Quick answer
Severe decay, a deep fracture, advanced infection, or inadequate bone support can make extraction the healthier option. A dentist can assess what is possible.
What you'll learn
The goal is usually to save your natural tooth
Dentists generally look for a predictable way to restore a tooth before recommending extraction. Fillings, crowns, and root canal treatment can save many teeth that appear badly damaged.
When extraction may be recommended
A tooth may be beyond saving when decay extends too far below the gumline, a fracture reaches the root, infection cannot be predictably treated, or gum disease has caused severe loss of support. Every decision depends on the full exam.
Planning what comes next
If removal is the best option, your dentist will discuss comfortable extraction and possible replacement choices, including implants, bridges, or partial dentures when appropriate.