Dimond Family Dental Center

 EXTRACTIONS

We perform multiple types of tooth extractions in office. These include simple extractions, surgical extractions and wisdom tooth extractions.

Wisdom tooth extractions

Wisdom teeth that are healthy and positioned properly in the jaw may not require extraction. In most cases however, wisdom teeth remain impacted and trapped beneath the gum and bone. Partially erupted teeth may tilt sideway and cause damage to adjacent teeth so it is to have regular dental check-ups to keep track of the progress and condition of your teeth. Wisdom teeth typically push their way through the gums between ages 17 and 21.

Because of the position wisdom teeth take in your mouth, they are not often needed for chewing and are difficult to keep clean. Sometimes it may be necessary to extract them early instead of waiting until you are older to prevent more complications.

Removal of wisdom teeth can prevent several possibilities from forming:wis

  • A wisdom tooth that has partially erupted through the gum may create an opening allowing bacteria to enter causing infection. Pain, swelling and jaw stiffness may result.
  • An impacted wisdom tooth growing without enough room may cause damage to adjacent teeth.
  • A fluid-filled sac or cyst may form on or near the impacted tooth causing the surrounding bone and tooth roots to be destroyed.

Following surgery, experiencing swelling or discomfort is normal. Cold compresses can help reduce swelling. Prescribed medication may be required to help relieve discomfort. Some patients experience numbness or tingling in their face or jaw following surgery. Normal sensation should return within a few days.

We perform all types of wisdom tooth extractions in office. (IV Sedation - Not available)

 SOCKET PRESERVATION

What is socket preservation?

Socket Preservation is a procedure in which graft material is placed in the socket of an extracted tooth at the time of extraction to prevent the bone around the site from collapsing during healing. This preserves the bone height and width in prepartion for future restorations such as bridges and implants.

Why is socket preservation important?

After extraction, jaw bones have to be preserved to keep sockets in their original shape. Without socket preservation, the bone quickly shrinks and collapses. The jaw bone will never return to its original shape once bone is lost.

How does it work?

Socket preservation is preferably performed the same day as the tooth extraction. After an extraction is complete, a bone-like material is packed into the extraction site. A collagen matrix is then placed over the bone-like material to hold it in place until proper healing is complete. To aid in the healing process, dissolvable sutures are used to hold material in place.

What are the benefits of socket preservation?

Socket preservation helps to maintain the height and width of the jaw bone. All dental prosthesis requires good bone support for it to be successful in the long run not only medically, but also esthetically.

What is the role of socket preservation with implants?

Physical appearance is an important outcome for patients receiving implant-supported restorations. A patient must have proper bone height and width for an implant to be successful. If the bone is too thin, the implant threads can be exposed and the implant will be unstable. If the bone height is too low, the soft tissue (gum) level will also be too low, resulting in an unnatural appearance.

What to expect after socket preservation

Healing time after socket preservation varies by patient. For the gum tissue to completely heal over, it typically takes between 4 and 6 weeks. Warm salt water rinses help to keep the area clean and can expedite the healing process. 

Although the gum tissue is healed, the bone underneath requires more time to achieve its optimal strength and density needed to complete finally restorations. This healing process varies between patients and typically takes anywhere from 4 to 6 months to complete.

Socket Preservation vs. Ridge Augmentation as an alternative treatment

In Socket Preservation, the grafting material is placed inside the tooth socket immediately after extraction so the bone height is preserved during healing. Ridge Augmentation is performed after the socket has healed and bone loss has already taken place. The grafting material for this procedure however, is usually more costly and requires the patient to undergo a second surgery to harvest the material from their palate, hip, chin, or pelvic crest.

 


  

1000 E Dimond Blvd Ste 205
Anchorage, AK 99515
Phone: (907) 344-5544
Fax: (907)344-5564

 

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