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Extractions: A tooth may need to be removed because of disease, trauma or crowding. In some cases, permanent teeth may need to be removed for orthodontic treatment. If you lose a tooth or need to have a tooth extracted, it is recommended to replace the missing tooth. Tooth replacement options include bridges, implants, or dentures.
Gum Surgery: Gum disease is an infection that affects the gums and jaw bone, and in severe cases, can lead to a loss of gum and teeth. There are two major stages of gum disease: gingivitis and periodontitis. Gingivitis is the milder and reversible form, but periodontal disease is often more severe and in some cases, gum surgery will be required to reverse any damage caused.

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*All information above is from the Ontario Dental Association