Surgical Extraction is the removal of a tooth that requires surgical intervention. It includes the most complex type of extractions involving:

  • Invisible or affected teeth
  • Broken off teeth from the gum line.

Specialized dentists like the oral and maxillofacial surgeons carry out such extractions. Let us know about surgical extractions. 

Oral Surgical Extractions

A surgical extraction includes:

  • The elevation of flap and removal of bone from the jaws.
  • This helps in the removal of the affected tooth.
  • Also this is done under the effect of anesthesia.

So when are surgical extractions carried out? 

For Teeth with abnormal configurations such as follows :

  • Impacted tooth 
  • Tooth with broken roots
  • Dilacerated roots 
  • Tooth with hypercementosis
  • Unusual root morphology 
  • Ankylosed tooth
  • Fused tooth 

How surgical extractions are done?

  • Firstly, during any extraction anesthesia is given to prevent pain.
  • It also helps reduce stress and anxiety to treat the patient.
  • After that, an incision is given near the tooth which provides access to the dentist for its removal.
  • Now lifting soft tissues which cover the tooth is done.
  • Followed by removal of jaw bones by drilling or osteotomy for unerupted teeth.
  • Multi rooted teeth are split by burs and drills for quick and easy removal.
  • Irrigating the whole area is then followed by removal of any bacterial colonies.
  • Incising the tissues and the gum lines or sockets is then done to stop bleeding.

There are some situations where such extractions are prohibited, so let us know about it:

Such procedures are avoided if the patient suffers from any serious health issues like cardiovascular issues or diabetes.

Also, if there is a chance of slippage of the tooth into the maxillary sinus due to the anatomy of the cranium base, it is prohibited. 

At times patients have large alveolar processes. This requires removal of bones which can lead to fractures if not monitored. In such cases surgical intervention is avoided. 

You’ve probably  heard of the post operative instructions every dentist gives you after the treatment. What are they? And why are they important ?

The instructions given by your dentist involves all the precautions to be taken by one’s self to prevent the complications of an extraction.

A Complication results in a dry socket due to the early removal of blood clot formed in the socket. Pain and swelling are also common examples of the complications.

So, the given post up instructions state not to spit for one day and to chew from the other side of the jaw where extraction was not done. Food taken should be in liquid or semi solid form to prevent pressure on the extracted site. Any cold food substitutes like ice cream should be eaten after one hour. And one should come after one week for removal of the stitches. 

Medications such as painkillers and antibiotics are given to the patient for three days for complete healing of the socket area.. 

If you want to know more then do contact us, we will be very happy to help you. 


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