Oral surgery


When a tooth needs to be removed you may be referred to our oral surgeon or a dental colleague who has extensive experience of performing oral and maxillofacial surgery in a hospital setting.

All surgery at our clinic is undertaken under local anaesthetic, but we can offer you additional sedation that will leave you feeling comfortable, drowsy and unaware of the treatment taking place.

Removing damaged or infected teeth
Other dentists sometimes refer their own patients to us so that we can remove damaged or infected teeth. Some orthodontic treatment also requires the removal of teeth prior to the fitting of braces. With the option of sedation plus local anaesthetic even damaged or broken teeth can be removed painlessly and without any anxiety.

Wisdom teeth extractions
Third molars (commonly called wisdom teeth) are the last of the adult teeth to appear at the back of the mouth. We are all born with the potential to have 32 teeth, but due to evolution and changes in diet the human jaw frequently only allows space for 28 teeth. When wisdom teeth do not come through the gum at the correct angle they can become impacted, this can cause gum disease, tooth decay and bad breath (if food becomes trapped in the spaces between your teeth).

Left untreated impacted wisdom teeth can cause life-threatening, swelling and infection. We operate to NICE guidelines, but sometimes removing the tooth before infection occurs is the best option. Using local anaesthetic with the option of sedation, our oral surgeons can remove your wisdom teeth to alleviate impaction and prevent further infection.

Frenectomy
Your frenum is a fold of tissue that connects your lips, cheek or tongue to the jawbone. In some people the frenum can be too short, thick, or tight, extending between the front teeth and pushing them apart, or tethering your tongue to the floor of your mouth. For both instances, if the frenum interferes with the normal alignment of your teeth, or affects your speech it can be solved with a simple operation called a frenectomy.
If you are nervous or phobic about visiting the dentist and have been avoiding or delaying treatment we can use IV sedation alongside local anaesthetic to ensure that you are If you are nervous about treatment or worried by the length of your appointment we can offer sedation, alongside local anaesthetic to ensure that you are comfortable and relaxed throughout your treatment. Once the sedation has taken affect we can gently and carefully remove any teeth that are broken, damaged or decayed teeth that cannot be saved in preparation for any reconstructive or cosmetic treatment you are planning. All the sedation we offer is administered by experienced practitioners and is very safe and reliable.

We offer three levels of sedation:
  • Inhalation sedation, commonly called ‘gas and air’, can relieve mild anxiety, is very safe, can dampen the gag reflex and means you can drive home after a short period of recovery.
  • Oral sedation is a good option if you are slightly concerned and do want to remember much about your treatment. Oral sedation has a more lasting effect and you cannot drive for 24 hours after administration.
  • Intravenous sedation is the most effective sedation we offer and will prevent any anxiety. Normally you will have no memory of your treatment, but this option is only possible if you are medically fit and well. You will not be able to drive for 24 hours after this sedation.
Why do wisdom teeth need to be removed?
We remove wisdom teeth, also called the third molars, because of overcrowding in your mouth. Whilst the average adult has 32 teeth, most mouths can only comfortably accommodate 28 teeth, leaving no space for the third molars. In a situation where they are unable to erupt straight upwards through your gums, wisdom teeth can often turn or grow sideways, placing the molar in front under unnecessary strain.

Is an impacted wisdom tooth a problem?
When wisdom teeth become impacted you will normally experience pain and your dentist will discover infection and swelling in your gums. This damage often spreads to affect neighbouring healthy teeth and the surrounding jawbone. Left untreated an impacted wisdom tooth can develop into a cyst or abscess, which can destroy large areas of your jawbone and occasionally become a life-threatening situation.

Following surgery how will I feel once you have removed my wisdom teeth?
After surgery it is common to experience some mild pain and swelling in the gum, a blood clot will form in the ‘hole’ or socket left by the tooth, this is part of normal healthy healing. Take painkillers and rest for the first twenty four hours after surgery, try to avoid eating on the side of the extraction and do not clean your teeth or rinse your mouth out excessively.

Can I eat and drink normally before oral surgery?
Because we use local anaesthetic, with the option of sedation, you can eat or drink normally prior to your appointment.

How long will it take for the holes in my jaws to heal after surgery?
The ‘holes’ or extraction sockets, may take up to six weeks to close. Below the gum it will take several months for the sockets to fill with bone.

If you have been referred for oral surgery by your own dentist, or you are one of our patients the oral surgery consultation fee is £150. Once your condition has been assessed we will develop your own treatment plan, which details the appointments you will need and the costs involved at each stage of treatment.
Periodontic (gum disease) treatment

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