ORAL SURGERY

Tooth extraction

Sometimes, it may happen that a dentist can resolve the various teeth problems through root canal treatment, fillings, crowns, etc. But when the damage to the tooth is paramount, so much that tooth cannot be salvaged, then tooth extraction becomes the only solution. Tooth extraction is a procedure that includes the removal of the tooth from its alveolar socket.

We routinely perform extractions of impacted or problematic wisdom teeth tooth and extractions of teeth that cannot be saved. Looking for a Dental Clinic for Tooth Extraction in Model Town, Shalimar Bagh and Ashok Vihar, book your appointment at Arora’s Dental Clinic. Tooth Extraction Charges are around 1000-2000INR for simple extractions. Wisdom Tooth Surgery due to Wisdom Tooth Impaction costs around 7000 INR.

The Most Common Reasons For Teeth Extraction Are:

  • Excessive tooth decay or infection (acute or chronic alveolar abscess).
  • Milk teeth that block permanent teeth from erupting.
  • Severe Gum or Periodontal disease leading to bone loss
  • Extraction cases for orthodontic treatment (braces)
  • Fractured Teeth.
  • Broken down teeth which cannot be saved by RCT and crown.
  • Painful Impacted Wisdom Teeth which can cause harm to adjacent teeth.

What happens during tooth extraction?

Oral Surgeon, a specialist to perform tooth extraction surgeries at Arora’s Dental Clinic will carry out the examination of your teeth and take out the details about your past dental or medical history that will include any medication or surgery you have gone through. An X-ray will assist in a complete examination of the tooth condition. Once the checkup is done, we will give you local anesthesia (lignocaine) that will numb the affected tooth and surrounding area. According to the tooth condition, generally, two types of extraction can be performed:

1. Simple extraction: This is performed on a tooth that is visible in the mouth. In a simple extraction, the dentist will give local anaesthesia and make the tooth mobile with an elevator. Afterwards, the dentist will use forceps to remove the tooth which will be painless.

2. Surgical extraction: This is a procedure that is generally used when a tooth may have broken off, impacted at the gum line, or is unerupted in the mouth. A small surgical incision is made into your gum/gingiva and a flap is reflected to remove the broken tooth or impacted wisdom tooth surgically. It may become necessary to exclude some of the bone surgically around the tooth after reflecting a flap or to cut the tooth in half (hemisection) for extraction.

Oral Surgeon is specialized to do complicated tooth extraction procedures like Impacted Wisdom Tooth, Dental Cyst Removal, Treatment of Accidental Dental and Jaw trauma, Bone Grafting procedures during Implants if needed. Wisdom Tooth Removal cost is 5000-6000 INR .Looking for an Oral Surgeon in Model Town, Shalimar Bagh and Ashok Vihar, book your appointment at Arora’s Dental Clinic. Tooth Extraction Charges are around 1000-2000INR for simple extractions. Wisdom Tooth Surgery due to Wisdom Tooth Impaction costs around 7000 INR.

Wisdom teeth :

Wisdom teeth are the last teeth to erupt in the mouth. Technically they are called the 3rd molars, because they erupt behind the 2nd molars in the mouth. We have 4 wisdom teeth, two in the upper arch and two in the lower. The wisdom teeth are the ones least needed for good oral health. They may not erupt or emerge from your gums until your late teens or early twenties if they erupt at all. Most often they are impacted or trapped in the jaw-bone and gums, usually because there is not enough room for them in your mouth.

Hence they can cause the following problems -

Gum disease : Most people are aware of the pain experienced during the eruption of these teeth. This generally happens because these partly erupted teeth are difficult to keep clean, and the accumulated food particles cause the gums around the tooth to get infected. Such an infection is felt as swelling and pain around the area. Sometimes the tooth is trying to erupt, but has not yet broken through the gums. When the upper tooth bites down onto this gum, pain can be caused.

Impacted : It sometimes happens that there is not enough space in the mouth for these teeth to erupt. In such cases they may try to erupt in an abnormal direction, or may get locked into the jaw. This locking is known as impaction.

Decay : A wisdom tooth may decay unnoticed, as they are the most difficult teeth to keep clean, being so far back into the mouth.

Crowding : An impacted or erupting wisdom tooth can push on adjacent teeth, causing them to become crooked or even damaging them structurally.

Cyst : If the sac that holds the crown of the wisdom tooth remains in the bone, it can fill with fluid, forming a cyst that can destroy surrounding bone.

The picture above shows an impacted wisdom tooth. The swollen gums are depicted in red, while the decayed portions are shown in black. It also shows the erupting wisdom tooth putting pressure on the adjacent tooth in front, which if allowed to continue for a longer time, could result in crowding. The position of the wisdom tooth also makes it difficult to keep that area clean, leading to decay and gum infection. Hence, Wisdom Tooth Removal Charges are more than simple Tooth Extraction.

TMJ (Temporo mandibular joint) Disorder & Headache :

TMJ plays an important role in jaw functions such as talking, chewing etc. It can be felt by placing fingers just in front of ears and opening and closing mouth. The most common causes of TMJ disorder are grinding or clenching of teeth, emotional and physical stress and tension, fracture or dislocation of TMJ. TMJ patients experience one or more of the following –limited jaw movement, locked jaw, clicking noise fom TMJ, pain when chewing, pain around ear n cheeks, headache, muscle spasms. The most common treatment methods are use of occlusal splint (night guard), awareness and behaviour modification therapy (jaw exercises), relaxation n stress management, physiotherapy. In conjunction with other nonsurgical treatments, medications that may help relieve the pain associated with TMJ disorders

Operculectomy :

It involves removal of the gingival tissue covering an erupting tooth Sometimes, the gingival tissue over the erupting tooth doesn’t get uncovered totally as the tooth remains submerged in the mouth. It becomes a place where food and bacteria accumulate causing inflammation and pain. So, the gingival tissue is removed to allow the tooth to erupt normally.

Jaw Fracture :

A broken jaw is a break in the jaw bone. A dislocated jaw means the lower part of the jaw has moved out of its normal position at one or both joints where the jaw bone connects to the skull (temporomandibular joints).

The most common cause of a broken or dislocated jaw is injury to the face. This may be due to a assault, accident or recreational or sports injury etc. The general procedure for treating a fractured mandible is first to immobilize the jaw and set the break - this is called "reduction." Often, a surgeon can set the bone simply by manually repositioning it. And more complex mandibular fractures, setting the bone might require "open reduction." This means surgically exposing the bone and re-positioning the fractured pieces with the use of small screws and plates that are attached directly to the bone. These plates and screws then act to stabilize the jaw during the healing process, as the bones grow back together.

Prognosis in most cases, the outlook is very good, especially when the fracture is treated promptly and properly. In rare cases, when the fracture is ignored or healing is poor, long-term complications can include facial deformity, long-lasting facial pain, pain or limitation of movement at the jaw joint and a bad bite.

Apicectomy :

It is the removal of the root tip and the surrounding infected tissue of an abscessed tooth. This procedure may be necessary when inflammation and infection persists in the area around the root tip after RCT or RC retreatment.

Once the tooth is completely numb, the gum is lifted to expose the underlying bone and root tip of the tooth. The root tip and all surrounding infected tissue are removed. A retrograde filling may be placed at the root tip. The gum is repositioned and stitches are placed.

Complete healing of the bone and the root tip typically occurs in a few months. An apicoectomy is usually a permanent solution, and should last for the life of the tooth.