Protesi dentale studio dentistico Raschiotti
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Oral Surgery and Dental Extractions in Sanremo

Dental extractions and wisdom tooth removal planned with care and attention to patient comfort

Oral surgery includes procedures that may be necessary when a tooth can no longer be preserved or when its position could cause pain, inflammation or problems affecting the neighbouring teeth.

At Raschiotti Dental Practice in Sanremo, we perform simple dental extractions and wisdom tooth procedures following a careful clinical and radiographic assessment.

Every treatment is planned according to the patient’s individual situation. The different stages of the procedure and the instructions to follow during recovery are explained clearly.

Situations that may require a dental extraction

The dentist’s aim is to preserve the natural tooth whenever the clinical conditions allow.

In some situations, however, extraction may be the most appropriate solution. It may be necessary in the presence of:

  • teeth severely damaged by decay or fractures;
  • infections that cannot be treated successfully with other procedures;
  • teeth with advanced mobility;
  • retained roots;
  • impacted or abnormally positioned teeth;
  • wisdom teeth causing pain or inflammation;
  • requirements associated with certain orthodontic treatments.

The decision is made only after assessing the condition of the tooth, the surrounding tissues and the available treatment alternatives.

Simple dental extractions

A simple extraction may be appropriate when the tooth is visible and can be removed without needing surgical access to the bone or gum.

The procedure is performed under local anaesthesia. After confirming that the area is adequately numb, the tooth is loosened and removed using specific instruments.

At the end of the procedure, personalised instructions are provided to protect the treated area and encourage proper healing.

Problems that can be caused by wisdom teeth

Wisdom teeth, also known as third molars, are the last teeth to appear in the dental arches.

There is not always enough space for them to erupt correctly. They may therefore remain completely impacted within the bone, emerge only partially or grow at an angle towards the neighbouring tooth.

When a wisdom tooth is partially covered by the gum, the area can be difficult to clean, allowing bacteria, food debris and plaque to accumulate.

This can cause pain, swelling, inflammation of the gum, an unpleasant taste in the mouth, difficulty opening the mouth or discomfort when chewing.

Wisdom teeth do not always need to be removed

A wisdom tooth that is correctly positioned, fully erupted, healthy and easy to clean can be retained and monitored over time.

Extraction is considered when the tooth is causing problems or presents a genuine risk to oral health, for example in the presence of:

  • repeated episodes of pain or inflammation;
  • infections affecting the surrounding gum;
  • decay that is difficult to treat;
  • damage or decay affecting the neighbouring tooth;
  • an angled or abnormal position;
  • difficulty maintaining adequate oral hygiene;
  • cysts or other changes identified during diagnostic examinations.

The decision must therefore be personalised and based on the clinical and radiographic findings.

Impacted or partially impacted wisdom teeth

A wisdom tooth is described as impacted when it remains completely within the bone or beneath the gum. It is partially impacted when only part of the tooth is visible in the mouth.

In these cases, extraction may require a small surgical opening in the gum and, when necessary, the removal of a limited amount of bone or the division of the tooth into several sections.

The procedure is planned by assessing the shape of the roots, the position of the tooth and its proximity to the surrounding anatomical structures.

Clinical and radiographic assessment

Before an extraction, an examination is carried out to assess the tooth, the gum and the general condition of the mouth.

X-rays allow us to examine the shape and position of the roots, their relationship with the neighbouring teeth and, in the case of lower wisdom teeth, their proximity to the canal containing the mandibular nerve.

In more complex cases, a three-dimensional scan may be recommended to plan the procedure with greater precision.

Comfort during a dental extraction

The procedure is performed under local anaesthesia. During the extraction, the patient may feel pressure or movement, but the treated area is numbed to prevent pain.

Temporary discomfort, sensitivity or swelling may occur after the procedure. Their intensity and duration depend on the type of extraction and the complexity of the case.

Carefully following the instructions provided helps manage the postoperative period and promotes proper healing.

What to expect after a dental extraction

Mild bleeding, swelling or discomfort may occur in the treated area during the hours or days following the procedure.

Patients are generally advised to:

  • keep the gauze in place for the recommended length of time;
  • avoid rinsing the mouth vigorously during the first few hours;
  • avoid touching the wound with the fingers or tongue;
  • choose soft foods that are not too hot;
  • avoid smoking and alcohol during the initial healing period;
  • follow the instructions regarding oral hygiene and any prescribed medication.

These instructions may vary according to the procedure and must be personalised by the dentist.

Recovery after a dental extraction

Recovery times vary according to the type of extraction.

Following a simple extraction, many people can return to their normal activities within a short time. Surgical removal of an impacted wisdom tooth may require a few days of additional care.

Swelling and discomfort are generally more noticeable during the first few days and then gradually decrease. The practice will arrange any necessary follow-up appointments to monitor healing.

Do you need a tooth extracted or your wisdom teeth assessed?

Book an appointment at Raschiotti Dental Practice in Sanremo. We will assess your clinical and radiographic situation and explain clearly whether extraction is necessary and what the treatment will involve.