A surgical extraction refers to a dental procedure that is more involved than a simple removal of a tooth with forceps. Removal of wisdom teeth, or a tooth that is severely broken down may require to be completed surgically.
Any tooth extraction that is more complicated due to regional factors, such as a cracked or broken tooth, large amount of bone surrounding the tooth, abnormal root anatomy, root canal treated tooth, curved roots and or impacted tooth just to name a few, can be classified as surgical.
During a surgical extraction, an incision is frequently made to gain better access to the tooth. Surgical extractions are performed with a variety of surgical dental instruments as compared to the use of forceps during a simple extraction. Surrounding bone is also frequently removed to gain better access to the involved tooth. After the procedure is finished sutures may be placed.
Post-operative instructions for a simple and surgical extraction are the same. Gut sutures dissolve spontaneously after about 5 days. Patient will usually comeback to have silk or nylon sutures removed about 10 to 14 days after placement. Chances of getting a dry socket (alveolar osteitis) are greater after a more complex surgical extraction. Contact your dentist or oral surgeon if you believe that you may have a dry socket.