Oral Surgery

Oral surgery may be performed when:

  • A tooth cannot be saved.
  • The tooth is not restorable.
  • The tooth is not functional or hygienic.
  • The patient prefers extraction for another reason.

We can provide removal or extraction of the problem tooth under local anaesthetic. This will also require a consultation and x-ray before the procedure is completed (usually on the same day if preferred).

We can also provide extractions of straight-forward wisdom teeth cases under local anaesthetic. Please see our downloadable oral surgery consent form!! which explains common risks associated with wisdom teeth extractions.

After your procedure you will be provided with extra gauze pads and post-operative instructions – see below.

What is a surgical extraction?

  • A surgical extraction is when the tooth cannot simply be removed with the dental forceps. It requires the tooth to be sectioned into pieces using a drill and the pieces of tooth removed separately.
  • Usually if the tooth is surgically removed there will be dissolvable sutures (stitches) placed over the gum. Please follow the instructions carefully to give the wound the best possible chance of healing normally.

If you wish to have the procedure done under a general anaesthetic or the case is difficult we will refer you to an Oral and Maxillofacial Surgeon in the larger town of your choice. This is so you can obtain the best possible outcome.

Post-Op Instructions- After Dental Extractions:

  1. Keep gauze pad in for 15-30mins.
  2. Replace with new gauze and bite down firmly if bleeding continues.
  3. Do not rinse your mouth for 24 hours. After this period, you can gently rinse your mouth with warm salt water after meals.
  4. Avoid smoking, hot food, hot drinks and alcohol.
  5. Avoid strenuous activity. If possible, rest with head raised on a pillow.
  6. Take paracetamol (eg Panadol) and/or ibuprofen (eg Nurofen) regularly as directed for the first 1-2 days to relieve any pain.
  7. Contact the dentist if you have any concerns.

Post-Op Instructions- After Surgical Dental Extractions:

  1. Keep gauze pad in for 15-30mins.
  2. Replace with new gauze and bite down firmly if bleeding continues. Contact the dentist or hospital if bleeding is severe.
  3. Do not rinse your mouth for 24 hours. After this period, you can gently rinse your mouth with warm salt water after meals.
  4. Avoid smoking, hot food, hot drinks and alcohol.
  5. Avoid strenuous activity. If possible, rest with head raised on a pillow.
  6. Swelling and bruising may develop and will be worst around 2-3 days after the procedure. Apply ice packs to outside of face as soon as possible to reduce this.
  7. If stitches have been placed in your mouth, they may take a week to dissolve. If silk sutures have been used you will be given a follow-up appointment to remove them.
  8. Eat soft food on the opposite side of the procedure.
  9. It may take a few days to be able to open your mouth widely.
  10. Take prescribed medication as directed or if not prescribed, alternate between paracetamol and or codeine (eg Panadol or Panadeine) and ibuprofen (eg Nurofen) every 3 hours for the first 1-2 days to relieve pain.
  11. Contact the dentist if you have any concerns.
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