When Is a Tooth Extraction Necessary

As a family dentist in Bala Cynwyd, PA, we are regularly asked, "When is a tooth extraction necessary?" This is an understandable question because no one wants to have a tooth pulled unless it is absolutely beneficial. We are not interested in extracting teeth unless absolutely necessary. In fact, if you damage a tooth, our preferred method of treatment is to restore it using dental veneers or dental crowns. There are times, however, where we do recommend visiting our team at Oasis Dental Team PC.

You were in an accident

We can treat patients who have gotten into an accident and need to have immediate dental work completed. In some cases, dental damage is only part of the problem and immediate solutions are necessary. If possible, we will restore the tooth using dental bonding, dental veneers, or dental crowns. However, if the problem is urgent, a tooth extraction may be necessary. 

An infection has spread

If you have a bad dental infection, visit a dental office as soon as possible. It will be obvious if the infection has spread since you will experience intense discomfort that will make it difficult to bite down, chew, or even carry on with daily activities. We recommend coming in at the first sign of a toothache so we can treat the infection before it reaches the point of being severe. However, if you have delayed an appointment and are now in intense pain, you may need a tooth extraction just to get rid of the infection quickly. While not ideal, we can eliminate the source of the problem, prescribe you antibiotics, and then replace the tooth or teeth in the future with dental crowns and bridges or dental implants.

The cost to restore the tooth is too great

We accept most insurance plans and can also discuss various payment options with you. However, we also realize that sometimes restorative dental work can be cost prohibitive. This is not an inexpensive teeth whitening procedure. Instead, removing an infection can require a full root canal and restoration afterward. If you are in a situation where you cannot afford a root canal, you may want to consider a tooth extraction and then replace the tooth later on when you have the funds to do so. This will address the immediate problem, which is to remove the infection.

Your wisdom teeth are impacted

One of the most common reasons parents ask, "When is a tooth extraction necessary?" is because their child is developing wisdom teeth. At Oasis Dental Team PC, we do not always extract wisdom teeth. If there is enough room in the mouth for this third set of molars and they are growing in straight, they may be able to remain in the mouth. However, it does not work this way for most people. In fact, it is more common for our patients to visit our dental practice complaining that their wisdom teeth hurt. This can happen when they grow in impacted. The actual growth of them can cause discomfort and push other teeth forward (inconvenient if you or your child has had braces). As they grow in impacted or sideways, space will be created for food to become trapped, and this area often becomes infected. In this way, wisdom teeth can pose a health risk. 

The Extraction Process

While the first question we hear is, "When is a tooth extraction necessary?", the second is always about the process. We understand that our patients are often intimidated by the prospect of needing to have a tooth extracted. This is a process that most people grow up fearing, in part because of popular movies and television conveying an extraction as something truly horrible. The good news is that we can complete the extraction gently, quickly, and while keeping you comfortable. When looking for a "dentist near me" to complete an extraction, be sure to visit one who offers sedation. We do and we will use it to help you relax. Before we get started, you will be sedated and you will receive medication to numb the area.

If your tooth has grown in straight

We can typically grasp the tooth, wiggle it, and gently but quickly pull it out. This process happens quickly, and afterward, we will clean the area and place gauze there to stop the bleeding.

If your tooth is impacted

Our team can remove impacted teeth as a matter of course. This process, however, is far more complicated because an impacted tooth cannot be pulled. Instead, we have to cut open the gum tissue that surrounds the tooth so we can fully access it. In some cases, other bone or tissue has to be cut away so we have full access to the tooth and can pull it out. If necessary, we may need to pull it out one piece at a time. Afterward, we will clean the area, replace the gum flap, place sutures if necessary, and treat it with gauze.

The Recovery Process After a Tooth Extraction

At Oasis Dental Team PC, we warn patients that they will be sore for several days and that they will experience some swelling. This is perfectly natural and can be controlled by taking ibuprofen and placing a cold compress or icepack on your face in the area where the tooth was extracted. We encourage our patients to do so for 15 minutes at a time. In preparation for your tooth extraction, you should buy plenty of JELL-O, yogurt, applesauce, and anything else you can eat without actually needing to chew. Within a couple of days, you should be able to add solids back into your diet but will need to be cautious until the area has healed completely.

To schedule your appointment in our Bala Cynwyd, Pennsylvania, office, call us at 484-278-4134 or click here to get started.