Removing teeth is an important part of oral and maxillofacial surgery. When done properly, removing teeth can be done in a minimally invasive manner.
Besides wisdom teeth and more advanced types of oral surgery, one of the most common things we do in our practice is to remove decayed teeth. We also do many simple extractions. Many of these patients are referred to us by their general dentist. The dentists realize that, with our advanced level of training, we can remove these teeth with minimally invasive techniques.
I explain to the patients that local anesthesia works well in many cases, that once the local anesthesia has taken effect, removing a tooth is no different than having a dental filling placed. We also can offer the patient nitrous oxide (sometimes called “laughing gas”) to help decrease the anxiety level before performing the extractions, and we even offer patients IV sedation or general anesthesia if they prefer, to remove these teeth.
Today, Lidocaine is likely the most commonly used anesthetic in dentistry, but there are many others. They all have names ending in “-caine.”
Even simple extractions many times can turn into a more advanced procedure, and with our advanced training, we are able in all cases to keep a simple extraction a simple extraction.
One example is that teeth that have undergone root canal treatment tend to be extremely brittle. Even though on an x-ray clinically it looks as if it could be a simple extraction, once a tooth has undergone a root canal it attaches to the surrounding bone much more tightly. These teeth usually require additional techniques to remove the tooth and do it in such a way so that the result is a simple extraction, which an easy procedure for the patient.
If you have been referred to us by your dentist, please contact us by phone or email anytime and we will be happy to schedule a consultation.
Dr. Leonard Spector