Oral Surgery/Dental Extractions

Oral Surgery/Dental Extractions

Our surgeons are all board-certified medical and dental professionals with extensive experience performing oral surgeries and dental extractions. With advanced training and residencies specializing in oral cavity conditions and associated systemic disease, HNSA physicians perform both routine and highly complex dental procedures for our patients.

The list to the right is an abridged list of the most common oral surgery/dental extraction related procedures managed by the highly trained, diverse group of specialists at HNSA. It is for patient information only and is not meant to be all-inclusive.

“My experience with Head and Neck was awesome. While the procedure was one of the most difficult experiences of my life, the staff at Head and Neck were very accommodating. The outcome was as expected, no surprises, everything turned out great!” – Timothy Webb

Surgical Extractions

Severely broken down teeth, impacted teeth, teeth located in dense bone, teeth that have had prior root canal therapy, and teeth that are fused to the bone most often require surgical extraction. The recovery for surgical extraction is characterized by oozing, pain, and swelling. These symptoms typically subside within 1-3 days.

Single Tooth Extractions

Tooth extraction is one of the most common surgeries in the world. We typically extract a tooth because: A cavity cannot be fixed, a root canal has failed, the patient suffers from severe periodontal disease, it’s part of an orthodontic treatment plan, there is an infection, or there are tooth and root fractures.

In order to remove the tooth, our surgeons use specialized instruments to expand the tooth socket, loosen the root, and then gently lift the loosened tooth out. Recovery from a single tooth extraction is characterized by oozing (a mixture of blood and saliva), pain, and swelling. Pain and oozing typically subside within 1-3 days. The most common complication is dry socket, which involves the premature breakdown or loss of a blood clot 3-7 days following surgery. The vast majority of dry sockets are self-limited and resolve by themselves.

Wisdom Teeth

When wisdom teeth are aligned properly and the gum tissue is healthy, they do not need to be removed. Unfortunately, this is rarely the case. The extraction of wisdom teeth is necessary when they are prevented from erupting properly within the mouth—partially erupted or impacted teeth can cause many problems including excess bacteria and infection.

Through an oral examination and x-rays of the mouth, our surgeons are able to evaluate the position of wisdom teeth and predict if there may be present or future problems. Patients are typically evaluated as teenagers and early removal is recommended to avoid future problems and decrease surgical risk.

Premolar Extractions

Many patients have teeth extracted as part of an orthodontic plan or treatment. Patients with crowding in their teeth can sometimes benefit from removal of premolar teeth—allowing for more room in the jaw to relieve crowding.

Expose and bond

In addition to the wisdom teeth, other important teeth can have difficulty erupting. Canines are the second most commonly impacted teeth. However, rather than extracting canines, which are essential for chewing and incising food, we can instead surgically and orthodontically realign them. By surgically exposing the teeth and carefully bonding brackets with chains, an orthodontist can then bring the teeth out. This procedure is best performed before the teeth are fully developed.