Oral surgery Part 1. – All you need to know about tooth extraction


In many situations, a simple extraction is enough to get rid of a tooth that is too damaged to be saved by i.e. a root canal treatment and a dental crown. But there are some cases when surgical tooth extraction is needed which requires special equipment and specific knowledge. In the first part of our series on oral surgery we are going to discuss some of the main cases and types of tooth diseases when the help of an experienced oral surgeon is needed.

Wisdom tooth

Due to the change of our nutrition habits and life style, wisdom teeth became unnecessary in the digestion process, we simply don’t use them because we mainly consume soft food. And since they are not really trained by chewing, slowly the tissues in their environment start to diminish which can lead to periodontal or bone diseases.

Even if a person’s wisdom teeth are grown fully and really straight, there is a big chance that those teeth are rather harmful to the general health state of the mouth or may even cause other symptoms throughout the whole body. And because of their position, they are sometimes hardly reachable by the dentist so it is rather advisable to have a surgical tooth extraction.

Let’s list a few types of diseases when wisdom teeth are needed to be removed by oral surgery.

Granuloma – the “silent assassin”

Wisdom teeth typically collect inflammatory goiters. These nodules are often symptomless for many years, so the patient cannot really feel pain, swollenness or any kind of a sensitivity around the wisdom tooth. This occurs in almost every case, even if the wisdom tooth grew out fully and straight.

The next phase of these inflammatory goiters is called granuloma. This is an abscess which produces pus. It is basically poison to the body that gets into the blood stream and spreads all around in the system. This nodule also works its way towards the tooth root, jawbone and gingiva, causing bone devastation.

In this case a surgical extraction is needed because the pus softens the tooth root, therefore the tooth cannot be removed simply, without an operation.

Granuloma can occur in case of other teeth as well but that’s the most common case. It can be really dangerous because it may cause heart, joint or vision diseases. Such abscesses can be easily spotted on an X-ray or CT image so we strongly recommend you to take part of at least one check-up a year.

Impacted wisdom tooth

It happens quite often that wisdom teeth cannot erupt into the mouth because something is blocking them form pushing through the gum. One typical case of this block is when the tooth is growing horizontally towards the neighboring tooth. This can be harmful since the pressure of the growing wisdom tooth might cause the absorption of the other tooth’s root which endangers it.

The impacted wisdom tooth is often inflamed which causes pain, fever or even lockjaw. It can also cause problems other ways. For example if the neighboring tooth is extracted, the impacted wisdom tooth might lean towards the gap occurred after the extraction. It might be necessary to extract the wisdom tooth ad well and replace the missing molar with a dental implant.

When the wisdom tooth is partly erupted it can easily start decaying. In this case, and if this tooth is on the maxillary jaw bone, a surgical tooth extraction may be required.

Highly damaged, decayed teeth

There are some other cases besides the problems with wisdom teeth when oral surgery is the only way to help the patient. If the tooth has a large decay for example, chances are big that the tooth will snap if the dentist tries to extract it with tongs. It is somewhat similar when the dental crownhas a large filled area or it has an inlay/onlay and too big part is missing from the crown. Or maybe when even the dentin has a large decayed part.

Problems with the tooth root

It happens sometimes that a simple tooth extraction cannot be performed because of the shape of the tooth roots. If the root is too curvy or the roots are too divergent, the risk is high to break the root into the jaw bone while using an extractor.

If the root does break into the jaw bone despite all pre-cautions, oral surgery is needed to get rid of the residual parts of the tooth root. It is also highly recommended to perform oral surgery if the teeth that need to be extracted are beneath the maxillary sinus.

Tooth apical resection

Tooth apical resection is a conservatory dentistry method. The very end of the tooth root needs to be cut off when an abscess occurs around it. During the surgical intervention not only the apical is removed but also the surrounding tissues are cleaned, infected parts are cut off.

This operation can only be performed in case of a canal treated root.

Vesicle surgery

A vesicle is full of fluid and often it is asymptomatic. But on the long run, it can cause serious problems because the bone can grow thin by its pressure which can cause tooth loss over time. It definitely shows symptoms, causes pain when it inflames but there’s no need to wait until that because an X-ray image can show whether there is a vesicle somewhere or not. In case if such a problem occurs, proper dental treatment is essential to save the tooth.

At our dental clinic in Hungary our oral surgeons are highly trained professionals with lots of experience regarding the surgical types mentioned above. Our clinic is equipped with the latest technology in order to help you conserve your teeth, gain a new beautiful smile and plan your oral health for a life-time!