Removal of tooth from mouth


Grossly decayed tooth

Impacted / Problematic wisdom tooth.

Fractured tooth

Ectopic eruption

Mobile tooth

Tooth associated with underlying cysts.

Sometimes tooth may need to be removed for Orthodontic treatment


Wisdom teeth are the third and final set of molars that most people get in their late teens or early twenties. Sometimes these teeth can be a valuable asset to the mouth when healthy and properly aligned, but more often, they are misaligned and require removal.

Wisdom tooth is like a vestigial organ.

Evolution has reduced the jaw size of man as a result of which our third molar more commonly known as the wisdom tooth usually does not get enough space to erupt in the mouth. It usually gets lodged in a problematic position and creates problems for the patient.


1.      Pericoronitis- This is a condition in which the tissue in relation to the wisdom tooth becomes inflamed and cause immense pain. It also results in decreased mouth opening, foul smell from the mouth and acts as a niche for various microorganisms.

2.      Decay of adjacent Tooth- Abnormally erupted wisdom can lead to food lodgment between the two teeth. The adjacent tooth may become carious.

3.      Cheek Bite- Abnormally erupted upper and lower wisdom tooth may result in severe cheek bite.

4.      TemporoMandibular Joint problems- If wisdom tooth has not erupted in occlusion then it can lead to severe pain in the joint.



The TMJ is a bilateral synovial articulation between the mandible and temporal bone.

This joint plays an integral role in opening and closing of mouth, chewing of food.

Temporomandibular joint (TMJ) syndrome, also known as the temporomandibular joint disorder (TMJD), is a disorder of the jaw muscles and nerves caused by injury to the temporomandibular joint. The temporomandibular joint is the connection between the jaw bone to the skull.

The injured temporomandibular joint leads to

  1. Pain with chewing, clicking, and popping of the jaw;
  2. Swelling on the sides of the face;
  3. Nerve inflammation;
  4. Headaches;
  5. Ear pain
  6. Ringing or Popping sound in ears
  7. Tight or sore jaw or neck muscles
  8. Tooth grinding; and
  9. Sometimes dislocation of the temporomandibular joint.


Causes of TMJ Syndrome:

  1. Misalignment (malocclusion) of or trauma to the teeth or jaw
  2. Poor posture
  3. Teeth grinding
  4. Stress
  5. Arthritis or other inflammatory musculoskeletal disorders
  6. Excessive gum chewing



Dental fractures are commonly observed with other oral injuries. Early recognition and management can improve tooth survival and functionality.

Approximately 82% of traumatized teeth are maxillary teeth. Fractures to the maxillary teeth are distributed among the central incisors (64%), lateral incisors (15%), and canines (3%).

The ability to care for dental fractures in the emergency department or clinic setting is a skill required during the career of every clinic-based or emergency clinician. Although the procedures performed in these settings are largely temporizing measures, appropriate care in the acute setting is critical to avoid adverse outcomes.

Many patients with acute dental trauma require follow-up with a dentist or an oral surgeon within 24 hours; however, proper intervention should not be delayed. These procedures can improve cosmetic results, prevent tooth loss, and decrease the risk of infection following dental trauma.

Cysts Management

In most cases, such cysts are caused by infections that result in the pulp or inner portion of the tooth becoming infected and causing resultant decay, as well as the development of fluid filled sacs or inflamed tissue. Fluids contained within such as sacs or cysts may be sterile or infected. If not treated, infectious fluids may be reabsorbed and spread infection to other locations in the body.

Common Treatment for Cyst Removal (Cyst Operations)

The most common and beneficial treatment for cysts is excision or removal of the cyst. Before removing the cyst, the dentist or oral surgeon generally performs a biopsy, which involves the removal of a small portion or piece of tissue from the questionable cyst. The tissue sample is then sent to a laboratory where examination and analysis will be performed.

While the cyst itself might be benign, or harmless, dentists and oral surgeons most frequently suggest their removal before surrounding tissues or bone structures are damaged.

Cyst operations are generally performed under local anesthesia, meaning the patient is awake during the procedure. In most cases, cysts are removed quickly and efficiently in under an hour. Large cysts require more detailed or extensive surgery, which may or may not require bone reconstruction.