EXTRACTIONS AND ORAL SURGERY
Extractions are indicated when:
- An infected tooth is too broken down and will be too difficult to restore.
- A decision has been made to take the tooth out, instead of a root canal treatment.
- Severe gum disease causing swelling/pain in the area, or the tooth has become loose.
- The tooth is growing in unfavourable direction, causing trauma or infections (e.g. wisdom teeth)
- Space is needed for braces
Any tooth we remove will always require an x-ray before the procedure. It is also our policy to make sure you are as comfortable as possible during the extraction and will aim to numb the tooth and the extraction area as much as we can. We will never proceed you feel pain or discomfort with any procedure!
A surgical extraction may be indicated if the tooth is too broken down, or the root form does not allow a straight forward removal. This usually involves removing the tooth in several pieces, raising a flap from the gums and/or shaving off the bone that holds the tooth in.
This normally requires some stitches to close the surgical area to help with faster healing and stopping the bleeding. Pain killers and antibiotics are usually prescribed.
Wisdom tooth removal
Not all wisdom teeth need to be removed. The same indications above apply here. The main risk in removing lower wisdom teeth is the possibility of damaging the nerve that supplies the sensation to the lower lip and chin. This is why x-rays are especially important here to assess the proximity of the nerve to the tooth.
Wisdom teeth also have variable eruption angles and root shape which can complicate the procedure. A proper assessment should always be done before the tooth is removed. If the procedure looks too difficult, you may need to be referred to an Oral and Maxillofacial surgeon, who specialises in oral surgery.
If you recently had a tooth out, please visit our Post Extraction Instructions section in the FAQ link above.