ORAL SURGERY

Simple Extraction
You may need a tooth extraction for any number of reasons. Some teeth are extracted because they are severely decayed; others may have advanced periodontal disease, or have broken in a way that cannot be repaired. Other teeth may need removal because they are poorly positioned in the mouth (such as impacted teeth), or in preparation for orthodontic treatment.

The removal of a single tooth can lead to problems related to your chewing ability, problems with your jaw joint, and shifting teeth, which can have a major impact on your dental health.

Minor Surgery (Impacted Tooth, Impacted Wisdom Tooth)
Wisdom teeth can cause problems if there is not enough room in the mouth, as the wisdom tooth erupts at an angle and gets stuck against the tooth in front; the dentist will describe this as 'Impacted'. The dentist will be able to assess whether there is sufficient room for the teeth to come through by taking an x- ray which will show the position of the root. 

The dentist will only recommend taking out wisdom teeth if: (1) the teeth are not able to fully erupt through the gum and are causing an infection in the surrounding tissue; and (2) there is decay present.

Gingivectomy
Gingivectomy means excision of the gingiva. By removing the pocket wall, gingivectomy provides visibility and accessibility for complete calculus removal and thorough smoothing of the roots,creating a favorable environment for gingival healing and restoration of a physiologic gingival contour. It is indicated for the following conditions: 

1. Elimination of suprabony pockets
2. Elimination of gingival enlargements
3. Elimination of suprabony periodontal abscesses.

Root Planing
Root planing is considered the basic treatment of periodontal diseases and may be the only treatment required to treat mild cases of periodontitis; however, it may also be the initial therapy prior to future surgical needs.

Periodontal Surgery
Periodontal surgery is a plastic (reshaping) surgical procedure designed to restore and regenerate normal form and function to lost and damaged periodontal structures which support the teeth (the gum tissue, periodontal ligament and bone).

Periodontal surgery is not a cure, but rather an adjunct to making long-term treatment outcomes more favorable. The long-term goal of periodontal surgery is to increase the life expectancy of the teeth.

Over a lifetime, the treatment for periodontal disease is primarily aimed at controlling its cause, microbial dental plaque. The purpose of periodontal surgery therefore is to treat deformities and tissue loss created by the disease process. This is accomplished by eliminating “pockets” of diseased tissue; regenerating and reconstructing gum and periodontal tissue attachment to the teeth and generally to provide an environment more conducive to daily oral hygiene and professional maintenance care.

Bone Ridge Regeneration /Augmentation
For dental implant procedure to work, there must be enough bone in the jaw, and the bone has to be strong enough to hold and support the implant. If there is not enough bone, more may need to be added with a bone graft procedure. Sometimes, this procedure is called bone augmentation, or guided bone regeneration.

Bone Socket Therapy The bone that holds the tooth in place (the socket) is often damaged by disease and/or infection resulting in deformity of the jaw after the tooth is extracted. In addition, when teeth are extracted, the surrounding bone and gums can shrink and recede very quickly after the extraction resulting in unsightly defects and collapse of the lips, and cheeks.


Jaw deformities from tooth removal can be prevented and repaired by a procedure called socket preservation. Socket preservation can greatly improve your smile’s appearance and increase your chances for successful dental implants for years to come.

Several techniques can be used to preserve the bone and minimize bone loss after an extraction. In one common method, the tooth is removed and the socket is filled with bone or bone substitute. It is then covered with gum, artificial membrane, or tissue stimulating proteins to encourage your body’s natural ability to repair the socket. With this method, the socket heals eliminating shrinkage and collapse of surrounding gum and facial tissues. The newly formed bone in the socket also provides a foundation for an implant to replace the tooth. 

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