When Is Tooth Extraction Necessary?

Fear of Dentist | Overmeyer Family Dental | Orlando, FL

“Like pulling teeth” is an expression used in reference to most any difficult task, and it’s easy to see why. No one likes pulling teeth: not even us. At Overmeyer Family Dental we only extract teeth as a very last resort because no one should have to go through that difficult process unless it’s absolutely necessary.

Sometimes, unfortunately, nothing can be done to save a tooth. We always try our hardest, but there are conditions, damage, and other problems that can make it a necessity. Knowing what those conditions are is important so that you can help prevent them from ever happening.

Severe Tooth Decay

Oral bacteria is all over your mouth in the form of plaque. It eats the same sugars that you do, and when it metabolizes them it creates acids that eat away at your teeth, causing cavities. While minor cavities are easy to fix with a filling, severe tooth decay can become very serious.

Most extreme cases of tooth decay can be treated with a root canal, but there are times when a tooth becomes so decayed that it loses its stability. Leaving a tooth that damaged in place can result in a sudden fracture that will be far more traumatic than an extraction!

These kinds of extreme cases are rare, especially since that level of decay will probably cause pain well before it gets to that point. There are also instances where a decayed tooth produces an abscess in the bone. While those can typically be treated with a root canal as well, there are times when a hard-to-reach abscess requires extraction.

Gum Disease

The same oral bacteria that likes to cause tooth decay is also responsible for the number one cause of tooth loss: gum disease. When oral bacteria gets below your gumline it causes infections that can, if left untreated, lead to gum recession, bone damage, and eventually loose teeth that are a constant source of trouble and discomfort.

When teeth become extremely weakened by gum disease there are usually only a couple of options: extraction or waiting for them to fall out on their own. In these cases we prefer to extract the tooth so that we can help you recover from gum disease faster. Teeth extracted due to gum disease can be great candidates for dental implants once they’ve healed.


Accidents can happen, and it seems like it’s the littlest thing that always causes the greatest damage! Your teeth are tough but it just takes one horrible injury to shatter them to the point where the can’t be restored.

Whether it’s a sports injury, an automobile accident, or just a simple slip and fall, your teeth can break. In many cases we can restore fractured teeth with crowns or bonds, but if the damage goes deep enough there’s no saving the tooth.

Wisdom Teeth

There’s always that pesky last tooth that comes in during your teens or twenties, and they’ve been given the ironic name of “wisdom teeth.” Some people get these teeth and don’t have any issues, but a lot of people do, and those people need to have them extracted.

Impacted wisdom teeth are common, painful, and sources for infection and decay. A partially erupted wisdom tooth can lead to serious infection if it ends up with a cavity in it. It’s easy for decay in a wisdom tooth to get down into the bone, leading to abscesses and gum disease.

We are able to extract wisdom teeth at our Orlando office, and we’ll do everything we can to make you feel at ease during your procedure. Our goal is to make your treatment as simple as possible!

Nervous About Extractions?

Having teeth pulled isn’t an easy experience – hence the quote at the beginning of this post. We don’t want you to feel anxious or frightened about the possibility of tooth extraction, so we’re glad to offer you sedation or any other comfort items you might need.

In every case where extraction is necessary there’s a direct and immediate benefit to the procedure. The pain you’re in due to an infection, trauma, or gum disease can be quickly eliminated, and the healing time is nothing compared to the risks that come with leaving an endangered tooth in place.

If you have questions about tooth extraction don’t hesitate to contact us. You can reach our Orlando dentist office by calling (407) 871-3143, or you can schedule an appointment for any dental need by filling out our online form. We look forward to helping you!

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