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Surgical Dentistry Townsville

DENTAL EXTRACTIONS

People often have  their teeth extracted due to dental problems in the past. Retention of teeth are always better than losing them, so here at Health Precinct, we take extreme care to protect your teeth for life. Every effort is made to preserve teeth as they function better than artificial teeth such as dentures, bridges or implants. In an attempt to save the tooth, we might recommend a Root Canal Treatment or Gum treatment. However, it is not suitable in every case and is recommended only if feasible. Unfortunately, there are times when an extraction would be considered an optimal treatment option. Keeping your long term wellbeing of satisfactory function and good aesthetics, we, being dentists at Health Precinct are the in a better position to evaluate your situation.

Reasons for extraction of teeth:

  1. Extensive damage to a tooth due to decay, trauma, cyst or infection.
  2. Gum infection causing pus discharge from the gums and loosening of teeth due to damage to the underlying bone. Refractory periodontitis that does not respond to gum treatment.
  3. Prevention of complications such as an abscess in a decayed tooth or development of cyst around an unerupted tooth.
  4. To improve appearance as a part of Orthodontic treatment.
  5. Vertical cracks in tooth root when repairing is impossible.

A missing tooth can cause nearby teeth to drift out of their original position and tilt into the gap. This often deteriorates the chewing efficiency and also causes decay/ gum disease around the tilted tooth as through cleaning can be difficult. To prevent unwanted sequelae, a bridge/ denture/ implant may be necessary.

Your dentist at Health Precinct will discuss all the pros and cons of the procedure, take consent, appropriate radiographs and medical precautions before performing any surgical procedures. Talk to us on 07 4788 0111 to book an appointment to discuss options regarding your dental treatment.

WISDOM TEETH EXTRACTIONS

We are quite experienced in removing wisdom teeth with minimal discomfort. Wisdom teeth or the Third Molars are the last teeth to erupt and they usually penetrate the gums during late teenage/ early twenties or later. Most people have four wisdom teeth, whilst some miss a few or all naturally. When there is inadequate room for complete eruption of wisdom teeth, they get wedges in the bone to cause impaction.

surgical dentistry Townsville

Wisdom teeth removal is a very common procedure and is usually done at an earlier age before the problem worsens. Wisdom teeth extractions can be done in the chair under local anaesthetics or under sedation. However, serious impaction might have to be performed under General Anaesthesia by a Specialist –Oral and Maxillofacial Surgeon.

The decision to extract wisdom teeth is made after a good clinical examination and evaluation of X-rays. Even though the wisdom tooth has caused problems, it may ‘settle down’, after it pushes through the gums. We might delay your surgery to see if the tooth stops causing you problems! Some wisdom teeth never cause problems and there is no need to remove them. Early removal of wisdom teeth may be recommended when there is not enough room for the tooth to erupt, need for orthodontic work, infected wisdom tooth causing pain. It’s easier to remove wisdom tooth when the patient is young. Younger people have shorter roots and bone surrounding the tooth would be softer too.

Untreated impacted wisdom teeth can cause infection, crowding, pain, cysts, ulcers, gum infections around the second molar, and resorptive cavity in the second molar.

Townsville surgical dentistry

Sometimes there is a need to make an incision of the gums to expose the impacted wisdom tooth for removal. Teeth may need splitting, removal of bone as well in assisting easy tooth removal. Sutures are placed to close the flaps and usually needs a review of healing.

Common complications that can be expected with a wisdom tooth extraction would be:

  • Pain and swelling after the surgery. We make sure we give a script for some strong pain medications immediately after surgery to help you fight pain. Ice pack immediately after surgery helps in reducing swelling.
  • Bleeding: Pressure packs work the best to control post-surgical bleeding. We place sutures to close flaps and control bleeding too. Your dentist at Health Precinct will use special haemostatic materials and techniques to control bleeding. You are always welcome to call us on 07 4788 0111 for help.
  • Numbness or Altered sensation: Lower wisdom teeth can be in real close proximity to the nerve that supplies the lower jaw and tongue. Sometimes the tooth can be touching or even surrounding the nerve. When this tooth gets removed, it can bruise the nerve to cause numbness, tingling and loss of sensation of teeth, gums, cheeks, lips, chin, tongue and around upper& lower jaws. If the nerve is injured, it usually heals in around 4-8 weeks. In some cases, complete healing might take 6-18 months to get sensations back. In rare cases, the nerve may not heal completely and the numbness may be permanent. Extremely rarely can the damaged nerve cause pain. The reason for such reaction from the nerve is unexplained and is difficult to treat.
  • Infection and Dry Sockets are a possibility and are usually treated with antibiotics and local debridement.
  • Other minor and transient complications may be fever, inability to open mouth wide enough, excessive bleeding, lip sores, damage to nearby teeth or adjacent fillings, vomiting, sinuse problems (with upper wisdom teeth) and a weak jaw.

Call 07 4788 0111 to book an appointment to get your wisdom teeth evaluated and discuss treatment options.