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These are routine dental procedures used to remove decayed, damaged or otherwise problematic teeth. Dr. Viral usually make every effort to preserve natural teeth, although sometimes an extraction is necessary. Depending on which teeth are removed, they may be replaced with a dental implant or another oral prosthetic. Reasons for a tooth extraction The most common cause of tooth extractions is severe tooth decay and cavities. However, many patients also undergo extractions for impacted teeth – particularly wisdom teeth. Other causes for extraction include advanced periodontal disease, cracked teeth, orthodontic requirement and teeth that are severely malformed. Although many circumstances that require extraction are unavoidable, some could be prevented with regular visits to the dentist for exams and cleanings.