Oral Surgery

Whether you need a single or multi-tooth extraction, wisdom tooth removal, ridge augmentation, or sinus lifting, our dental specialists at Cascadia Dental are experienced and committed to providing top-notch oral surgery.

Surgical Extraction

If a tooth is too damaged, fractured, or decayed, tooth extraction may be the only solution. Tooth extraction can also allow the mouth to have more room for proper alignment, or to prepare the mouth for orthodontia, also known as braces.

Before extraction, one of our specialists will use a method of sedation to numb the area. They will then make an incision to the gum tissue around the affected tooth and remove it, either in sections or all in one. At Cascadia Dental, we use a Piezotome® device to help preserve the bone and lessen trauma in the area when extracting the tooth.

Wisdom Teeth Extraction

Wisdom teeth are the four permanent adult teeth located in the back four corners of your mouth that usually grow in during early adulthood. When one or more wisdom teeth don’t have room to grow in next to your other teeth, they are considered impacted and can cause intense pain and discomfort. Wisdom tooth extraction can resolve the pain, help give your other teeth appropriate room, and prevent future dental problems.

During the surgery, a method of sedation helps numb the area, like with other teeth extractions, an incision in the gum tissue exposes the tooth and bone. If the bone is blocking the tooth root, it is removed, and then the tooth is removed either in sections or all in one.

Sinus Lifting / Augmentation

Sinus lifting, also known as sinus augmentation, is a surgical process intended for those who don’t have enough bone height in their upper jaw, or those whose sinuses are too close to the jaw for proper placement of dental implants.

The maxilla posterior sinuses can be positioned low in a patient’s upper jaw, which takes room away from the alveolar bone ridge. To correct this, we add bone between the jaw and maxillary sinuses while elevating the sinus membrane in order to retain the needed implant.

Site Preservation

After tooth extraction, we complete a site preservation procedure in order to care for and protect the area of the mouth where the teeth were pulled. If the site is not preserved with bone grafting right after the extraction, the bone may collapse, limiting the space for implant placement. This may cause more complicated procedures in the future to build the site.

Site preservation treats the bone with a graft to prevent shrinking or deterioration post-tooth removal. Performing this procedure at the time of tooth extraction is the most efficient way to build the ridge for proper, and safe implant placement.

Ridge Augmentation

After tooth extraction, if a site preservation is not immediately done to add bone grafting to the socket, the empty socket in the ridge will begin to heal on its own. Over time, that area, the alveolar ridge, may begin to deteriorate and shrink.

In order to reconstruct the ridge and recreate the natural contour of the gums, a ridge augmentation procedure is performed. Bone graft material is placed in the socket and secured with gum tissue to facilitate new bone growth.

Platelet Rich Fibrin

Platelet rich fibrin, or PRF, is a by-product of plasma that contains many growth factors and platelets. These growth factors encourage new cell growth and quick healing, making it a great by-product for post-operative dental procedures.

After a patient’s plasma is drawn and processed, PRF can be added to the empty socket after tooth removal to assist with many surgical and non-surgical dental procedures, such as ridge augmentation. It can also be used after bone-grafting and jaw reconstruction in order to accelerate healing and lower the risk of infection.

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