Oral Surgery

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We are proud to offer our Raleigh area patients superior oral surgery services performed by our highly skilled oral surgeons.

Our services include:

Oral Surgery Consultations:

Our consultations include a review of your medical history and the details of your oral condition, as well as the associated treatment options. You can expect a visual examination that may include imaging such as X-rays. During your consultation, your course of treatment will be determined. In some cases, the oral surgery can take place the same day. In other cases, it will need to be scheduled out.

Oral Pathology:

Oral pathology is the study of the more than 300 diseases that can affect the inside and outside areas of the mouth. Many of these conditions can have serious consequences if left untreated. Our oral surgeons specialize in diagnosing and treating diseases of the oral and maxillofacial areas. Patients can expect to receive the best care from our board-certified and experienced oral surgeons and be treated with compassion and understanding.

Dental Extractions:

A tooth extraction is performed only after all alternatives have been considered and ruled out. Situations that may lead to an extraction include:

  • Infection or risk of infection from decay (may require emergency tooth extraction)
  • Severe damage from trauma (may require emergency tooth extraction)
  • Impacted wisdom teeth (results in a wisdom tooth extraction)
  • Overcrowded teeth (often requires orthodontic treatment)

A tooth extraction is a routine procedure that includes:

  • X-rays to assess the location, size, and position of the tooth to be removed to help determine the extent of the procedure
  • An assessment of the anesthesia and sedation options that will best serve your needs, allowing for a pain-free, less-than-memorable experience
  • The careful removal of the tooth, which often includes a bone-preserving graft

Third Molar/Wisdom Teeth Extractions:

The wisdom teeth are located in the very back of the mouth and are the last four teeth to break through the gums. They develop and arrive during the teen years, and by the mid-20s, they will either fully erupt or become impacted (blocked by other teeth so that they can’t emerge). If left to grow when impacted, they can damage adjacent teeth and cause pain and inflammation in the mouth and jaw area.

Patients are typically advised to have their wisdom teeth removed before the teeth become impacted. At Riccobene Associates Family Dentistry, we offer options to make the removal of your wisdom teeth a calm and comfortable experience. Our oral surgeons remove the teeth skillfully and gently, and provide medications and follow-up information to ensure a timely and complete recovery.

Dental Implants:

A dental implant is a small, screw-shaped, titanium post that replaces the root of a missing tooth. It is covered by a porcelain crown that looks and feels just like your old tooth. It is a minor surgical procedure with a 95 percent success rate: The post is inserted into the jawbone where the missing tooth once was and is left to heal for a set period of time; once healed, the tooth-like crown is attached. While it heals, the bone fuses to the implant, which serves as a prosthetic tooth in place of the missing tooth and restores your functional and aesthetically pleasing smile.

Sinus Lifts:

A sinus lift is performed when the sinuses are too close to the jaw for a dental implant to be placed. Sinus lift surgery adds bone to your upper jaw, where your molars and premolars are located between your jaw and maxillary sinuses on either side of your nose. The sinus membrane is “lifted” to make room for the bone. Our oral surgeons are highly skilled at this procedure, and the result allows for dental implants to be properly placed, resulting in a complete, beautiful smile.

Impacted Canines:

Your canine teeth are the upper front teeth located under the eyes, and the visible portions are typically longer and pointier than those of the other front teeth. When these teeth become impacted (blocked from completely erupting and growing out), they affect your smile’s aesthetics, but they are also at risk of developing abscesses, damaging the roots of neighboring teeth, and becoming cystic over time. Impacted canines can be corrected with minor oral surgery in which brackets of braces are attached to guide the canines back into place over time.

Bone Grafts:

Bone and soft supporting tissues are often lost over time because of gum disease or missing teeth. A bone graft is placed to stimulate the regrowth of your own bone tissue to help restore lost bone tissue in preparation for further restorative treatment. This is a minimally invasive procedure requiring a few weeks of healing before the next phase of treatment can be initiated.

Dental Incision and Drainage:

When a dental infection progresses to oral swelling, a surgical incision and drainage is commonly used to treat the affected area. If left untreated, severe dental infections can spread to other areas of the body, including the brain and heart, causing life-threatening illness.

Dental incision and drainage is usually an outpatient procedure and includes making a small incision in the gums at the point of the swelling. The area is then drained and cleaned with a sterile solution. A follow-up visit is required to make sure the infection is gone. The dentist may also prescribe antibiotic medication to help aid in the healing process.

Tori Removal:

A tori is an excess bone growth that develops in the arch of your mouth, which can affect your oral hygiene and comfort, as well as interfere with dental appliances. A tori typically develops because of localized irritation, grinding of the teeth, or malocclusion. Oral surgery is required to remove the tori and reshape the area where it previously existed.

For your comfort, we offer:

What to Expect

Your First Visit: During your first visit, you will meet the oral surgeon that will be leading your care team. At this visit, the best procedure for your condition will be determined, as well as whether IV anesthesia will be administered. The oral surgeon will complete a comprehensive medical history evaluation in order to ensure you receive the best and most appropriate care during your oral surgery procedure.

Day of Procedure: You will be escorted to the surgery suite to begin preparations for the scheduled procedure. At this time, your medical history will be reviewed with you, and you will be asked to confirm the procedure for which you have been scheduled that day. We will then check your vital signs (pulse, blood pressure, O2 levels, etc.) and in most cases apply sensors to monitor your vital signs throughout the oral surgery procedure. If you are receiving IV sedation, you will not be allowed to eat or drink anything after midnight the night before the procedure, except for a small amount of water used to take any premedication. Additionally, the oral surgeon may administer nitrous oxide (laughing gas) to aid in your comfort during the procedure.  Once the oral surgery procedure is complete, you will be brought to recovery, at which time your caregiver/escort will be asked to come join you. Postoperative care instructions will be presented to you and your caregiver/escort, both verbally and in written form. Finally, a postoperative appointment will be scheduled for you to return in one (1) week in order for the oral surgeon to evaluate your healing progress.

Recovery: Your recovery rate depends on factors such as age, medical history, procedure, and compliance. Most patients feel back to normal after two to three weeks. In some cases, you may return to normal after one week.

To learn more about our oral surgery services or to schedule a consultation, call Riccobene Associates Family Dentistry today.