When Is a Tooth Extraction Necessary

Tooth Extraction

A simple extraction is a basic tooth removal procedure performed when the tooth is visible above the gum line. Surgical extractions are more complex and are performed when the tooth is not visible or is only partially visible. An oral surgeon usually performs this type of extraction.

Extracting teeth is a common dental procedure. Simple extractions are performed when the tooth is visible above the gumline. Surgical extractions are used for teeth that are impacted or severely broken.

Here are several instances when tooth extraction is necessary, and often, the last resort:

1. Severe Decay

The breakdown of the tooth enamel causes tooth decay. When the decay reaches the dentin (inner part of the tooth), the tooth is no longer salvageable. If the decay is left untreated, it can cause an infection, leading to an abscess. An abscess is an infection that can spread to the surrounding tissues and is often extremely painful. An abscess can only be treated with a root canal or an extraction.

2. Impacted Teeth

Impacted teeth are teeth that are unable to emerge from the gums. Impacted teeth are often a result of overcrowding. Impacted teeth can cause pain, damage other teeth, and lead to infection. Impacted teeth can be removed to prevent damage to other teeth.

3. Gum Disease

Gum disease is an infection caused by plaque. Plaque is a sticky film of food debris, bacteria, and saliva. When plaque is not removed, it turns into tartar, which is harder to remove. A professional cleaning can only remove Tartar. If gum disease is left untreated, it can cause an abscess. Gum disease is treated with a professional cleaning. If the gum disease has caused damage to the bone, the bone will need to be rebuilt.

4. Wisdom Tooth

Wisdom teeth are the third set of molars in the mouth. They are the last teeth to come in. Wisdom teeth are not needed and might only cause problems. Wisdom teeth can come in sideways, entirely or partially. They can become impacted, so they can’t break through the gum. Wisdom teeth can crowd the mouth and cause pain when they are impacted. Wisdom teeth can be removed.

5. Root Canal

Root canals are often needed when a tooth is infected. An infection in the tooth can be caused by tooth decay or an injury. Root canals are done to remove the infected pulp. The pulp is the soft tissue inside the tooth. During a root canal, the dentist will remove the infected pulp. The tooth will be cleaned and sealed. Root canals are often done to save teeth.

6. Trauma

A blow to the mouth can cause serious damage to your teeth. This can happen if you are hit in the face or fall and hit your mouth on a hard surface. The damage may be a crack, a chip, or a complete break. Teeth can also be knocked out. If you have damage to your teeth, you should see a dentist immediately.


Tooth extraction may be necessary for several reasons. If a tooth is damaged beyond repair, is causing pain, or is crowding other teeth, an extraction may be the best option. Tooth extractions are usually quick and relatively painless, and recovery is usually straightforward.

At Chestnut Hill Dental, we offer all aspects of dental care in a multidisciplinary approach, from the simplest option to the most complicated scenario. We are dedicated to quality and precision, so our digital office uses continuously updated protocols. Our dental office offers a wide range of procedures under one roof: dental implants, cosmetic dentistry, crowns, periodontal care, laser gum therapy, root canal treatment, Invisalign, bridges, wisdom teeth extractions and so much more. If you need tooth extraction service in Boston, we can help! Get in touch with us today to set an appointment!