Complex Surgical Extraction

Your safety and comfort is our priority

What is Complex Surgical Extraction?

A complex surgical extraction is required when a tooth cannot be removed with a simple extraction, often due to being broken, impacted, or located beneath the gum line. It’s commonly used for severely decayed teeth, impacted canines, or failed root canals.

This procedure may involve making an incision in the gum, removing surrounding bone, or sectioning the tooth into smaller pieces for safe removal.

Our team uses advanced techniques and imaging to ensure a precise, safe, and comfortable procedure with a focus on preserving surrounding bone and tissue for future treatment options if needed.

How are Complex Teeth Removed?

Anesthesia Options
We’ll help you choose the right anesthesia option based on your needs, level of anxiety, and medical history:

Local Anesthesia: Numbs only the area around the teeth. You're awake but feel no pain.
Nitrous Oxide ("Laughing Gas"): Used with local anesthesia to help you relax.
IV Sedation: You are deeply relaxed and may not remember the procedure.

Procedure

Complex teeth removal removal typically takes 15–60 minutes, depending on the number of wisdom teeth:

Preparation: Once anesthesia is administered, the area is completely numb.
Accessing the Tooth: A small incision may be made in the gum. If the tooth is impacted, a portion of bone might be removed.
Tooth Removal: The tooth may be extracted whole or sectioned into smaller pieces for easier removal.
Stitches: Dissolvable stitches may be placed to help the area heal.

Post-Operation Instructions

Potential Complications

There is a nerve called the Inferior Dental Nerve that runs along the bottom of the jaw, responsible for feeling in the lower lip and chin. Occasionally, this nerve may be very close to the wisdom teeth, even wrapping around the roots of the tooth.

There is a small chance for temporary numbness in the lower lip and chin after the tooth is extracted. However, it is a loss of feeling, not muscular function or appearances.

In high risk cases, a Coronectomy may be recommended to section abd remove the crown of the tooth and leave the roots in place, mitigating the risk of damaging the nerve.