Gateway Family Dental Blog

4 Signs A Tooth Needs To Be Pulled

signs you need tooth extraction
For most people, getting a tooth pulled is a terrifying prospect. It’s painful, can ruin your smile and may cause your remaining teeth to shift. 

Unfortunately, it is sometimes necessary to have a tooth pulled to avoid even worse dental consequences. 

Today, we’re exploring some of the key signs that you might need a tooth extraction. 

The Tooth Is Impacted

An impacted tooth has been blocked from erupting (growing through) the gum naturally. The tooth remains under the gumline, sometimes only erupting partially as it grows. 

Impacted teeth cause a number of problems. They’re extremely hard to clean, so they can cause gum irritation and may even lead to gum disease. They may also cause dangerous abscesses (an infection site that fills with bacteria and pus), leading to intense, prolonged dental pain.

Impacted teeth can also cause problems with nearby teeth, causing shifting and even tooth damage. 

So how do you know if you have an impacted tooth?

The wisdom teeth(the third molars) are most likely to become impacted. Check for these symptoms of impaction:
  • Redness and swelling in the surrounding gum
  • Pain and tenderness in the surrounding gum and jaw muscle
  • Chronic headache 
  • Bad breath
  • Pain when opening or closing the mouth
  • Unpleasant taste
Some individuals with impacted teeth experience no symptoms. However, your dentist will be able to spot an impacted tooth through routine x-rays and a dental examination. 

You Experience Regular Toothaches

Pain in a tooth can be a sign of many issues. Occasional toothaches due to sensitivity or mild temporomandibular pain are not typically serious and can be treated using over-the-counter pain relievers like NSAIDs. A severe toothache, however, may have more serious underlying causes. The most common issue is tooth root infection, a condition that requires a root canal procedure to get rid of harmful bacteria and preserve the tooth. 

For teeth that regularly become infected, root canal treatment may not be enough to prevent pain and discomfort. If the infection has spread, your best option may be a dental extraction.

You Have Severe Periodontal Disease

Periodontal disease is the prolonged infection of the gums and surrounding tissues caused by a buildup of plaque along and under the gumline. Severe periodontal disease can lead to puffy, bleeding gums and even tooth loss. 

Symptoms of periodontal disease include:
  • Bad breath
  • Tooth sensitivity
  • Gum recession (causing the teeth to appear longer)
  • Red, puffy gums that bleed easily
  • Pus between teeth and gums
  • Teeth that feel loose or jiggly
  • Change in the location of your teeth, causing an altered bite pattern
If you notice any of these symptoms, it’s important to visit a dentist right away. You may need a deep dental cleaning to remove the buildup of calculus deposits around and under your gums. Without treatment, periodontal disease can damage the bones in the jaw, leading to tooth loss. 

You Have Extensive Tooth Decay

Dental caries (cavities) can generally be repaired using fillings, crowns or dental bridges. However, decay is sometimes so extensive that a tooth needs to be extracted to prevent serious infection. 

Tooth decay is often accompanied by sensitivity and tooth pain that occurs even when you aren’t eating or drinking. You may also be able to see physical discoloration, pits or holes in the tooth. 

Tooth Extraction at Gateway Family Dentistry in Murfreesboro, TN

Are you experiencing severe tooth pain, obvious decay, facial swelling or intense pain in your temporomandibular joint? If you answered yes, it’s important to visit a dentist immediately. 

Gateway Family Dentistry in Murfreesboro, TN specializes in painless tooth extraction that removes infection and provides relief for constant pain. 

Our expert dental team performs extractions of impacted teeth, teeth with decay and wisdom teeth. 

Contact us today to learn more about our services or to schedule your appointment!

Read More From Gateway Family Dentistry

June 30, 2026
At Gateway Family Dentistry, we know that halitosis can impact your confidence and how you feel day to day. Occasional bad breath happens to everyone, but if it sticks around, it could point to a more serious oral health problem. Studying what causes bad breath and how to treat it can help you keep your breath fresh and your smile healthy. Common Causes of Bad Breath Bad breath can have many causes, from everyday habits to dental problems. Figuring out what’s behind it is the first step to finding the right solution. Poor Oral Hygiene Not brushing and flossing well enough is a major cause of bad breath. When food stays in your mouth, bacteria can grow and create bad smells. Plaque that builds up on your teeth and gums can also make bad breath stick around. Dry Mouth Saliva helps clean your mouth by washing away food and bacteria. If you don’t have enough saliva, bacteria can grow faster and cause bad breath. Dry mouth can occur while you sleep, from certain medicines, or due to certain health conditions. Gum Disease Persistent halitosis may point to gum disease. Bacteria under the gums produce toxins and odors that cause halitosis. Treating gum problems early can help keep your mouth healthy and your breath fresh. Certain Foods and Beverages Foods such as garlic, onions, and strong spices can cause temporary bad breath. Coffee and alcohol can also contribute to drying out your mouth. These smells usually go away, but good oral care can help reduce them. Ongoing mouth odor can increase the risk of gum disease, which may contribute to chronic bad breath. Quitting tobacco use benefits not only your breath but also your overall health. How to Treat Bad Breath The good news is that most bad breath can get better with good oral care and healthy habits. Brush and Floss Daily Brushing your teeth twice a day and flossing daily removes plaque that causes bad smells. Don’t forget to brush your tongue, since bacteria often build up there. Maintaining water intake throughout the day helps maintain saliva secretion and washes away bacteria. Maintaining hydration is especially important for individuals who experience dry mouth. Schedule Regular Dental Checkups Routine dental checkups and cleanings help prevent bad breath. Dentists can get rid of bacterial buildup that brushing can’t reach and spot signs of gum disease or other problems that may be causing halitosis. Antibacterial mouthwashes can briefly reduce bacteria and freshen breath. However, antibacterial mouthwashes can help reduce bacteria and freshen your breath temporarily. But remember, they should be used in addition to regular brushing and flossing, not instead of them. If your oral hygiene is poor, it may be time to visit your dentist. Chronic halitosis can sometimes be linked to gum disease, tooth decay, dry mouth, or other medical concerns that require specialist assessment. At Gateway Family Dentistry, we’re here to help you keep your smile healthy and confident with preventive care and helpful advice. Seeing us regularly lets us catch problems early and give you tips that fit your long-term oral health needs. If you’re dealing with persistent bad breath or need a dental checkup, give our office a call to schedule an appointment. We’re here to help you get fresher breath and a healthier smile.
How Diet Affects Your Teeth: Foods That Help and Harm Your Smile
May 31, 2026
At Gateway Family Dentistry, we know maintaining a healthy smile involves more than brushing and flossing. The foods and drinks you consume daily play a major role in your oral health.
Gum Disease and Your Overall Health: What’s the Connection?
May 1, 2026
At Gateway Family Dentistry, we recognize the strong link between oral health and overall wellness. Gum disease is a common, often overlooked...
Show More