Oral Surgery
What is Oral Surgery?
Oral surgery refers to surgical procedures that are performed in or around the mouth and jaw. These surgeries address issues related to teeth, gums, jaw alignment, and other oral structures. Some common types of oral surgery include:
- Tooth Extractions: Removing teeth that are decayed, damaged, or impacted (like wisdom teeth).
- Dental Implants: Placing artificial roots and teeth to replace missing ones.
- Bone Grafting: Adding bone material to strengthen or rebuild the jawbone, often in preparation for implants.
- Management of soft tissue lesions: The diagnosis of lumps, bump and other lesions inside the mouth which may require a biopsy.
- Management of bony lesions: The diagnosis of and management of bony lesions such as dental cysts which may require re a biopsy.
Oral surgeons or Dentists with enhanced skills in oral surgery are specially trained to handle these complex procedures, often requiring additional years of education beyond dental school.
Why do teeth need surgical removal rather than just forceps removal?
- Simple / Complex extraction of teeth and roots
- Surgical extraction of teeth and roots
- Surgical removal of wisdom teeth
- Removal of teeth following previous failed extractions
- Surgical exposure of teeth (uncovering teeth)
- Minor soft tissue surgery
- Mouth cancer screening, diagnoses and prevention.
The majority of teeth are extracted using forceps and are considered “simple” extractions. There are some situations where a simple extraction may not be possible and surgical removal will be needed.
Reasons that surgical removal may be necessary include teeth:
- That are below or are only partially through the gum.
- Which are broken, brittle or cracked below the gum line.
- That have complicated long and / or curved roots and fractured root tips
What is involved in a surgical extraction, including a wisdom tooth extraction?
A surgical tooth extraction is a common oral surgery procedure and is often required when removing a third molar (wisdom tooth), located at the back of the mouth. These teeth often need to be removed if they are impacted (trapped under the gums or bone), growing at an angle, or crowding other teeth. Here’s what’s typically involved in the process:
1. Consultation and Examination
- X-rays: The dentist or oral surgeon will take X-rays to assess the position of the teeth and surrounding structures.
- Assessment: They will discuss any symptoms, such as pain or swelling, and review your health history.
2. Anesthesia
- Local Anesthesia: Numbs the area around the tooth.
- Sedation: IV sedation can be used to help you relax during the procedure.
3. Extraction Procedure
- Incision: If the tooth is impacted, the surgeon will make an incision in the gum to expose the tooth and bone.
- Bone Removal: Sometimes, a small amount of bone around the tooth needs to be removed to fully access the wisdom tooth.
- Tooth Sectioning: In some cases, the tooth may be divided into sections to make it easier to remove.
- Extraction: The surgeon removes the tooth or its sections.
4. Stitches
- The surgeon may place stitches to close the incision and promote healing. Dissolvable stitches are often used.
5. Post-Operative Care
- Bleeding Control: Gauze is placed over the extraction site to help stop bleeding.
- Pain Management: Pain relief medication will be advised.
- Aftercare: Patients are advised to avoid certain activities, like smoking or drinking through a straw, to prevent complications such as dry socket.
6. Recovery
- Swelling and discomfort can last a few days. Most people fully recover within 1–2 weeks, with follow-up appointments to monitor healing.
The procedure and recovery time vary depending on factors like the number of teeth removed and whether they were impacted.
Our Specialist Team and Teaching Programs
In addition to providing expert oral care, we also offer training and mentoring services for dental professionals. Our teaching programs aim to advance knowledge in modern oral surgery techniques.
Questions? Speak to Our Specialists!
Whether you’re dealing with complex extractions, are interested in dental sedation, or are concerned about oral health issues like jaw pain or mouth cancer, our experienced team is ready to provide personalised advice and care. Contact us today to learn more or schedule a consultation.
