Dental Extractions

Most of us would like to keep our natural teeth for a lifetime, but there are situations where it becomes necessary to have an adult tooth pulled. Even with all the ways Dr. Bahar Esmaili is able to save a tooth, there are still a few common reasons why you might need to have the tooth extracted instead.

Reasons For Tooth Extraction

A few common reasons for extracting a tooth include:

Decay or Trauma

When a tooth is damaged by decay or trauma, it can often be fixed by receiving a dental filling or crown. However, if the damage or decay is too severe, Dr. Esmaili may recommend having the tooth extracted.


For some patients, there is not enough room in the jaw for all the teeth to fit properly. Removal of a tooth or a few teeth can allow more room in the mouth for the teeth to properly align. These types of extractions are often performed on patients who are preparing to receive orthodontic treatment.


If dental cavities or tooth decay are left untreated, they will eventually reach the center of the tooth (also known as the tooth’s pulp), causing an infection. Dr. Esmaili can often save an infected tooth by performing root canal therapy. However, if antibiotics and root canal therapy fail to stop the infection, it may become necessary to remove the tooth to avoid the spread of infection.

Gum Disease

Gum disease is one of the most common reasons for tooth loss. This is because, when the gum tissue begins to pull away from the teeth, pockets are created, which let infection in. This infection will begin to break down the connective tissues and bone holding the teeth in place, which will eventually cause the tooth to loosen. Once bone loss has occurred, it will be necessary to remove the tooth.

Wisdom Teeth

Wisdom teeth are usually extracted when a patient is in his or her late teens or early twenties. If the wisdom teeth are healthy and have already erupted, a simple extraction can be performed. However, if wisdom teeth are decayed, infected, or impacted, a more surgical approach may be required.

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What To Expect During Your Tooth Extraction

The first step is taking a few X-rays. These X-rays will allow Dr. Esmaili to see what’s going on beneath the gums, which will help when determining the best way to extract the tooth. Once X-rays have been taken, there are two different types of ways your tooth may be removed:

Simple Extraction

If the tooth has fully erupted in the mouth and the roots are correctly shaped, Dr. Esmaili will likely be able to remove it during a simple extraction procedure. First, you will receive a local anesthetic, numbing the tooth and the surrounding tissues. Then the tooth will be loosened and removed with forceps. You may feel pressure during the procedure, but you should not feel any pain.

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Surgical Extraction

If your tooth is below the gum line, broken down to the gum, or has irregular roots, it may require a small incision in the gum tissue to be removed. Depending on the severity of the situation, you’ll either receive a local anesthetic or be put under anesthesia.

(303) 816-3951