Oral surgery is anything that requires cutting into your mouth. It includes gum surgery, extraction and implants, as well as repairing cleft palates or lips or excising dead tissue.
Wisdom teeth are your final set of molars that come in usually when you are in your early 20’s. Sometimes, they come in perfectly and grow naturally. Other times, they can come in at an angle, unevenly or only partially and this can cause pain. These wisdom teeth are impacted and can damage the adjacent teeth or the jaw. They can create an ideal place for bacteria to grow, since they can be hard to reach when cleaning. A dental x-ray will show whether your impacted wisdom teeth need to be extracted.
A wisdom tooth extraction is a fairly routine procedure and most of the time can be done using a local anesthetic. Very tightly impacted wisdom teeth sometimes need to be broken into pieces before being extracted and an incision may need to be made into the gum. For very difficult wisdom tooth extractions, the patient may prefer a general anesthetic. Depending on the size of the incision and the condition of the extraction site, sutures may be required.
Following the extraction, you should rest. If your extraction has been done under general anesthetic, you will need to have someone drive you home. The extraction site will bleed for a while following the extraction, so the dentist will provide you with gauze pads. If the extraction site is still bleeding after 24 hours, you should get in touch with your dentist. You can also expect some pain, so your dentist will prescribe medication, and you can also apply an ice pack to the area. Avoid lying flat, since this could prolong the bleeding. Also, for the first few days after the extraction, limit yourself to liquids and soft foods.
Extraction Site Preservation
Once a tooth has been removed, you need to think about what to do with the empty space. Wisdom tooth extractions will heal nicely without the need for further treatment, but with an extraction in any other area of the mouth, bone deterioration will occur and your remaining teeth will shift in an attempt to close up the gap. This is not just unsightly – it can also affect the way you chew. Dental implants are the best way to replace missing teeth. However, you could also consider a dental bridge.
Bone grafting is a process of building up your jaw so that it can accommodate dental implants or other prosthetic devices. Most of the time, the bone is harvested from the patient, often in another area of the mouth where work is done. The fragments of bone are suctioned out of the mouth and then used for the graft. Bone banks are also a safe source for donation.
L-PRF – Leukocyte Platelet Rich Fibrin
L-PRF stands for Leukocyte Platelet Rich Fibrin and it is found in your own blood. Dr. Schlesinger uses this fascinating FDA approved technology by extracting a few tubes of your blood, and then spinning it in a centrifuge. The L-PRF is used to expedite the healing process after oral surgery by providing a concentrated form of healing proteins as well as creates a scaffolding to help with direct healing. The L-PRF creates a more efficient network for communication between cells and tissues, which results in faster tissue regeneration. This results in a faster healing time of soft and hard tissue. Medical research has shown that this improves healing, and it is highly successful in patients who frequently experience complications with tissue regeneration.
Oral pathology treats diseases of the maxillofacial area and mouth. Using microscopic and radiographic examinations, oral pathologists provide biopsies and diagnosis of odontogenic infection, salivary gland disorders, mumps, ulcers and cancer of the throat or mouth along with other diseases.
Dr. William Schlesinger has been practicing oral surgery for years, and can help you with any oral health issues. With the range of treatments available, there is no reason for anyone to suffer pain, or problems with healing. Dr. Schlesinger practices oral surgery at 255 East 70th Street, Suite 1E, New York, NY. You can book an appointment by calling 212-517-5940 or using the form on our Contact Us page.
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