Oral & Maxillofacial Surgery

Oral & Maxillofacial Surgery

Dental Aesthetics has got certified staff in maxillofacial surgery, trained to extract teeth without causing any pain and discomfort after the application of local anesthesia. A dental extraction is the removal of teeth from the dental alveolus (socket) in the alveolar bone. At our clinic in DHA Lahore, extractions are performed for a wide variety of reasons.

Common reasons for Tooth Extraction

The most common reason for extracting a tooth is tooth damage such as breakage or fracture. Some other possible reasons for tooth extraction are as follows:

Extracting teeth which are blocking other teeth

Severe gum disease which may affect the supporting tissues and bone structures.

Severe tooth decay or infection

In preparation for orthodontic treatment (braces)

Insufficient space for wisdom teeth (impacted wisdom teeth)

Receiving radiation to the head and neck may require extraction of teeth in the field of radiation.

Types of Extractions

Extractions are often categorized as simple or surgical.

Simple extractions

are performed on teeth that are visible in the mouth, usually under local anesthetics, and require only the use of instruments to elevate and/or grasp the visible portion of the tooth. Typically the tooth is lifted using an elevator, and subsequently using dental forceps, rocked back and forth until the periodontal ligament has been sufficiently broken and the supporting alveolar bone has been adequately widened to make the tooth loose enough to remove.

Surgical extractions

Surgical extractions involve the removal of teeth that cannot be easily accessed, either because they have broken under the gum line or because they have not erupted fully. In a surgical extraction the doctor may elevate the soft tissues covering the tooth and bone and may also remove some of the overlying and/or surrounding bone tissue with a drill. Frequently, the tooth may be split into multiple pieces to facilitate its removal.

Reasons for Surgical Extractions

By taking an x-ray and examining your tooth, the dentist can usually determine whether or not your extraction will be simple or surgical. But there are times when a simple extraction turns into a surgical. If a tooth breaks off during the procedure, for instance, it may need to be taken out in pieces.

Wisdom teeth often face surgical extraction because they’re usually impacted, meaning they are not completely erupted into the mouth. This condition requires cutting through bone and tissue. Removing severely broken down teeth, root tips or teeth with long-curved roots are other examples of surgical extractions. Then there are times when the bone around a tooth has become dense, resulting in the need for surgical treatment.

Post-Extraction Instructions

With surgical extractions, you’ll most likely have one or more stitches at the extraction site. Regardless of whether your extraction is simple or surgical, it’s always important to closely follow your dentist’s after-care instructions to speed recovery and avoid any complications. The underlying post-extraction instructions should be followed:

Bite down on a gauze pad for 30 minutes after the extraction to help stop the bleeding

Avoid unnecessary talking, eating and drinking for the first two hours after extraction

Drink plenty of lukewarm or cold liquids after the bleeding subsides.

Maintain your diet, but start with clear liquids and soft foods for the first day.

Don’t rinse or brush your teeth for 12 hours.

Avoid the surgical area when brushing, although you can gently rinse with a diluted mouthwash or 1/4 teaspoon of table salt in a glass of lukewarm water.

Don’t use straws, smoke or spit forcefully as long as there is bleeding.

Follow our instructions on using any prescribed pain medications.

Call Dental Aesthetics at (042) 35749000 if you have any persistent pain or bleeding

When a tooth is lost or extracted, it leaves a hole in the jawbone. After the gums have healed, there may be high and low points in the bone. This can make it difficult to fit a denture properly. The denture base can rub against the high points. The rubbing may cause sore spots and a bad fit. It is important to perform alveoloplasty to avoid such problems. Our trained staff in DHA Lahore has dexterity over management of trauma cases and cysts, tumors of head and neck region.

Temporomandibular joint

is a hinge that connects your jaw to the temporal bones of your skull, which are in front of each ear. It lets you move your jaw up and down and side to side, so you can talk, chew, and yawn. Problems with your jaw and the muscles in your face that control it are known as temporomandibular disorders (TMD).

Causes of TMD

Grinding or clenching your teeth, which puts a lot of pressure on the joint

Movement of the soft cushion or disc between the ball and socket of the joint

Arthritis in the joint

Stress, which can cause you to tighten facial and jaw muscles or clench the teeth

TMD often causes severe pain and discomfort. It can be temporary or last many years. It might affect one or both sides of your face. It’s most common in females and among people between the ages of 20 and 40.

EFFECTS OF TMD

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  • Pain or tenderness in your jaw joint area, neck and shoulders, and around the ear when you chew, speak, or open your mouth wide.
  • Problems when you try to open your mouth wide.
  • Jaws that get “stuck” or “lock” .
  • Clicking, popping, or grating sounds in the jaw joint when you open or close your mouth or chew. This may or may not be painful..
  • A tired feeling on your face.
  •  Trouble chewing or a sudden uncomfortable bite – as if the upper and lower teeth are not fitting together properly.
  • Swelling on the side of your face.
  • Reduced mouth opening.
  • You may also have toothaches, headaches, neck aches, dizziness, earaches, hearing problems, upper shoulder pain, and ringing in the ears (tinnitus).

How is TMD diagnosed ?

Our dentist will check your jaw joints for pain or tenderness and listen for clicks, pops, or grating sounds when you move them. He will also make sure your jaw works like it should and doesn’t lock when you open or close your mouth. Plus, he’ll test your bite and check for problems with your facial muscles. We may take full face X-rays to view the exact situation. The MRI can also be a way to diagnose. Also, a CT scan shows the bony detail of the joint. Our dentists can prescribe higher doses of NSAIDs if you need them for pain and swelling. We might suggest a muscle relaxer to relax your jaw if you grind or clench your teeth. Or an anti-anxiety medication to relieve stress.