Oral Surgery

Dental extractions are not always a pleasant procedure to go through. With Dr Romanos’ wide experience in oral surgery, your dental extractions will be done in no time. Many patients require their wisdom teeth ( 3rd molar ) extracted, especially after finishing orthodontic treatment . Dr Romanos will make sure your time spent for the procedure is as short and painless as possible.

Wisdom teeth extraction and Apicectomy:

Apicectomy is a surgical procedure to remove the end of a tooth root in endodontic therapy.

For wisdom tooth removal, Dr. Romanos accomplishes this easily at Lounge Clinic. The procedure is thus done under local anesthesia. In rare cases, the option of opting to have surgery done in a hospital setting is possible, especially if you are getting all your wisdom teeth pulled at once and are at high risk for complications.

If you have any infections, surgery will usually be delayed until the infection has cleared up by taking antibiotics.

Before removing a wisdom tooth, Dr. Romanos will give you a local anesthetic to numb the area where the tooth will be removed. He will then open up the gum tissue over the tooth and take out any bone that is covering the tooth, separating any tissue connecting the tooth to the bone, and finally remove the tooth, sometimes by fragmenting the tooth into smaller pieces to make it easier to get rid of.

After the tooth is removed, you may need stitches. Some stitches dissolve over time while some have to be removed after a few days. A folded cotton gauze pad placed over the wound will help stop the bleeding.

What to Expect After Surgery

In most cases, the recovery period lasts only a few days. Painkillers and medication are prescribed by Dr. Romanos following the surgery. The following tips will also help speed up your recovery:

Bite gently on the gauze pad periodically, and change pads as they become soaked with blood. Call us if you still have bleeding 24 hours after your surgery.

While your mouth is numb, be careful not to bite the inside of your cheek or lip, or your tongue.
Do not lie flat. This may prolong bleeding. Prop up your head up with pillows.

Try using an ice pack on – off, on the outside of your cheek. Apply for 15 to 20 minutes at a time for the first 24 hours. You can use moist heat such as a washcloth soaked in warm water and wrung out for the following 2 or 3 days.

Relax after surgery. Physical activity may increase bleeding.

Eat soft foods, such as gelatin, pudding, or a thin soup. Gradually add solid foods to your diet as healing progresses.

Do not use a straw for the first few days. Sucking on a straw can loosen the blood clot and delay healing.

After the first day, gently rinse your mouth with warm salt water several times a day to reduce swelling and relieve pain. You can make your own salt water by mixing 1 tsp of salt in a medium-sized glass of warm water.
Do not smoke for at least 24 hours after your surgery. The sucking motion can loosen the clot and delay healing. Also, smoking decreases the blood supply and can bring germs and contaminants to the surgery area.

Avoid rubbing the area with your tongue or touching it with your fingers.

Continue to brush your teeth and tongue carefully.

Dr. Romanos will remove the stitches after few days, if needed.

Why it is done?

A wisdom tooth is extracted to correct an actual problem or to prevent problems that may come up in the future. Some of the problems that can occur when wisdom teeth come in are:

Your jaw may not be large enough to accommodate them, and they may become impacted and unable to break through your gums.

Your wisdom teeth may partially break through your gums, causing a flap of gum tissue to grow over them. Food and germs can get trapped under the flap and cause your gums to become red, swollen, painful and often infected.

More serious problems can develop from impacted teeth, such as infection, damage to other teeth and bone, or a cyst.

One or more of your wisdom teeth may come in at an awkward angle, with the top of the tooth facing forward, backward, or to either side.

How well does it work?

Wisdom tooth removal usually is effective in preventing:

Crowding of the posterior teeth.

A wisdom tooth becoming stuck in the jaw (impacted) and never breaking through the gums.

Red, swollen and painful gums caused by a flap of skin around a wisdom tooth that has only partially come in.

Gum disease and tooth decay in the wisdom tooth, which are harder to clean than other teeth, or in the teeth and jaw in the area of the wisdom tooth