SURGERY - EXTRACTIONS


ATRAUMATIC TOOTH EXTRACTION

We know for sure that atraumatic tooth extraction is the best method, since it causes the least damage to the alveolar bone, protecting it for the future implant. Following this type of extraction, bone retraction is minimal.

It is very important that the bone is strong and healthy, since the extracted tooth will be replaced by an implant. Atraumatic tooth extraction of the tissues ensures healing which is beneficial to the integration of the future implant and healthy gums.

With atraumatic extraction, we can remove badly damaged teeth which can no longer be treated with root canal procedures or fillings, crowding or infected teeth, prior to orthodontic treatment.

We know that the bone which will take the implant must be strong and healthy, and the extraction of the tooth which will be replaced by an implant must be done in a atraumatic way.

If possible, inserting the implant can be done in the same session, or it may require a healing period. Following a atraumatic extraction, the tissues will heal faster and without any pain, since they have been protected during the procedure.


ATRAUMATIC EXTRACTIONS OF WISDOM TEETH

Most of the times, their position is incorrect, which prevents them from erupting completely. If the wisdom teeth are covered by the gums, they can form cavities, which cause tremendous pain. Through piezosurgery, the tooth is separated from the bone around it, facilitating the extraction in a atraumatic way and with excellent healing perspectives. Despite all this, extracting the lower wisdom teeth which are still incased in the bone may be really difficult. Fortunately, it is painless, the only shortcoming is that the procedure may take a few hours.


APICAL RESECTIONS

They involve the surgical removal of infections at the tip of the root. This type of surgery are less and less used in our clinic since:

  • Endodontics can heal infections at the tip of the root far more often.
  • Apical resections have a relatively high rate of relapse.
  • Since implants can successfully replace damaged teeth, it is the preferred solution.

  • WISDOM TOOTH ATRAUMATIC EXTRACTION ADVICES

  • We recommend atraumatic extractions because he is the least harmful to the bone and soft tissues around the tooth.
  • We only decide to take out the wisdom tooth which can no longer take any treatment. The reason for extracting a wisdom tooth is, if it has very bad cavities, causes pain or if his position creates discomfort to the other teeth.
  • Access to the wisdom tooth is difficult, since they are located all the way in the back of the oral cavity, and most of the times extraction is the only viable solution. In cases where we have to remove the lower wisdom teeth, the patient must be aware of the risk caused by the proximity of the lower alveolar nerve to the roots of the molars.
  • Accidental damage to this nerve can lead to a lower sensitivity of certain area in the cheek or lower lip. Our advice is that you only let go of the wisdom tooth located on the mandible if it is badly damaged. This risk is very low, but present nevertheless.Any extraction is done following an anesthetic, and in some cases an antibiotic treatment is required.
  • Inform your doctor about anyconditions or drugs you take, even though they might not interfere with the problem you came to see the dentist about.
  • Following any type of extraction, please obey the advice of your doctor to the letter:

  • Keep the bandage on the extraction area for as long as you were told (1-2 hours).
  • Local hygiene involves rinsing your mouth with chlorhexidine mouthwash, starting with the following day!
  • You can eat two hours following the extraction, but be careful not to get food inside the cavity
  • Avoid physical effort and very hot or very cold foods, which might cause bleeding.
  • You can help the body heal faster using special gels (Elugel and Gengigel).