Surgical Extractions in St John's

Comprehensive Consultation and Assessment for Surgical Extractions

At London Dental Specialists, our surgical extractions process begins with a thorough consultation and assessment. This crucial first step ensures we fully understand your dental needs and develop the most appropriate treatment plan. Our experienced oral surgeons conduct a detailed examination to determine if a surgical extraction is necessary and how best to proceed.

What to Expect During Your Consultation

• Oral Examination: We carefully inspect your teeth, gums, and surrounding oral structures.


• Medical History Review: We discuss your overall health and any medications you're taking.


• X-rays and Imaging: Advanced imaging techniques help us visualise the tooth's position and surrounding bone structure.


• Discussion of Concerns: We encourage you to share any worries or questions about the procedure.


• Treatment Options: We explain all available options, including alternatives to extraction if applicable.

Why Surgical Extraction May Be Necessary

Our specialists may recommend surgical extraction for various reasons, including:

• Impacted wisdom teeth


• Severely decayed or damaged teeth


• Teeth broken at or below the gum line


• Preparation for orthodontic treatment


• Complex root structure making simple extraction difficult

Assessment Techniques

To ensure the most accurate diagnosis and treatment plan, we utilise:

• 3D Cone Beam CT Scans: For detailed views of bone structure and tooth positioning


• Digital X-rays: Providing clear images with minimal radiation exposure


• Intraoral Cameras: For high-resolution images of specific areas of concern

Personalised Treatment Planning

Following your assessment, we create a tailored treatment plan that considers:

• The complexity of the extraction


• Your overall oral health


• Any potential risks or complications


• Your comfort and preferences


• Post-extraction care and recovery

Our goal is to ensure you feel fully informed and comfortable with the proposed surgical extraction procedure. We take the time to answer all your questions and address any concerns, ensuring you're well-prepared for the next steps in your treatment journey at London Dental Specialists.

Customised Surgical Extraction Treatment Plan

Following your comprehensive consultation, our expert oral surgeons at London Dental Specialists develop a tailored surgical extraction treatment plan to address your specific needs. This detailed plan ensures the highest standard of care and optimal outcomes for your procedure.

Key Components of Your Surgical Extraction Plan

• Procedure Details: A step-by-step outline of the surgical extraction process


• Anaesthesia Options: Recommendations for local anaesthesia or sedation based on your needs and preferences


• Pre-operative Instructions: Guidelines for preparation, including any necessary dietary restrictions or medication adjustments


• Post-operative Care: Detailed instructions for recovery and wound management


• Follow-up Appointments: Schedule for post-extraction check-ups and any additional treatments

Advanced Surgical Techniques

Our treatment plans incorporate state-of-the-art surgical techniques to ensure minimal discomfort and faster healing. These may include:

• Piezoelectric surgery for precise bone cutting


• Platelet-rich fibrin (PRF) therapy to enhance healing


• Computer-guided surgical planning for complex cases

Personalised Pain Management Strategy

We understand that pain management is a crucial concern for many patients. Your plan will include a tailored approach to pain control, which may involve:

• Pre-emptive analgesia to reduce post-operative discomfort


• Long-acting local anaesthetics for extended pain relief


• Prescription of appropriate pain medication, if necessary

Addressing Potential Complications

While complications are rare, our treatment plans always include preventive measures and contingency protocols for issues such as:

• Dry socket (alveolar osteitis)


• Post-operative infection


• Nerve damage


• Sinus complications (for upper molars)

Integration with Overall Oral Health Plan

Your surgical extraction plan is not developed in isolation. We consider how the procedure fits into your broader oral health strategy, including:

• Impact on surrounding teeth and bite alignment


• Plans for tooth replacement, if applicable (e.g., dental implants, bridges)


• Long-term oral health maintenance recommendations

At London Dental Specialists, we ensure that every aspect of your surgical extraction is meticulously planned. Our goal is to provide you with a clear, comprehensive, and reassuring roadmap for your treatment, setting the stage for a successful procedure and smooth recovery.

Surgical Extractions Treatment Procedures

At London Dental Specialists, our surgical extractions are performed with precision and care. This advanced procedure is necessary when a tooth cannot be easily removed through simple extraction methods. Our expert oral surgeons utilise state-of-the-art techniques to ensure your comfort and optimal outcomes.

The Surgical Extraction Process

• Anaesthesia Administration: We begin by thoroughly numbing the area with local anaesthesia. For anxious patients, we offer sedation options to ensure a relaxed experience.


• Incision and Access: A small incision is made in the gum tissue to expose the tooth and surrounding bone.


• Bone Removal: If necessary, a small amount of bone around the tooth is carefully removed to facilitate extraction.


• Tooth Sectioning: In some cases, the tooth may be divided into sections for easier removal, particularly with impacted wisdom teeth.


• Extraction: Using specialised instruments, the tooth is gently loosened and removed from its socket.


• Site Cleaning: The extraction site is thoroughly cleaned to remove any debris or infected tissue.


• Closure: The site is closed with dissolvable stitches to promote proper healing.

Advanced Techniques for Complex Cases

Our surgical team employs cutting-edge methods for challenging extractions:

• Piezoelectric Surgery: Utilises ultrasonic vibrations for precise bone cutting, minimising damage to soft tissues.


• Computer-Guided Surgery: For complex cases, we use 3D imaging and computer planning to ensure accuracy and safety.


• Platelet-Rich Fibrin (PRF) Therapy: Enhances healing by applying a concentration of your own growth factors to the extraction site.

Ensuring Your Comfort

Your comfort is our priority throughout the procedure. We provide:

• Continuous Monitoring: Our team closely monitors your vital signs and comfort level during the extraction.


• Responsive Care: We're attentive to any signs of discomfort and can adjust our approach as needed.


• Clear Communication: Our surgeons explain each step, keeping you informed and at ease.

Immediate Post-Procedure Care

Following the extraction, we:

• Apply Gauze: To control bleeding and promote clot formation.


• Provide Ice Packs: To minimise swelling and discomfort.


• Offer Detailed Instructions: For at-home care and recovery.


• Schedule Follow-up: To ensure proper healing and address any concerns.

At London Dental Specialists, our surgical extraction procedures are designed to be as efficient and comfortable as possible. We combine technical expertise with compassionate care to ensure the best possible experience and outcomes for our patients.

Post Surgical Extractions Treatment Care

Proper aftercare is essential for successful healing following surgical extractions at London Dental Specialists. Our comprehensive post-treatment care ensures optimal recovery and minimises complications. We provide detailed instructions and support to guide you through the healing process after your procedure.

Immediate Aftercare (First 24 Hours)

• Bite on Gauze: Apply gentle pressure on the gauze pad placed over the extraction site for 30-45 minutes to control bleeding.


• Rest and Limit Activity: Avoid strenuous activities for at least 24 hours to prevent increased bleeding and discomfort.


• Apply Ice: Use ice packs on the outside of your face in 20-minute intervals to reduce swelling.


• Medication Management: Take prescribed pain relievers and antibiotics exactly as directed.


• Avoid Rinsing: Do not rinse, spit forcefully, or use a straw as this may dislodge the blood clot.

Ongoing Recovery Care

After the first 24 hours, our recommended care includes:

• Gentle Salt Water Rinses: Begin rinsing with warm salt water (1/2 teaspoon salt in 240ml water) 24 hours after surgery.


• Soft Diet: Consume soft, nutritious foods and gradually return to your normal diet as comfort allows.


• Oral Hygiene: Continue brushing and flossing, but avoid the extraction site for the first few days.


• Avoid Smoking: Refrain from smoking for at least 72 hours as it significantly impairs healing.

Managing Common Post-Extraction Symptoms

It's normal to experience certain symptoms during recovery. Here's how to manage them:

• Swelling: Typically peaks 48-72 hours after surgery and gradually subsides.


• Discomfort: Usually manageable with prescribed medications and gradually improves.


• Minor Bleeding: May continue for 24 hours; if persistent, apply a fresh gauze pad with gentle pressure.


• Limited Jaw Opening: Temporary stiffness should resolve within 7-10 days.

When to Contact Us

While complications are rare, contact our clinic immediately if you experience:

• Excessive Bleeding: That doesn't subside with pressure


• Severe Pain: Not relieved by prescribed medication


• Significant Swelling: That worsens after 2-3 days


• Signs of Infection: Including fever, pus, or increased pain and swelling


• Unusual Symptoms: Such as numbness that persists beyond the expected timeframe

Follow-up Appointments

Regular follow-up visits are crucial to monitor your healing progress. During these appointments, we:

• Assess the healing of the extraction site


• Remove any non-dissolving stitches if present


• Address any concerns or complications


• Discuss next steps for tooth replacement options, if applicable

At London Dental Specialists, we're committed to supporting you throughout your recovery. Our team is always available to answer questions and provide guidance to ensure your healing process is as comfortable and successful as possible.