Why Would I Need a Tooth Extraction?

Visiting Strauss Dental regularly, combined with your own effective home care routine of brushing and flossing, gives you the best chance of avoiding tooth extraction. Yet, life being what it is, problems occur that interfere with the best of plans. For whatever the reason, sometimes teeth just need to be extracted.

You can talk to Dr. Julie Strauss and her team about any issue regarding your teeth, and take comfort in the fact that they’re extraction specialists, should the need arise. 

When extractions become necessary

Sometimes extractions are unavoidable. Such situations include:

Decay or trauma

Tooth extractions may become necessary to remove a severely decayed or damaged tooth. Decayed teeth can be the result of poor oral hygiene, which can also cause gum disease. When it becomes advanced, extraction may be the best way to deal with the disease. Teeth may also suffer damage from impact trauma to the face or jaw, requiring extraction, particularly if the damage extends below the gumline. 


In some cases, a damaged tooth causes an infection in the tooth’s interior or in the surrounding tissue. If the infection can’t be treated with medication or a root canal, you may need to have the tooth extracted.


Sometimes your teeth can be perfectly healthy, but there’s not enough room in your mouth for all 32 of your adult teeth without crowding and, potentially, pain. In addition, if you need braces to straighten teeth and improve your oral health, you may need to have one or more teeth removed to give your other teeth the room they need to shift in the right direction.

Wisdom teeth are perhaps the most common healthy teeth that are regularly extracted. These sometimes don’t erupt through the gum or grow into the jaw sideways, pressing on the back of the other molars. Extraction relieves the pressure and provides room for the remaining teeth. 

Other medical reasons

Tooth extractions are often a part of the preparation process for organ transplants or chemotherapy, if existing teeth have decay. An extraction becomes a preventative measure to reduce risks for infection when surgery may compromise a person’s immune system.

Types of extraction

When extraction becomes necessary, the condition of the tooth establishes the type of tooth extraction you receive. These types are:

Simple tooth extraction

When a tooth is visible above the gum line, the dentist performs a simple tooth extraction. Under local anesthetic, Dr. Strauss uses specialized tools to lift the tooth up and out of your jaw and gum. The in-office procedure is relatively quick, and the anesthetic keeps you comfortable during the procedure.

Surgical tooth extraction

When you have a tooth that hasn’t erupted through your gum or is impacted, you’ll require a surgical extraction. This is common for many wisdom teeth procedures. Dr. Strauss removes the tooth through an incision in your gum, taking out additional bone or tissue surrounding the extracted tooth when necessary.

While the idea of a tooth extraction may sound painful, contemporary anesthetics keep you comfortable throughout the procedure, and post-extraction aching is typically easy to manage with conventional pain relief. 

If you need a tooth extracted, contact Strauss Dental by calling the office directly at 503-656-2139, or by using the online tool to request an appointment. Dr. Strauss and her team will guide you through the extraction process.

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