Common Complex Dental Extractions

Losing a tooth isn’t something that any patient wants. Unfortunately, sometimes situations arise in which the only viable course of action is to surgically remove the tooth from your mouth in a procedure known as dental extraction. Not all dental extractions are as straightforward as simply removing the tooth from the socket. Some are more complex.

What is Complex Dental Extraction?

A complex dental extraction is referred to as a type of extraction during which the tissue and bone that supports the tooth need to be modified in some way. This could mean cutting the gum tissue in order to expose and remove the tooth or removing bone in order to free the tooth so that it can be extracted. A complex extraction is needed where the tooth cannot simply be removed in an upright position. Unfortunately, it’s not always known whether extraction will be straightforward at the time of beginning the procedure, and sometimes a simple extraction may end up being complex – for example, if the tooth breaks and part of the root becomes left in the jaw.

There are predominantly three different elements that could be included in a complex dental extraction. Sometimes an extraction will require a combination of these elements, which include:

Removal of bone (osteotomy) – this may be needed to give your dentist better visual and/or physical access to part of your tooth, or to create an opening through which your tooth is then removed.

Creation of a gum flap – this is usually needed to access and free parts of the tooth, particularly any areas that are impacted.

Sectioning of the tooth – in some instances it may be necessary to cut your tooth into different pieces so that it can be removed. This is known as sectioning.

Complex dental extractions are usually carried out using a combination of local anesthetic and sedation, keeping you both calm and comfortable for the duration of your procedure.

What are Some Common Complex Dental Extractions?

There are some types of extraction that are more likely to be complex. These include the following:

Wisdom tooth removal

The wisdom teeth are the final teeth to erupt, usually not coming through until we are in our late teens or early twenties. Most people have one wisdom tooth at the back of each corner of their mouth. Unfortunately, the wisdom teeth are the most common variety to be removed, largely due to the fact that there is often little space left for them. This can cause them to become impacted, infected and problematic. Since we don’t need our wisdom teeth, many dentists recommend that people who experience problems with them should have them removed. However, since they are very large and the last to come through, wisdom teeth are highly likely to be considered a complex dental extraction.

Removal of teeth with long, large roots

Teeth that have larger, longer roots – such as canines – will take more force to extract than those with shorter ones. However, putting too much force onto the tooth can cause it to fracture, or even put the bone in the jaw at risk of breaking. However, by removing a little of the bone that encases these long roots, your dentist can use less pressure when extracting the teeth. This reduces the risk of complications occurring.

Removal of impacted teeth

If you have a tooth that hasn’t come through properly due to there not being enough space for it, it may be necessary to cut through the gum and bone to access it and remove it. Doing so will prevent problems such as infection, which tends to be a recurrent issue for impacted teeth.

Removal of a broken tooth

If the tooth to be extracted has already broken, it may be necessary for your dentist to surgically open up the area around it to ensure that all broken pieces and the root can be properly removed. Leaving any behind could put you at risk of infection.

If you have a tooth that is in need of extraction, your dentist will be able to advise you if you are likely to need a complex surgical removal and will talk you through what you can expect from the process. If you have any further questions, please contact Belviso Oral & Facial Surgery in New York, NY today.

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