When to consider complex tooth extractions
If you are experiencing any of the following concerns, schedule a consultation so Dr Truong can perform a thorough assessment and recommend the most predictable solution.
- Teeth that have fractured below the gum line
- Severely curved or fused roots visible on X-rays
- Failed previous extraction attempts
- Teeth close to the inferior alveolar nerve or sinus
Treatment steps
Step 1: Comprehensive imaging
CBCT scans map root anatomy, bone density, and proximity to nerves or sinuses for precise surgical planning.
Step 2: Anaesthesia and comfort planning
Options include local anaesthesia with sedation or general anaesthesia for anxious patients or complex cases.
Step 3: Surgical extraction
Controlled bone removal and root sectioning techniques allow safe tooth removal while protecting vital structures.
Step 4: Socket management
Sites may be grafted to preserve bone volume, sutured for optimal healing, and detailed aftercare instructions provided.
Recovery timeline
- Expect swelling and mild discomfort for 3–5 days.
- Follow the prescribed pain management and antibiotic regimen.
- Soft diet for 48–72 hours; avoid smoking and straws.
- Attend follow-up if sutures need removal or symptoms persist.
Risks & precautions
- Temporary numbness if roots are close to nerves.
- Dry socket if aftercare instructions are not followed.
- Sinus communication for upper teeth near the sinus floor.
- Minor bleeding or infection requiring review.
Follow-up advice
- Contact the clinic if numbness persists beyond 48 hours or pain worsens after day three.
Next steps
Book a consultation to review imaging, discuss sedation options, and plan a treatment timeline that aligns with your goals. Second opinions are welcome and referrals are not required for patients seeking advice.
Helpful resources:
- Post-operative instructions — Detailed care plan to support smooth recovery.