Extractions or pulling teeth is sometimes indicated when the teeth are hopeless because of severe damage to the tooth structure as a result of decay (caries) or trauma. Advanced periodontal disease beyond treatment is the most common reason today for removing teeth. Regular checkups and visits with the hygienist for cleanings can predictably lower the chances of losing teeth to periodontal disease.
Wisdom teeth extractions are sometimes indicated due to lack of space available for them to erupt fully in the mouth. Often, wisdom teeth will cause pain and will need to be removed. Removing wisdom teeth in most instances requires surgery due to the position of the teeth. Some impacted wisdom teeth (wisdom teeth that fail to erupt) require referral to an oral surgeon depending on the complexity of the surgery needed.