Oral Surgery

Oral Surgery Specialist
Dr. Freeman oral surgeries to his patients from in and around Atlanta, Georgia. At Atlanta Dentistry by Design, he uses modern techniques and tools to ensure that his patients enjoy a quick and easy recovery.

Oral Surgery

by Paul Freeman, DDS


What is oral surgery?

Oral surgery is typically the extraction of teeth, although it can also be used to repair teeth or the jaw. While the removal of wisdom teeth is the most well-known type of oral surgery, there are many reasons why oral surgery may be required. Oral surgery can diagnose, repair, or treat serious conditions affecting a patient’s teeth, palate, lips, jaw, or face. It can also alleviate problems due to obstructed sleep apnea, infections, or facial pain. Some surgeons may perform surgery to repair maxillofacial region damage caused by a serious accident or injury.

What conditions might require oral surgery?

  • A tooth is impacted. This means that a permanent (adult) tooth has not yet erupted from the bone but is moving into or pushing against an adjacent tooth. This commonly occurs with wisdom teeth.
  • A lesion, tumor or another tissue of the mouth or jaw requires biopsy or removal, or if oral cancer is suspected
  • A dental implant is required to replace a missing tooth or support a bridge
  • One or more teeth must be removed
  • A tooth breaks off at the gum line, and it (or its root fragments) must be removed
  • Corrective surgery to soft tissues or bones in the maxillofacial region is needed
  • Diagnosis and treatment of infections in the maxillofacial region are needed
  • Facial pain exists, including pain suspected from TMJ (Temporomandibular Joint Disease)
  • Obstructive sleep apnea is suspected
  • An open bite (space between the upper and lower teeth when the mouth is closed)
  • An unbalanced facial appearance from the front or side
  • A facial injury or birth defect that affects the maxillofacial region
  • A receding chin or protruding jaw
  • A problem that causes lips not to meet without straining

What are the most common surgeries?

Tooth extraction is the most common oral surgery. Typically, after the application of anesthetic to the area, special tools are inserted between the tooth and gum that surrounds the tooth.

The tooth is moved back and forth within its socket (the bone that encases the tooth’s root)until it separates from the ligament that holds the tooth in place. Once it is loosened, the tooth is removed from its socket.

When a tooth is impacted, the procedure will depend on how many roots it has and its location under your gum. Patient sedation is often used in addition to the application of an anesthetic to the impacted area. If necessary, a gum tissue flap is created to access bone tissue, and a small opening is made in the bone that covers the impacted tooth. The impacted tooth is then cut into small pieces and removed through the opening. The gum tissue flap is then repositioned and sutured in place.

Why are wisdom teeth removed so regularly?

Third molars, also called wisdom teeth, are the last set of permanent teeth to erupt in a person’s mouth and are the ones least needed for good dental health. Wisdom teeth can endanger a patient’s dental health and need to be removed when the jaw is too small to hold them. As a result, they force other teeth out of alignment and can damage your bite.

Sometimes wisdom teeth do not erupt correctly and crowd the roots of other teeth, forcing them out of alignment, and can damage your bite.


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