Most extraction of teeth other than 3rd molars (wisdom teeth) are due to caries (cavities) that have done significant damage to tooth structure and have rendered the tooth non-restorable or at least a poor candidate for restoration.
A toothache should not be ignored.
Caries may also lead to infection of the pulp of the tooth which may then become a dental abscess or cause an irreversible pulpitis (permanently damaged nerves within the tooth). In both cases, the treatment is either root canal therapy or extraction of the tooth. If there is enough tooth structure and the tooth has periodontal health (gum tissue health) then root canal therapy may be advisable. Our practice does not perform root canal therapy so if this is the case we would refer you to an endodontist who specializes in the treatment of dental pulp.
Periodontal disease, if advanced, is another reason for extraction. Periodontal disease can often be treated so referral to a periodontist, who specializes in gum and connective tissue, may be contemplated.
Keeping a diseased tooth in place without treatment can lead to local destruction of bone, damage to adjacent teeth structure and support and maybe even damage to distant organs due to bacteria or their toxins entering the blood stream.
To preview Pre-Operative Instructions, Consent and Post-Operative Instructions along with the scheduled visits, see Surgical Instructions>Dental Extractions.