Victorian Dental offers non-traumatic dental extractions of all teeth with few referrals to oral surgeons. Special equipment is required, as well as, advanced experience by the treating dentist. Dr. Rae is well trained, and has extensive experience in extraction techniques, and procedures.
Wisdom Teeth Extractions are a Common Dental Procedure
Non-Traumatic Dental Extractions:
The anatomy of the roots of teeth, or the amount of remaining tooth structure above the gum-line will generally determine the complexity of the tooth removal. This is determined by our doctors at the time of assessment for extraction. For all teeth except impacted wisdom teeth under the bone, we use what is known as an Atraumatic Extraction technique. This approach is also known as Non-traumatic Extraction technique. The goal of this approach is to remove the tooth, and roots without removing any bone around the tooth. This is done by only drilling within the tooth structure that is being removed, and not drilling into the bone. There are special micro-surgical instruments used for this technique, and many times a microscope is used to aid in the Atraumatic removal.
The advantages of this approach for patients:
- Reduced postoperative pain
- Reduced swelling
- Faster healing
- More bone volume for placing implants
Before removing a tooth, we will give you a local anesthetic to numb the area where the tooth will be removed. Oral sedation, or Nitrous gas may also be used, especially if several teeth will be removed at the same time. Oral sedation may make you groggy during the procedure, and does require that a companion bring you to the office, and drive you home.
After the tooth is removed, you may need stitches. Some stitches dissolve over time, and some have to be removed after a few days. The doctor will tell you whether your stitches need to be removed or not. A folded cotton gauze pad placed over the wound will help stop any bleeding.
What To Expect After Surgery
In most cases, the recovery period lasts only a few days. Take painkillers as prescribed by Dr. Rae.
Tips that will help speed your recovery:
- Bite gently on the gauze pad periodically, and change pads as they become soaked with blood. Call our office if you still have bleeding 24 hours after your surgery. Call (386) 624-7658
- While your mouth is numb, be careful not to bite the inside of your cheeks, lips, or tongue.
- Do not lie flat. This may prolong bleeding. Prop up your head with pillows.
- We recommend using an ice pack on the outside of your cheek for the first 8 hours applied with some pressure against the cheek. This helps to reduce the amount of swelling associated with extractions.
- Relax after surgery. Physical activity may increase bleeding.
- Eat soft foods, such as gelatin, pudding, or a thin soup. Gradually add solid foods to your diet as healing progresses over the first week after extractions.
- Do not use a straw for the first few days. Sucking on a straw can loosen the blood clot, and delay healing.
- After the first day, gently rinse your mouth with warm salt water several times a day to keep the surgical site clean, and to reduce the chance of infection, and swelling.
- Do not smoke for at least 24 hours after your surgery. The sucking motion can loosen the clot, and delay healing. In addition, smoking decreases the blood supply to the area, and can bring germs, and contaminants to the surgery site.
- Avoid rubbing the area with your tongue, or touching it with your fingers.
- Continue to brush your teeth and tongue carefully.
Wisdom teeth often cause problems as they are trying to protrude through the gums. When a wisdom tooth is impacted, it means the tooth is coming in at an angle that is not straight through the gum line. This can cause pain due, and the tooth may come in unevenly. The tooth may also only emerge partially.
When a wisdom tooth only emerges partially a flap of skin, called an Operculum, may form over the tooth. This can make the tooth hard to clean, and pieces of food may get caught under the skin. This makes it easy for an infection, called Pericoronitis, to develop. It will usually go away on its own, but it can cause swelling, and pain in the area.
Impacted teeth, and wisdom teeth that can potentially cause problems, like infections, need to be removed. Extractions can range from a single tooth, to removing all four wisdom teeth at once. Based on the preference of the doctor, and/or the patient, a local anesthetic can be used to numb the areas where the teeth will be extracted. Others who prefer to go under a general anesthetic for the procedure can be sedated if possible.
During the procedure, the gum tissue around the wisdom tooth is cut open to reveal the tooth. The tooth is loosened by gripping it tightly, and wiggling it back and forth until it can be lifted out of the gums. Sometimes a tooth may be impacted so tightly that it cannot be simply lifted out of the gums. In cases like this, the tooth will be broken up into pieces first before being removed. Depending on the incision, and extraction site, sutures may be needed to close the area. Soluble sutures are the best option, which will dissolve on their own.
After the surgery you will need to rest. You are required to be driven home by a friend, or family member because of the anesthesia. You can expect for the extraction site to bleed for a little while after the surgery. Gauze will be applied at the completion of the surgery, and will need to be changed when they have become soaked. If bleeding continues for longer than 24 hours you should call your dentist. Rest when you return home, but do not lie flat. This could prolong the bleeding. Prop your head up on a pillow when lying down. Your dentist will prescribe you pain medication, so if you become sore, take as directed. You can also use an ice pack to help with pain. Your dentist might also provide you with a cleaning solution to clean the extraction site. You will be limited to soft foods a few days after your surgery
Recommended foods for the first 5 days after surgery:
- Mashed Potatoes
- Ice cream
Call Our Office if you have any questions or concerns at (386) 624-7658