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Dentist or Oral Surgeon: Who’s Best for Tooth Extraction?

When deciding between a dentist or an oral surgeon for a tooth extraction, it depends on the complexity of the case. A dentist can handle simple extractions, but for more complicated issues like impacted teeth or cases requiring surgical intervention, an oral surgeon is the better choice. They are specially trained to manage difficult procedures and can offer advanced anesthesia options for patient comfort. Always consult with your provider to determine the best option for your specific situation.

Which Type of Tooth Extraction Do You Need?

When it comes to tooth extractions, the choice between a dentist and an oral surgeon depends on the type of extraction you need. For a simple extraction, where the tooth is undamaged, visible, and above the gum line, your regular Peoria dentist can usually handle the procedure. However, if the teeth are damaged, diseased, or located partially beneath the gum line or even completely beneath the gum line, a more complex approach is needed.

In these cases, a surgical extraction performed by an oral surgeon is often required. This is especially true for difficult cases like wisdom teeth removal, which many San Francisco men and women face. An oral surgeon is trained for these more complicated procedures, where the tooth may be hidden under the gums or require special tools for complete removal.

Reasons for Referral to an Oral Surgeon

Our doctors who are oral surgeons are extensively trained in procedures involving both the soft and hard tissues of the mouth. Additionally, they are capable of safely administering a full range of oral anesthesia to their patients.

Here are several important reasons why consulting an oral surgeon may be essential for a successful extraction:

Complex Tooth Removal:When teeth are impacted or stuck below the gum line, removing them becomes much more difficult than simply pulling them out. This kind of procedure often requires general anesthesia and involves cutting into the mouth to carefully remove the tooth. In such cases, it’s clear that this is more like surgery, and a skilled surgeon is needed to ensure the process is completed successfully.

Facial Structure:If the positioning of your teeth in your mouth makes it difficult for a dentist to perform the extraction without causing discomfort, an oral surgeon may be necessary. Factors like large sinuses, limited jaw mobility, or an unusual facial structure can make the procedure more complex. When your teeth are oddly positioned, or if you have a large sinus cavity, it’s often better to have an oral surgeon handle the tooth extractions to avoid complications.Teeth Stitches Dissolve after these complex procedures, assisting in the recovery of surrounding tissues.

Cracked or Broken Teeth:If your teeth are cracked or fractured, an oral surgeon is often needed for the extraction. A damaged tooth can easily break more during removal, requiring an intensive surgery similar to an impacted tooth. This is why many patients with such issues are referred to specialists for their extractions.

Managing Dental Anxiety:For some patients, the thought of a tooth extraction can trigger intense dental anxiety or even a fear of visiting the dentist. In these cases, they may prefer to be asleep during the procedure. This is when an oral surgeon becomes important, as they are trained to administer general anesthesia safely. It’s crucial that only a properly trained professional handles the anesthesia to avoid any potential adverse reaction.

Potential Risks During Tooth Extractions:When considering tooth extractions, complications can arise even with a skilled dentist aiming for perfection. If the tooth has complex roots or develops cracks during the procedure, a referral to an oral surgeon may be necessary to complete the process. This helps minimize discomfort and reduce the risk of further issues. Patients with a medical condition are at a higher risk of experiencing complications, making it crucial to consult an oral surgeon. With their specialized training and education, they are better equipped to handle potential medical complications during more complex tooth extractions.

Differences Between Dentists and Oral Surgeons

When deciding between a dentist and an oral surgeon for a tooth extraction, it’s important to understand their roles. A dentist typically handles routine tasks like cleanings, exams, and filling cavities, but they can also pull a tooth if it’s straightforward. However, for more complex cases, such as impacted wisdom teeth, broken roots, or when the tooth is near the gumline or jawbone, an oral surgeon is often the better choice. They are trained in more advanced procedures, including dental surgery and placing a dental implant to replace a missing tooth.

At places like Southview Dentistry, you might receive a referral to an oral surgeon if your case involves something like an impacted tooth or requires sedation for tough extractions. For example, if your wisdom teeth are only partially erupted or causing a tooth traffic jam, an oral surgeon may need to surgically remove them. While many dentists, including those at Southview Dentistry, are skilled at handling tough cases with care, sometimes the expertise of an oral surgeon is necessary for more complicated extractions.

Post-Extraction Care

After post-extraction, it’s crucial to follow all instructions carefully. Depending on the procedure, you might need strong painkillers after surgery, or just over-the-counter painkillers if your teeth were simply pulled. Avoid using straws, as the suction in your mouth stays numb can dislodge the clot in the socket, which could cause a painful complication. Always handle the area gently and stick to the aftercare plan for proper healing.

Sedation Issues

If you’re nervous about a tooth being pulled, consider sedation, which a dentist can administer in their office, or an oral surgeon if needed. Though it’s not general anesthesia, you’ll need someone to take you home since you can’t drive after the procedure. For simple cases, you may want to avoid sedation, as the extraction is usually quick and modern tooth extractions go much more smoothly than they did decades ago.

At places like Bright Smile Blend Dentistry, they can either handle straightforward extractions or refer you to a surgeon for more complicated ones that might require sedation. If needed, they can also use a stitch and provide further help if there are any complications.

After the Extraction

After tooth extractions, especially for wisdom teeth that are often far back and removed in pairs, it’s important to think about replacing missing teeth. While dentures or implants aren’t usually needed for wisdom teeth, other extractions might require options like implants, which consist of a two-part artificial tooth with an implanted permanent bolt or screw and a crown that can be cared for and replaced if damaged. Another option is a bridge or partial dentures.

The need for a good replacement is crucial, as missing teeth can cause the remaining ones to shift, creating gaps that affect your bite and potentially lead to tooth pain. This misalignment can cause your molars and other teeth to hit each other when you chew, resulting in cracks and further discomfort. If you’re unsure, places like Southview Dentistry can help—just reach out through their website form, or give them a call to schedule a consultation with a skilled dentist.In cases where infection is present, dentists safely remove infected teeth to prevent further complications before considering replacements.

Oral Surgeons Provide Superior Anesthesia Options

When it comes to anesthesia, oral surgeons offer more advanced options depending on the complexity of the surgery. They can use one of three types of anesthesia: local anesthesia, which is administered at the injection site; sedation anesthesia, delivered through an IV; or general anesthesia, which is inhaled as you gradually lose consciousness. In all cases, oral and maxillofacial surgery practices are required to have capnography equipment to monitor patients during any procedure involving moderate sedation or deep sedation, ensuring safety throughout the process.

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