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Extractions including Wisdom Teeth

Excessive tooth decay, tooth infection, and crowding can all require a tooth extraction. Those who get braces may need one or two teeth removed to provide room for their other teeth as they shift into place. Additionally, those who are undergoing chemotherapy or are about to have an organ transplant may need compromised teeth removed in order to keep their mouth healthy.

Tooth extraction is a relatively quick outpatient procedure with either local, general, intravenous anesthesia, or a combination of both. Your tooth extraction will either be simple or surgical, depending on whether your tooth is visible or impacted. Removing visible teeth is a simple extraction. Teeth that are broken, below the surface, or impacted require a more involved procedure.

Wisdom Teeth Removal

Wisdom teeth or third molars are the last permanent teeth to form and move into the mouth and usually emerge at around 16 to 18 years of age and will be fully developed by the age of 22 or 23. With the help of radiographs (X-Rays), we can predict if there is enough room for the wisdom tooth to completely or partially erupt or become impacted. Surgery is much simpler for younger patients as bone is not as dense and roots are not yet fully developed and younger patients tend to heal more rapidly.

Oral bacteria can work their way down to the impacted wisdom teeth, frequently causing infection in the surrounding gums and bone. Cysts in the surrounding bone, resorption of adjacent teeth roots, and pressure may also push other teeth out of line, possibly creating a need for orthodontic treatment. In rare instances, if the cyst is not treated, a tumour may develop and more extensive procedures may be required for removal.

  • It is best to remove the impacted wisdom teeth before the roots are fully formed than waiting until complications and pain develop. As you age, the roots will be fully developed and become more firmly anchored to the jawbone and chances of risks and complications are higher, and recovery may not proceed as smoothly as when they are removed early.
  • Most dental plans will cover all or much of the cost of removal of an impacted tooth. Our office will make every attempt to assist you in understanding your insurance plan and help you communicate effectively with your insurance company.

Bone Grafting

Socket preservation or alveolar ridge preservation is a procedure to reduce bone loss after tooth extraction. After tooth extraction, the jaw bone has a natural tendency to resorb and lose its original shape, resulting in 30–60% loss in bone volume in the first six months.

Bone grafting materials such as autografts (bone harvested from patient’s own body), xenografts (bone grafts or collagen from bovine or porcine origin), allografts (block bone graft from cadaver), and alloplast (synthetic biomaterials such as hydroxyapatite or bioglass) are used to preserve the bone volume. Barrier membranes are then placed over the graft, which are biocompatible and can be either resorbable, or non-resorbable, to preserve the bone graft.

Gum Contouring

Gum contouring is a procedure that reshapes or resculpts your gum line. The process involves removing excess gum tissue around your teeth. If you have gum recession, the procedure involves restoring gum tissue. A number of things can cause your gum outline to be too high or too low. Gums that cover a large portion of your teeth can make your teeth look small. This may be the result of genetics, health problems, or because of certain prescription drugs.

Gum recession may be a sign of periodontal disease, the deterioration of the supporting structures of the teeth (gums and bone) . Gum contouring alone is considered a cosmetic procedure. Most people have their gums reshaped to improve the appearance of their smile. However, some people undergo gum contouring surgery as part of other necessary periodontal procedures, such as crown lengthening, pocket reduction, and regenerative procedures.

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