Oral surgery are sometimes required when functional dental concerns are unable to be treated with non-surgical treatments.
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Wisdom Tooth Surgery
Our wisdom teeth, which are the third set of molars, helped our early ancestors’ to grind plant tissues, a part of their diet that were difficult to chew and break down. It is thought that the skulls of our early ancestors had bigger jaws with more teeth, which compensated for the inability to efficiently break down and digest their plant tissue diet. Over the years, as human diets changed, small jaws gradually evolved as well. However, wisdom teeth continue to develop in human mouths, and is now regarded as a painful hindrance for most as the jaw becomes crowded.
Here are some of the common reasons for wisdom tooth removal:
(i) Impacted wisdom tooth – Tooth grows in a tilted manner and is impeded by neighbouring tooth. As the tooth is only partially out of the gums, the gums can become swollen and painful.
(ii) Tooth decay
(iii) Cyst growing around the wisdom tooth
At some point in time, 60% to 85% of us will have to remove at least one of our wisdom teeth due to the above complications. Fortunately, dental technology has drastically improved to minimise the discomfort a patient will experience during the removal of the wisdom tooth. For wisdom tooth that grows normally, it is possible to remove it by extraction. If it is impacted, surgery is required.
How is the wisdom tooth surgical process done?
As local anaesthesia will be given, you should feel no pain during the process. During the surgery, the dentist will open up the gum tissue above the tooth, and remove any bone that may conceal the tooth. On certain occasions, the tooth may be cut into smaller pieces to aid in the removal process. Following the removal of the tooth, your dentist will stitch up the gums to close the wound to facilitate healing.
After the surgery, you are advised to avoid food that are crunchy, chewy, spicy or acidic, in order to prevent disruption to the healing process. The recovery process will take from a few days to a couple of weeks, depending on the extent of the surgery.
Gum Treatment and Surgery
If there is a buildup of plaque and calculus in your teeth, bacteria can be trapped, which may result in gum diseases. For mild cases, improving your oral hygiene routine can help to alleviate the condition. However, if the condition is severe, your doctor may suggest gum treatment or even gum surgery.
We provide deep cleaning (scaling and root planing) which requires local anaesthesia and is non-surgical, and also the surgical process of open flap debridement.
What is deep cleaning and what does it involve?
Deep cleaning involves scaling and root planing. Scaling allows plaque and calculus above the gumline to be scraped off your teeth using ultrasonic tools. Root planing, which involves scaling the surface of the root, will likewise dislodge unwanted materials that allows for plaque and calculus development.
Depending on the condition of your gum and teeth, more than 1 appointment may be required to complete the treatment. After each session, your gum may feel sore and sensitive to both cold substances. This can be alleviated with oral products that is suitable for sensitive teeth.
What is open flap debridement and what does it involve?
For more severe gum diseases, open flap debridement is required. This is a form of periodontal surgery that allows the dentist to reach into the deep recesses of your gum in order to remove the plaque and calculus buildup. These pockets of the gums will be reduced which better prevent potential areas for bacteria to reside in. This surgical process requires the gum to be folded away from the teeth, which will expose the root surfaces of the teeth, allowing for the removal of unwanted materials.
If bone or gum tissue was destroyed by the gum disease, your dentist may also recommend bone or tissue grafts to promote growth of the destroyed materials.