Although it is best to preserve a natural tooth, there are times when a tooth extraction is necessary. An extraction may be the best option to maintain oral health due to trauma, disease, or crowding. Tooth extraction involves the complete removal of one or more teeth from the jaw bone.
Tooth extraction is available at Okamoto and Bigley Dentistry in Pasadena and the surrounding area. Our team can extract teeth gently and safely to preserve your oral health. Call us at 626-440-9095 to learn more about our services or schedule an appointment.
A Normal Procedure

While it is best to preserve natural teeth, many reasons can necessitate tooth extraction. Sometimes a filling or crown is not enough to restore a tooth. The American Dental Association suggests the extraction of teeth that have suffered severe trauma, have extreme tooth decay or disease, or are crowding the surrounding teeth. It is also normal for patients to have an extraction or two before orthodontic treatment.
Many tooth extractions are relatively simple and performed in-office. For teeth that are visible about the gum line, we will numb the extraction site and remove the tooth with forceps. Broken or impacted teeth require a more involved procedure.
Why is stopping infection from spreading important?
According to the National Institute of Dental and Craniofacial Research, gum disease is the most common cause of tooth loss in adults. Gum disease occurs when bacteria get below the gum line and causes infections. Without treatment, oral bacterial leads to gum recession, damage to the jawbone, loose teeth, and even tooth loss.
Research has also shown chronic dental infections can cause inflammation that contributes to cardiovascular disease, stroke, and many other related diseases. While a root canal can often save a tooth from decay, sometimes a tooth is beyond saving due to lost structure and stability. Tooth extraction can prevent damaging decay and infection from spreading.
What are the common types of tooth extractions?
Teeth are often extracted when they are either crowding or impacted. Crowded teeth cannot fit adequately in the mouth, while impacted teeth (usually wisdom teeth) do not have enough room to grow. Impacted wisdom teeth are among the most common types of tooth extractions, and they typically come in during a patient’s late teens or twenties. Not all wisdom teeth have to be extracted. However, once they start causing problems, extraction may become necessary.
It is also not uncommon to require tooth extractions before receiving braces. Orthodontic treatment necessitates a proper realignment of the teeth, which requires adequate room in the mouth. As such, crowded teeth may require extraction to achieve desired results. This may also reduce the patient’s risk of developing cavities and gum disease.
When is restoration not enough to save a tooth?
Typically, the first option to restore a damaged tooth is a crown or filling. If the damage is too severe, trying to save a tooth may put oral health at further risk. A filling may put the tooth at risk for shattering, while a tooth may not be strong enough to support a crown. Root canals are also not possible when there is too much tooth damage.
Each tooth has a limit to how many times it can be worked on before it starts to fail. Redoing a crown or root canal only buys so much time. After several fillings, crowns, and root canals, there will not be much of the tooth left to save. At that point, tooth extraction is the best option to maintain oral health.