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 gained extensive training in this technique working in a denture clinic found in Deltona, FL.
Wisdom teeth extractions are a fairly common procedure.
Non-Traumatic Dental Extractions:
The anatomy of the roots of teeth or the amount of remaining tooth structure above the gumline 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. The approach is also known as Nontraumatic 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 performing any drilling within the tooth structure being removed only and not the bone. There are special microsurgical instruments used for this technique and many times a microscope is used to aid in the atraumatic removal. The advantage of this approach for patients is:
- Much 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. 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. The following tips will help speed your recovery.
-Bite gently on the gauze pad periodically, and change pads as they become soaked with blood. Call our office or your dentist if you still have bleeding 24 hours after your surgery.
-While your mouth is numb, be careful not to bite the inside of your cheek, lip, or your 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 re duce 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 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 area.
-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 and not straight through the gum line. This can cause pain, the tooth can come in unevenly, or the tooth may 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 be 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 causes 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 could be used to numb the areas where the teeth will be extracted. Others will prefer to go under a general anesthetic so that they will be sedated 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 need 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 you will need to change it when it becomes 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 for the pain. Your dentist might also provide you with a cleaning solution to clean the extraction site.
You will be limited to soft foods for a few days after your surgery. Some recommended foods are: