Questions About Necessary Tooth Extractions

questions about tooth extractionThe point of preventive dentistry is to prevent issues from developing that could eventually lead to tooth loss, or worse. The focus of restorative dentistry is to address tooth damage and/or infection before the condition causes the loss of a tooth. Sometimes, however, effective dental care requires the removal of a tooth for the benefit of your other healthy teeth and the structures surrounding them. Though tooth extraction is typically a last resort measure, your long-term oral health can benefit greatly by removing the potential hazard instead of trying to restore the tooth.

About Tooth Extractions

When is tooth extraction recommended?

The need for a tooth extraction can result from a number of reasons, all of which typically involve extensive infection, damage, or hindering necessary dental treatment. Some of the more common reasons include (but are not limited to);

  • One or more impacted wisdom teeth (meaning the molars are pushing against your other teeth)
  • A fractured tooth root, which is typically untreatable
  • Tooth decay that has permeated too much of the tooth’s structure
  • Teeth that have lost support due to severe gum disease
  • Severely crooked teeth that interfere with orthodontic treatment
  • And more

How do I know if should extract my wisdom teeth?

Impacted wisdom teeth are the most frequently-extracted teeth because they often cause problems with crowding as they try to erupt from the gums. As the last teeth to develop, wisdom teeth (or third molars) may have little room left on your dental ridge, and many patients choose to remove them before they have a chance to cause trouble. During a thorough examination, we can check the placement, angle, and growth of your wisdom teeth using digital X-ray imaging, and help you determine if wisdom tooth extraction is the best course of action.

Do extracted teeth need to be replaced?

Besides your wisdom teeth, other extracted teeth may require replacement with a dental bridge or implant-supported dental crown to restore your bite’s full function. Refilling the ranks of your smile will help your bite better balance its pressure, which will reduce the risk of tooth damage, bruxism, TMJ disorder, and other issues related to bite imbalances.


Awarded America’s Top Dentist since 2008, Neda Sayyah, DMD, is a member of the American Academy of Cosmetic Dentistry (AACD) and the National Association of Professional Women (NAPW), and is certified in the use of dental sedation through the DOCS Education program. Dr. Sayyah is also certified to provide Invisalign® clear braces for teens and adults. To learn more, call our office today at 425-688-0197, or email us at Located in Bellevue, WA, we proudly serve patients from Bellevue, Kirkland, Redmond, Seattle, Mercer Island, and all surrounding communities.