Miscellaneous
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.
Frenectomy
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.
Apicoectomy
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.