Skip to main content area.

DENTAL CARE EXPERTS

Chino, CA Top Rated Local®

Contact Us Here

Oral Surgery

At Sunny Family Dental, we perform a number of oral surgery procedures which are described below.

Oral Surgery Procedures

Extractions

Procedure On Removing A Tooth

First, a local anesthetic is applied to make the procedure more comfortable. In some cases, we will elect to use nitrous oxide gas in addition to the anesthetic.

A dental instrument called an elevator is used to wiggle the tooth in its socket. After the tooth is loosened, it is removed using forceps.

Extraction’s Possible Complications

Like most other procedures, tooth extraction is not free of possible complications. Slight chance of infection, tenderness, prolonged bleeding, dry socket and loosening of neighboring teeth or their fillings or crowns may occur.

Another rare possibility is an upper tooth getting displaced into the sinus. Lastly, jaw fracture and temporary or permanent numbness are also very rare possibilities.

Importance Of Replacing The Missing Tooth

You need to be aware of the importance of replacing this missing tooth. Why? Once a tooth is removed, the space created by the missing tooth will allow the surrounding teeth to shift into that space. This shift could cause a misalignment in your mouth that can result in chewing or jaw-joint problems. Shifted teeth are harder to clean, making them more susceptible to gum disease, decay or even additional tooth loss. For these reasons, it’s important to replace the tooth with a dental appliance such as a bridge, a removable partial denture or an implant.

Pulling A Repairable Tooth

In some instances, you may be considering the option of pulling a tooth rather than simply repairing it. While it may be less expensive in the short run, in the long run, it may cost you more. Once a tooth is pulled you still need to fill the space with a dental appliance to avoid future complications. If you add the cost of extraction plus the replacement of the tooth, you may simply be better off repairing it.

Over time, teeth naturally become darker and stained. In addition to natural aging, there are other factors that may also discolor your teeth like.

Wisdom Tooth Extractions

Your third molars, commonly known as your wisdom teeth, are typically the last teeth to erupt in your mouth. If healthy and functional your wisdom teeth can be useful. However, there are also reasons behind why you may need to consider removing your wisdom teeth. In some cases, your wisdom teeth are in fact healthy, but because of orthodontic treatment, they need to be removed.

In other cases, your wisdom teeth can become impacted or only partially erupt through the gum in a misalignment. When impacted or partially impacted, your wisdom teeth can cause swelling, pain and even infection of the surrounding gum. They can also put pressure on the adjacent teeth, which can result in permanent damage to these otherwise healthy teeth and their surrounding bone. Sometimes, impacted or partially impacted wisdom teeth can also lead to the formation of cysts, and in worse case scenarios even tumors, which could potentially destroy an entire section of your jaw.

Lastly, a fully erupted wisdom tooth needs to be removed because they are very hard to clean and can become severely decayed. So for these reasons sometimes the smart move is to have your wisdom teeth removed.

The Treatment

Whether your Chino Hills dentist or a specialist is performing the extraction the procedure is the same. First, a local anesthetic is given to make the procedure more comfortable. In some cases, your doctor may elect to administer nitrous oxide gas in addition to the anesthetic or use a general anesthetic to put you under entirely.

Once the area is numb, the extraction begins. A dental instrument called an elevator is used to wiggle the tooth in its socket. After the tooth is loosened it is removed using forceps or in some more complicated cases a surgical handpiece is also used to assist with the removal of the tooth.

Extraction’s Possible Complications

Like most other procedures, tooth extraction is not free of possible complications. You should be aware that there is a slight chance of infection, tenderness, prolonged bleeding, dry socket and loosening of neighboring teeth or their fillings or crowns.

Another rare possibility is an upper tooth getting displaced into the sinus. Lastly, jaw fracture and temporary or permanent numbness are also very rare possibilities.

When Should I Remove My Wisdom Tooth?

When should you have your wisdom teeth removed? There is no single right answer for everyone; however, if your dentist has advised you that your wisdom teeth look potentially problematic it’s generally best to remove them sooner rather than later.

This advice is based on the fact that the younger you are, the faster you heal. The likeliness of lingering numbness, jaw fracture or other complications also increases with age. Lastly, the longer you leave a troublesome wisdom tooth in your mouth, the longer it has to cause further problems in the future.

Bone Grafting

oral surgery, bone graftingExtraction of a tooth causes resorption of the supporting bone. Bone resorption causes a 40-60% decrease in its width during the first three years following extraction. Bone resorption occurs at the expense of the outer plate of bone reducing the width of the bone. Then, over time, the height of bone is reduced. This becomes critical for anterior implants where ideal esthetics, phonetics, and function is desired. In the upper jaw following extraction the sinus floor begins to expand further decreasing the available bone to place implants in the posterior maxilla. In the lower jaw the mandibular nerve runs in the bone limiting the length of the implant placed.

Bone Grafting can be used as a socket preservation procedure when it is placed following extraction of a tooth or to augment an atrophied or resorbed site.

Bone Grafting Procedures

Ridge-augmentation: In severe cases of ridge resorption bone graft is placed to increase the ridge height and/or width.

Sinus Lift and Graft Procedure: This procedure involves elevating the sinus membrane and placing the bone graft onto the sinus floor, allowing implants to be placed in the back part of the upper jaw.

Nerve – repositioning: The mandibular nerve may need to be moved in order to make room for placement of dental implants in the lower jaw.

These procedures may be performed separately or together, depending upon the individual’s condition. There are several areas of the body which are suitable for attaining bone grafts. In the maxillofacial region, bone grafts can be taken from inside the mouth, in the area of the chin or third molar region or in the upper jaw behind the last tooth. In more extensive situations, a greater quantity of bone can be attained from the hip or the outer aspect of the tibia at the knee.

Several bone augmentation materials are available to stimulate and encourage bone growth in areas where it is lost as a result of pathological or physiological processes.

Bone grafting materials can be derived from various sources

  • Allograft materials derived from cadaver bone of the same species
  • Autogenous material derived from the recipient’s intra-oral or extra-oral site
  • Alloplastic materials are exclusively derived from synthetic sources
  • Xenografts derived from the inorganic portion of animal bone

Bone Grafting will help to place larger diameter implants in ideal locations that are stable and serviceable for a long time. It also helps to establish normal volume and dimensions of bone for ideal esthetics, lip support and phonetics.