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Typically, the best solution to a dental problem involves preserving and improving your teeth and gums. However, some issues will require tooth extraction to protect your smile. Here are a few instances when this standard treatment may be the best route.

When Might You Need a Tooth Extraction?

1. Impaction

When an incoming tooth is blocked from breaking through the gums, it can become partially or fully impacted. This is a common issue with wisdom teeth, as they're typically the last to come in, and the jaw has generally stopped growing to accommodate them. If there isn't space, they can grow inward toward the rest of the teeth, damaging them in the process.

Sometimes, impacted teeth won't cause any symptoms. However, they can lead to an infection, resulting in red, swollen, or bleeding gums. You might also notice pain when chewing and biting or have difficulty opening your mouth. Scheduling regular X-rays is the best way to catch impacted teeth and have them extracted before they can cause serious problems.

2. Decay

tooth extraction

Plaque and tartar buildup can cause tooth decay that eats away at the enamel and leads to cavities. In the best circumstance, your dentist will drill and fill the tooth. However, if the decay is extensive, this procedure might leave the tooth too brittle. While a crown can strengthen it, an extraction could become necessary if an infection sets in.

Tooth decay can also lead to gingivitis and periodontitis, which is inflammation of the bones and tissues surrounding the teeth. If the integrity of these areas deteriorates too much, tooth extraction could become necessary to preserve the surrounding teeth.

3. Trauma

Teeth often become damaged after an impact to the face. However, this isn't the only way cracks or fractures develop. It's also normal for this damage to occur after chewing on hard foods, grinding your teeth, getting large fillings, and experiencing normal aging.

Depending on the size of the crack and its location, bonding or getting a dental crown might be possible. If the damage is too severe or causing symptoms, such as pain with chewing or biting, gum swelling, or sensitivity to heat, cold, or sweetness, an extraction might be necessary.


Keep your smile in good health by visiting the office of David J. Novak, DDS, PA. For nearly 40 years, this general dentistry office has provided personalized care to families in High Point, NC, and the Piedmont Triad area. Their friendly and caring staff will make sure you're comfortable during your procedure, whether it’s a standard teeth cleaning or a tooth extraction. Call them today at (336) 884-1833 to schedule an appointment, and visit their website to learn more about their range of services.

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