When Are Dental Extractions Necessary and Why?

by | Jun 26, 2025 | Dental Care

At Stefan Family Dental, we believe in doing everything we can to help you preserve your natural teeth. But in some cases, the best decision for your overall health and comfort is to remove a tooth that can no longer be saved. If you’re in pain or wondering whether extraction might be necessary, we’re here to guide you with clarity, compassion, and expertise.

This Article Will Address:

  • Why a dentist may recommend a tooth extraction
  • What happens during an extraction
  • Signs that a tooth can’t be saved
  • Whether infected teeth can be pulled the same day
  • How long a broken tooth can go untreated
  • Which teeth typically cannot be saved
  • Sedation options for full-mouth extractions
  • What recovery looks like
  • Tooth replacement options after extraction
  • When to choose a root canal over extraction

Why Do Dentists Recommend Tooth Extractions?

Most people think of tooth extraction as a last resort—and that’s true. At Stefan Family Dental, we always prioritize saving teeth when possible. But sometimes, removing a tooth is the best path to prevent pain, infection, and more serious complications.

Common reasons we recommend extractions include:

  • Severe decay that can’t be restored with a filling or crown
  • Advanced gum disease that has loosened a tooth
  • Broken or cracked teeth that cannot be repaired
  • Impacted or infected wisdom teeth
  • Overcrowding, especially before orthodontic treatment
  • Preparing for dentures or dental implants
  • Repeated failed restorations or chronic infections

Every recommendation is made with your comfort, health, and long-term outcome in mind.

What Happens During a Dental Extraction?

Your comfort is always our priority. That’s why we use advanced imaging tools like digital X-rays and cone beam CT scans to plan your procedure precisely.

Here’s what a typical extraction visit includes:

  • Imaging: Digital X-rays or panoramic imaging to assess the tooth’s condition
  • Anesthesia: Local anesthesia to numb the area; sedation options available if needed
  • Extraction: Simple or surgical extraction depending on tooth position and damage
  • Aftercare: Instructions for recovery, including what to eat, how to manage discomfort, and when to follow up

You’ll be in experienced hands from start to finish.

At What Point Is a Tooth No Longer Savable?

We always evaluate whether a tooth can be restored before recommending an extraction. However, certain conditions make it clear when a tooth can’t be saved:

  • Decay that reaches the root and undermines structure
  • Cracks or fractures below the gumline
  • Severe bone loss due to periodontal disease
  • Chronic infection that hasn’t responded to previous treatments

With the help of intraoral cameras and panoramic X-rays, Dr. Stefan can provide clear, evidence-based guidance on your options.

Will a Dentist Pull an Infected Tooth the Same Day?

In many cases, yes—we can remove an infected tooth during your visit, especially if you’re in pain or if the infection is localized. If swelling or fever is present, we may recommend a short course of antibiotics before proceeding.

Stefan Family Dental offers emergency dental appointments in Westerville, OH for urgent needs like infected teeth, so you can get relief without unnecessary delays.

How Long Can a Broken Tooth Go Untreated?

Delaying treatment for a broken or cracked tooth can lead to serious consequences:

  • Infection: Bacteria can reach the pulp or root
  • Worsening damage: A small crack can turn into a full break
  • Tooth loss: Eventually, the tooth may need extraction

We recommend scheduling an evaluation as soon as possible—even if the tooth isn’t currently painful. Early care can save your tooth and protect your health.

What Teeth Cannot Be Saved?

While we explore all dental treatment options before recommending an extraction, some teeth simply cannot be restored:

  • Molars with vertical root fractures
  • Severely decayed teeth with little remaining structure
  • Teeth with extensive infection and bone loss
  • Wisdom teeth trapped under gum or bone (impacted)

When teeth reach this point, extraction is the healthiest step forward—and we’ll help you navigate your replacement options with care and clarity.

Do They Put You to Sleep When Pulling All Your Teeth?

If you’re having all of your teeth removed—whether due to advanced disease, dentures, or full-arch restoration—sedation is often used to make the process more comfortable.

At Stefan Family Dental:

  • We provide local anesthesia for most extractions
  • For multiple or full-mouth extractions, oral sedation can be provided in office, or IV sedation may be recommended through trusted referral specialists
  • We ensure every patient is relaxed, informed, and pain-free throughout treatment

What Happens After a Tooth Extraction?

Post-extraction care is essential to healing properly. We’ll provide clear instructions before you leave the office, and we’re always available to answer questions.

Here’s what to expect after your procedure:

  • Apply gauze to control bleeding
  • Eat soft foods and avoid hot drinks for 24–48 hours
  • Avoid smoking or using straws, which can dislodge the clot
  • Take medications as prescribed to manage pain and swelling
  • Follow up with our team if you notice unusual symptoms

We also provide a downloadable Post-Surgical Care Guide on our website to help you recover with confidence.

What Are Your Options After a Tooth Is Pulled?

You don’t have to live with missing teeth. We offer several restoration options to bring your smile back to full function and appearance:

  • Dental implant restorations for long-lasting, natural-looking results
  • Fixed dental bridges to fill gaps with stable support
  • Partial and full dentures, depending on how many teeth are missing
  • Socket preservation and bone grafting when appropriate to maintain jaw structure

Our team will walk you through every option and recommend the one that fits your lifestyle and long-term goals.

Should I Choose a Root Canal or Tooth Extraction?

It’s a common question—and we’ll help you make the best decision for your situation.

Root canal therapy is usually the preferred option when the tooth structure is still strong and the infection is limited to the pulp. However, if the tooth is severely damaged or reinfected after treatment, extraction may be the more predictable choice.

At Stefan Family Dental, our approach is always conservative and personalized. We’ll explain all your options and recommend what’s best for your health and comfort.

Tooth Extractions at Stefan Family Dental in Westerville, OH

If you’re experiencing pain, swelling, or tooth damage, don’t wait. Stefan Family Dental offers comprehensive, compassionate care using the latest technology—from digital imaging to precise dental treatment planning. Whether you need a single extraction or are considering tooth replacement, Dr. Zachary Stefan and our team are here to help you move forward with confidence.

Have questions about tooth extractions in Westerville, OH? Contact Stefan Family Dental today to schedule your dental extraction consultation and take the next step toward a healthier, pain-free smile.

Sources

     

      Dr. Zachary Stefan

      Dr. Zachary N. Stefan, DMD

      After earning his Doctor of Dental Medicine degree from Roseman University in Salt Lake City in 2019, Dr. Stefan returned to his home state of Ohio to bring exceptional, patient-centered care to his community. As the founder of Stefan Family Dental, he is committed to crafting comprehensive treatment plans that align with each patient’s oral health goals. Known for his meticulous approach and strong emphasis on communication, Dr. Stefan works to ensure his patients feel informed and empowered throughout their dental journey. He is an active member of the American Dental Association and Ohio Dental Association, dedicated to lifelong learning and professional excellence.