Do I Need A Tooth Extraction?

The recommendation to extract a tooth is often made without considering how periodontics and the range of treatments it can offer could impact this decision. In many cases, tooth extraction can be averted under the care of an experienced periodontist who can provide advanced therapies and treatments to save and restore gum tissue, bone tissue and support the teeth.

Literally every day, people are having all of their teeth extracted due to periodontal disease. They are told that they have deep pockets and that they are only going to get worse; that they need to extract the teeth before they lose all of the bone support. This is a fatalistic view of periodontal disease. And frankly, it is untrue.

Here is a general rule. If your teeth are not loose, they can be saved.  The statement, “Once you have lost bone support it can’t come back,” is also untrue. We’ve seen bone come back numerous times. And if we get to the source of the problem, bone loss stops.

If you are told that you need to extract your teeth, you should make an appointment for a second opinion with a periodontist. Periodontists are not all the same. We have different philosophies, different methods of treatment. But we know how to save teeth. If you’re not referred, you can go to a periodontist self-referred.

We are bombarded with commercials that say you can have all your teeth extracted, put in dental implants, and that is the end of your problem.  Unfortunately, those who lose teeth to periodontal disease also have a tendency toward periodontal disease around dental implants.

In our practice, we do lots of dental implants. And, in our practice, we look at both sides of the equation, saving teeth vs. replacing teeth with dental implants.  And therefore, we, as periodontists, can help you make the best decision for your tooth or teeth, saving them or extracting them.

Wouldn’t it be better to save your natural teeth, if at all possible?  See a periodontist.

Dr. Lee Sheldon

This brief article written by Dr. Lee Sheldon highlights the important choice that patients face when addressing complex dental health concerns. As a periodontist, Dr. Robert Cain will always strive to save a natural tooth and thus preserve the natural bite and jaw structure of the patient.

Periodontal therapy vs tooth extraction.

If we can save your tooth or teeth using advanced periodontics, this is always best for your long-term oral health and wellness. A certified LANAP provider in Knoxville, Dr. Cain works with patients who have been told they have “hopeless teeth” to restore the integrity of the gums and the stability of the teeth. This unique laser periodontal therapy targets damaged and infected tissue and stimulates natural healing over time. Depending on the condition of your teeth and gums, there are also restorative treatments that can be used to repair damage.

Dr. Cain also provides bone grafting and other periodontal surgical procedures that are designed to augment and stabilize bone or soft tissue. This serves to support the teeth and help you to avoid a tooth extraction.

Need a second opinion on your dental treatment plan?

If you have been told that you need to have your tooth or teeth extracted, consider a visit and consultation with Dr. Cain. He can provide a more specialized analysis to determine if there are other options for treatment that could save your tooth. If an extraction is ultimately deemed necessary for your dental health, we also offer comprehensive care for dental implants and implant dentures to replace your extracted teeth with a naturally functioning restoration.