The cause guides the treatment
Pain may arise from decay, the pulp, gums, a fracture or the bite. Looseness may relate to gum support, trauma or loading. The dentist combines symptoms, examination and appropriate imaging rather than assuming that a severe symptom means the tooth must be removed.
Ways a tooth may be preserved
Suitable care can include a filling, onlay or crown, root canal treatment, gum treatment, splinting or management of the bite. Several treatments may be needed together. The plan explains the prognosis and the maintenance required so that preservation is a meaningful decision.
When extraction is reasonable
A tooth may be unsuitable for restoration if damage, fracture, infection or loss of support prevents useful maintenance. Keeping such a tooth can prolong symptoms or affect surrounding structures. The dentist explains why extraction is recommended and how the space may be managed afterwards.
