Although many tooth extractions can be performed by a dentist, there are some tooth extractions that are best handled by an oral surgeon.
A complex tooth extraction may be necessary if the tooth:
- Has very little substance above the gum
- Has curved or large roots
- Has not erupted or is impacted
If your dentist recommends going to an oral surgeon for your tooth extraction, here is what you can expect:
Step 1: Numbing the Area
Your oral surgeon will begin by injecting a local anesthetic to numb the area.
Step 2: Gum Tissue
For cases where the tooth is barely visible above the gum line, the gum tissue surrounding the tooth will be folded back to expose more of the tooth.
Step 3: Releasing Periodontal Ligaments
In order to remove the tooth, your oral surgeon will need to release the tooth. The tooth is held by a periodontal ligament that can be removed easily.
Step 4: Sectioning the Tooth
To remove the tooth safely, it may be cut into smaller pieces.
Step 5: Elevating the Tooth
If the tooth is not cut into smaller pieces, the oral surgeon will use a tool called an “elevator” to enlarge the socket of the tooth in order to remove it.
Step 6: After the Tooth Is Out
Once the tooth is pulled, it will be covered to control any bleeding.
Depending on your situation, your oral surgeon will provide you with specific instructions on what to do to care for the area and keep it clean.