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Doctor insights on: Advantages To Stitches With A Tooth Removal

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Impacted wisdom tooth close to nerve.Dentist mentioned a coronectomy procedure. Are their risks with the procedure or should I just leave tooth alone?

Impacted wisdom tooth close to nerve.Dentist mentioned a coronectomy procedure. Are their risks with the procedure or should I just leave tooth alone?

Risks: There more be a greater risk to surrounding structures with no treatment. Make sure you are being managed by a board certified oral surgeon. There is always a risk to the nerve, but the risk is low in general. Make sure your surgeon has obtained a cone beam CT to assess nerve position. ...Read more

Dr. Heidi Fowler
3 doctors shared insights

Tooth Extraction (Definition)

Tooth extraction means removing an entire tooth or teeth from the jawbone. ...Read more


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Is it possible for a dental specialist to place bone grafting material within a tooth's deeper pocket without the need to do flap surgery?

Is it possible for a dental specialist to place bone grafting material within a tooth's deeper pocket without the need to do flap surgery?

Probably not!: The repair of a deep pocket around one tooth has many factors that would determine the method of treatment. The type of bone defect, which tooth, where the pocket is, the doctor's access to the pocket, the cause of such an isolated pocket. Flap design is most crucial for proper access, but sometimes special lasers can be used to start the repair process. See a periodontist and weigh your options. ...Read more

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After wisdom tooth removal, is it necessary to have a dental filling in the extraction site?

After wisdom tooth removal, is it necessary to have a dental filling in the extraction site?

No: A dental filling is not placed in the extraction site. Depending on the size of the defect from the removal of the wisdom tooth, some extraction sites are grafted to help prevent a periodontal problem with an adjacent tooth. ...Read more

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How long does it take for the periodontist to complete a molar tooth extraction with a bone graft and stitches?

How long does it take for the periodontist to complete a molar tooth extraction with a bone graft and stitches?

Not long: Most appointments last about an hour including sedation, anesthesia, the procedure, and dismissal. Many like to say how fast they can do things, but anyone can do fast. Quality and the protection, and preservation of the remaining tissue is most important. You will have to live with the results, so make sure to find someone focused on quality, and who will take their time! ...Read more

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What is the best 'appliance' or tool to use to floss with a retaining wire in place? (permanent wire behind teeth after the removal of braces)

What is the best 'appliance' or tool to use to floss with a retaining wire in place? (permanent wire behind teeth after the removal of braces)

Threader: The floss threader is the best. I recommend the one by butler. It is a loop with a straight piece sticking out. Looks like fishing line. You put the floss through the loop and thread the straight end of the threader under the teeth and wire and pull it through with the floss. Another good technique is the "soft piks" or "go betweens "(small). Water pic is very helpful. Also, ultrafloss is good. ...Read more

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Is dental implant removal after two years painful with bone graft? Should I opt for anesthesia?

Is dental implant removal after two years painful with bone graft? Should I opt for anesthesia?

HAH?: You kind of mixed a few things together here. Why are you having the implant removed? Are you saying that you will have a bone graft after removal? Unless you enjoy pain I would get an anesthetic. ...Read more

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After wisdom teeth removal, is it necessary for the same doctor to remove the stitches, or can any other dentist do it? Thanks

After wisdom teeth removal, is it necessary for the same doctor to remove the stitches, or can any other dentist do it? Thanks

Best to see same: Best to see same person as they know what they did and how everything looked before and what to expect. Can someone else do it, yes, but if you have the option, I would see the same person. ...Read more

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Is the process for removing a botched dental implant the same as having a tooth extracted?

Is the process for removing a botched dental implant the same as having a tooth extracted?

It depends...: When an implant fails, there is typically not all that much bone around the fixture, which may already be loose; in this case, it may be withdrawn much like the extraction of a natural tooth. But an implant that is fully integrated in the bone or designed with a significant mechanical undercut (as some are) may first require the removal of contiguous bone to allow extraction without undue force. ...Read more

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Which is better to get a tooth extracted and dental implant placed with bone graft same time or extraction/graft wait 3 mos then implant? Success rate

Which is better to get a tooth extracted and dental implant placed with bone graft same time or extraction/graft wait 3 mos then implant? Success rate

One Surgery: There are no current excellent studies that would indicate a better outcome success rate of one over the other. Generally, if the procedure can be done with one surgery rather than two or more it will preserve more bone structure overall. For this reason alone, i generally prefer one surgery if it is indicated. ...Read more

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Is it possible to surgically remove scar tissue on the Achilles (a year after surgery) with a more minor (maybe laparoscopic) procedure?

Is it possible to surgically remove scar tissue on the Achilles (a year after surgery) with a more minor (maybe laparoscopic) procedure?

Kenalog (triamcinolone) injections: If the scar is thick, serial injections of kenalog (triamcinolone) can thin the scar areas without need for surgery. More severe scars will require surgical scar revision. ...Read more

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What are the pros and cons to electively (no margin cavities) remove old porcelin fused to metal teeth crowns for new ones? Could a tooths root split?

What are the pros and cons to electively (no margin cavities) remove old porcelin fused to metal teeth crowns for new ones? Could a tooths root split?

Not likely: of course, it's always a possibility, but root splitting is not likely, as long as when the crowns are being cut off, they are fully cut through, down to the tooth, before they are removed. Really, unless you have decay on the teeth, there is no need to remove the old crowns. Unless you don't like the look of them or the porcelain has chipped off. ...Read more

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How long would removal of a fully erupted lower wisdom tooth take under local anesthesia only? Are the lower or upper ones easier/harder to remove?

How long would removal of a fully erupted lower wisdom tooth take under local anesthesia only? Are the lower or upper ones easier/harder to remove?

Wisdom tooth extract: A completely erupted wisdom tooth with short straight roots is usually an easy extraction and can be done quickly. However each tooth is different depending on the orientation, length and shape of the roots. The dentist or oral surgeon who will be doing the extracting has seen the X-ray and your tooth and can best answer your question ...Read more

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My periodontist did not use magnification loupes when performing flap surgery needed to inspect for a gum abscess. Led to extraction. Opinions?

My periodontist did not use magnification loupes when performing flap surgery needed to inspect for a gum abscess. Led to extraction. Opinions?

Unsure: Well, loupes do help the doctor see better, however, failing teeth have many factors which are not visible even with the best magnification. I am sure your periodontist did everything possible to ensure an optimum outcome, especially if they were doing lanap therapy. This is cutting edge. Teeth generally fail due to endodontic failures, fractures or excessive bone loss. ...Read more

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Is it normal for an oral surgeon to remove two lower impacted wisdom teeth with only local anesthesia?

Is it normal for an oral surgeon to remove two lower impacted wisdom teeth with only local anesthesia?

Yes: Extracting wisdom teeth with a local anesthetic is certainly a routine procedure. Sometimes it is more comfortable for the patient to have an IV sedattion and not be awake for the procedure especially for the anxious patient. ...Read more

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Surgical wisdom tooth removal with only local anesthesia. Is that safe?

Surgical wisdom tooth removal with only local anesthesia. Is that safe?

Yes: Having wisdom teeth removed under local anesthesia is a very safe procedure. However, depending on the position of the teeth, your age, level of apprehension, expectations, and skill level and surgical technique of your dentist, it may not be the most comfortable option. ...Read more

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I had surgery to remove deep abscess on breast , surgeon removed a golfsize amount and has ordered to irrigate wl/hydrogen poraxide, is that safe?

I had surgery to remove deep abscess on breast , surgeon removed a golfsize amount and has ordered to irrigate wl/hydrogen poraxide, is that safe?

Safe, yes. Benefit??: Hydrogen peroxide has been a popular solution for treating wounds due to its purported antimicrobial effects and it's bubbling action, which may help debride a wound. Unfortunately, studies have not supported the antimicrobial effect and it may actually slow down healing. Regardless, it is safe and I am certain that your surgeon has had success with this technique. ...Read more

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Dr. John Kong Dr. Kong
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I need to extract tooth #10 get a bone graft and then an implant. What is the total time for the process?

Dr. John Kong Dr. Kong
3 doctors agreed:
I need to extract tooth #10 get a bone graft and then an implant. What is the total time for the process?

6-12 months: Bonegrafting after extraction: 3-6 months of healing. Dental implant: 3-6 months of healing. So, depending on who you go to, the total time for the process is 6-12 months if dental implants are not immediately placed at time of extraction. ...Read more

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There's any alternative to using a dental flipper besides leaving the tooth space opened(or a bridge)? Can a pontic be bonded for aesthetics/function?

There's any alternative to using a dental flipper besides leaving the tooth space opened(or a bridge)? Can a pontic be bonded for aesthetics/function?

Replacement options: Find a dentist whom you trust and who can go over all your treatment options, both temporary and long term to replace any missing teeth. Understand the pros and cons of each one, think it over carefully and decide on the best long term solution! stress the health of your teeth, your body and understand the difference between value and short term cost. You will be happier in the end. ...Read more

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