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Jan 2020

When do you need a tooth extraction?

When do you need tooth extractions?

There are three common reasons that emergency tooth extraction is necessary. These are crowding, disease, and trauma. If you've recently suffered a physical injury because of a sports-related accident or something as catastrophic, you may or may not need an emergency tooth extraction. How can you tell?

Getting an emergency tooth extraction is a difficult call to make. Regardless, the advancements in dental technology and endodontic treatments can help you move forward with this challenging decision.

If you've recently had a traumatic experience, the dental and endodontic treatments may vary per location, the type of injury obtained, and the severity of the pain. If you have a cracked tooth, for example, and it's fractured to the gum line, it may not be treatable. This kind of damage needs an emergency extraction.

The process of determining an extraction depends upon the dentist's decision. If the dentist takes an X-ray of the damaged area and sees that its 10-year prognosis bodes well, he or she will not elect for an emergency extraction. If it's the opposite because the area is severely infected and past treatments were ineffective to save the damaged tooth, he or she will proceed with the tooth extraction.

Throughout, your dentist will inform you what's going on and will talk to you about the several options you can take. Even so, you must consider an emergency tooth extraction if there is no other option to save the tooth or the affected area from further damage.

An emergency extraction is also necessary to protect you from the pain. As we all know, a tooth causing pain is blinding. It's not some regular headache that goes away with over-the-counter medication. A tooth that results from a traumatic injury is severely painful. Hence, emergency tooth extraction.

Below are the available options you can look through that will help you decide to get that emergency tooth extraction now.

Traditional orthodontic treatment

This is the most common way to make room in your mouth and straighten your teeth, and still give you a chance to have a great, toothy smile.

An emergency extraction is not necessary with an orthodontist. It only is when he or she has detected malocclusions. That is what you call the 'bad bites' of the teeth and its surrounding structures. This could have been the result of the traumatic incident.

If that's the case, he or she will elect for an emergency tooth extraction and then apply some following treatment plan to help you smile like a normal person again.

Progressive Periodontal Disease

If your dental prognosis has revealed that the trauma causes deep pockets of bone decay from five millimetres or deeper, due to advanced periodontal disease, your dentist will suggest an emergency tooth extraction. He or she will then refer you to a periodontist for a consultation.

In there, you will know the severity of your case. They will work out an emergency tooth extraction treatment to alleviate the pain from an abscess or further decay.

What is a Dental Abscess?

An abscess is a yellowish puss that results from swelling in the affected area. It's smelly and will give you bad breath. A dental abscess is also typically painful because it is a dead bacteria dwelling inside the affected area.

In some cases, the presence of dental abscess can be undetected for months. Abscesses don't heal. They will aggravate the infection and will damage your tooth and its surrounding area further. If an emergency tooth extraction is not performed ASAP, the damage will be harder to repair or become lost to treatment.

Severe Dental Cavities

When a nerve or a soft tissue is exposed because of an enlarged cavity, pain occurs. If you want to be saved from that pain, your endodontist, who specializes in protecting your damaged teeth, will opt for a root canal. This is a significant procedure, which eliminates the infection as well as ensures the protection of the decontaminated tooth from future microbial invasions.

A root canal is the right course of action when the endodontist sees that the soft tissue is already inflamed and infected. He or she will then remove the infection, work on reshaping the root, add a dental material in the canal, and crown the tooth to save it.

If, however, the dentist sees that the decay is too severe for treatment and that it's really beyond saving, he or she will elect for an extraction. If the root canal also didn't work because the infection persists, it will merit an emergency extraction.


You can still save your tooth after an injury. This is the reason it's essential to see dental care to know your available options. An emergency tooth extraction is not the end. More dental treatments will ensue after. This is for the best of your overall dental care so that you will still have some semblance of normal even after a severely traumatic physical injury.

If you’re looking for a tooth extraction procedure by one of the best-rated orthodontists in London, get in touch with us for a consultation.


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