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Dental Extractions in Elmhurst, IL

Dental Extractions

Teeth may need to be removed for a number of different reasons:  extensive decay, advanced periodontal (“gum”) disease, infection, or trauma.  In most non-emergency situations involving one or several teeth, we will evaluate you and treat you at the same visit.  Most patients are able to tolerate single tooth extractions very easily using local anesthesia alone, or local anesthesia in combination with nitrous oxide, also known as “laughing gas”.  However, not all extractions are the same.  Some “routine single tooth extractions” can be very difficult and traumatic for the patient and local anesthesia is not enough. That is why Oral and Maxillofacial Surgeons are highly trained in providing outpatient IV sedation and general anesthesia.  Our goal is to provide you with the very best care possible in a safe, comfortable and pain free environment.  We will carefully assess the surgery needed and make the appropriate anesthesia recommendation.

Your comfort is very important to us.  If you prefer to be sedated (“go to sleep”) for your surgery, a separate preliminary consultation appointment is usually necessary, except in certain emergency situations.  If presurgical instructions are followed and medical history allows, IV anesthesia can be used on your first visit.  Please call our office staff to discuss prior to your visit. 

If your medical history is complex and you are taking a number of prescribed medications, it may be necessary for us to discuss your oral surgery treatment with your physician before we can treat you.  Please bring a list of all medications you are currently taking with you to your appointment.

If your dentist has recently taken x-rays which show all the teeth in question, please bring them with you to your appointment or verify that they have been sent and received.  We frequently need to take a larger, more complete, x-ray called a panorex, which is designed to show the teeth, as well as important surrounding structures.

Most patients prefer not to return to work the day a tooth is extracted because of minor post-extraction oozing and mild discomfort.  We will provide you with post-operative instructions, extra gauze, and prescriptions if needed.

You can expect mild to moderate discomfort for a few days following an extraction.  There may be some swelling or bruising over the extraction site.  In general, most people begin to feel better after 2 to 3 days.  Please remember that we are always available after your surgery in case you have any questions or concerns.

Bone Grafting

The bone of our upper and lower jaws exists to hold the roots of our teeth. If a tooth is removed, or if we are born without a particular tooth, the jaw bone has no stimulus and no reason to exist in that area so it slowly begins to atrophy, or “melt away”.  Dental implants require an adequate amount of bone in order to successfully integrate into the jaws.  Therefore, “implants are all about bone”.  If significant atrophy of the jaw bone has occurred this could prevent the patient from receiving a dental implant.

Fortunately, there are techniques that we can use to replace missing bone.  These techniques are called grafting procedures.  Grafting procedures can sometimes be done in conjunction with implant placement, or sometimes grafting needs to precede implant placement.

At the time of your consultation we will carefully assess the amount of available bone for implant placement.  There are different x-rays at our disposal that we can utilize depending on the area and degree of bone loss.  Sometimes all that is needed is a panoramic x-ray that we can take in our office.

Other times it is necessary to take a more sophisticated x-ray called a CT scan. CT technology has progressed at a rapid pace.  CT scans can now be taken quickly with minimal radiation exposure.  These images can then be reconstructed using a computer giving the surgeon a 3D image of your jaw.  The surgery can then be performed on the computer prior to being done on the patient.

Different types of grafting procedures are described below.  If bone grafting is required in conjunction with your implant surgery, or needed prior to implant placement, we will make the appropriate recommendation and cover the procedure in detail with you at the time of your consultation.

Socket Grafting

As described above, when a tooth is removed the bone is the area begins to “melt away”.  At the time of tooth extraction, if a dental implant is planned to replace the tooth, we want to preserve as much bone as possible.  It is always easier to preserve bone, rather than try to reconstruct it at a later date.  Placing a bone graft material into the socket site at the time of tooth removal is called a socket graft, or ridge preservation technique.

The graft material is designed to reconstruct the natural jaw architecture for future implant placement.  The graft material is not designed to be a part of your body forever, but rather to serve as a scaffold for the in-growth of your own bone.  The graft material is slowly broken down and replaced with your own bone over a period of 3 to 4 months.  The area is then re-evaluated and often we can proceed with implant placement without any additional grafting.

The graft material we use is an allograft material and, therefore, is cadaver bone.  This bone has been irradiated and sterilized to help prevent disease transmission, but yet it retains important minerals that can help with the in growth of your own bone into the area.

Sinus Lift Procedure

This procedure involves elevating the sinus membrane and placing bone graft material into the sinus.  This graft material consolidates and is replaced by the patient’s own bone.  This new volume of bone then allows dental implants to be placed in the back regions of the upper jaw.

Onlay Bone Grafting

Such grafting procedures may be performed separately or together, depending upon the individual's condition.  There are several areas of the body which are suitable for attaining bone grafts.  In the maxillofacial region, bone grafts can be taken from inside the mouth in the area of the chin, or further back in the third molar region.  In more extensive situations, a greater quantity of bone can be attained from the hip or from the outer aspect of the tibia in the knee.

Pathology/Reconstruction

Bone grafting is used to repair areas of cyst or tumor removal in efforts to restore jaw contour and form for your dentures, implants, or dental bridges. 

About

As Oral and Maxillofacial Surgeons, Drs. Wolf and Dr. Dohse manage a wide variety of problems relating to the Mouth, Teeth and Facial Regions.

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Elmhurst, IL 60126

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