Badly broken down teeth, retained roots present beneath the gum and impacted wisdom teeth may require surgical intervention to remove the particular tooth or root.
Surgical extractions can be carried out or referred for treatment by a specialist for the extractions to be carried out under sedation for comfort and for extremely anxious clients. In some cases deeper anaesthesia may be required if all impacted wisdom teeth are to be removed in one session.
Extensively damaged teeth, and teeth with multiple curved roots frequently require extraction by surgical technique when removal is necessary. Teeth which have been endodontically treated, and later need to be removed for some reason, frequently require surgical technique as their roots tend to be more brittle.
Tooth extraction is usually relatively straightforward, and the vast majority can be usually performed quickly while the individual is awake by using local anaesthetic injections to eliminate painful sensations. Local anaesthetic blocks pain, but mechanical forces are still vaguely felt.
Immediately after the tooth is removed, a bite pack is used to apply pressure to the tooth socket to stop the bleeding. After a tooth extraction, we advise no vigorous rinsing of the mouth and avoiding strenuous activity. Sucking, such as through a straw, is to be avoided. Smoking is to also be avoided for at least 24 hours as it impairs wound healing. We advise to use hot salt-water mouth baths which we advise to start 24 hours after the extraction.