Surgical extraction is required when the tooth cannot be removed by simple forcep extraction. Conditions that warrant surgical removal include cracked teeth, impacted teeth, severely decayed teeth, or any condition that makes the extraction a bit difficult.
A small incision is usually required to gain access to the root or bone. The tooth is often removed in pieces by use of a small drill. Splitting the tooth up into pieces actually allows for less bone removal and more rapid healing. Grafting the extraction defect is an add-on to rapid healing that is occasionally utilized. If sutures are required, they dissolve and come out over the next week.
Recovery is generally quick in most cases. Gauze will be provided to put pressure on the extraction site to control any bleeding. Patient can return to normal activity the next day but chewing in the area will require a few more days.
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