Nowadays Dental Surgery technology has improved a lot, and is becoming a more popular treatment. Local anaesthesia is used before Dental Extraction, and the patient feels numb during the procedure. Patient may be able to resume normal diet within the first three days after Dental Extraction. The followings are the reasons for Dental Extractions:
Dental Extraction can be further divided into Non-Surgical Extraction (Simple Extraction) and Surgical Extraction (Minor Oral Surgery). All general Dentists can perform both, but for high-risk surgical procedures, referral to Oral and Maxillofacial Surgeon may be needed.
Dentist will take X-ray for patient to understand the condition of the tooth and decision will be made for Dental Extraction if the tooth is having serious dental problems or not suitable to be retained.
Dentist may consider Surgical Extraction option under the circumstances that include Impacted Wisdom Teeth, Supernumerary Teeth, severely broken down teeth which the position of the teeth being removed are deep into alveolar bone.
X-rays and CBCT scan will be taken for detailed examination and diagnosis of dental condition. Dental and Medical histories are obtained. Patient will be explained in detail before confirmation of treatment.
Local Anaesthesia will be given, patient is numbed over the extraction site before extraction commences. Extraction instruments will be used to wiggle the tooth until it is fully loosen and taken out.
After Extraction, the patient needs to bite on a gauze firmly over the extraction wound for at least 30 minutes to 1 hour. This helps to stop bleeding by avoiding the coagulated blood clot from being disturbed. In some cases, sutures may be needed to have a better wound closure.
X-rays and CBCT scan will be taken for detailed examination and diagnosis of dental condition. If the teeth being extracted, e.g. supernumerary teeth or wisdom teeth impacted deeply inside bone and close to the nerve, extreme care will be taken with these records for evaluation to ensure the Surgical Extraction is done safely. Dental and Medical histories are obtained. Patient will be explained in detail before confirmation of treatment.
Local Anaesthesia will be given, patient is numbed over the surgical site before surgery commences. Dentist will make an incision over the gum, open up the wound and remove the bone surrounding the tooth, sometimes tooth may need to be sectioned into smaller pieces before removal, the wound is cleaned and irrigated, and then closed with suture.
After Surgery, the patient needs to bite on a gauze firmly over the extraction wound for at least 30 minutes to 1 hour. This helps to stop bleeding by avoiding the coagulated blood clot from being disturbed. 1-2 weeks after the Surgery, patient will be reviewed and the suture may need to be removed.
As humans continue to evolve, the upper and lower jaws are gradually becoming smaller and cannot accommodate the third molars – Wisdom Teeth. Wisdom teeth present at the back of our oral cavity. If it has enough space to erupt, it is not necessary to be extracted. However, if it is impacted and not able to fully erupt, problems may arise.
Impacted Wisdom Teeth are partially covered by gum, this gap between teeth and gum may make it easy to have food trapping problems and difficult to be cleaned. Bacteria will then accumulate causing infection around the Wisdom teeth, called Pericoronitis. This will cause pain and swelling, even affecting the facial area. If this condition is not treated, caries and infections may spread to adjacent teeth, affecting the overall dental health. Therefore, it is advised to remove Wisdom Teeth if repeated infections occur.
If the Wisdom tooth is fully erupted, they may be removed by Non-surgical Extraction, but if the Wisdom tooth is partially erupted and covered by bone or gum, it may need to be removed by Surgical Extraction. Dentist will assess the condition and referral to Oral and Maxillofacial Surgeon may be needed for high-risk cases.
Same as other surgical procedures, Wisdom Tooth Extraction bears certain risks. Patient will be explained in detail about all the risks and consent form signed before surgery commences. Nowadays with advanced technology, dental conditions can be diagnosed with great detail, this improves the accuracy of treatment and reduces risks and complications.
Using 3D imaging technology to accurately display the position of Wisdom Tooth in relation to adjacent tooth structures such as dental nerves. Dentist can section the tooth into smaller pieces and remove them with care during surgery to avoid the chance of bone and nerve damage.
If the Wisdom Tooth root is very close to the dental nerve, removal of the Wisdom Tooth completely may cause damage to the dental nerve. In this situation, Coronectomy can be considered. In this procedure, only the crown of the Wisdom Tooth is removed, leaving the root in-situ. This will reduce the risk of nerve damage. The wound is closed and will heal up normally. However, this method cannot be used if the dental root is infected.
Tooth Extractions and Dental Surgeries are not as scary as you may imagine. If the dental problem worsens due to fear, the treatment will become more complicated, with higher risks, and may require more complex treatment. Should you have any enquiries, please feel free to contact us.
Conrad Dental Care Centre provides comprehensive dental treatments by professional dental team, using high-end dental equipment and instruments.
