Oral Surgery

Simple dental extractions

Simple dental extraction involves the removal of a tooth that cannot be rescued from various infectious causes or fractures. Some extractions are also done for orthodontic purposes, and the patient will be given a dental appliance.

After the local anesthesia of the area where the extraction is to be performed, the ligament of the tooth that keeps it in the bone is sectioned, and it is easily removed, trying to cure the dental root of the tooth as little as possible. Thereafter, the remaining dental plaque is sutured.

A week after, when the gingival tissue is healing, the sutures are removed and depending on the restoration the patient chooses, it is expected to last for about a month if the missing site is restored by a classical prosthetic work (with neighboring teeth polishing), or four months, in case of unidental implant, with the preservation of the neighboring teeth.

In our dental office, dental extractions are performed by the surgeon, for minimal damage to neighboring tissues, effective cure of the dental alveolus and minimal duration of surgery.

Extraction of the wisdom tooth

Wisdom teeth are the last erupting teeth. In some cases, they remain in the bone without causing problems, but in some patients, because of the way they erupt, they lead to some complications – dental congestion, by pushing the teeth to the front, – sensation of pressure and pain in the retromolar region through their position to the mandibular canal, pressing on the nerve that passes through this channel, – dental abscesses in the case of the semi-inclusion teeth due to the retention area.

In most cases, wisdom teeth have an atypical shape and the curved roots do not have too much functional value. That is why it is recommended that in cases where complications may occur, extracting them.

Extracts of the impacted teeth

As regards impacted teeth, in most cases, patients, before going to the dentist, do not realize they have such a tooth, they are well hidden in the bone, and during a routine examination, the dentist notices the absence of the tooth on the arch, and the spacing due to a bone perimeter which is larger than the dental perimeter. These teeth may be entirely intra-bone or slightly erupted in different positions, totally different from the normal position of these teeth. The remaining teeth frequently include canines, and sometimes premolars.

Their extraction involves a surgical work, which is performed under local anesthesia, without the patient experiencing pain during the surgery.

Post-extraction indications

  1. Keep the compress over the extraction site for 30-60 minutes. If you notice bleeding after compress removal, apply another compress for 30 minutes.
  2. Do not massage the area, do not touch with the tongue or suck in the place of extraction, do not rinse the mouth for 1 day.
  3. After extraction, we can notice the deformation (swelling) of the extraction site and of the adjacent area on the face
  4. Consume soft and semi-liquid foods and liquids, avoid liquid dairy products for 4-5 days. Chew in areas opposite to the extraction site.
  5. Sutures will be removed 7-10 days after the extraction, depending on the healing of the area.
  6. Follow the indications of the prescription – antibiotic and anti-inflammatory.
  7. To reduce post-extraction pain and swelling, cold compresses can be applied to the face in the adjacent area – the extraction correspondent. The compresses will be applied for 10 minutes and the 10 minutes will be paused. The application time is 24-48 hours.
  8. Contact your doctor if unexpected situations occur.

Front apical resections

Apical resection of the frontal teeth is used as an adjuvant method to endodontic treatment when after a tooth has been treated on the canal, there is a periapical lesion (granuloma, cyst), which by its evolution endangers the stability of the dental root. This method attempts to keep for a long time a devital tooth on the dental arcade. The success of this intervention is related to the size of the infectious process and the length of the root after the intervention, during the intervention, removing the top of the root and the bone adjacent to the infection.

At the level of the front teeth, the intervention is very easy with easy access and the existence of a single root.

After surgery, with antibiotics and anti-inflammatory drugs, the patient experiences more embarrassment and discomfort due to the swelling of the affected area with the remission of these troubles after approximately 7 days, presenting a schedule for control of the operation and removal of the wires of the suture.

Molar apical resections