SURGICAL REMOVAL OF BROKEN TEETH
A surgical extraction is required to remove a tooth/root that may have broken off at the gum line or is impacted (incomplete eruption). These teeth should be removed to treat or prevent infection.
Teeth with a poor prognosis even if restorative treatment is attempted might have the following conditions:
These are situations when an extraction may be selected and a tooth replacement planned for, for a more predictable long term outcome.
If the tooth was broken as a result of an accident, the cost of the extraction and its replacement may be fully or partially paid for with a successful claim against personal accident insurance.
Also , if you are a Singaporean or Singapore PR, the surgical fees may be fully or partially claimable from Medisave.
When a tooth breaks, the shape of the tooth structure that remains may make it impossible to extract it intact. Occasionally, a tooth that is fairly intact may need to be sectioned to remove it with minimal trauma to the surrounding tissues (bone, nerves etc), especially when an implant is planned to replace it.
In a regular extraction, the whole tooth including the roots are removed in one piece. Usually no bone is removed in the process.
Step 1: Consultation and examination
The damaged tooth needs to be assessed clinically and with X-rays. Your treatment goals and the overall prognosis for the damaged tooth will be discussed.
Should the tooth require extraction, you will be advised on the potential risks and whether or not your tooth needs to be removed surgically. After the assessment is done, we will then inform you about the difficulty level of the surgery.
Tooth replacement is also discussed. If you are planning to have an implant, bone grafting can be done at the time of extraction to minimize the natural bone resorption that will occur.
Bone resorption begins soon after the loss of a tooth. Therefore, in order to minimise bone loss, we may recommend several options such as an immediate dental implant or a tooth socket bone graft to replace your extracted broken tooth. Dental implants will also help to recreate balance in your bite, as it is a functional replacement for the tooth that is lost.
Step 2: Pre-surgical preparation
1-2 days prior to your surgery, a thorough scaling and polishing is done. An oral probiotic is also given to boost the numbers of beneficial bacteria in the saliva so that healing is as smooth as possible.
Step 3: Removing the broken tooth
The surgical extraction is always done under a local anaesthetic. If you are very nervous or anxious, IV sedation administered by an anaesthesiologist can be very helpful to ensure an anxiety free experience, especially if the surgical extraction is anticipated to be difficult.
An incision along the gum line will be made to expose the tooth’s roots. Some bone may be removed to allow the tooth to be more easily separated from the bone. If necessary, the broken tooth will be divided into smaller, more manageable pieces to be removed.
The gum will then be repositioned with stitches which will be removed after a few days.
Post-op medication and care instructions will then be given to you to ensure a speedy recovery.