MINOR ORAL SURGICAL PROCEDURES
ATRAUMATIC EXTRACTION-
traumatic tooth extraction is a minimally invasive dental technique that aims to remove teeth
with minimal pain and discomfort:
How it works
Atraumatic extraction uses specialized tools to gently loosen and remove the tooth using vertical
forces, similar to a corkscrew. This technique minimizes damage to the surrounding bone and
tissues, and can help preserve the jawbone’s width and height.
Benefits
Atraumatic extraction can:
Reduce the risk of damage to the bone, gum tissue, and nearby nerves
Result in better results when restoring the tooth with a dental implant
Speed up the recovery process
Pain
The peak of discomfort after a tooth extraction is usually within the first 24 to 48 hours, and
gradually subsides over the next few days. However, everyone’s pain threshold and healing
capacity differ.
Aftercare
It's important to follow the aftercare tips provided by your dentist to ensure you recover quickly.
Atraumatic extraction is gentle and surprisingly fast. A local anesthetic is used to numb the area
while a special instrument is used to apply steady force to the tooth being removed. It takes 30
seconds to a minute to disengage the tooth from the socket without causing damage to the
jawbone.
WISDOM TOOTH REMOVAL-
Wisdom teeth are the last permanent teeth to appear or erupt in the mouth. These teeth usually
come through the gums between the ages of 17 and 25. They may come through partially or not
at all. Some people's wisdom teeth never come through. For others, wisdom teeth appear just as
their other molars did, causing no problems.
Many people have impacted wisdom teeth. These teeth don't have enough room to appear in the
mouth as usual.
An impacted wisdom tooth may:
Grow at an angle toward the next tooth, the second molar.
Grow at an angle toward the back of the mouth.
Grow at a right angle to the other teeth, as if the wisdom tooth is "lying down" within the
jawbone.
Grow straight up or down like other teeth but stay trapped within the jawbone.
Problems with impacted wisdom teeth
You'll likely need your impacted wisdom tooth removed if it causes problems such as:
Pain.
Trapping food and debris behind the wisdom tooth.
Infection or gum disease, also known as periodontal disease.
Tooth decay in a wisdom tooth that partially comes through the gums.
Damage to a nearby tooth or surrounding bone.
Development of a fluid-filled sac around the wisdom tooth. This sac also is known as a cyst.
Complications with braces to straighten other teeth.
What you can expect
During the procedure
Your dentist or oral surgeon may use one of three types of anesthesia:
Local anesthesia. Your dentist or oral surgeon gives local anesthesia with one or more shots near
where the wisdom tooth is being removed. Before you get a shot, your dentist or surgeon likely
will apply a medicine to your gums that will make the injection more comfortable. You're awake
during the tooth removal. You'll feel some pressure and movement, but you shouldn't feel pain.
When removing your wisdom tooth, your dentist or oral surgeon:
Cuts the gum tissue to expose the tooth and bone.
Removes bone that blocks access to the tooth root.
Divides the tooth into sections if it's easier to remove in pieces.
Removes the tooth.
Cleans the site of the removed tooth of any debris from the tooth or bone.
Stitches the wound closed to make it heal better, though this isn't always needed.
Places gauze over the site where the wisdom tooth was removed to control bleeding and help a
blood clot form.
Cleaning your mouth. Don't brush your teeth, rinse your mouth, spit or use mouthwash during
the first 24 hours after surgery. Usually, you'll be told to go back to brushing your teeth after the
first 24 hours. Be gentle near the surgical wound when brushing. Gently rinse your mouth with
warm saltwater every two hours and after meals for a week.
Tobacco use. If you smoke, don't do so for at least 72 hours after surgery. Wait longer if
possible. If you chew tobacco, don't use it for at least a week. Using tobacco products after oral
surgery can delay healing and raise the risk of complications.
Stitches. You may have stitches that dissolve within a few weeks. Or you may not have any
stitches. If your stitches need to be removed, schedule an appointment to have them taken out.
When to call your dentist or surgeon
Call your dentist or oral surgeon if you have any of these symptoms:
A hard time swallowing or breathing.
Too much bleeding.
Fever.
Severe pain not relieved by prescribed pain medicines.
Swelling that worsens after two or three days.
A bad taste in your mouth that saltwater rinsing does not remove.
Pus in the socket or blood or another fluid that slowly leaks out of the socket.
Lasting numbness or loss of feeling.
Blood or pus in nasal discharge
-EXTRACTION SOCKET PRESERVATION
Extraction socket preservation, also known as alveolar ridge preservation, is a surgical procedure
that reduces bone loss after a tooth extraction:
Bone loss can occur naturally after a tooth extraction, with 30–60% of bone volume lost in the
first six months.
Procedure
A dental professional fills the extraction site with a bone graft or synthetic material to promote
new bone formation. The socket may also be covered with a membrane to help preserve bone.
Benefits
This procedure can help prevent the jaw bone from becoming narrow and losing its original
shape. It can also create enough bone to support a dental implant.
Materials
Bone grafts can be made from human bone, synthetic material, or bone from other animals, such
as a cow. Membranes can be resorbable or nonresorbable.
Healing
After the procedure, you should avoid rinsing for the first 24 hours. After that, you can use a salt-
water mouthwash to help clean and heal the socket.