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Gums Surgery and Wisdom Tooth Removal

An extraction means to have a tooth removed, usually because of disease, trauma or crowding.

If you need an extraction, your dentist will first numb the area to lessen any discomfort. After the extraction, your dentist will advise you of what post extraction regimen to follow. In most cases a small amount of bleeding is normal. Your mouth will slowly fill in the bone where the tooth root was through the formation of a blood clot.

Here are some tips to follow to make recovery easier:

Avoid anything that might prevent normal healing.

Don’t smoke or rinse your mouth vigorously.

Avoid drinking through a straw for 24 hours.

Follow the diet your dentist suggests.

Avoid hot foods for 24 hours.

Keep the cotton pressed on the extraction wound for 45 mins after extraction.

You can start rinsing with warm saline  after 24 hours of tooth extraction.

You can brush and floss the other teeth as usual. But don't clean the teeth next to where the tooth was removed

Wisdom tooth removal

Sometimes a wisdom tooth which fails to erupt completely in the oral cavity needs to be extracted surgically. In the procedure the soft tissue in incised and some bone is removed to expose the tooth . After exposure the tooth is removed in one piece or sometimes has to be sectioned into pieces for complete removal.

Various positions of wisdom tooth inside the bone are demonstrated in starting of page. 

If you’ve developed gum disease severe enough to require surgery, your dentist may discuss some of these types of gum surgery as ways to treat the problem:

  • Pocket reduction surgery: Gums pockets are the dead spaces which harbour harmful bacteria and their products causing gum diseases. In this procedure, the calculus and bacteria under your gums is removed after reflecting your gums and extra pocket space is trimmed off. After thorough debridement the gums are placed back to their normal position and may be secured with stitches or special oral bandage.

  • Dental Crown lengthening: This is a cosmetic procedure in which excess gum and bone tissue is reshaped to expose more of the natural tooth. This can be done to one tooth , to even your gum line, or to several teeth to expose a natural, broad smile.

  • Soft tissue graft surgery: Exposed tooth roots are the result of gum recession. Gum graft surgery will repair the defect and help to prevent additional recession and bone loss. Gum grafts can be used to cover roots or develop gum tissue where absent due to excessive gingival recession. During gum graft surgery, your periodontist takes gum tissue from your palate or another donor source to cover the exposed root. This can be done for one tooth or several teeth to even your gum line and reduce sensitivity.

  • Regeneration: In this procedure,after flap surgery bone grafts, membranes, or tissue-stimulating proteins (or any combination of the three) are introduced into the defected portion to encourage your gum tissues to regenerate and fit snugly around the teeth again.