Dentistry of Highland Village

Reasons for Tooth Extraction in Houston, TX

Why Dentists May Recommend Tooth Extraction

Tooth extraction involves removing a tooth from its socket in the jawbone, and it’s usually a last resort when other treatments aren’t possible or have failed. Understanding why a dentist may recommend a tooth extraction can help patients make informed decisions about their oral health and prepare them for what to expect.

Read our guide below from the team at Dentistry of Highland Village in Houston, TX, to learn the reasons for tooth extraction. To schedule an appointment with our dentists or oral surgeons, contact our Houston dental office today by calling (713) 360-7700.

Reasons Patients May Need Tooth Extraction

Severe Decay or Damage

When tooth decay progresses to the point where it has extensively damaged a tooth’s structure, extraction may be necessary. This occurs when the decay has compromised the tooth’s pulp (innermost part), and it can’t be saved with treatments like dental fillings or root canals. Extraction is performed to prevent the spread of infection to neighboring teeth and tissues.


In cases of overcrowded mouths, where there isn’t enough space for all teeth to align properly, one or more teeth may need to be extracted to create the necessary space for the remaining teeth to achieve proper alignment and bite correction. This is often done in conjunction with orthodontic treatment.

Advanced Gum Disease

Periodontitis is a severe form of gum disease (periodontal disease) that leads to the loss of supporting bone around teeth. When the bone loss becomes extensive and teeth become loose, they may need to be extracted to prevent further damage to gum tissue and maintain overall oral health.

Impacted Teeth

Wisdom teeth, which typically erupt in late adolescence or early adulthood, often lack adequate space to emerge properly in the patient and mouth. This can lead to tooth impaction, causing pain, infection, or damage to adjacent teeth. Extraction becomes necessary to alleviate these issues and prevent complications like cyst formation.

Orthodontic Treatment

Tooth extraction may be part of orthodontic treatment when there are alignment issues that can’t be corrected without removing certain teeth. This extraction can help create space for braces or other orthodontic appliances to move teeth into their desired positions.

Failed Root Canal Therapy

Sometimes, a tooth that has undergone root canal therapy may not heal properly or may become reinfected. If further attempts to save the affected tooth either aren’t feasible or have a low chance of success, extraction is considered to prevent ongoing pain and infection.

Teeth With Severe Bone Loss

Teeth that have experienced significant bone loss due to trauma, infection, or other factors may become unstable and painful. When the tooth is no longer viable and secure in the jawbone, extraction may be the best option to relieve pain and swelling and prevent further complications.

Reasons for Each Type of Tooth Extraction

Simple Tooth Extraction

Simple tooth extraction is a procedure in which a qualified dental professional removes a tooth from above the gum line. Our dentists may recommend this procedure if you have a tooth that’s decayed, damaged, or crowded and can be removed in one piece without making an incision in the gums.

Surgical Tooth Extraction

Surgical tooth extraction is the removal of a tooth from within the patient’s gum line. Our dentists and oral surgeons may recommend this treatment if you have an impacted tooth or if a tooth is damaged and in multiple pieces below the gum line.

Multi-Tooth Extraction

Multi-tooth extractions are the removal of several teeth. You may need a multi-tooth extraction if you have multiple deeply infected teeth, gum disease that has spread into the gums around several teeth, or trauma that broke or damaged more than one tooth. Our dental team may need to perform surgical or simple extractions for your multi-tooth extraction procedure.

Benefits of Tooth Extraction

Our dentists usually only recommend and perform tooth extractions when necessary for the patient’s oral health and well-being. However, tooth extraction can have several benefits, depending on the situation.

These benefits may include the following:

  • Relieving Pain: If a tooth is severely decayed, damaged, or infected, it can be painful. Removing the tooth can alleviate discomfort.
  • Preventing Infection: If a tooth is infected, extracting it can prevent the infection from spreading to other teeth and the rest of the body.
  • Improving Oral Health: Removing a damaged or infected tooth can improve oral health and prevent further complications from developing.
  • Creating Space: Sometimes, teeth may be too crowded in the mouth, causing dental problems. Extracting a tooth can create more space and prevent further complications.
  • Preparing for Orthodontic Treatment: In some cases, teeth may need extracting to prepare for orthodontic treatment like braces.
  • Cost-Effective: In some situations, tooth extraction may be more cost-effective than attempting to save a severely damaged or infected tooth through more complex and costly procedures.

Frequently Asked Questions

Yes, trauma or injury to the tooth or surrounding area can cause the need for extraction. If the tooth is severely damaged, cracked, or fractured, our dentists may not be able to repair it. Similarly, if the tooth is knocked out of its socket, it may be necessary to extract it to prevent infection or other complications.

A crowded mouth occurs when there isn’t space in the jaw to accommodate all the teeth. Overcrowding can cause the teeth to shift and become misaligned, leading to bite problems and the need for orthodontic treatment. In some cases, our dentists may recommend extracting one or more teeth to make more space in the mouth and prevent further crowding.

Tooth extraction may be necessary to prepare for orthodontic treatment, such as traditional metal braces. If there’s not enough space in the mouth for the teeth for proper alignment, extracting one or more teeth can create the necessary space to achieve the desired results.

Good oral hygiene habits such as twice daily brushing and once daily flossing can help prevent tooth decay and gum disease. Regular dental checkups can also catch potential problems early and prevent the need for extraction. Additionally, wearing a mouthguard during sports or other activities can help prevent dental injuries that may require extraction.

Learn More About The Reasons for Tooth Extraction, Call Now!

Tooth extraction is a routine dental procedure that may be necessary for several reasons. Severe tooth decay, advanced gum disease, crowded teeth, and trauma or injury are just a few reasons our dentists may recommend a tooth extraction. If you find yourself in need of a tooth extraction, contact Dentistry of Highland Village in Houston, TX, by calling (713) 360-7700. We’re here to help patients from Houston and surrounding areas such as Pasadena, Sugar Land, and Pearland, TX. 



Contact us and schedule your visit today.

The Proof is in Our Patients

Specials & Offers

Ask About Our Specials

FREE Custom Take Home Whitening with insurance.


Exam, x-rays, and regular cleaning


Emergency exam and x-ray

Dentistry of Highland Village
Monday7:00 AM – 5:00 PM
Tuesday7:00 AM – 5:00 PM
Wednesday7:00 AM – 5:00 PM
Thursday9:00 AM – 7:00 PM
Friday7:00 AM – 5:00 PM
Saturday7:00 AM – 3:00 PM