What Is Dentoalveolar Surgery?

Dentoalveolar surgery refers to surgical procedures performed to correct issues with the gums, teeth, jawbone, and other soft and bony tissues located in the mouth. This is the most frequent type of surgery performed by maxillofacial and oral surgeons. Let’s go over some of the most common dentoalveolar surgical procedures.

Difficult Extractions

General dentists can remove most teeth using forceps, but some extractions require dentoalveolar surgery. Surgical extractions might be needed when the tooth is near a major nerve, the roots are curved or large, or the tooth is fused to the jawbone. Also, if nearby teeth have large fillings or crowns, dentoalveolar surgery might be required to extract the tooth.

Wisdom Teeth Extractions

Wisdom teeth extractions are also dentoalveolar surgical procedures. Wisdom teeth, or third molars, can become impacted and get stuck under the gum line. Also, if there isn’t enough room in the mouth to accommodate the teeth, they can damage other teeth. When wisdom teeth are problematic, people can go to a maxillofacial or oral surgeon for an extraction. These surgeons are skilled in wisdom teeth extractions and can remove them safely while protecting nerves and teeth.

Retained Root Extractions

When a tooth is extracted, the crown and the root are normally removed. However, if the tooth has experienced significant decay or trauma, the roots might remain in the gums and jawbone. When that happens, the retained root must be surgically removed. Depending on the severity of the problem, the oral surgeon might need to remove part of the gum and jawbone to extract the root.

Cyst and Tumor Removal

Patients with oral cysts and tumors are usually referred to a maxillofacial or oral surgeon for removal. Cysts are sacs filled with fluid located in the soft tissue or bone. Because cysts normally get larger, removal is often necessary.

Tumors can grow in the jaws, and even though they are normally benign, extraction is typically recommended. Like cysts, tumors can grow in size and become bothersome.

Exposure of Impacted Teeth

Some patients undergo dentoalveolar surgery when they need to expose impacted teeth before undergoing orthodontic treatment. During dentoalveolar surgery, the surgeon can expose the crown. Then, the orthodontist can use oral appliances to guide it into the proper position.

Soft Tissue Grafts

Soft tissue grafts are also common dentoalveolar surgical procedures. Patients with exposed roots and gum recession benefit from this procedure. Soft tissue grafts also help some patients avoid developing other soft-tissue issues.

Surgical Procedures for Fitting Dentures

Full and partial dentures don’t always fit properly due to bony lumps or excess for tissue. If the dentures don’t fit properly, the appliances can rub against the gums, causing sores. People are less likely to comply with wearing their dentures if they aren’t comfortable, so many people are referred for dentoalveolar surgery. The surgeon can remove the bony lumps and excess soft tissue to ensure a more comfortable fit.

These are just some of the procedures available when you undergo dentoalveolar surgery. If you require a maxillofacial procedure, contact Belviso Oral & Facial Surgery. Dr. Ruvinsky is licensed in both dentistry and medicine and has years of training and experience. Call (212) 606-2345 to schedule your consultation.

Back to blog home