Sometimes teeth sustain enough damage that they require extraction. This should be a last resort option... it is the most definitive thing we can do! However if a tooth has a cavity that is too large, a fracture that extends too far or has lost so much of the supportive bone an extraction may be the only option. 

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The most important thing to know is this is not the end. There are a variety of options available to you to restore the missing tooth. Replacing the tooth is extremely important as well. If the area is left untreated you may damage nearby teeth, the bone around the adjacent teeth may collapse or teeth can tip creating problems that could result in the loss of more teeth.