Indications of Tooth Extraction
by Mahmoud H. Al-Johani
1. Therapeutic indications
1.1. Remaining infected roots
1.2. Severe periodental disease
1.3. Orthodontic space creation
1.4. Cyst / P.A infection related tooth
1.4.1. EX: Cementoblastoma
1.5. Tumor relation
1.6. Vertical tooth fracture
1.7. Supernumerary tooth
1.8. Tooth along jaw fracture line
2. Patient's wish!
2.1. ONLY with the actual indications
3. Prophylactic indications
3.1. General medical indications prior to:
3.1.1. Organ transplant
3.1.2. Radiotherapy/ chemotherapy (ORN)
3.1.3. Heart valve surgery (endocarditis)
3.2. Tooth with no opposing (over-erupted)
3.3. Impactions
3.3.1. Tooth may cause resorption of root/crown of adjacent
3.3.2. Inside maxillary sinus
3.3.3. Tooth may develop cysts (wisdom teeth)
4. When to Extract a Tooth ?
4.1. Immediate
4.1.1. Acute tooth pain (not infection)
4.1.2. Initial/ severe inflammatory complications of general disease
4.1.3. Within context of orthodontic treatment ( crowding, impeded eruption)
4.2. Postpone
4.2.1. Acute infection (abscess)
4.2.2. Poor general health
4.2.3. Extraction of wisdom teeth before completion of orthodontic therapy