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Teeth may need to be extracted for several reasons, including but not limited to:
  • Severe periodontal disease
  • Irreversible damage to the nerve tissue inside the tooth (and the patient decides against saving the tooth)
  • Failed endodontic therapy
  • Extreme fracture or decay of the tooth structure
  • Improper positioning of the tooth or for orthodontic purposes
  • Impacted tooth

The reason for the extraction will greatly influence the level of discomfort you may experience after the procedure. When a tooth needs to be extracted for periodontal reasons, there will be reduced bone support, making it easier to remove the tooth compared to a situation where there is full bone support. In this case, there may be decreased discomfort after the extraction. An impacted tooth refers to a tooth that has not fully emerged into the oral cavity. The impacted tooth can be completely surrounded by bone (full bony impaction), partially surrounded by bone (partial bony impaction), or only surrounded by soft gum tissue (soft tissue impaction). Wisdom teeth are not the only teeth that can become impacted. Any permanent tooth can be impacted. If the impact does not seem to affect neighboring teeth, no treatment may be required. However, if it affects other teeth, it may need to be removed.

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