Dr. Kyle Hornby has pursued additional training to be able to provide oral surgical procedures including tooth removal, impacted wisdom tooth removal with sedation, and pre-prosthetic services such as bone grafting and ridge contouring for denture patients. We eliminate the need for seeing multiple specialists to provide independent surgical and prosthetic/restorative services by offering all necessary services in one convenient and familiar place! Please browse our information on oral surgery services below and feel free to contact us for a consult regarding surgical tooth removal, impacted wisdom tooth extraction, and related restorative services such as dentures.
Teeth are removed or extracted for a number of reasons. Most typically, the removal of a tooth is performed:
- to resolve an existing infection
- to alleviate dental pain/suffering
- when a severely decayed or fractured tooth cannot be fixed or restored
- to eliminate weak or mobile (“wiggly”) teeth that cannot support a partial denture to be fabricated
- for impacted wisdom teeth prior to development of related tooth crowding, infection, or pain
Dental extractions are typically comfortable procedures. Patients may request and receive sedation during an extraction appointment to heighten anesthesia and to minimize anxiety. Options include mild conscious sedation such as nitrous oxide (“laughing gas”) or moderate conscious sedation via oral sedatives. If you are interested in learning more about sedation options available at our office please consult our Sedation & Anxiety Management section. Prior to your dental extraction(s), you will be anesthetized using a surgical-grade local anesthetic. This anesthetic is typically twice the concentration of the typical anesthetic used during dental filling appointments.
Extractions may be simple (non-surgical) or complicated (surgical). To remove a tooth that is heavily decayed and therefore brittle or a fractured tooth that has limited remaining structure to engage, adjustment of the surrounding gum and bone tissue may be necessary. Following these extractions, you will typically be prescribed an antibiotic to aid in healing. You may also need bone grafting to preserve the height and volume of bone for future restorative procedures like dental implants or dental bridges. I will discuss all aspects of the extraction procedure in advance with you including: need for sedation, need for bone grafting, and typical healing periods. Restorative options for replacing a tooth or teeth will be discussed with you in depth.
Is Tooth Extraction Painful?
Tooth extraction should not be painful. We use surgical strength local anesthetics when providing tooth extraction services. We ensure you are completely numb prior to and during the procedure. Your comfort is our top priority.
Patient’s will perceive pressure during extraction but not pain. Unfortunately, local anesthetics cannot prevent the sensation of pressure. The majority of patients of patients have no problem tolerating the mild to moderate pressure required to slide a tooth out of it’s socket. If we decide together that you might not do well with the pressure applied during tooth extraction (commonly due to patient anxiety or other concerns), we may recommend treatment be completed under mild-moderate sedation.
In some cases (i.e. surgical extraction of fractured teeth or impacted wisdom tooth removal), post-operative soreness is inevitable. In these cases, we commonly prescribe post-operative pain control medication to ensure patient comfort.
Dr. Hornby commonly follows up with extraction patients post-operatively by phone or e-mail to check in and ensure that his patients are comfortable.
Tooth Extraction Cost
The cost of a dental extraction varies according to the Ontario Dental Association Fee Guide. Non-wisdom-tooth extractions are defined as either simple/routine or complicated. A simple extraction involves no adjustment of gum tissue or surrounding bone (usually the tooth is strong enough to tolerate removal without breaking or fracturing). These extractions typically cost about $150. A complicated extraction is carried out where a tooth is brittle or compromised, fractured, or likely to fracture or break. In this situation, the tooth cannot be gripped properly and so minor adjustment of surrounding bone and gum tissue might be necessary to make removal easier. These complicated extractions cost approximately $250. At your consult appointment prior to extraction, we will assess your tooth/teeth and provide an estimate of costs.
Impacted Wisdom Tooth/Teeth
Wisdom teeth typically begin to erupt between 16-24 years of age. Often, their eruption is obstructed and these teeth become impacted by the 2nd molars located anteriorly. Extraction of 3rd molars or “wisdom teeth” can prevent complications associated with their maintenance. These complications may include:
- severe pain
- dental decay or “cavities”
- negative effects on adjacent teeth
- infection of the surrounding soft tissues
- pressure-induced crowding of the teeth
Wisdom teeth or 3rd molars typically erupt into the mouth between 18 – 24 years of age. Often, these teeth become impacted or obstructed by the 2nd molars in front of them. Early detection and removal of impacted 3rd molars can prevent future adverse outcomes.
How do I know if my wisdom teeth are erupting? How do I know if they are causing problems?
- A feeling of pressure or throbbing from behind your erupted 2nd molars
- A stinging feeling of the gums around a partially erupted wisdom tooth
- A change in the way your bite feels
- A strange taste or odour originating from any corner at the back of your mouth
What are the Symptoms of Wisdom Tooth Infection?
As mentioned above, infection of one or more impacted wisdom teeth often include:
- Stinging or throbbing pain coming from around the wisdom tooth
- Red and swollen gums around your infected wisdom tooth
- Appearance of whitish-yellow pus coming from under the gums surrounding an impacted wisdom tooth
- Possible swelling and pain under the jaw or when swallowing
- A bad taste or odour from the affected area
Impacted Wisdom Tooth Pain Relief
Relief of pain from an impacted wisdom tooth can be achieved definitively by removal of the offending tooth. Interim solutions for pain relief can be provided by your Family Dentist and often include:
- Prescription of an antibiotic where signs of infection exist
- Recommendation for salt water rinsing to clean the site
- Provision of an irrigating or rinsing syringe to clean under any gum flaps that my be partially covering the impacted wisdom tooth
- Provision of prescription mouth rinses such as Chlorhexidine (“Peridex”)
Impacted Wisdom Tooth Removal
Dr. Hornby has special surgical training for removal of both erupted and impacted wisdom teeth. As with other surgical procedures, you have the option to receive treatment in conjunction with dental sedation. At your appointment, you will be anesthetized using a surgical grade local anesthetic. In the case of most impactions, the gums and jawbone will need to be adjusted to facilitate a clear path of exit for your wisdom tooth/teeth. Once the wisdom teeth are removed, extraction sites are typically sutured or “stitched” closed to improve healing outcomes. You will be prescribed a post-operative prophylactic course of antibiotics to minimize risk of post-operative infection. You may also receive a prescription for pain medication. Dr. Hornby will review post-operative instructions with you. We will also provide you with a supply of surgical gauze to manage minimal post-operative bleeding where it occurs. Dr. Hornby will typically contact you 24-48 hours following wisdom tooth extraction to ensure that you are healing predictably.
If you are experiencing pain, pressure or other symptoms related to your wisdom teeth please contact us to arrange a consult with Dr. Kyle Hornby. We provide expert services for wisdom tooth removal in Kitchener & Waterloo.