Skip to content

    Oral Care

    Select An Article

    Pulling a Tooth (Tooth Extraction)

    Font Size
    A
    A
    A

    Having a tooth pulled in adulthood is sometimes necessary.

    Recommended Related to Oral Health

    8 Ways to Keep Your Mouth Healthy

    Brushing, flossing, and rinsing are the ABCs of oral health, but they're only the beginning. A marvelous mouth takes more than squeezing paste out of a tube -- think improving your toothbrushing technique, ditching the daily soda habit, and saying good-bye to cigarettes. David Leader, DMD, an assistant clinical professor at Tufts University School of Dental Medicine in Boston, outlines eight oral care musts for a healthy mouth. Pay a visit. If you're prone to ditching the dentist, you're...

    Read the 8 Ways to Keep Your Mouth Healthy article > >

    Reasons for Pulling Teeth

    Although permanent teeth were meant to last a lifetime, there are a number of reasons why tooth extraction may be needed. A very common reason involves a tooth that is too badly damaged, from trauma or decay, to be repaired. Other reasons include:

    A crowded mouth. Sometimes dentists pull teeth to prepare the mouth for orthodontia. The goal of orthodontia is to properly align the teeth, which may not be possible if your teeth are too big for your mouth. Likewise, if a tooth cannot break through the gum (erupt) because there is not room in the mouth for it, your dentist may recommend pulling it.

    Infection. If tooth decay or damage extends to the pulp -- the center of the tooth containing nerves and blood vessels -- bacteria in the mouth can enter the pulp, leading to infection. Often this can be corrected with root canal therapy (RCT), but if the infection is so severe that antibiotics or RCT do not cure it, extraction may be needed to prevent the spread of infection.

    Risk of infection. If your immune system is compromised (for example, if you are receiving chemotherapy or are having an organ transplant), even the risk of infection in a particular tooth may be reason enough to pull the tooth.

    Periodontal (Gum) Disease . If periodontal disease -- an infection of the tissues and bones that surround and support the teeth -- have caused loosening of the teeth, it may be necessary to the pull the tooth or teeth.

    What to Expect With Tooth Extraction

    Dentists and oral surgeons (dentists with special training to perform surgery) perform tooth extractions. Before pulling the tooth, your dentist will give you an injection of a local anesthetic to numb the area where the tooth will be removed. If you are having more than one tooth pulled or if a tooth is impacted, your dentist may use a strong general anesthetic. This will prevent pain throughout your body and make you sleep through the procedure.

    If the tooth is impacted, the dentist will cut away gum and bone tissue that cover the tooth and then, using forceps, grasp the tooth and gently rock it back and forth to loosen it from the jaw bone and ligaments that hold it in place. Sometimes, a hard-to-pull tooth must be removed in pieces.

    1 | 2 | 3
    Next Article:

    How Do I Measure Up? Get the Facts Fast!

    Number of Days Per Week I Floss

    Get the latest Oral Health newsletter delivered to your inbox!


    or
    Answer:
    Never
    (0)
    Good
    (1-3)
    Better
    (4-6)
    Best
    (7)

    You are currently

    Only 18.5% of Americans never floss. You are missing out on a simple way to make a big difference in the health of your mouth. Regardless of how well you brush, plaque still forms between your teeth and along your gums. Floss removes food trapped between the teeth and removes the film of bacteria that forms there before it turns to plaque, which can cause inflamed gums (gingivitis), cavities, and tooth loss. Try flossing just one tooth to get started.

    You are one of 31% of Americans who don't floss daily. You are missing out on a simple way to make a big difference in the health of your mouth. Regardless of how well you brush, plaque still forms between your teeth and along your gums. Toothbrush bristles alone cannot clean effectively between these tight spaces. Flossing removes up to 80% of the film that hardens to plaque, which can cause inflamed gums (gingivitis), cavities, and tooth loss. Aim for 3 more days!

    You are one of 31% of Americans who don't floss daily, but you're well on your way to making a positive impact on your teeth and gums. Regardless of how well you brush, plaque still forms between your teeth and along your gums. Toothbrush bristles alone cannot clean effectively between these tight spaces. Flossing removes up to 80% of the film that hardens to plaque, which can cause inflamed gums (gingivitis), cavities, and tooth loss. Aim for all 7 days!

    Only 50.5% of Americans floss daily, and good for you that you are one of them! Regardless of how well you brush, plaque still forms between your teeth and along your gums. Toothbrush bristles alone cannot clean effectively between these tight spaces. Flossing removes up to 80% of the film that hardens to plaque, which can cause inflamed gums (gingivitis), cavities, and tooth loss. Congratulations on your good oral health habit!

    SOURCES:

    American Dental Association, Healthy People 2010

    This tool is intended only for adults 18 and older.

    Start Over

    Step:  of 

    Today on WebMD

    close up of woman sticking out tongue
    Sores, discoloration, bumps and more.
    toothbrushes
    10 secrets to a brighter smile.
     
    Veneer smile
    Before and after.
    Woman checking her bite in mirror
    Why dental care is important.
     

    Woman dissatisfied with granola bar
    Slideshow
    woman with jaw pain
    Quiz
     
    eroded front teeth
    Slideshow
    brushing teeth
    Video
     

    Variety shades of tea
    Slideshow
    mouth and dental instruments
    Article
     
    Closeup of a happy young guy brushing his teeth
    Tool
    womans smile
    Video