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In-House Oral Surgeons Allow For Efficient Appointments

Our in-house oral surgeon allows us to make your visit as quick and time efficient as possible. Some dentist offices have to refer oral surgeries to other offices, which can extend the amount of days that certain procedures will take to complete.

To ensure that you are as comfortable as possible during your treatment we offer the option of general anesthesia.

 

Some Oral Surgery Procedures We Offer:

Dental Extractions

There are a variety of situations when teeth extraction is necessary. Wisdom teeth are often extracted, because when they emerge, it can lead to complications such as pain, infection, or even decay. For clients who need braces, it isn’t uncommon to extract certain teeth to allow room for even spreading of other teeth. Loose teeth may also be extracted to avoid complications.

Does tooth extraction hurt?

This is a relatively painless surgery, and is generally a fast process. You will be given a local anesthetic which will numb the area, and you may feel some pressure as the tooth is being extracted, but this is generally not a painful feeling.

What happens after surgery?

The surgeon may stitch the area, and immediately after the procedure you will be instructed to bite down on a gauze pad to help stop the bleeding.

Usually the recovery period is only a few days, during which you will take pain medications as prescribed, eat soft foods, avoid disturbing the extraction area to allow healing.

24 hours after the extraction, it is recommended to rinse the mouth with warm salt water several times per day to reduce swelling and relieve pain.

 

Impacted Canines

When a tooth is “impacted”, this means it is not erupting, as is often the case with wisdom teeth. The canine teeth are important, and early recognition of any issues will help to ensure proper measures are taken for impacted canines.

The American Association of Orthodontists recommends a screening x-ray and dental examination at the age of 7 to determine if there are any potential issues with eruption.

If issues are detected early, non-surgical methods may be used to effectively resolve the problem. If eruption is prevented due to “crowding” of teeth, braces may be used to align and separate teeth, allowing space for the impacted canines to erupt. In some cases, teeth may be too crowded for the option of bracing, and in these situations, certain existing teeth may need to be extracted to allow room for the eruption of new teeth.

If space is cleared for canines to erupt by the age of 11 or 12, the canines should erupt on their own. If all the above measures have been tried, and the teeth have not erupted, surgery can be used to extract and re-implant canines.

 

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Impacted Wisdom Teeth

Third molars, or wisdom teeth, appear between the ages of 17-25, known as “the age of wisdom”, which is how wisdom teeth were named. These teeth are often impacted, meaning they haven’t entered through the gums and into the mouth, and on average, 9 of 10 people will have at least one impacted tooth in their lifetime.

Our oral surgeon consults clients as young as 14 years old on the removal of impacted teeth.

What happens if I leave the tooth in place?

If an impacted tooth is left in place, it may damage neighboring teeth or become infected. The third molar area of the mouth is difficult to clean, and is often a breeding ground for bacteria that lead to gum disease. In addition, oral bacteria can enter the bloodstream through small cuts or abrasions in the mouth, causing systemic infections that can affect the heart, kidneys, and other organs.

Another issue that may occur with infection is the formation of a fluid-filled cyst around the base of the tooth. When this happens, it may form an abscess, which affects the jaw and surrounding tissues. Research has shown that when infectious processes take hold in the third molar, it may be remedied by removing the tooth.

Must the tooth come out if it hasn't caused any problems yet?

For most people, the American Association of Oral and Maxillofacial Surgeons strongly recommend the professional evaluation of third molars for all young adults in order to detect and respond to any issues at an early stage.

In general, dental and medical professionals agree that wisdom teeth should be removed in the following instances:

  • infections and/or periodontal disease.
  • cavities that cannot be restored.
  • pathologies such as cysts, and tumors.
  • damage to neighboring teeth.

 

If your wisdom teeth have already erupted, you are not experiencing any pain, and you brush and floss often, they may not require extraction. However, we recommend regular cleaning by a dentist, and annual checkups to ensure the continued health of your teeth.

What Happens During Surgery?

If your wisdom teeth need to be removed, you will consult with our oral surgeon. This is the time to ask questions, and he will let you know exactly what to expect during the procedure. Because anesthesia is so effective, wisdom teeth removal can usually be accomplished with little or no pain. Prior to surgery, our oral surgeon will discuss which anesthesia option is right for you.

What Happens after Surgery?

After surgery, it’s normal to experience some swelling and mild discomfort. Cold compresses can be used for swelling, and our oral surgeon will prescribe medication to manage the pain. In addition, you may be required to modify your diet for a short time after surgery in order to give your oral cavity time to heal.

 

StemSave™

Researchers at the National Institutes of Health (NIH) discovered a rich source of adult stem cells in teeth – the stem cells that naturally repair your body. Scientists are directing stem cells so they grow into almost any type of human cell, including heart, brain, nerve, cartilage, bone, liver and insulin producing pancreatic beta cells.

You now have an unprecedented and timely opportunity to secure and store your family’s own unique stem cells, including from children, teens, or adults, to treat future disease or injury.

When you have a wisdom tooth, baby tooth, orthodontic or other tooth extraction planned, your Dentist and StemSave™ make recovering and banking valuable dental stem cells convenient and affordable.

Learn more here: http://www.stemsave.com/

 

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Exposure of Teeth

Who needs this procedure?

Teeth exposure is used for individuals with impacted teeth. An impacted tooth is any tooth that has not erupted within a normal time-frame, causing a risk for infection, pain, and decay. The most common teeth that will need exposure are the canines, because these teeth are important for chewing and facial appearance.

What is involved in tooth exposure?

  1. Braces are placed to align existing teeth, and to provide a space for the impacted tooth to be surgically erupted.
  2. An incision is made in the gum over the impacted tooth, and the gum is lifted to expose the tooth.
  3. An orthodontic bracket is bonded to the exposed tooth.
  4. 2 weeks after the bracket is bonded, a band is attached connecting the tooth to the braces, which exerts a light downward force on the impacted tooth.
  5. The pulling pressure helps the tooth to slowly erupt, and this process may take up to a year.

 

After Exposure

Some bleeding, swelling, and pain is common for the first 24 hours after this procedure. For excessive bleeding, a gauze pad can be placed directly on the area and a firm biting pressure should be applied for 30 minutes. For swelling, a cold compress or bag of ice can be placed on the cheek next to the affected area. Over the counter pain medications may be used after the procedure, or if pain is severe, the oral surgeon may prescribe medications.

 

Oral Pathology

The goal of oral pathology is the identification and management of diseases affecting the oral and maxillofacial regions. The causes, processes, and effects of diseases can be examined using a variety of methods, including clinical research, radiography, and microscopic examination.

 

Bone Grafting

This procedure is performed for many patients who receive dental implants. Bone grafting is used to provide extra stability for implants, and also used to shape the surface of the jaw where the implant will be placed, creating a fitted surface for the implant to take hold. Grafted bone can come from four different sources: your own natural bone, freeze dried human bone, processed animal bone, or mineral bone substitute.

 

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They made sure every single question I had was answered, and are always available if I think of any more questions I want answered. Their staff is the most friendly, welcoming staff I've ever dealt with. They are so warm and professional, and make the whole experience that much better. I was so impressed with the progress I was able to make after visiting them. All my questions were answered, and I feel a lot more confident and hopeful about the future...
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Services

General Dentistry  |  Oral Surgery  |  Dental Implants  |  Endodontics  |  Teeth Whitening

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Hours

Mon-Fri: 8:00am-5:00pm

(978) 281-3772
drsamiei@gloucesterdental.com

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