Specialized oral and maxillofacial surgery is about much more than just tooth extractions. It concentrates on treating infections, regenerating bone and tissue, precise placement of dental implants and a special focus on jawbone conditions with their related disorders.
Our team of dentists includes a maxillofacial surgeon, two periodontists and a dedicated implantologist. having all these specialties in one clinic means we complete diagnosis and treatments more efficiently.
Reasons for Pulling Teeth
Although permanent teeth were meant to last a lifetime, there are a number of reasons why tooth extraction may be needed. A very common reason involves a tooth that is too badly damaged to be repaired, either from trauma or decay.
Other reasons can include:
A crowded mouth: Sometimes dentists pull teeth to prepare the mouth for orthodontics. The goal of orthodontics is to properly align the teeth, which may not be possible if your teeth are too big for your mouth. Likewise, if a tooth cannot break through the gum (erupt) because there is no room for it, we may also recommend pulling it.
Infection: If tooth decay or damage extends to the pulp – which is the centre of the tooth containing nerves and blood vessels – bacteria in the mouth can enter the pulp, leading to infection. Often this can be corrected with root canal therapy but if the infection is so severe that antibiotics or root canal treatment does not cure it, an extraction may be needed to prevent the infection spreading and compromising other teeth.
Periodontal (Gum) Disease: If periodontal disease – an infection of the tissues and bones that surround and support the teeth – have caused teeth to become loose and is at an advanced stage, then it may be necessary to the pull the tooth or teeth.
What to Expect With Teeth Extractions
Before pulling the tooth, we will make you comfortable by giving you sedation and offering a warm fleece blanket. After a short time, we will numb the area where the tooth is to be removed.
Once the tooth has been pulled, blood will often form in the socket which is totally normal. We will pack a gauze pad into this socket and have you gently bite down on it to help that stop. Sometimes we will place a few stitches – usually self-dissolving – to close the gum over the extraction site.
Bone Graft, Tissue
Regeneration & Plasma
The success of a dental implant and its ability to support a new restoration is very much dependent upon how much bone is available in the site where the implant is placed. There are lots of things that affect bone volume including periodontal (gum) disease, trauma and infections, not to mention it is not unusual to open a site in the mouth for implant placement and find out that some of the critical supporting bone is missing, or porous.
However, there is always a solution. We have great techniques available in modern dentistry to replace missing bone. In most cases, we can increase the height, volume and width of jaw bone during the same appointment as implant placement.
We can even use bone grafting techniques to prevent the loss of bone in circumstances where bone would normally be lost – for example, after the extraction of a tooth.
We will have a clear idea of when additional bone will be necessary before starting the placement of a dental implant. Replacing missing bone or adding to existing bone is sometimes essential to the success of a dental implant and the restoration that follows.
Naturally, and whatever the circumstances, we are always well prepared to replace or add to the existing bone as required. This can be done using synthetic bone grafts or even bone block grafts; taking natural bone from other areas of the mouth and placing it where needed.
Finally, Platelet-rich Plasma (PRP) is a new approach to promote tissue regeneration in dental surgeries. PRP derives from the centrifugation of the patient’s own blood which contains growth factors that influence wound healing and tissue repair. Using PRP can help reduce bleeding, enhance soft tissue healing and promote bone regeneration.
This patient requires a sinus lift on both left & right sides due to bone loss where missing teeth were not replaced. You can see where the bone has become arched as it has receded
Why Might I Need a Sinus Lift?
– Many people who have lost teeth in their upper jaw without replacing them for many years, particularly the back teeth, will probably not have enough bone for implants to be placed.
– Bone may also have been lost because of periodontal (gum) disease.
– Tooth loss may have led to a loss of bone as well. Once teeth are gone, bone begins to be resorbed (absorbed back into the body). If teeth have been missing for a long time, there is often not enough bone left to place implants.
– The maxillary sinus may be too close to the upper jaw for implants to be placed.
Sinus lifts have become common during the last 15 years as more people get dental implants to replace missing teeth.
How Does it Work?
Our professional sedation will make sure that you are relaxed and very comfortable before we begin. Once we start, our specialist surgeon will make an incision in the gum tissue where your back teeth used to be. This tissue is then raised to expose the bone, and a small oval window is opened in the bone. The sinus membrane is then gently pushed up and away from your jaw.
Following this, bone-graft material is packed into the space where the sinus used to be. The amount of bone used will vary from case to case, but usually several millimetres of bone is added.
Once the bone is in place, the tissue is closed with stitches and treatment finishes.
Periodontics and specialized hygiene treaments
Dra. Andrea Camere and Dr Jung Song are our periodontal specialist and has been with us since 2013. Let’s see what Dra Camere has to say about combatting and controlling periodontal disease:
”For people with periodontal and gum disease, regular deep periodontal cleanings are very important and doing that will help preserve your overall health much better, too. It has been proven that periodontal (gum) disease can affect other areas of health such as diabetes and heart disease.
It can be as simple as attending appointments every 3 – 4 months for a short treatment, which can help to prevent other, much more serious health issues in the future. Attending those regular appointments to control the problem will mean less frequent appointments after a short time.
1. Periodontal Cleanings:
Periodontists are dentistry’s experts in treating periodontal and other gum related diseases and problems. They receive up to three additional years of specialized training in both surgical and non-surgical. Periodontists are also experts in replacing missing teeth with dental implants using bone grafting, gum grafting and other restorative procedures.
2. Root Planing:
This deep cleaning removes and eliminates plaque, food products and calculus build-up in and around the gums leaving them clean and able to recover their optimal health. Scaling: This next phase of treatment involves treating the tooth’s root and removing plaque and debris to allow the ‘pockets’ in the gums to become healthy again.
Patients with periodontal disease must have regular Root Scaling and Planing treatments at least every 3 or 4 months. In most cases, treatment is ongoing and proper care by a specialist is very important. Failing to take the necessary care with periodontal problems will most likely result in tooth loss, gum recession and bone loss over the long term.
More and more patients choose to take their treatment whilst being under a conscious state of stress free ‘sleepiness’ which we also call conscious sedation.
Sedation dentistry is performed by non-judgmental doctors who provide the safest, most comfortable care that specifically meets your needs.
The sedation dentistry we use is a commonly prescribed sedation medication. These medications have endured rigorous studies to ensure their total safety, still allowing the patient to respond to questions while maintaining a state of almost total relaxation.
We understand that anxiety and nervousness can result in people not taking the essential dental care they need.
With our professional sedation dentistry there is no reason to avoid taking the dental care you need as you can now be totally relaxed in a matter of minutes before you begin treatment.
This gives the patient and the dentist many advantages, including:
1. Anxious or nervous patients quickly become relaxed and calm, often in a matter of minutes
2. Under sedation, several individual sessions can be combined in to just one, to save time and repeat visits to the clinic.
3. Sedation helps the dentist advance quickly with treatments because the patient is more relaxed and cooperative. Therefore, 100% accuracy in treatments can be achieved in less time.
4. The patient is in total comfort, often asleep or dozing during treatment, with a warm fleece blanket over them and soothing music in the background.
5. We have more than 10 years’ experience using conscious sedation methods and can also offer full IV sedation with some of our patients.