a simple everyday mishap. Even though a dentist might try to repair the tooth with a crown, root canal, or another procedure, there are times when the tooth will need to be pulled. If a permanent tooth is extracted after a trauma, you can replace it with a dental bridge or implanted crown. At DentalWorks – Cary Crossroads, we provide custom dental restorations that work like your normal teeth.
    Untreated tooth decay is one of the most common reasons for a simple extraction. In the earliest stages, tooth decay causes a cavity, which can be fixed with a tooth-colored filling. If it’s not filled, a cavity will spread to the whole tooth until it needs a root canal or an extraction to stop the infection from affecting other teeth or your gums. Some patients don’t fix a cavity because of fears and anxieties. At DentalWorks – Cary Crossroads, we use advanced methods and modern equipment along with sedation methods to help our patients stay relaxed and comfortable during routine visits and throughout longer procedures, like simple extractions.
    Between the ages of 6 and 12 years old, baby teeth should fall out to make room for the new adult teeth. In some children, the primary teeth may need a little help getting out of the way in time. In your child’s annual dental exam, your dentist will have a look at their digital x-rays and determine if a simple extraction is required to remove any primary teeth. If the baby teeth haven’t fallen out by the time the adult teeth are ready to erupt from the gumline, the permanent teeth will grow in the wrong direction. A simple extraction can help your child avoid a lengthy orthodontic treatment in the future.

Surgical extractions are done when a tooth that has not erupted over the gumline needs to be removed. After a sedation technique is administered (usually nitrous oxide gas plus oral-conscious sedation), your dentist will make an incision in your gums so they can reach and remove the tooth. This is most commonly required to take out impacted teeth or the wisdom teeth.

    More commonly known as the wisdom teeth, the third molars are the last of your permanent teeth to come in. The majority of people do not have room in their mouth for these final molars, so they need to be extracted before they become impacted. Normally, the surgical extraction of the wisdom teeth is performed during the late teens or early 20s when the teeth are fully formed. If you wait too long to have your wisdom teeth removed, you may have pain and have to undergo a more extensive procedure to have them taken out.
    Sometimes a tooth will end up stuck (impacted) and is unable to erupt above the gumline. This is one reason why it’s important to bring children to the dentist for annual dental exams. Your dentist will have the ability to spot impacted teeth on digital x-rays and recommend a surgical extraction to avoid pain or an infection.

If you think that you might need a tooth removed or if you want more information, contact our office in Cary, NC to set up a consultation. Our team of dental professionals at DentalWorks – Cary Crossroads is experienced in both simple and surgical tooth extractions for patients of all ages. We offer different levels of sedation to help keep you or your child calm throughout the process. To replace a tooth after an extraction, we offer custom restorations, including dental bridges and implanted crowns. We use strong materials and shade the restoration to match your teeth so your smile is amazing.