Specialist Dentistry

Surgical & Non-surgical Extractions

Family & Specialist Dental Practice in Twickenham

At Claremont Dental Practice in St Margarets, Twickenham, we provide both simple and surgical tooth extractions, including wisdom tooth removal, impacted teeth, failed extractions and complex oral surgery procedures. Our consultant oral surgeon offers specialist-led care to ensure treatment is carried out safely, comfortably and with the highest clinical standards.

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Referrals

Dr Osa Obaseki

  • Consultant Oral Surgeon

    GDC No.: 78851

Osa Obaseki is our Oral Surgeon. He is a Consultant and is on the specialist list for Oral Surgery. He qualified in 1987 and undertook his post graduate training at the Charing Cross Hospital and West Middlesex Hospital, where he currently works as well as working in private practice.

He offers the full range of dentoalvoelar surgical procedures under local anaesthetic. He also carries out management of oral medical and soft tissue conditions (including advice, treatment or appropriate referral to other specialist colleagues).

Treatments’ provided include:

  • Simple Extractions
  • Extractions of non-erupted and impacted teeth
  • Failed Extractions
  • Surgical Removal of Wisdom Teeth
  • Orthodontic Extractions
  • Orthodontic exposure of Teeth
  • Soft tissue surgery such as frenectomies, release of tongue ties
  • Removal of intraoral lumps
  • Pre-prosthetic surgery
  • Apicectomies and Cyst enucleation

When Are Teeth Extracted?

While there are many reasons why your teeth can be removed, the dentist can recommend the procedure in the following situations:

  • Overcrowding. When you do not have enough space in the jaw, your teeth can become overcrowded. The dentist will remove the excess teeth in preparation for orthodontic or teeth alignment treatment.
  • Impacted wisdom teeth. Wisdom teeth are the last set of molars to come out. Some people may have all the four teeth come out and fit in the mouth properly. However, more often than not, the teeth can come out partially or get impacted because of a lack of space. Impacted wisdom teeth are painful and can lead to other dental problems if not addressed on time.
  • Dental infection. If you have decay that extends to the pulp, the dentist can perform a root canal therapy. However, in some instances it may not be possible to save the tooth, and therefore an extraction would be recommended.
  • Periodontal disease. Severe gum disease can cause weakening of the teeth and prompt an extraction.
  • If the baby teeth do not fall out on time, the dentist can remove them to pave way for the permanent ones.

How Are the Teeth Extracted?

There are two main types of extractions that the dentist can perform; simple and surgical. The type of tooth extraction that is done will depend on the nature of the tooth to be removed.

Simple extractions

Simple or non-surgical tooth extraction is done on a visible tooth. Sedation dentistry may also be used on patients who have dental phobia. The dentist will use forceps to hold the visible part of the tooth. He will move it back and forth until it detaches from the socket. The recovery from the simple extractions is relatively quick—lasting about four days with proper care.

Surgical extraction

The surgical teeth removal is done on teeth that are not visible such as impacted wisdom teeth and sometimes is necessary whereby a tooth may have been previously root canaled or has large areas of decay. The procedure involves opening the gums to access the teeth and pull them out. The surgeon may need to make an incision on the gums to access the tooth. The soft tissues covering the teeth may also be lifted to give access. Sometimes the surgeon may have to drill the jaw or split the teeth into multiple pieces to make it easy to remove the teeth.

What to Expect After the Teeth Are Extracted?

Gum bleeding is a common occurrence after the teeth are pulled out. The bleeding can be controlled by biting a gauze pad for 20 minutes. A blood clot also forms on the socket to facilitate healing. It is crucial to protect the clot and prevent it from breaking. If it breaks, you may experience a dry socket which slows down the healing, causes pain and bad breath.

What to Do After A Tooth Extraction Procedure?

The recovery time after your teeth are removed will depend on how well you care for the gums.

  • Use the gauze pad until the bleeding stops
  • Take the medication as prescribed by the dentist
  • Apply an ice pack to reduce swelling
  • Rest the gums for 24 hours, meaning do not do any strenuous work.
  • Do not use a straw to drink beverages in the first 24 hours
  • Elevate your head to prevent pain and support blood flow
  • Eat soft foods the day after the procedure
  • Rinse the mouth with warm, salty water after 24 hours, do not swish the water around, this can knock the formed clot out. Please bathe and rinse gently.

Frequently Asked Questions

No. Local anaesthetic is used to numb the area before treatment, so you should not feel pain during the procedure. Some discomfort after the extraction is normal and can usually be managed with pain relief and aftercare instructions.

A simple extraction is performed on a tooth that is fully visible above the gum line. A surgical extraction is required for impacted, broken or difficult-to-access teeth and may involve a small incision in the gum.

Wisdom teeth may need to be removed if they are impacted, causing pain, infection, decay, gum problems or damage to neighbouring teeth.

Most patients recover from a simple extraction within a few days. Surgical extractions, including wisdom tooth removal, may take one to two weeks for full healing.

Soft foods such as yoghurt, soup, mashed potatoes and scrambled eggs are recommended for the first few days. Avoid hard, crunchy or spicy foods while the area heals.

Yes. Missing teeth can often be replaced with dental implants, bridges or dentures. Your dentist will discuss the most appropriate option for your needs.

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