Tooth Extraction and Surgical Tooth Extraction

Normal Tooth Extraction vs Surgical Tooth Extraction

At BIDH oral dental clinic, common oral surgery treatments are: 

1. Normal teeth removal : simple teeth removal that does not involve the need for sutures or impact soft and bone tissue
2. Surgical teeth removal : tends to be more complex than normal tooth extraction procedure when a tooth has not yet broken through the gum. Your oral surgeon will therefore need to make gum incision to access and remove the affected tooth, Stitches are normally required.

Common Reasons for Tooth Extractions

• Tooth is too damaged from trauma or decay to be repaired
• Tooth removal for braces whereby your orthodontist to remove teeth to allow proper  teeth alignment. Likewise, if a tooth us unable to erupt through the gums due to lack of space, your dentist may recommend pulling it.
• If there is severe infection extending to the pulp that cannot be resolved with root canal theraphy (RCT), it may be recommended for removal to prevent further spread of infection.
• Periodontal disease or gum disease can cause teeth to become loose
• Baby teeth that does not fall out
• 3rd molars (wisdom teeth) or teeth impacted against another tooth that can cause potential decay or growth issues

1. Treatment Planning & Pick Sedation Options

Before having surgical tooth extractions, your medical and dental history is taken. X-rays or possible CT Scan help your oral surgeon to see the best route to remove the affected tooth. If you have dental anxiety or dental fear, sedation options for pain-free dental treatment may be discussed with your dentist.

You may be required to take certain medications before or after surgery if you have a specific medical condition. 

2. Tooth Extraction Process

On the day of surgery, if you have picked moderate or deep sedation options, you would have undergone a health check with pre-prepatory instructions given to you before administering IV sedation or general anesthesia.  

If having tooth removal done conventionally, your oral surgeon will numb the area around the tooth with a local anesthesia injection and check with you if you are able to feel the area. It is normal to feel pressure whilst your dentist removes the concerned tooth. During removal, you should not feel any pain, just pressure or rocking motion. If you do feel any sensitivity prior or during removal, please raise your hand up or notify your oral surgeon immediately. Your dentist can then re-check to administer more numbing agent.

3. After Surgical Tooth Extraction

There may be some bleeding after teeth removal and your dentist will you to bite down on a piece of gauze for 20-30 minutes and you are requested not to spit for first few hours. The guaze may be changed if it gets overly soaked. Biting on the guaze helps to form a blood clot in the extraction site.

If IV sedation or general anesthesia is opted, you will be monitored at our dental clinic until you are fully conscious and in a state to return home. Post care instructions is given to you to care for your extracted site.