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Details

Surgical tooth extraction is a tooth removal procedure by which a tooth or a remaining part of it that is lodged in the socket is extracted through a small incision into your gum to access the affected tooth. Surgical tooth extraction is performed for the tooth, which cannot be easily accessed or removed via simple extraction. The procedure is performed under local anesthesia and using a simple and precise technique that usually does not have complications, except for subsequent bleeding and post-surgical pain, in addition to the possibility of infection, although these currently occur infrequently.


Who Is This For?

The most common reasons for the practice of surgical tooth extraction are the existence of caries and periodontal disease, although it may also be necessary in the case of retained, supernumerary teeth (excessive number of teeth), position and situation anomalies, broken teeth under the gum, temporary teeth or teeth related to cysts and tumors.

Treatment Duration

20-40 minutes

Potential Risks & Side Effects

  • Anesthesia risks
  • Bleeding
  • Scarring
  • Infection
  • Hematoma
  •  Swelling and pain

Recovery Time

2 weeks

Success Rate: 95%

Alternative Treatments

  • Simple tooth extraction
  • Wisdom tooth extraction

How Does it Work?

Surgical tooth extraction is used when the tooth is destroyed by tooth decay and when it is difficult to access. For example, a tooth with strongly curved roots or a tooth is separated into several pieces that would be surgically extracted.


What Does a Surgical Tooth Extraction Involve?

1.       Consultation for Surgical Tooth Extraction

After you submit your request for information about surgical tooth extraction, you will take an online consultation to make sure that you are a suitable candidate for this treatment. During this consultation, your complaints about your oral health will be learned in detail and you will be asked if you have had any current health condition. Any medical information that affects the evaluation process will be useful at this stage, for us to define your case and prepare a customized treatment plan for you.

2.       Planning Your Trip and Choosing the Clinic

This is the stage where you choose one of the dental clinics that we offer you according to your expectations, and also where we arrange the date and trip plan that suits you upon your preferred clinic/dentist.

3.       Final Consultation with Your Surgeon

When you arrive at the dental clinic, you will have a face-to-face consultation with your oral surgeon who performs your surgical tooth extraction procedure. Everything about your treatment will be discussed and decided by you and your dentist during this consultation. The dentist will ask you some questions to try to understand your expectations and goals better and also make you understand what you should expect from your treatment and the potential risks or complications of it. You will also have an individualized surgical and recovery plan that can be followed, especially during the first 24 to 48 hours after the procedure. At this stage, you need to find the answers to all the questions you have in mind about the process. The dentist or clinic will explain the whole process clearly and try to simulate the results as much as possible, in order you to feel comfortable and ready.

4.       Medical Examinations

Before the surgery begins, your dentist will conduct physical and blood tests to make sure that you are in acceptable health status for the surgical tooth extraction procedure. The dentist will determine all the measurements with the help of computer-based tools. Every patient is required to undergo medical tests to ensure that nothing can hinder the success of the procedure and if any risk detected, dentists try to eliminate them first.

5.       Surgery

The stages of dental extraction

Preparation of the operating field. During a surgical tooth extraction, the dentist will first prepare the operating field: preparing the office, sterilizing the instruments and disinfecting the patient's mouth.

Local anesthesia. Then he or she will perform local anesthesia to put the nerve of the tooth to be extirpated. The patient's mouth will then be numbed for a few hours.

Syndesmotomy. This step involves the removal of all epithelial and connective tissue attachments from the tooth. To do this, the dentist uses a slightly sharp instrument: a syndesmotome elevator.

Subluxation. The dentist uses an elevator which he places between the alveolar bone and the tooth to make it move.

Dislocation and avulsion. With the help of a tool, the forceps, it will strongly grip the dental organ to uproot it. Vertical traction will be performed to completely dislodge the tooth.

In some cases, the dentist must polish the bone and make stitches so that the wound heals properly.

If the part of the tooth that is seen in the mouth is completely destroyed or poorly positioned it is no longer possible to extract it with the forceps, it requires surgery to access it.

 

What Should I Expect from Surgical Tooth Extraction?

  • If an only local anesthesia has been performed, you can go home right after the extraction. If you have had general anesthesia, you go back to your room after a stay in the recovery room; return home is planned for either the same evening or the next day.
  •  You may have mild pain from a few hours to a few days after the procedure.
  • There will be a very moderate swelling on the cheeks and lips, usually appearing within 24 hours and disappearing within a few days
  • You may have chewing discomfort for a few days.
  • After the extraction and healing process, you will have to think about a solution to overcome the gap in your mouth. This can be a fixed bridge, a removable prosthesis or another surgical procedure such as implant placement. In this case, a sufficient bone volume is required, otherwise, a bone graft will be necessary, this is often the case for patients with periodontal disease.


Things You Should Consider Before Surgical Tooth Extraction

In case your dentist has decided that you need a surgical tooth extraction, you must follow the following recommendations for your well-being:

  • Rest the day before the procedure. Try to have a restful sleep before going to the consultation.
  • If necessary, follow the antibiotic treatment before the extraction to prevent germs from entering your system during the procedure.
  • Go with a companion because the extractions require serious sedation. The patient is often unable to drive on his/her own.
  • Your dentist should know if you are taking medication that negatively affects wound healing after surgical tooth extraction.
  • Do not drink alcohol until 2 days before extraction because it destabilizes your immune system.

 

FAQ

Is Surgical Tooth Extraction Painful?

Due to the anesthesia used, you will not feel any pain during the procedure but, to relieve possible postoperative pain, your dentist will prescribe you pain medication.

What Happens to The Gap After Surgical Tooth Extraction?

After the surgical tooth extraction is done, a temporary, fixed or removable dental implant will replace the missing tooth/teeth. In common cases, the dentist will take the impressions on the 1st day so that the laboratory can provide the provisional prosthesis the next day before removing them. In more complex cases, it is first necessary to extract and then take the impressions. You will need time to have your implant. In some rare cases, after a bone graft, for example, it is best to allow it to heal for 1 to 2 weeks before having the temporary implant. If you listen carefully to the dentist's instructions and follow them, everything goes well for the days and weeks after the procedure.

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