Oral Surgery: Comprehensive Care from Your Trusted General Dentist

At Intermountain Dental, Dr. Duke understands that oral surgery can seem intimidating, but with the right care and expert guidance, you can feel confident throughout the process. As a general dentist, we provide a wide range of oral surgical procedures to ensure your comfort, health, and long-term dental wellness. Whether you need a routine tooth extraction, implant placement, or more complex surgical care, we’re here to support you every step of the way.

What is Oral Surgery?

Oral surgery refers to any surgical procedure performed on the teeth, gums, jaw, or related structures. These procedures are designed to treat dental issues that cannot be resolved with traditional, non-surgical methods. While many of these treatments are routine and common in dental care, oral surgery is typically necessary when the condition of the teeth or mouth requires more advanced intervention for optimal results.

Our team is trained to perform a variety of oral surgeries, ensuring that you receive safe, effective treatment tailored to your unique needs.

Common Oral Surgery Procedures In Our Office

Single Tooth Extractions: What You Need to Know

What Is a Tooth Extraction?

A tooth extraction is the removal of a tooth from its socket in the bone. While many teeth can be  extracted relatively easily, some may require a more advanced surgical approach, especially if  the tooth is broken, impacted, or below the gumline. A single tooth extraction may be necessary  for reasons such as:

  • Severe tooth decay or damage
  • Gum disease affecting tooth stability
  • Crowding or misalignment of teeth
  • Infection that cannot be treated with a root canal

Types of Tooth Extractions

1.

Simple Extraction

A simple extraction is typically performed when the tooth is fully visible above the gumline. This type of extraction can usually be done in a dental office under local anesthesia. The dentist will loosen the tooth with special instruments and remove it without the need for incisions or any bone removal.

2.

Surgical Extraction

In more complex cases, a surgical extraction may be required. This is typically the case if the tooth is broken below the gumline, impacted, or has not fully erupted. A surgical extraction involves making a small incision in the gum tissue to access the tooth. Sometimes, the tooth may need to be sectioned into smaller pieces or some bone may need to be removed for easier removal. Surgical extractions are usually performed under local anesthesia with or without sedation, depending on the complexity of the procedure and the patient’s comfort level.

Potential Complications

While most extractions heal without problems, some complications can arise. These include:
Dry Socket

A condition where the blood clot at the extraction site becomes dislodged, causing pain and slowing healing. We’ll provide instructions to help avoid this.

Infection

Although rare, an infection can occur at the extraction site. If you notice increased swelling, pus, or fever, contact us immediately.

When to Call Your Dentist

Please contact us if you experience any of the following after the extraction:

  • Persistent or severe pain that doesn’t improve with pain medication
  • Excessive bleeding that doesn’t stop after several hours
  • Signs of infection (fever, pus, or swelling that worsens)
  • Difficulty breathing or swallowing

Recovery and Aftercare

Managing Bleeding

After your procedure, you will have gauze placed in your mouth to help control bleeding. Keep the gauze in place with gentle pressure for 30 minutes. After that, you may remove it if bleeding has slowed down. If bleeding continues, replace the gauze and repeat the pressure for another 30 minutes.

Pain Management

You may experience some soreness after the anesthesia wears off. Over-the-counter pain relievers or any prescribed medication will help manage this discomfort. We recommend 600mg Ibuprofen every six hours until pain subsides. If the pain is not alleviated, you may try combining 500mg Tylenol with the Ibuprofen, but in an alternating sequence- ie. Ibuprofen- then Tylenol three hours after that, then your next Ibuprofen three hours after that and so forth.

Diet

You can begin eating a soft, cold meal right after your procedure. Continue on a soft food diet for the next 5 days. Foods such as yogurt, applesauce, smoothies, and mashed potatoes are great choices. Avoid hard, crunchy, or hot foods that can irritate the surgical sites. Drink plenty of fluids to stay hydrated, but avoid using a straw, as the suction can disrupt the healing process and increase the risk of dry socket.

Activity Restrictions

For the first 5 days after surgery, avoid the following:

• Swishing or spitting forcefully
• Eating or drinking hot foods or beverages
• Drinking through a straw
• Consuming carbonated drinks or alcohol
• Lifting heavy objects (more than 15 pounds)
• Engaging in strenuous physical activities or exercise

Hygiene

Gently brush your teeth, avoiding the extraction site, until the area heals. Gently rinse with warm salt water starting 24 hours after the procedure to help reduce the risk of infection.

Ice Application

Apply ice pack to your jaw for 15 minutes at a time, especially during the first 48 hours. Ice will help minimize bruising and swelling.

Wisdom Teeth: Understanding the Risks and Benefits of Removal

At Intermountain Dental, we prioritize your long-term oral health, and that includes addressing issues related to wisdom teeth. Wisdom teeth can lead to a variety of complications due to their late eruption. Read on to learn more about the potential problems caused by wisdom teeth and why removal may be the best option.

The Problems with Wisdom Teeth

Wisdom teeth often cause challenges because they typically emerge in late adolescence or early adulthood, a time when the mouth may not have sufficient space for them. Common issues associated with wisdom teeth include:

1.

Overcrowding

As wisdom teeth attempt to emerge, they may push against surrounding teeth, leading to overcrowding. This can affect the alignment of your other teeth, making it more difficult to maintain proper oral hygiene and causing discomfort.

2.

Impaction

When there is not enough space for the wisdom teeth to emerge fully, they may become impacted. This can lead to significant pain, swelling, and even infection. Impacted teeth may also push against adjacent teeth, creating further complications.

3.

Misalignment

Wisdom teeth may come in at awkward angles, leading to bite problems and misalignment. This can affect how your teeth come together when you chew, resulting in discomfort or difficulty with proper biting and chewing.

4.

Gum Issues

If a wisdom tooth only partially erupts, it can create pockets around the tooth where bacteria can accumulate. This can increase the risk of gum disease, infections, and discomfort due to inflammation.

5.

Cysts and Tumors (Rare)

In some cases, the development of cysts or tumors in the jawbone can be triggered by wisdom teeth. While rare, these growths can cause serious damage to the surrounding bone and tissue.

Why Removal May Be Necessary

Given the potential risks associated with wisdom teeth, many individuals choose to have their wisdom teeth removed before they cause significant problems. Preventative removal can help ensure that your teeth stay properly aligned, your gums remain healthy, and you avoid the pain and complications that wisdom teeth can bring.

The Best Time to Remove Wisdom Teeth

The ideal time to consider wisdom teeth removal is typically between the ages of 17 and 25. This is because the roots of the wisdom teeth are not fully developed, and the procedure tends to be easier, with quicker healing and fewer complications in younger patients. Additionally, early removal can help prevent overcrowding, impaction, and other issues that may arise as the teeth continue to develop.

Your Next Step

If you’re experiencing pain or discomfort related to your wisdom teeth—or simply want to prevent future problems—Dr. Duke is here to help. We’ll assess your dental health and advise you on whether removal is the right option for you. Contact us today to schedule a consultation and discuss your treatment options.

Dental Implants

Dental implants feel and look the same as natural teeth. They keep the adjacent teeth stable, the gums healthy and help prevent premature aging and facial sagging, all of which help you to have a cosmetic, healthy smile.

What Are Dental Implants?

Dental implants are one of the biggest and most successful advances in modern dentistry. They are an effective, long-term option if you have missing teeth or wear dentures that are uncomfortable. An implant is a small, titanium root-shaped screw that is inserted into the jawbone to replace a missing tooth or to help retain dentures. The implant fuses with the bone and healing is usually completed within 3-4 months. This provides a solid foundation for an abutment and dental crown. The implant looks, feels and acts like a real tooth, and if properly cared for, can last a lifetime.

Benefits of Dental Implants

There are several advantages to choosing dental implants over other options such as dental bridges or partial dentures.  ​Some of these benefits may include:

Are Dental Implants Right For You?

There are very few conditions that contraindicate the placement of dental implants.  An ideal candidate is in good general and oral health and has adequate jawbone and healthy gum tissue to support the implant.  Although few, there are some conditions that could impact the success of an implant, such as:

If you have any of the listed conditions, Dr. Duke will consult with you and evaluate whether you are still eligible to have an implant. These conditions do not absolutely preclude you from being a good candidate. Dr. Duke will assess your oral health and will ensure your receive the best strategy to achieve your needs and goals for treatment. There are several other alternatives to implants that have proven successful over the years and can provide you with satisfactory results that you can trust.

Implant Retained Dentures

Dental Implants have become the treatment of choice for missing teeth. The loss of all of your teeth brings a variety of complications that can have a severe impact on your physical and emotional health. Traditional dentures have limited success, as they are not stable and secured. Dentures can make it difficult to speak clearly and to effectively chew the foods you desire. Discomfort and soreness, muscular issues and headaches almost always accompany dentures as they slide and shift around as you move your mouth. Implant retained dentures are an innovative restoration that provides denture wearers the quality of life and oral health they so much desire. Special attachments on the implants help secure the denture in place, thus eliminating all of the problems associated with the movement of the denture.  Implant retained dentures are life changing.

Bone Grafting

What is bone grafting?

Bone grafting may sound complicated and painful, but it is a minor surgical procedure done in the dental office with local anesthesia. This procedure is done in order to strategically “rebuild” jawbone in areas where  it has been lost or to preserve the existing bone after tooth extraction. Your body then grows new bone cells, replacing the graft material over several months.

Why do I need a bone graft?

In order for a dental implant to securely fuse to your jawbone, there needs to be sufficient bone surrounding the implant.  Not only is the volume of the bone important, but also the quality and density of the bone.  After tooth extraction, the quality and quantity of bone deteriorates quickly, leaving inadequate bone to place an implant. By placing a bone graft at the time of extraction, the amount of bone loss, or shrinkage, is minimized allowing Dr. Duke to place an implant 3-4 months later.  If your jaw has already changed because the extraction took place some time ago, placing a bone graft can augment the jawbone and many times provide the sufficient bone necessary for implant placement.  If you have adequate bone, then no bone graft is necessary before implant placement.

Where does the bone graft material come from?

There are several different types of bone grafts.  Some bone grafts can come from your own body, but the vast majority of dental bone grafting materials comes from laboratory-processed bone.  This bone can be from human or animal (usually cow) donors or from synthetic materials. Because these are mineral bone substitutes, and not living tissue, there is very little to no risk associated with these materials. They go through an extensive and rigorous process and come from highly reputable banks that use meticulous screening processes, thus making them extremely safe.  Furthermore, these materials are eventually resorbed and replaced by your natural bone and do not remain in your body.

Crown Lengthening

Crown lengthening is a common dental procedure used to expose more of a tooth’s surface, allowing for the placement of a crown or other dental restoration. This procedure is particularly beneficial for patients with teeth that appear “short” or “gummy,” or those with broken or decayed teeth below the gum line.

Why Consider Crown Lengthening?

The Procedure

The procedure involves the careful removal of excess gum tissue and sometimes a small amount  of bone to expose more of the tooth’s surface. Local anesthesia is used to ensure your comfort  throughout the process.

Duration:

Typically takes 1-2 hours.

Recovery:

Most patients experience mild discomfort for a few days, which can be managed with over-the-counter pain relief. Swelling is common, but should subside within a week.

Post-Procedure Care:

Follow-up visits will ensure proper healing, and our team will guide you through aftercare instructions for optimal results.

If you’re interested in learning more about crown lengthening or scheduling a consultation, contact our office today. We’re here to help you achieve a healthy, beautiful smile!

Frenectomy

A frenectomy is a simple dental procedure that involves the removal or modification of the frenulum – the small band of tissue that connects the lips, cheeks, or tongue to the gums or mouth. This treatment is commonly performed to address issues that can interfere with oral health, speech, or daily comfort.

Why Consider a Frenectomy?

The Procedure

The procedure involves the careful removal of excess gum tissue and sometimes a small amount  of bone to expose more of the tooth’s surface. Local anesthesia is used to ensure your comfort  throughout the process.

Duration:

Typically takes around 15-30 minutes.

Recovery:

Most patients experience minimal discomfort following the procedure. The recovery time is usually short, with many patients able to resume normal activities within a few days.

Post-Procedure Care:

We will provide detailed aftercare instructions to promote healing and reduce the risk of complications.

Who Can Benefit from a Frenectomy?

A frenectomy is commonly recommended for:

  • Infants and children: Addressing tongue-tie or lip-tie that affects breastfeeding, speech,  or oral development. 
  • Adults: Treating issues related to speech, gum recession, or difficulty with eating and  oral hygiene.
If you’re experiencing issues related to a restrictive frenulum, or if you’d like more information on whether a frenectomy is right for you, don’t hesitate to reach out to us. We’re here to help you achieve better function and comfort.