DENTAL SERVICES

ORAL & MAXILLOFACIAL SURGERY

DENTAL ART is well equipped to undertake surgical procedures involving oral cavity as well as maxillofacial includes simple extractions,surgical extractions(impactions),removal of cysts,tumors in the jaws and soft tissues any problems regarding jaw deformity,chin deformity,TMJ disorders and treatment of jaws fractures.

Tooth extraction and surgical tooth extraction(IMPACTONS,WISDOM TOOTH EXTRACTION) are easily performed at DENTAL ART BY DR.OMER FAROOQ AHMAD where as complicated impactions are performed under General Anesthesia by DR.YASIR ISHAQ ,DR.MARIA NOOR(ORAL AND MAXILLOFACIAL SURGEONS) at SURGIMAD HOSPITAL AND AMMAR HOSPITAL along with DR.OMER FAROOQ AHMAD.

In addition children now no longer needs to fear the dentist since DENTAL ART provides a child friendly environment where children can get their tooth extraction with almost intense care and completely relaxed.



Complex and long surgical cases of children involving multiple extraction also have the option of being treated under General Anesthesia at SURGIMAD HOSPITAL AND AMMAR HOSPITAL.


Tooth Extraction

Tooth extraction is the removal of a tooth from its socket in the bone.A tooth that is severely damaged may need to be removed. Your dentist or a surgeon who specializes in surgeries of the mouth (oral and maxillofacial surgeon) can remove a tooth.

If your dentist tells you that your teeth to be extracted ,you don’t have to panic. He might tell you that u need simple extraction or surgical extraction , so iam giving u review about both of these situations .Most of the time we do not recommend extractions, but if an extraction is advised there is no need to be afraid as now with anesthesia you won't even feel the needle.!!!!!

Just to give u an idea simple extraction means when the teeth can be pulled out with the forceps with no soft tissue and bone cutting.

Now if he tells you that your teeth is impacted and needs to pull out of the mouth with surgery then here is the causes.

Broken or cracked teeth, Impacted wisdom teeth, Curved roots, Root tip retrieval

Your dentist may determine that the addition of certain surgical steps to your tooth's extraction process will help to make its removal go more smoothly, quickly and/or predictably.

Or, in some cases (like removing impacted wisdom teeth or retrieving root tips) a surgical approach may be the only way the procedure can be accomplished.

The added procedures might include:

  • Removing or reflecting back gum tissue
  • Removing bone tissue from around your tooth (ostectomy)
  • Sectioning your tooth (cutting it into parts)

When one or more of these techniques are used, the procedure is formally categorized as a "surgical" extraction. (Tooth extractions where these steps are not performed are referred to as "simple" extractions.)


Indications / Applications for surgical extractions

  • Broken or fragile teeth
  • Anatomical issues (long or curved roots)
  • Impacted teeth (wisdom teeth)
  • Dense or inelastic bone
  • Root tip removal

Problem situations and their surgical solutions

Broken Teeth

  • A tooth may be slated for extraction because a large portion of its crown has fractured away. (The "crown" of a tooth is that part that's visible above the gum line)
  • Or, sometimes during its extraction process, a tooth's crown may break off. The problem - If breakage has occurred, the shape of the tooth structure that remains may be such that it's difficult for the dentist to manipulate it with their extraction instruments. Since it takes using them to apply pressure to the tooth so it will loosen up enough to come out, this can present a challenge

As a worst (most difficult) case scenario, the entire crown may have broken off right at, or possibly below, the gum.

Fragile or cracked teeth

Another concern with broken teeth is that they may be fragile.
The problem - The same force that originally broke the tooth may have cracked it as well. Or, the portion of the tooth's crown that remains may be fragile and thus prone to breaking once force from an extraction instrumets.


Teeth with long or curved roots

An extraction's level of difficulty is often tied to the configuration of its roots. (This is one reason why dentists typically recommend that wisdom teeth should be removed at a stage of only 2/3rds root development.)

Here are some situations that may exist:

  • Curved Roots - Multi-rooted teeth (like molars) that have especially curved, hooked or crooked roots can be stubborn extractions. Beyond just being difficult, the act of pulling these teeth may require the use of excessive forces that may result in bone fracture
  • Long, Large Roots - Teeth (like eyeteeth) that have relatively larger, longer roots will take more force to extract than those with comparatively shorter, smaller ones (like lower incisors)
  • Thin, Fragile Roots - Comparatively longer, thinner roots will be more likely to break during a tooth's extraction process

Impacted Teeth

"Impacted" teeth involve the situation where a tooth has not been able to come into its normal positioning. The most likely type of tooth to be impacted is 3rd molars (wisdom teeth).







With this situation, some type of additional surgical steps will be required. It's simply a question of which ones.

  • Soft Tissue Impactions. - This is the case where the tooth is only buried by a layer of gum tissue
  • Partial-Bony Impactions. - This classification involves teeth whose upper portion is both buried underneath the gums and partially encased by bone
  • Full-bony impactions - With this situation the impacted tooth if fully encased in the jawbone. (The most difficult types of wisdom teeth to remove are full-bony impactions



Dense, Inelastic Bone

The Problem - Conditions may exist that have affected the bone that encases a tooth. This can include increased bone density and age-related bone inelasticity.


Root Tip Removal

The Problem - The outcome of an extraction may be such that a fractured root tip has been either inadvertently or purposely left behind. (Doing so is never a dentist's first choice.


Surgical extractions - Procedure details

There are 3 basic surgical techniques that might be utilized during a tooth's extraction. They are:

  • Raising a gum tissue flap
  • Trimming bone from around the tooth
  • Sectioning the tooth
  • For example, the x-ray of your tooth may suggest that the bone encasing its roots is quite dense. Finding the tooth very difficult to loosen during the initial stages of your extraction process would confirm this fact for your dentist. If so, they might immediately switch to the use of a surgical approach
  • As a last scenario, the nature of the routine extraction that your dentist expects might suddenly change. For example, the crown of your tooth might snap off at the gum line. If so, a switch to a surgical approach would be likely

Don't be frightened of the idea of having a surgical extraction

As a patient, the last thing you want is for the unexpected to occur during your tooth extraction, or for it to be a more difficult process than it needs to be (including healing).

Implementing surgical steps with your procedure generally means that it will go quicker, more predictably and result in less surgical trauma than if (probably likely) undesired events did occur.

Try to think of having a surgical extraction as a form of insurance that helps to guarantee that your entire experience will be as pleasant and uneventful as it can.