When Do I Need an Emergency Tooth Extraction?

If a tooth becomes damaged, it can usually be repaired with treatments such as a filling, crown, or root canal. However, there are certain times when it’s actually best to extract the tooth altogether. When would that be necessary? There are six situations:

Impacted Teeth (Wisdom Teeth)

Impacted teeth occur when the teeth are unable to break through the gum line. This usually happens when there is too much crowding or not enough space in the bone. Wisdom teeth are the most likely type of teeth to be impacted. Extracting them is usually the best solution.

Severe Decay 

Tooth decay, also known as cavities, can usually be resolved with a filling. However, if the decay has reached the pulp found in the center of the tooth, removing the tooth is often the best course of action. 


When a tooth becomes infected, it creates a pocket of pus called an abscess. If caught early enough, we might be able to save the tooth by draining the abscess and performing a root canal, but in some cases, it’s better to extract the tooth. 

Advanced Gum Disease

Gum disease is very common and can usually be reversed with good oral hygiene, but if it has advanced to far, the infection affects the tissues and bone. Your teeth no longer have the support they need, making removal necessary. 

Broken/Fractured Tooth or Tooth Roots

Most breaks and fractures can be treated with crowns or root canals. However, if the break or fracture in the tooth is severe, especially if the damage extends below the gum line into the tooth’s root, it will need to be removed. 

Orthodontic Correction

If your teeth are severely crowded and your jaw is misaligned, removing a few teeth might be the best way to get started with straightening and realigning. 

Emergency Tooth Extraction: What to Expect 

At Atlantic Dental Partners, we are committed to making you as comfortable as possible during the tooth extraction process. We understand that getting your natural teeth removed is scary, so you will always be thoroughly informed about why an extraction is the best choice, how to heal post-op, and what tooth replacement options are available after you’ve healed. If you want to learn more about tooth extractions and if it’s something you should consider, don’t hesitate to contact us with any questions! 


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