![]() This can be repeated multiple times, but make sure to separate each session by 15 minutes. Apply a cold pack or bag of ice wrapped in a wet towel to the area for 15 minutes at a time. Icing: Icing the skin surrounding the affected area can ease the swelling after your surgery.Over-the-counter medications, such as non-steroidal anti-inflammatory drugs ( NSAIDs) like Advil (ibuprofen) or other kinds of ibuprofen, can also help. Medications: To manage pain, pain killers, including opioids like Percocet, may be prescribed these should be used carefully and sparingly.As with augmentation, there’s a significant recovery period before the implant surgery. In this procedure, the oral surgeon pulls away gum material, revealing the affected area, and adds artificial bone material to the bone, or "bone ridge," to correct the problem. Ridge expansion: This is used if your bone mass in your mandible and/or maxilla is insufficient.Augmenting this area by lifting the sinus and then reinforcing the maxilla may be necessary. The bone here is more likely to be insufficient, and there’s little room for error due to proximity to the sinus (the passages going back from your nostrils). Sinus lift: Teeth towards the rear of the upper jaw, or “maxilla,” are among the most difficult to replace.Over time-often several months-this is incorporated into the surrounding structure, strengthening it. Bone material harvested from another part of your body or synthetic materials are bonded to the affected area. Bone augmentation: Prior to surgery, an oral surgeon may have to perform bone grafting.Keep in mind, you’ll need to fully recover from the extraction before implant surgery. Tooth extraction ("pulling" a tooth) is a standard dental procedure. Tooth extraction: If any part of the tooth you want to replace is still in your gum, you’ll first need to have it removed.It’s color-matched to the surrounding teeth, so it will appear natural. Using scanning technology, the prosthetic is customized to fit perfectly into place. The false tooth, also known as a prosthesis or crown, is placed onto the abutment. Installing a permanent crown: Two weeks after the temporary crown is placed, you’re ready for the final step.This process is called “ osseointegration.” Next, you must undergo a period of healing-anywhere from a few weeks to several months-as bone matter grows around the screw. Installing a temporary crown and healing: Either during the first appointment or at a following appointment, the surgeon adds an extension, called an “abutment,” and a temporary crown is put on.They may use a surgical guide and stent to place a specialized screw or cone, known as the “implant body,” into this space, leaving a gap. The surgeons then make a small incision in the gum and drill a hole into the bone. Imaging and placement: A dental X-ray or another type of imaging technique is used to assess the area where the tooth or teeth are missing.Post-surgical discomfort is generally mild. Most patients return to their normal activities the next day. In the next few months, the bone will heal around the end of the root. A small filling may be placed to seal the end of the root canal and a few stitches or sutures are placed to help the tissue heal. The very end of the root is also removed. Your endodontist performs this micro surgical procedure first making you comfortable by applying local anesthesia before opening the gum tissue near the tooth to see the underlying bone and to remove any inflamed or infected tissue. The most common is called an apicoectomy, or root-end resection, which may be needed when inflammation or infection persists in the bony area around the end of your tooth after a root canal procedure. There are many surgical procedures that can be performed to save a tooth. Advanced technologies like digital imaging and operating microscopes allow these procedures to be performed quickly, comfortably and successfully. There’s no need to worry about surgery if your endodontist prescribes this additional measure. Surgery may also be needed to remove calcium deposits in root canals, or to treat damaged root surfaces or the surrounding bone of the tooth. ![]() Endodontic surgery can be used to locate small fractures or hidden canals previously undetected on X-rays during the initial treatment. It’s possible that a nonsurgical root canal procedure won’t be enough to save your tooth and that your endodontist will recommend surgery.
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