You may need to have a tooth extracted for a number of reasons such as decay, injury, or as part of orthodontic treatment. Whatever the reason, you will most likely be referred to an oral and maxillofacial surgeon who will remove your tooth in the office using an anesthetic that is appropriate for your procedure.
While most root canals are successful, there are times when a root canal alone isn’t sufficient. If the infection from the dead nerve inside a tooth spreads beyond the tooth root and into the surrounding bone, your dentist may refer you to an oral and maxillofacial surgeon for an apicoectomy. During an apicoectomy, the surgeon removes the infected portion of the tooth’s root in order to clean the infection from the tooth and surrounding bone and then fills the root to prevent future infections.
EXPOSING IMPACTED TEETH AS PART OF ORTHODONTIC TREATMENT
It is not uncommon for teeth other than wisdom teeth to be impacted, or blocked from entering the mouth. Fortunately, your orthodontist and oral and maxillofacial surgeon can bring the impacted tooth through the gum and into the correct position—giving you a beautiful, healthy smile.
Frena are small folds of tissue located in the mouth: under the tongue, inside the upper lip, inside the lower lip, and connecting the cheeks to the gums. A frenectomy is a simple procedure performed in the oral and maxillofacial surgeon’s office to loosen the frenum’s connection and extend the range of motion in that part of the body.
DENTAL HEMISECTION AND ROOT AMPUTATION
If, even after a root canal, one or more of the tooth’s roots should become infected, or there is significant bone loss around the tooth, your dentist may refer you to an oral and maxillofacial surgeon for a hemisection, or root amputation. During a hemisection, your surgeon removes one-half of the tooth, leaving a serviceable one-rooted tooth. The term “root amputation” refers to the surgical removal of one root of a multi-rooted tooth.
TRIGEMINAL NERVE REPAIR
The trigeminal nerve, which is responsible for sensation in the face and such functions as biting and chewing, may be at risk for injury during some oral and maxillofacial surgical procedures. Oral and facial surgeons are able to diagnose and manage these injuries with both non-surgical and surgical treatments to restore sensation and function.