Teeth can break due to decay, trauma, fractures, or multiple other reasons.  If we cannot give you several good years out of restoring a broken tooth, we would recommend an extraction.  Don’t worry.  It’s not the end of the world to lose a tooth.  Bridges or dental implants can replace a missing tooth.  Another way to replace multiple missing teeth is dentures or partials. Nearly everyone needs their wisdom teeth extracted.  The reason why is that we don’t lose our teeth as quickly as we did years ago before modern restorative dentistry.  Wisdom teeth are extracted while the patient is sedated to make the patient as comfortable as possible.  We recommend extracting wisdom teeth in the late teens because the teeth are easier to remove and patients heal faster.