Dr. Lederer may recommend extraction if a tooth has a hopeless prognosis. For example, in advanced gum disease, there may simply not be enough healthy bone to anchor a tooth. If a root canal treatment is not possible due to a root fracture or severely calcified root canal, or if a tooth is so badly broken down that a filling is no longer possible, it will have to be extracted in order to relieve pain and infection. In these situations, Dr. Lederer will explain what an extraction involves, as well as your options in terms of replacing a missing tooth.
If you have impacted wisdom teeth which can compromise your oral health, you will be referred to a certified specialist in oral surgery. Even though impacted wisdom teeth may not cause discomfort, they can damage the adjacent teeth. They may also lead to inflammation or infection of the gums surrounding them. Occasionally cysts can develop around impacted teeth, which can in turn weaken the jaw bone.
Baby teeth sometimes need a gentle nudge to allow the permanent teeth the erupt properly. Dr. Lederer will be happy to discuss any concerns you have so an appropriate treatment plan can be established.