Surgical Dentistry

Wisdom Teeth Extraction

Wisdom teeth extraction is a common dental surgery performed to remove one or more third molars—known as wisdom teeth—that usually appear between the ages of 17 and 25. These teeth can cause issues if there isn’t enough space for them to grow properly.

Why Wisdom Teeth are Removed

  • Impaction: Teeth become trapped under the gums or jawbone.
  • Crowding: Wisdom teeth push adjacent teeth out of alignment.
  • Decay or Gum Disease: Hard-to-clean areas around wisdom teeth can lead to cavities or infections.
  • Cysts or Damage: Impacted teeth can develop cysts, harming nearby teeth and bone.
  • Pain or Discomfort: Swelling, soreness, or jaw stiffness may occur during eruption.

The Procedure

1. Preparation:

2. Extraction Process:

3. Duration:

Recovery

1. Immediate Aftercare:

2. Pain Management:

3. Diet:

4. Healing Time:

Potential Risks

  • Dry Socket: Painful condition caused by loss of blood clot at extraction site.
  • Infection or Prolonged Bleeding: May require additional care.
  • Temporary Numbness: If nerves near the tooth are affected.

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Impacted Tooth Extraction

Impacted tooth extraction is a surgical procedure to remove a tooth that has not erupted properly or is blocked from fully emerging due to being stuck in the gum, jawbone, or against another tooth. While commonly associated with wisdom teeth (third molars), it can affect other teeth as well.

Reasons for Extraction

  • Pain or discomfort
  • Risk of infection or gum disease
  • Damage to neighboring teeth
  • Formation of cysts or tumors around the tooth
  • Difficulty in cleaning and maintaining oral hygiene

Procedure

Consultation:

Anesthesia:

Surgical Removal:

Closing:

Recovery:

Aftercare Tips

Risks

  • Dry socket (exposed bone due to clot loss)
  • Infection
  • Swelling or prolonged pain
  • Jaw stiffness or difficulty opening the mouth
  • Rarely, nerve damage (especially with lower teeth)

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Orthodontic Extraction

Orthodontic extraction refers to the removal of one or more teeth as part of an orthodontic treatment plan to help achieve proper alignment and create sufficient space in the jaw. It is typically recommended when severe crowding, malocclusion, or jaw size discrepancies cannot be corrected with braces or aligners alone.

Common Reasons for Orthodontic Extraction

  1. Overcrowding: When the jaw is too small to accommodate all the teeth.
  2. Protrusion: To reduce excessive forward positioning of the front teeth.
  3. Improper Bite (Malocclusion): Such as overbite, underbite, or crossbite.
  4. Impacted Teeth: Teeth blocked from erupting normally.
  5. Aesthetic Concerns: To improve the appearance of the smile and facial profile.

Typical Teeth Extracted

  • Premolars (bicuspids): Often removed because their position allows for easy realignment of front and back teeth.
  • Occasionally, canines, incisors, or molars may be extracted depending on the case.

Procedure

  1. Evaluation:
    X-rays, dental impressions, and photographs are taken to assess alignment and spacing. The orthodontist creates a detailed treatment plan.
  2. Extraction:
    Performed by a general dentist or oral surgeon under local anesthesia. The tooth is carefully loosened and removed to avoid trauma to adjacent teeth or bone.
  3. Orthodontic Treatment:
    Braces or aligners are applied shortly after healing begins (usually within 1–2 weeks). The space created by the extraction helps align the remaining teeth properly.

Recovery and Care

Advantages of Orthodontic Extraction

  • Creates space for proper tooth alignment.
  • Improves bite function and dental aesthetics.
  • Prevents long-term dental issues caused by overcrowding.

Potential Risks

  • Minor risks such as infection or delayed healing.
  • Rare complications including shifting of other teeth if orthodontic treatment is delayed.

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Dental Implant Placement

Dental implant placement is a surgical procedure to replace one or more missing teeth by inserting a titanium post (or other biocompatible material) into the jawbone. This post acts as an artificial tooth root, providing a strong foundation for a crown, bridge, or denture, which restores natural function and appearance.

Steps in the Procedure

  1. Initial Consultation: The dentist evaluates oral and overall health, taking X-rays or a CT scan to assess bone density and jaw structure. A personalized treatment plan is developed.
  2. Preparatory Procedures (if needed):
    1. Bone Grafting: To strengthen areas with insufficient jawbone density.
    2. Tooth Extraction: Removal of any damaged or decayed teeth before implant placement.
    3. Sinus Lift: Creates space in the upper jaw near the sinus cavity for implant placement.
  3. Implant Placement: Local anesthesia or sedation is administered. The gum is incised to expose the jawbone, a small hole is drilled, and the implant is inserted. The area is closed with stitches, and healing begins.
  4. Osseointegration (Healing Phase): Over 3–6 months, the implant fuses with the jawbone, creating a stable foundation.
  5. Abutment Placement: After healing, a small connector (abutment) is attached to the implant. The gum tissue around it heals.
  6. Crown, Bridge, or Denture Placement: A custom prosthetic tooth is attached to the abutment for a natural look and functional restoration.

Benefits of Dental Implants

Aftercare

Potential Risks

  • Infection at the implant site.
  • Nerve damage.
  • Other surgical complications (rare).

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Bone Grafting and Sinus Lifts

Building a Strong Foundation for Your Smile


Advanced procedures like bone grafting and sinus lifts restore or augment your jawbone to ensure reliable support for dental implants in areas where natural bone is deficient.

Bone Grafting

What It Is:

The addition of bone material to areas of the jaw that have suffered bone loss—creating a stable base for future implants.

Why It’s Needed:

  • Bone Resorption: Jawbone shrinks naturally after tooth loss.
  • Infection or Trauma: Periodontal disease or injury can erode bone.
  • Congenital Defects: Some people are born with insufficient bone volume.
  • Implant Preparation: Ensures implants can integrate securely.

Types of Grafts:

  1. Autograft: Your own bone (e.g., from chin or hip)
  2. Allograft: Donor bone from a tissue bank
  3. Xenograft: Animal-derived bone (commonly bovine)
  4. Synthetic: Biocompatible materials (e.g., calcium phosphate, bio-glass)

Procedure Overview:

  1. Local anesthesia or sedation.
  2. Incision exposes deficient bone area.
  3. Graft material is placed and secured.
  4. Site is sutured and left to heal (3–6 months for integration).

Sinus Lift (Sinus Augmentation)

Advanced procedures like bone grafting and sinus lifts restore or augment your jawbone to ensure reliable support for dental implants in areas where natural bone is deficient.

What It Is:

  • A specialized grafting technique in the upper jaw that lifts the sinus membrane and adds bone beneath it—creating space for implants in the back teeth region.

Why It’s Needed:

  • Insufficient Posterior Bone: Upper molar/premolar sites often lack vertical bone height.
  • Sinus Expansion: Sinuses can expand with age or after extractions.
  • Bone Resorption: Loss of ridge height compromises implant placement.

Procedure Overview:

  • Local or general anesthesia.
  • Gum incision to access the lateral sinus wall.
  • A small “window” is created; the sinus membrane is gently lifted.
  • Bone graft material is placed below the membrane.
  • Incision is closed; healing and graft integration take 4–9 months.

Benefits:

  • Restores adequate bone volume for implants
  • Prevents further bone loss and facial collapse
  • Improves long-term stability and success of restorations
  • Enhances facial aesthetics and function

Risks & Considerations

Recovery & Aftercare

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FAQ’s

  1. Not during the procedure—local or general anesthesia is used to ensure you're comfortable. Some post-surgery discomfort is normal and manageable with prescribed medications.

  2. Your dentist will perform a clinical examination and take X-rays to assess the condition of your teeth, bone, and overall oral health before recommending surgery.

  3. Recovery varies by procedure: simple extractions may take a few days, while implants or bone grafts may require a few months to fully heal.

  4. You'll need to follow a soft-food diet for a few days. Avoid hot, spicy, crunchy, or chewy foods that could irritate the surgical site.

  5. Usually, 1–3 days of rest are recommended depending on the complexity of the surgery.

  6. All surgeries carry minimal risks such as infection, swelling, bleeding, or delayed healing. Following aftercare instructions greatly reduces these risks.

  7. Costs vary based on the type of surgery, materials used, and any pre- or post-operative care. A detailed estimate will be provided after consultation.

  8. Many surgical dental procedures are partially covered under dental insurance. We recommend checking with your provider or asking our staff to assist with insurance queries.

  9. Follow all pre-operative instructions provided, such as fasting (if under sedation), avoiding certain medications, and arranging transportation if needed.

  10. Use prescribed rinses or warm salt water, take medications as directed, rest adequately, and avoid smoking or alcohol during recovery. Proper oral hygiene is key to healing.