Although permanent teeth were meant to last a lifetime, there are a number of reasons why an 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, infection, or risk of infection. Extractions and wisdom teeth extractions can be done in-house by our highly trained team or treatment can be referred out to an oral surgeon.

When Is An Extraction Indicated?

  • When the tooth cannot be repaired

  • When the tooth has abscessed and the patient has chosen not to do a root canal

  • When another option (implant or bridge) will last longer than saving the tooth

  • When the bone around the tooth has been lost due to gum disease

  • When there is inadequate room for the tooth (wisdom teeth commonly, but can be other teeth too at an orthodontist recommendation)

  • When the tooth is compromising the health of a more important tooth (usually a wisdom tooth compromising a second molar).

Wisdom Teeth Removal

Wisdom tooth extraction is a surgical procedure to remove one or more wisdom teeth — the four permanent adult teeth located at the back corners of your mouth on the top and bottom.

If a wisdom tooth doesn't have room to grow (impacted wisdom tooth), resulting in pain, infection or other dental problems, you'll likely need to have it pulled.


It's difficult to predict future problems with impacted wisdom teeth. However, here's the rationale for preventive extraction:

  • Symptom-free wisdom teeth could still host disease.

  • If there isn't enough space for the tooth to erupt, it's often hard to get to it and clean it properly.

  • Serious complications with wisdom teeth happen less often in younger adults.

  • Older adults may experience difficulty with surgery and complications after surgery.

Sedation Options

Prior to extractions, typically during the appointment before your extraction, our dental team will consult with you on sedation options. Whether you wish to use one of our sedation options during your treatment is your choice. If you prefer to use a sedative, we have several options, which include conscious sedation (Nitrous Oxide) and oral sedation.

How Many Appointments Are Necessary?

Usually, only one appointment is necessary. For wisdom teeth, it is recommended to take them all out (if indicated) at once and before the age of 20 years.

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