Common dental surgeries, and when you might need them

Dental surgeries are an essential part of modern dental care, helping patients maintain their oral health and restore their confidence in their smile. While routine check-ups and cleaning can prevent many issues, certain conditions require more complex procedures performed by experienced dentists.

Whether it’s to remove damaged teeth, replace missing ones, or repair the gums and jaw, dental surgeries are designed to protect and preserve the structure of your mouth.

Understanding these procedures and knowing when you might need them can help ease anxiety about visiting the dentist and ensure that you take the right action at the right time. Here are some of the most common dental surgeries in the UK, what they involve, and when each type of treatment might be necessary.

Understanding dental surgeries

What counts as dental surgery

Dental surgeries cover a wide range of procedures carried out to repair, replace, or improve the health of your teeth, gums, and surrounding tissue. These treatments are typically performed under local anaesthetic, ensuring that patients experience minimal pain and discomfort.

Dental surgeries can be performed for both restorative and cosmetic purposes. Some aim to save damaged teeth, while others focus on enhancing appearance, such as teeth whitening or dental implants.

In most cases, the procedures are completed in a dental clinic setting by a professional dentist, often with support from hygienists and caring receptionists who help make the experience as welcoming as possible.

Why dental surgeries are sometimes necessary

Over time, teeth and gums can suffer from decay, trauma, or infection. The soft pulp inside a tooth contains nerves and blood vessels that can become damaged or infected if bacteria enter through cracks or cavities. Left untreated, this can lead to pain, swelling, and even loss of the tooth.

Dental surgeries become necessary when general dental care cannot treat a problem effectively. These procedures not only relieve pain but also prevent further damage and support long-term oral health. Regular appointments with your dentist allow early detection of potential issues, ensuring that you receive the right treatment before they become painful or complex.

Tooth extractions

Simple extractions vs. surgical extractions

Tooth extractions are among the most common dental surgeries performed in the UK. A simple extraction is typically completed when the tooth is visible above the gum line. The dentist loosens the tooth before carefully removing it.

Surgical extractions, on the other hand, are required when a tooth is broken, impacted, or trapped inside the gums. In such cases, the dentist may need to make a small incision in the gum tissue to reach the root and remove the tooth safely.

Depending on the condition, these procedures can take more time but are generally straightforward when performed by experienced dentists.

When a tooth extraction becomes necessary

Tooth extractions are usually needed when decay, trauma, or infection has damaged a tooth beyond repair. Severely decayed molars, infected pulp, or overcrowded teeth may all require removal. Extractions are also sometimes recommended before orthodontic treatment to create space for proper alignment.

Although removing a tooth might sound painful, modern dental services use advanced anaesthetic techniques to keep patients comfortable throughout the process. Recovery is typically quick, and most people notice significant relief from pain within a day or two.

dentists showing patient x ray for wisdom tooth removal dental surgeries

Wisdom tooth removal

Why wisdom teeth often need removal

Wisdom teeth, or third molars, usually begin to grow when a person is in their late teens or early twenties. For many adults, there isn’t enough space in the jaw for these teeth to come through properly and, when wisdom teeth become impacted, they can press against other molars, causing discomfort, swelling, and even infection.

Wisdom tooth removal is a common dental surgery aimed at preventing these problems. If left untreated, impacted wisdom teeth can damage nearby teeth or lead to painful abscesses filled with bacteria. Early assessment by your dentist ensures that any developing issues are met with the appropriate treatment before they worsen.

Typical recovery and aftercare guidance

After wisdom tooth removal, some swelling and minor bleeding are normal, but pain should ease within a few days. It’s important to follow your dentist’s aftercare advice, including keeping the area clean, avoiding smoking, and maintaining gentle brushing to help prevent infection.

Most patients can return to their usual routine within a few days, depending on the complexity of the extraction. It’s always advisable to schedule follow-up appointments to ensure the site is healing properly.

Dental implants

How dental implants work

Dental implants are one of the most effective solutions when it comes to replacing missing teeth. This procedure involves placing a small titanium post into the jawbone, which acts as an artificial root. Once the implant has fused with the bone, a crown or bridge is attached on top, completing the restoration.

Unlike dentures, dental implants are permanent and look and feel like natural teeth. Millions of people worldwide have benefitted from this treatment, which restores both function and appearance.

The procedure requires planning and precision, which is why it should always be carried out by experienced dentists with the right training and equipment.

When implants are a suitable option

Dental implants are suitable for adults who have lost one or more teeth due to decay, trauma, or gum disease. They are often recommended when the surrounding teeth are healthy enough to support the treatment. Implants can last a lifetime with proper dental care, making them a worthwhile investment for a confident smile.

If you are considering dental implants, your dentist will assess your gums, bone density, and overall oral condition. The procedure may take several months to complete, depending on how long it takes for the implant to bond fully with the bone.

Root canal surgery (endodontic treatment)

What happens during a root canal procedure

Root canals are widely regarded as the most common type of dental surgery. A root canal, or endodontic treatment, is a common dental surgery designed to save a tooth that has been badly infected. Inside every tooth lies a soft area known as the pulp, which contains nerves, blood vessels, and connective tissue. When bacteria enter this area, they can cause inflammation and severe pain.

During the procedure, the dentist removes the infected pulp, cleans the root canals, and fills the space with a special material to prevent reinfection. Finally, the tooth is restored with a crown to protect it and restore its strength. Root canals are often misunderstood, but they are highly effective at saving teeth that might otherwise need to be extracted.

Signs you might need a root canal

Common signs that you may need a root canal include persistent pain, sensitivity to temperature, or swelling around the affected tooth. You might also notice discolouration or tenderness when chewing. If the infected pulp is left untreated, the infection can spread through the root, affecting nearby tissue and causing an abscess.

Seeing your dentist promptly when you experience these symptoms is important. Early treatment prevents further damage and ensures a faster recovery. With modern techniques, most patients report minimal discomfort during the procedure.

woman with gum pain and gum dental surgeries

Gum surgery (periodontal surgery)

Common types of gum surgery

Gum surgery is performed to treat advanced gum disease and restore the health of the supporting tissue around the teeth. Common procedures include flap surgery, which involves cleaning the roots of the teeth, and grafting, which uses healthy tissue to rebuild areas affected by disease.

These surgeries are essential for controlling bacteria that cause infection and ensuring that the gums can properly support the teeth. By improving gum health, these treatments help prevent tooth loss and protect patients’ overall oral health.

When gum surgery is recommended

Your dentist may recommend gum surgery if non-surgical treatments such as scaling and root planing have not been successful. Signs you might need this procedure include receding gums, loose teeth, and bleeding during brushing.

Patients often feel anxious about gum surgery, but professional dental teams ensure every step is handled with care and precision. Following your dentist’s aftercare instructions helps promote healing and prevents future infection. Regular maintenance appointments are key to keeping your gums healthy in the long term.

Corrective and reconstructive surgeries

Jaw alignment and orthognathic surgery

Orthognathic surgery, also known as corrective jaw surgery, is used to realign the jaws and correct irregularities that affect chewing, speech, and facial appearance. This procedure is often performed in conjunction with orthodontics to create a balanced and functional bite.

Patients who undergo this type of surgery often do so to relieve chronic pain, improve function, or enhance facial symmetry. Recovery can take several weeks, and the process may involve wearing braces before and after the surgery. Although complex, the results are long-lasting and life-changing.

Bone grafting and sinus lift procedures

Bone grafting and sinus lifts are important preparatory surgeries often needed before dental implants. These procedures strengthen the jawbone by adding new bone material where density has been lost. Without sufficient bone support, implants cannot be securely placed.

Bone grafting uses either synthetic or natural bone to rebuild the jaw, allowing it to support future restorations. A sinus lift, on the other hand, raises the sinus floor to create more room for new bone growth.

These surgeries require careful planning and are carried out by professional surgeons who aim to ensure stability and comfort throughout.

Fulham Road Dental: specialist private dental care from some of the best dentists in London

In trusting Fulham Road Dental with your care, you are choosing a private practice dedicated to excellence and comfort. Our team of some of the best dentists in London provides specialist private dental care in a modern and welcoming setting. From dental implants and root canal treatments to cosmetic options such as teeth whitening, every procedure is performed with skill, precision, and compassion.

We know that dental surgeries can feel daunting, which is why we aim to make every visit as calm and reassuring as possible. Our professional team, advanced equipment, and caring receptionists all work together to ensure that your experience is smooth and stress-free from start to finish.

Whether you need to restore your smile, treat an infection, or maintain lifelong oral health, Fulham Road Dental is here to help. If you would like more information or wish to arrange an appointment, our friendly team will be happy to welcome you and guide you through your treatment options.

FAQs

Is dental surgery painful?

Dental surgery is not usually painful because dentists use local anaesthetic to numb the area before treatment begins. This means you should only feel gentle pressure rather than pain during the procedure. For more complex surgeries, sedation may also be offered to help you relax and stay comfortable.

After the anaesthetic wears off, it is normal to feel some mild discomfort or swelling. Your dentist will give you advice on managing this, such as using pain relief or a cold compress. Most people find that any soreness eases within a few days and recovery is smoother than they expected.

How do I prepare for dental surgery?

Before dental surgery, your dentist will explain what to expect and give you clear instructions to follow. You may be asked to avoid eating or drinking for a few hours before the procedure, especially if sedation is planned. It is important to let your dentist know about any medicines you take or health conditions you have.

On the day, wear comfortable clothing and arrange for someone to take you home if you are having sedation. Make sure you brush your teeth gently beforehand and arrive on time for your appointment. Staying calm and well-prepared helps ensure a smooth, stress-free experience.

What are the risks of delaying dental surgery?

Delaying dental surgery can allow problems to worsen over time. An untreated infection or damaged tooth may lead to increased pain, swelling, or the spread of bacteria to nearby teeth and gums. This can make future treatment more complicated and sometimes result in tooth loss or further damage.

In some cases, waiting too long can affect your overall health, especially if the infection spreads beyond the mouth. Early treatment helps prevent these issues and supports faster healing. If your dentist recommends surgery, it is best to follow their advice promptly to protect your teeth, gums, and general well-being.

Is it possible to speed up healing after dental surgery?

Yes, you can help speed up healing after dental surgery by following your dentist’s aftercare advice carefully. Keep the area clean, avoid touching it with your tongue or fingers, and rinse gently with warm salt water once your dentist says it is safe. Eating soft foods and staying hydrated also helps your body recover more quickly.

Avoid smoking, drinking alcohol, and doing strenuous activity for a few days, as these can slow healing. Make sure to rest, take any prescribed medicine, and attend follow-up appointments. With proper care, most people heal well and return to normal activities within a week.

What is the difference between an oral surgeon and a general dentist?

A general dentist provides routine dental care, such as check-ups, cleaning, fillings, crowns, and basic treatments. They focus on preventing and treating common problems with teeth and gums, helping patients maintain good oral health.

An oral surgeon is a specialist who performs more complex dental surgeries. This can include tooth extractions, dental implants, corrective jaw surgery, and treatment of severe infections or trauma. Oral surgeons have extra training to carry out these procedures safely and effectively. While a general dentist may refer patients to an oral surgeon, both work together to ensure the best care for your teeth, gums, and smile.

Will insurance cover private dental surgery?

Whether insurance covers private dental surgery depends on your policy. Some plans may cover procedures such as extractions, root canals, or dental implants, but coverage can vary. It is important to check your policy for limits, exclusions, or waiting periods before booking treatment.

If you do not have insurance, many dental practices offer flexible finance options to help spread the cost of treatment. Payment plans can make private dental surgery more affordable, allowing patients to receive necessary care without delay. Speak to your dentist or the practice team to understand the options available and plan your treatment.

Do I need someone to come with me to drive me home?

Whether you need someone to drive you home depends on the type of dental surgery and anaesthetic used. For procedures performed under local anaesthetic, most patients can usually go home on their own, as the numbness will wear off within a few hours.

If sedation or general anaesthetic is used, it is important to arrange for someone to take you home and stay with you for a short time. Sedation can affect coordination, concentration, and alertness, making it unsafe to travel alone. Your dentist will advise you in advance if a companion is required for your appointment.

Can I eat after getting dental surgery?

After dental surgery, it is important to follow your dentist’s advice about eating. Immediately after the procedure, you may need to avoid food and drink until the anaesthetic wears off to prevent biting your lips, cheeks, or tongue.

Once it is safe to eat, stick to soft, cool foods for the first few days. Avoid hot, spicy, or hard foods that could irritate the surgical site or disturb stitches. Drinking plenty of water helps with healing. Your dentist will give specific guidance depending on the type of surgery you have had and your individual recovery.

Are there any side effects associated with dental surgery?

Yes, dental surgery can have some side effects, but most are temporary and mild. Common effects include swelling, bruising, and slight bleeding around the treated area. You may also experience some discomfort or pain for a few days, which can usually be managed with pain relief recommended by your dentist.

Other possible side effects include numbness if local anaesthetic is used, or sensitivity in nearby teeth and gums. Rarely, infection or delayed healing can occur. Following your dentist’s aftercare instructions carefully, attending follow-up appointments, and maintaining good oral hygiene can help reduce the risk of side effects.

How will I know if I’m a good candidate for my recommended dental surgery?

Your dentist will assess your suitability for dental surgery by examining your teeth, gums, and overall oral health. They may take X-rays or other scans to understand the condition of your teeth, roots, and jawbone. This helps them decide whether the recommended procedure is the best option for you.

Factors such as your medical history, age, and lifestyle can also affect your suitability. Your dentist will discuss any risks and benefits and answer your questions. By attending a consultation and sharing information about your health, you can ensure that you receive personalised advice about the recommended dental surgery.

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