Pre implant procedures

Atraumatic extraction

If you are considering having an  implant after an extraction,  it is important that the tooth is taken out without causing injury to the surrounding bone. This requires  a high level of  delicacy and skill from the surgeon.

The atraumatic technique ensures minimal trauma to the surrounding soft tissue and bone that is found around the tooth . Patients generally find this extraction technique comfortable and much more tolerable than conventional extractions. . 

Atraumatic extractions have several long term  benefits including less swelling and discomfort after treatment  and a faster healing time. In addition, once healed an intact tooth socket is more likely to fill with high quality bone that can be used to place an implant into.

Our surgeons are proud to use this technique for all extractions where possible. We have specialised equipment that allows teeth to be removed without excessive force or trauma so you heal faster and feel more comfortable after treatment. 

  1. Surgical extraction- Teeth and roots can sometimes be buried deep in the jaw bone or under the gum. This can make them challenging to remove. In these cases it may be necessary to lift the gum away from the area “raise a gum flap”. On occasion the tooth may require sectioning into smaller pieces in order to get it out. In addition, it may be necessary to remove a small area of bone that is holding the tooth in place in order to get all of the tooth and roots out. It is common to have stitches after a surgical extraction and for it to take longer for the area to heal (commonly 1-3 weeks).

Surgical extractions may be required if you have any of the following dental problems:

  • Fractured teeth or when the crown has broken away
  • Heavily decayed teeth- especially if they have a history of root canal
  • Infected or painful root fragments under the gum 
  • Teeth which are stuck in bone (impacted) and causing pain or infection- for example wisdom teeth
  • Teeth that cannot be accessed in a conventional way
  • Teeth with unusual roots that are curved or close to other teeth or important anatomy
  • Nervous patients- With the correct local anaesthetic techniques surgical extractions can be completed pain free. However, we also offer conscious sedation options if required. ADD LINK TO SEDATION SECTION

In addition, in order to ensure your comfort we offer as part of our service

Pre operative pain relief 

Post operative pain relief

Use of our recovery room which has a sofa and TV* (please let us know when booking so we can ensure it is available).

Aftercare and advice 

      1. Socket preservation

This treatment aims to preserve bone and soft tissue following an extraction. The procedure involves placement of a biocompatible material immediately into the tooth socket (the hole that is left) when the tooth is removed.

The procedure can help with bone and soft tissue preservation and may reduce the need for additional bone augmentation if you wish to have an implant in the future.

      2. Maxillary sinus lift

The maxillary sinus is a large air cavity that is located towards the back of the upper jaw. It often extends close to the roots of the upper back teeth.

When these upper back teeth are extracted it is  common to get extensive loss of bone in the area. 

If there  is insufficient bone remaining for an implant, it can be possible to gain some extra space by using the upper sinus.

There are a variety of surgical techniques that can be used to do this and also a variety of materials.

Commonly a type of synthetic bone is gently packed under the sinus to lift the floor a few millimetres which is enough extra bone to be able to accommodate an implant.

Internal – This can be used for less complicated cases where a small sinus lift is required. Synthetic bone is often packed under the sinus at the same time as implant placement. The benefit  is that this procedure does not delay implant placement, is safe, highly effective and also cheaper than the alternatives. However, not every case is suitable for this type of sinus lift

Lateral – This procedure is often used where there is extensive loss of bone at the back of the upper jaw. It is a more complex procedure than the internal lift. It is common for implant placement to be delayed for up to 6 months following this procedure as the material needs to mature before it is able to accept the implant.  

How soon after tooth extraction can you have an implant?

10-12 weeks after the tooth extraction is normally a good time for the placement of an implant. However, this time period can be affected by many factors. A history of infection from the extracted tooth, poor healing  or lack of bone in the area may cause further delay. 

In some cases (more commonly for the front teeth), we can place the implant at the same visit as the extraction. This is called an immediate placement.

The benefit of this technique is that it reduces the length of treatment time and requires less surgery. The negatives of this technique are that it  can only be used in select cases.

It may not be suitable if there are other complicating factors such as pre existing infection or significant lack of bone. If bone grafting is required this may need to be completed before implant placement.