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TOOTH EXTRACTION / REMOVAL Extraction is the removal of complete tooth or the tooth root with minimum damage to the adjoining structures. When does a tooth need to be extracted? When the tooth becomes too loose ( in case of severe gum / bone disease ). Tooth with large cavity which cannot be filled. Broken teeth. Tooth with large underlying infection. Over retained deciduous / milk teeth. When a milk tooth is blocking the permanent teeth from coming up Impacted teeth. Wisdom teeth or others which may interfere with the orthodontic treatment. Teeth involved in pathologies like cysts / tumors. Is tooth extraction / removal painful ? Extraction is a painless procedure in majority of the cases. This is done by injecting a local anaesthetic solution around the tooth being extracted, which blocks all the pain while preserving the other sensations. The numbness may stay for an hour to 2 hours after which it gradually recedes.

A wisdom tooth extraction is a surgical procedure to remove one or more of your wisdom teeth. Learn what to expect, before during and after the surgery.

IMPACTED TEETH Wisdom teeth, otherwise known as third molars, are the last set of teeth to develop. Sometimes these teeth emerge from the gum line and the jaw is large enough to allow room for them, but most of the time, this is not the case. More often, one or more of these third molars fails to emerge in proper alignment or fails to fully emerge through the gum line and becomes entrapped or "impacted" between the jawbone and the gum tissue. Impacted wisdom teeth can result in swelling, pain, and infection of the cheek & gum tissue surrounding the wisdom teeth. In addition, impacted wisdom teeth can cause permanent damage to nearby teeth, gums, and bone and can sometimes lead to the formation of cysts or tumors that can destroy sections of the jaw. Therefore, we recommend to people with impacted wisdom teeth to have them surgically removed. It's not just wisdom teeth that sometimes become impacted and need to be removed. Other teeth, such as the cuspids and the bicuspids can become impacted and can cause the same types of problems described with impacted wisdom teeth. Wisdom tooth should be extracted in following conditions:

JAW CYSTS AND BENIGN JAW TUMORS A cyst is a sack or pouch which forms within tissues and contains fluid. Around the face and mouth they can develop under the skin, under the mouth lining, within the saliva glands, and within the jawbones. There are several different types of cysts within the jawbones. The commonest type is called a periapical cyst. These develop around the roots of teeth due to chronic infection. Some cysts can develop around an un-erupted tooth such as a wisdom tooth. These are called dentigerous cysts. There are other few jaw cysts developing from cells that form teeth, known as odontogenic cysts. How are Jaw Cysts Diagnosed? Jaw cysts grow very slowly and in the vast majority of cases patients do not have any symptoms. They are often discovered as an incidental finding when x-rays are taken to look for other things. But, if the cyst becomes infected they can become painful. Following an examination and x-rays, the surgeon will be able to establish accurate diagnosis with CBCT scan which gives a 3-D view and aids the surgery. How are Jaw Cysts Treated? The treatment for cysts is to remove them. This is done by a small incision inside the mouth and removal of part of the bonein majority of the cases. But sometimes, due to the size or location of the cyst, incision may have to made outside the mouth too. Occasionally when cysts are very large it may be possible to treat them by surgical decompression. Following the surgery the cyst is sent to a specialist pathologist for examination under a microscope to confirm the diagnosis.