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The Difference Between Surgical and Simple Dental Extractions

June 5, 2023

Dental extractions in San Antonio are common procedures performed to remove a tooth or teeth from the mouth. While most extractions are straightforward, some cases require surgical intervention. Here, we’ll explore the differences between surgical and simple dental extractions, when each procedure is necessary, special considerations to keep in mind, and essential post-operative care instructions.

close up of dentist performing a Dental extraction in San Antonio

Simple Dental Extractions

Simple extractions are the most common type of dental extraction. They are typically performed on the visible teeth in the mouth and can be easily accessed by a dentist. During simple extractions, the tooth is loosened using an instrument called an elevator. Once the tooth is sufficiently loosened, forceps are used to gently remove it from the socket.

Common reasons for simple extractions include:

  • Tooth Decay: When a tooth is extensively decayed and cannot be restored with fillings or root canal therapy, an extraction may be necessary to prevent further infection and damage to adjacent teeth.
  • Periodontal Disease: Advanced gum disease can cause teeth to become loose and eventually require extraction if they cannot be saved through other dental treatments.
  • Orthodontic Treatment: In some cases, teeth may need to be extracted to create space for proper alignment during orthodontic treatment.

Considerations to Keep in Mind  

While simple dental extractions in San Antonio are relatively straightforward, there are a few considerations to remember. Your dentist will administer local anesthesia to numb the area before the extraction, ensuring you are comfortable during the procedure.  

After a simple extraction, your dentist will provide instructions for managing post-operative discomfort, which usually involves over-the-counter pain medication and applying ice packs to the area.

Surgical Dental Extractions

Surgical extractions are more complex and are typically required when a tooth cannot be easily accessed or removed. During a surgical extraction, the dentist or oral surgeon may need to make an incision in the gum tissue to access the tooth. In some cases, it may be necessary to remove bone around the tooth or divide it into sections for easier removal. Surgical extractions are usually performed under local anesthesia, intravenous sedation, or general anesthesia.

Common reasons for surgical extractions include:

  • Impacted Wisdom Teeth: Wisdom teeth, also known as third molars, frequently become impacted, meaning they don't fully erupt into the mouth. Impacted wisdom teeth can cause pain, infections, and other dental problems.
  • Broken or Fractured Teeth: When a tooth is severely broken or fractured with little visible structure remaining above the gum line, a surgical extraction may be necessary to remove the tooth completely.
  • Root Tip Removal: In some cases, a tooth may break during a simple extraction, leaving a small portion of the root embedded in the jawbone. A surgical extraction is required to remove the remaining root tip safely.

Special Considerations

Surgical extractions involve additional considerations compared to simple extractions. Your dentist may offer different anesthesia options, including local anesthesia with or without sedation. General anesthesia can be used for more complex cases or patients with dental anxiety.  

Surgical extractions often require longer recovery periods compared to simple extractions, and you may experience swelling, bruising, and discomfort for several days. Your dentist will provide detailed instructions for post-operative care, which may include pain management, applying ice packs, eating soft foods, and avoiding strenuous activities that could dislodge blood clots.

Do You Need Dental Extractions in San Antonio?

Ready to experience exceptional dental care? Schedule your appointment with our expert team at La Cantera Dental Group! Whether you need a simple extraction or a surgical procedure, our skilled dentists will provide personalized care to meet your specific needs.

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