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surgical tooth extraction

Our goal at Periodontics & Implant Center of Naples is to save as many teeth whenever possible. However, sometimes teeth may need to be extracted if you are experiencing extreme pain or are suffering from advanced periodontal disease. Other times extractions will help prepare you for a cosmetic procedure such as orthodontic braces.

Reasons for Tooth Extraction:

There are various scenarios where a tooth extraction can alleviate pain or facilitate other cosmetic or restorative treatments. Common reasons include:

  1. Extra or Baby Teeth: Removal of extra or baby teeth that hinder the emergence of adult teeth.

  2. Orthodontic Treatment: Extraction to prepare a patient for orthodontic braces.

  3. Hopeless Tooth: Extraction may be necessary for a tooth deemed hopeless due to factors such as a fractured tooth, severe bone loss from advanced periodontal disease, or a tooth with extensive decay that cannot be treated with root canal therapy.

  4. Infections and Abscesses: Extraction may be considered for a tooth with recurring infections or abscesses that do not respond to conventional periodontal cleanings or surgeries.

young girl had primary tooth extracted

Fractured Tooth

Fractured, broken, or split teeth beyond the gum level are generally unsalvageable and require extraction. Fractures may be evident through noticeable tooth movement or sharp pain when biting down on something. In some cases, fractures are challenging to diagnose, occurring underneath a crown or extending deep into the roots of teeth, with a diagnosis of cracked tooth syndrome.

fractured tooth

Tooth Extraction Procedure:

A tooth extraction involves several steps:

  1. Preparation: X-rays are taken to plan the extraction procedure.

  2. Anesthesia: Local anesthesia is administered to ensure a pain-free experience.

  3. Lifting and Loosening: An elevator tool is used to lift the tooth and loosen ligaments and gum tissue.

  4. Extraction: Forceps are employed to gently rock the tooth until it is free of ligaments. Stubborn teeth may be broken into smaller pieces for removal.

  5. Aftercare: Gauze is packed into the socket, and stitches may be applied if necessary.

Importance of Replacing teeth

The consequences of having missing teeth extend beyond aesthetic concerns, significantly impacting oral health, overall well-being, and quality of life. Here are several key consequences associated with tooth loss:

  1. Oral Health Complications:

    • Shifting of Adjacent Teeth: The gap left by a missing tooth can cause adjacent teeth to drift or shift into the empty space. This can lead to misalignment, bite issues, and potential further tooth loss.

    • Bone Loss: The stimulation provided by tooth roots during biting and chewing helps maintain the density and strength of the jawbone. When a tooth is missing, the lack of stimulation can result in bone resorption, leading to a loss of bone volume over time.

  2. Functional Impairments:

    • Chewing Difficulty: Missing teeth can make chewing and eating certain foods challenging. This limitation can affect dietary choices, potentially leading to nutritional deficiencies.

    • Speech Problems: Tooth loss, especially in the front of the mouth, can impact speech clarity, causing difficulties in pronunciation and communication.

  3. Aesthetic Concerns:

    • Altered Facial Appearance: The loss of teeth and subsequent bone resorption can contribute to changes in facial structure, leading to a sagging or prematurely aged appearance.

    • Smile Confidence: Missing teeth may result in self-consciousness about one's smile, affecting confidence and social interactions.

  4. Psychosocial Impact:

    • Reduced Self-Esteem: The aesthetic and functional consequences of tooth loss can negatively impact self-esteem and self-image, potentially leading to social withdrawal and reduced quality of life.

  5. Increased Risk of Oral Health Issues:

    • Gum Disease: Gaps created by missing teeth can be challenging to clean, increasing the risk of gum disease. Inflammation and infection in the gums may further compromise neighboring teeth.

    • Cavities and Tooth Decay: Adjacent and opposing teeth may experience increased stress and wear due to the altered bite, making them more susceptible to cavities and decay.

  6. TMJ (Temporomandibular Joint) Disorders:

    • Imbalances in the bite resulting from missing teeth can contribute to temporomandibular joint disorders, causing jaw pain, headaches, and difficulty in opening and closing the mouth.

  7. Impact on Digestive Health:

    • Digestive Issues: Difficulty chewing and avoiding certain foods due to missing teeth can lead to inadequate digestion. This can impact overall gastrointestinal health and nutrient absorption.

  8. Compromised Dental Function:

    • Overloading of Remaining Teeth: The remaining teeth may bear increased stress as they compensate for the missing ones, leading to wear, fractures, and a higher risk of additional tooth loss.


To address these consequences, individuals with missing teeth can explore various treatment options, including dental implants, bridges, dentures, or other restorative procedures. Seeking prompt dental care and discussing suitable replacement options with a dentist can help mitigate the negative effects of tooth loss and restore both oral health and overall well-being. Customized treatment plans address individual needs.

Shifted teeth as a consequence of missing teeth
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