These surgical procedures are routinely performed in our office.

Dental Extractions

The most common procedure performed in our office is the extraction of teeth. This is typically done when teeth are acute or chronically infected and all other types of treatment have failed. Also, teeth are removed to relieve dental crowding which is often required with orthodontic treatment. Dental extractions can be performed using local or intravenous anesthetic. Drs. Dachille, Laing and Paladino will assess the complexity of your extraction and make an anesthesia recommendation.

Exposure of Teeth

Occasionally, a permanent tooth will not erupt and becomes trapped within the jaw. If this happens to you, your dentist or orthodontist will recommend you have the tooth exposed. This procedure involves the removal of gum tissue and/or bone to expose the tooth and allow for proper eruption. Most often, the surgical exposure of a tooth is performed under an intravenous anesthetic.


A frenum is a normal muscle attachment in the mouth. Sometimes, a frenum becomes very large and will cause problems. “Tongue tied” is an example of this problem. With this condition the patient has restricted tongue movement caused by an enlarged muscle attachment or frenum under the tongue. Occasionally, a patient has a thickened frenum between their upper front teeth, which causes a space between these teeth. Frenectomy is the surgical correction of these enlarged muscle attachments. The procedure can be performed under local or intravenous anesthetic depending on the surgical complexity and age of patient.


An apicoectomy is a surgical procedure used to remove infection from the bone surrounding the root of your tooth. This procedure is performed to prevent extraction of the affected tooth. Typically, the tooth involved has had previous root canal treatment. Patients often complain of soreness and drainage in this area, and multiple attempts at antibiotic treatments fail. Because infection is present, the surgery is most appropriately performed under an intravenous anesthetic.

Bone Grafting

When a patient looses a tooth or teeth, the supporting jaw -bone may shrink and decrease in density. The treatment for this is a bone graft to provide support and improve the function and appearance of the area. The bone graft materials utilized are very safe and effective. The surgical procedure is minimally invasive and can be performed under a local or intravenous anesthetic. Drs. Dachille, Laing and Paladino will discuss the various types of bone grafts at your consultation appointment.


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