There are many cases where tooth extraction is not a straightforward procedure. This may be due to caries having completely destroyed the crown or even part of the root of the tooth. It may also be a case where an extraction was performed in the past and a root fragment has been retained and is now burried deep inside the bone. Or maybe a case of an ankylosed tooth, which is impossible to remove with a non-surgical approach.Or even a case where the root amy have a severe bent, making a simple extraction a very difficult task. Finally, we may have teeth with roots in contact with the maxillary sinus, where an extraction would cause communication between the oral cavity and sinus, something that needs immediate attention.
In all above mentioned cases we need to proceed to a surgical extraction. In this way the surgeon is able to handle the area with greater comfort while providing the best outcome for the patient. Also, we should not overlook the important fact, although may sound a paradox, that a surgical extraction can cause less injuty to the surrounding tissues that a non-surgical one that may go on for hours.. The latter is extremely important, particularly in cases where we want to place an implant at the extraction site at a later stage. Furthermore, a surgical extraction constitutes the initial part of a socket preservation technique .
The process must not cause any anxiety to the patient. It’s painless. With the aid of microsurgical instruments we can loosen the tooth without exerting undue pressure and with the use of piezosurgery, we can remove teeth in minimal time and with minimal trouble.