Extractions and Oral Surgery

Extractions and Oral Surgery

Our main aim at Northumberland Institute of Dental Medicine is to save the tooth but unfortunately, in certain cases it may not always be possible to save a tooth that is badly damaged or decayed. In this case an extraction may be the only option. Extractions may also be performed during orthodontic treatment.

Wisdom Tooth Removal

Wisdom teeth are the large molars found at the very back of the jaw. They are the last teeth to appear (erupt) in the mouth, usually between the ages of 18 and 25 years, although this can vary. If the jaw is too small to accommodate them, they may cause pain or crowd other teeth out of position.

Impaction means that the tooth may be partially trapped by the jawbone, back teeth or gums. These teeth can grow sideways, emerge only part way through the gum or remain trapped beneath the gum and the bone.

Wisdom teeth are removed for two main reasons: either the wisdom teeth have already become impacted, or the wisdom teeth could become problematic if they are not removed. Potential problems include infections caused by food particles getting stuck in the jaw area behind the wisdom teeth where regular brushing and flossing is difficult. These infections can occur frequently and cause considerable pain.
Wisdom teeth can also be considered for removal if they are “out of line” with the rest of the teeth and can rub uncomfortably up against the tongue or cheek. When there isn’t enough room for the wisdom teeth in the jawbone, this can also lead to crowding of the remaining teeth.

  • Swelling of the gum
  • A bad taste in the mouth
  • A bad smell from your breath
  • Considerable discomfort during eating.
  • Limited opening of the mouth

Some wisdom teeth can be removed with ease especially upper wisdom teeth. Lower wisdom teeth are usually more difficult. The type of anesthetic to be used will be decided at your consultation visit with our Oral Surgeon Mr. Gary Leonard. It can be performed under local anesthetic, intravenous sedation or general anesthesia. You will receive preoperative and post operative instructions at your initial visit.

Bone Grafting & Sinus Lifting

one grafting is a surgical procedure which replaces missing bone.
Once jaw bone has been lost ‘bone grafting’ procedures need to be performed in order to rebuild the missing bone.
Bone grafting is possible because bone tissue (unlike most other tissues) has the ability to regenerate completely if provided the space into which to grow. As native bone grows, it will generally replace the graft material, resulting in a fully integrated region of new bone.

Dental implants need a minimum amount of bone to be sturdy enough to handle the daily stresses of biting and chewing. The secret to preventing bone loss is to actually “stimulate the bone”. The great thing about Dental Implants is that they do just that! Implants help stabilise the jaws and actually prevent further bone loss.

For those patients who lack adequate bone in areas where they have lost teeth, not all hope is lost. We now have very successful bone grafting techniques that can add enough bone to allow placement of an implant.

This refers to preserving the bone when teeth are actually being removed.

At the time of tooth removal (or shortly afterwards), we may recommend socket bone grafting. This type of graft aims to prevent bone loss by providing the bone at the tooth socket with a ‘scaffolding’ to assist the bone healing over a 3 – 8 month period.

A sinus lift is performed when the floor of the sinus is too close to an area where dental implants are to be placed. This procedure is performed to ensure a secure place for the implants while protecting the sinus.

  • Swelling of the gum
  • A bad taste in the mouth
  • A bad smell from your breath
  • Considerable discomfort during eating.
  • Limited opening of the mouth

This applies to any tooth.

When bone is lost in the front of the mouth, or even in the back of the mouth, a visual void may be noticeable i.e. the “long in the tooth” look . It is important that we rebuild these areas in order to get the best looking result possible.

To do this, we need bone to “fill in the gaps”. Sometimes we can take bone from places like the wisdom tooth areas and inside the chin. We can also use artificial bone with along with the patient’s own bone. We can also use special “collagen” membranes which make Guided Bone Regeneration much more comfortable than in the past because they prevent us having to carry out further surgery.

Healing is usually uneventful and patients will experience only mild discomfort for a few days – we will prescribe some medications to help with this. Note: Smoking will prevent the proper healing of the bone following the procedure.

This applies particularly to people wearing dentures.

If we need bigger quantities of good quality bone, we will usually look to take this from the Hips.

For people wearing full dentures, we will firstly need to take a cone-beam CT Scan of the jaws. This is a very useful tool for us because it shows us the jaws in 3 dimensions, and helps us identify the areas of suitable bone. Sometimes the CT scan may tell us that there is enough bone present and that no grafting at all is necessary. This is good news as it means that we can proceed straight to placing your dental implants.

Where there is very extensive bone loss, we recommend specialist consultation for grafting using bone from outside the mouth. Results can return your Jaw Bone to become suitable for Dental Implants. Healing can involve moderate discomfort for a number of days. We will prescribe medications to help you recover and recommend plenty of rest after this type of procedure.

At NIDM, we believe it is best to have an active plan when teeth are being removed. This will give your treating dentist an optimal time-line to prevent the loss of bone.

It is our observation that by far, placement of Dental Implants within the first year following tooth removal gives the most natural results, before bone loss can occur.

Bone Grafting procedures are carried out every single day at the Northumberland Institute for Dental Medicine in Dublin.  We have a team of experienced surgeons on hand to answer any further questions you might have about grafting so please contact us if you want more information.

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