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Surgical extraction: Code D7210

Surgical extraction is a dental procedure that involves the removal of a tooth that cannot be easily accessed or extracted with a simple extraction method. This type of extraction is often necessary for various reasons, including impacted teeth, broken teeth, or teeth with complex root structures.

Surgical removal of erupted tooth requiring elevation of mucoperiosteal flap and removal of bone and/or section of tooth. Includes cutting of gingiva and bone, removal of tooth structure, minor smoothing of socket bone and closure.


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Here’s an overview of surgical extraction:

Common Reasons for Surgical Extraction:

Impacted Teeth: Teeth that are partially or fully impacted, especially wisdom teeth, may require surgical extraction.

Broken or Fractured Teeth: Teeth that are broken or fractured below the gum line may need surgical extraction.

Teeth with Curved or Abnormal Roots: Teeth with curved or multiple roots that make extraction challenging may require surgical intervention.

Teeth with Insufficient Crown Structure: Teeth with insufficient crown structure for gripping may need surgical extraction.

Orthodontic Treatment: Surgical extraction may be part of orthodontic treatment to create space for proper teeth alignment.


Procedure Steps:

Preparation: The dentist will review your medical history and may take X-rays to assess the tooth’s position and root structure.

Anesthesia: Local anesthesia is typically administered to numb the tooth and surrounding area. Sedation options may also be available for patients with anxiety or more complex cases.

Incision: A small incision is made in the gum tissue to expose the tooth and its roots. In some cases, a portion of the bone around the tooth may also be removed.

Sectioning: If the tooth is large or has multiple roots, it may be sectioned into smaller pieces for easier removal.

Extraction: The dentist uses specialized instruments to carefully remove the tooth or tooth fragments.

Closure: In some cases, sutures may be used to close the incision. These sutures are usually absorbable and may not require removal.


Post-Operative Care:

  • The dentist will provide post-operative care instructions, including guidelines for managing pain, swelling, and potential bleeding.
  • Patients may be prescribed pain medications and instructed on proper oral hygiene during the recovery period.
  • Follow-up appointments may be scheduled to monitor healing and remove any necessary sutures.


Common Questions:

Is surgical extraction painful?

Local anesthesia is used during the procedure to ensure patients don’t feel pain. After the extraction, some discomfort is normal, and pain medications may be prescribed.

How long does it take to recover from surgical extraction?

Recovery time varies, but most patients experience improvement within a few days to a couple of weeks. Following post-operative care instructions is crucial for a smooth recovery.

Are there risks or complications with surgical extraction?

While complications are rare, they can include infection, excessive bleeding, or damage to surrounding structures. Following the dentist’s instructions helps minimize these risks.

Can I eat after a surgical extraction?

Initially, a soft diet is recommended. Patients should avoid hard or chewy foods until they receive clearance from their dentist.

When can I resume normal activities after surgical extraction?

Patients are typically advised to rest and avoid strenuous activities for the first few days. Gradual resumption of normal activities is recommended based on individual recovery progress.

It’s important to consult with a dental professional for personalized advice and answers to specific questions about surgical extraction and its recovery process.