👍 Become a Patron: How to Determine if a Tooth Needs to Be Pulled? Needing to have a tooth pulled can be a painful experience. Once you have your permanent teeth, excessive decay or damage can lead to such a situation. Though regular check-ups and preventative care may avert some of these conditions, a dentist may still need to pull a tooth — a procedure also known as an "extraction." There are signs to look out for if you might need this procedure, and steps to take should it come to pass.
Check for tooth decay. Tooth decay refers to any deterioration in the physical tooth surfaces — including cavities — often caused by plaque (bacteria feeding on substances leftover from eating, especially sugary or processed foods) eroding the enamel. This eventually causes inflammation of the inner pulp of the tooth. Decay, if left unchecked, can put deep holes in the tooth and cause infection, leading to extraction. You can see signs of decay or damage by looking carefully in a mirror under good lighting. Check for discoloration on the tooth surface. Look for missing pieces or unusual marks on the tooth. See if the gums around the tooth are red, swollen, tender, painful, and/or bleeding. You may also notice a filling surrounded by black, which may be a secondary decay located at the margins of your filling.
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00:24 Check for tooth decay
01:08 Examine the tooth for damage
01:20 Look for signs of gum disease
02:02 Consult with your dentist if "crowding" is occurring
02:33 Check for misaligned teeth
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