There are many reasons tooth extraction may be necessary. If the teeth and/or roots are no longer stable enough, they must be removed. The detention can cause a lot of pain.
This means that you may have many health problems in the future. You may have abscesses, gum disease, and more pain. As soon as you experience problems with your teeth, you should make an appointment with a tooth removal dentist.
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Teeth may have tooth decay. If the cavity is captured early enough, it can be filled with resin or even silver. From there, the teeth are strong enough to stay in the mouth. Once the tooth decay has reached the tooth, it may need to be removed.
If the tooth is creating overcrowding, tooth extraction may also be fine. For example, if you have a tooth that slides and pushes another tooth out so that it is distorted, then that tooth will need to be extracted to avoid damaging all the other teeth in your mouth.
A dentist can tell you if this is okay or if braces are a better way to solve the problem. If you need a tooth extraction, you need to think about the bigger picture of your mouth afterward.
If this is a third/wise molar then you don't need to worry about replacing it as it is an additional molar. However, if it is one of the teeth at the front of the mouth, you may want to replace it for aesthetic reasons.