Surgical Extraction - ZIA DENTAL CARE
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Surgical Extraction

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Surgical Extraction

A surgical or complicated extraction is done mainly for a tooth that is broken off or is usually not visible in your oral cavity. This procedure is generally done by an oral surgeon who makes an incision(cut) in your gum and removes the underlying tooth that is covered with soft tissues. It is usually performed under general anesthesia because this process is very painful and your tooth is often split into pieces to make extraction easier.
Watch video on tooth extraction of upper molar

After the Tooth Extraction

Like all other dental procedures, aftercare is very important after tooth removal to prevent infections and promote efficient healing.
Immediately after tooth extraction, our dentist will ask you to bite on a sterile, dry piece of gauze for the next 30 minutes to stop bleeding and promote clot formation. Rinse your mouth properly with warm salt water to eliminate bacteria. Avoid smoking or spitting for the next 24 hours or it may interfere with healing.
You may experience some discomfort and pain following an extraction that subsides over time. Our dentist may also prescribe you over the counter painkillers for pain relief. Limit the use of straw and avoid hot liquids for a few hours. Discomfort usually lessens with time, consult our dentist if you experience any swelling or pain after two weeks.

What a dental X-Rays can detect?

Dental X-rays help our dentist diagnose problems in your teeth and jaws.
In adults, a dental X-ray can show
1. Tooth decay or caries
2. Secondary caries beneath your existing fillings.
3. Bone loss in the jaw.
4. Changes in your jaw bone or root canal due to an infection.
5. Oral cavity conditions to prepare for tooth implants, braces, dentures or other dental procedures.
6. Abscesses (an infection at the root of a tooth)
7. Cysts and tumors.
In young children it helps to diagnose;
1. Developing caries
2. Space available for upcoming permanent teeth
3. Developing wisdom teeth
4. Impactions under the soft tissues

Different Types of X-Rays

There are generally two types of dental X-ray.
Intraoral X-rays, that needs X-ray film placement in the mouth, and
Extraoral X-rays, that takes an image from the outside of your mouth.
Intra Oral X-rays being the most common and least expensive type of X-ray is available in different types according to the aspects need to be shown in the film, such as;
1. Bitewing X-rays, that show details of your upper and lower teeth mainly in one area of your mouth. These X-rays are useful for detecting cavities or any restoration.
2. Occlusal X-ray shows to see any abnormalities in your mouth or teeth alignment.
3. Panoramic captures all your teeth by rotating around your head. This is useful in primarily investigating jaw problems and impactions
4. Periapical, captures two teeth at a single time from their crown to their root.
Our dentist may only recommend an Extra Oral X-ray if she suspects any problem in outer aspects of your jaws.

X-Rays For a Child

Dental X-ray of a child shows any underlying dental issues that may not be visible to the naked eye.
And when diagnosed early enough, our pediatric dentist will be able to treat these problems before they progress into something more advanced.
The type of X-ray and how frequently it’s needed will depend on your child’s age, oral health, and our dentist’s recommendation.
Even though your child only has baby teeth that may fall later, they’re still important with respect to the path they make for permanent teeth to grow in six years later.
Visiting a dentist for the very first time can be scary for a child, but you don’t have to worry anymore.
Our Pediatric Dentist at Zia Dental Care are experienced in providing comfortable treatment to your child and tells your son or daughter the importance of taking charge of lifelong oral health.


This type of X-ray may be advised for orthodontic treatment, for assessment of your impactions such as wisdom teeth, or for a general overview of your teeth and the supporting bone.
An OPG is a panoramic screening of the lower face, which displays all the teeth of the upper and lower jaw on a single film.
It shows the number, position, and growth of all the teeth including those that have not erupted yet.
An OPG may also reveal problems with the jawbone and the joint which connects the jawbone to your head called the Temporomandibular joint or commonly known as TMJ.

Advantages of an OPG
The advantage of panoramic images/OPGs are:
1. Broad coverage of jaw bone and teeth including the TMJ (temporomandibular joint)
2. Low patient radiation dose
3. Convenience of examination
4. Convenient for patients with limited mouth opening
5. Short time required for producing the image
6. Useful visual aid in patient education and case representation.

Dental X-Rays In Pregnancy

You may have heard getting an x-ray during pregnancy can harm your baby. This can be true, but in some cases not getting an x-ray can harm you more than it can harm your baby. If an infection spreads, it can be dangerous for you and your baby.
With Dental X-Ray, exposure to radiation is very little to a developing baby.
However, make sure to let our dentist know that you are expecting and she will take extra precautions to avoid any risk.
Remember, a healthy mom means a healthy baby.

Our Services at Zia Dental Care

At Zia Dental Care we have an advanced OPG machine on-site for your convenience and the images are produced digitally.
The image is produced instantly as the OPG being taken and our dentist will review it with you by the end of the appointment.
This can be done as part of a dental check-up, or separate appointment.
An OPG is just one diagnostic tool our dentist will use to ensure you maintain and prevent unnecessary dental issues.
If our dentist finds problems, such as cavities or tooth decay, she will discuss your treatment options.
If not, then keep up the good work!

Frequently Asked Questions

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What is an OPG?

An OPG (Orthopantomagram) is a panoramic dental X-ray of the upper and lower jaw. It is also known by the proprietary name Panorex or Orthopantomagraph. It is a flattened two-dimensional view of a mouth from ear to ear. Panoramic x-rays allow images of multiple angles to be taken to make up the composite panoramic image, where the maxilla (upper jaw) and mandible (lower jaw) are in the viewed area. The structures that are outside the viewed area are blurred. At the start of your dental treatment, our dentist will likely take an OPG.
An OPG shows the number, position, and growth of all the teeth including those that have not yet surfaced or erupted through the gum. It is different from the small close up x-rays that our dentists take of individual teeth. It shows less fine detail, but a much broader area of view. This can be particularly useful to check hard to see areas like wisdom teeth or the development of a child’s jaw and teeth

Should I be worried about Radiations?

This is the concern of many patients that come to Zia Dental Care. The amount of radiation patients exposed to is minimal. Patients at our clinic are provided with all the possible protection which includes patients wearing a lead-lined apron to cover the body other than the face to protect it from exposure to radiation. We try our best that you only receive x-rays when necessary so as to avoid undue risk.

What does Dental X-rays show?

Because they offer detailed views of bone, teeth and supporting oral tissue, X-rays allow dentists to:
• Identification of cavities
• Complete view of tooth roots
• Assessment of the health of bone around the teeth
• Identify periodontal diseases
• Evaluation of the status of developing teeth
• Identify tumors within oral tissue

Are dental X-Rays safe for kids?

Children are generally most susceptible to getting cavities, dental X-rays may often be recommended at every six-month appointment. That said, some kids may need scans less frequently (every two or three years) if their teeth and gums are healthy. The good news for kids’ oral health is that dental X-rays are safer now than they have ever been. Many dentists now use digital X-rays that give off 80% less radiation than film X-rays.

Why are dental X-ray important?

Dental X-ray is a very important diagnostic tool. A physical dental examination of your mouth only gives a limited view of your oral health to our dentist.
Dental X-ray is used in combination with a physical examination to diagnose your dental problems. Dental X-ray provides our dentist the ability to see between your teeth, below the gum line, and your tooth root. If our dentist diagnoses any issue with your oral health by checking your scans, they can readily recommend the treatment plan according to your dental problem.

Why do I need different types of X-rays?

There are different types of dental x-rays, each with different purposes and benefits. Our patients may need different types of x-rays to create a complete assessment of their oral health.
Bitewing x-rays are the most common, and they are so-called because of the plastic wing you bite on to hold the film in place while the x-ray is taken. This type of x-ray shows molars and bicuspids, where cavities are most likely to form.
There is also a periapical x-ray that shows an entire tooth all the way to the root. OPG which is panoramic x-rays that display the entire mouth, including both jaws; and a variety of other x-rays with specific purposes. Occlusal x-ray provides a visual of the floor or roof of the mouth to highlight children’s tooth development

Is Dental X-ray safe in pregnancy?

Research has confirmed that dental X-rays are safe for pregnant women and as well as for their baby. Other research has also shown that it’s safe for pregnant women to undergo dental treatment with local anesthetics. That said, you should always consult our dentist if you are pregnant or breastfeeding before you get a dental X-Ray.

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