Oral Surgeon in Dubai — Dental Surgery

Surgical dentistry at ELEMENTAL covers removal of teeth and impacted wisdom teeth, surgical exposure of teeth for orthodontic traction, removal of retained roots, root-end surgery where re-treating a root canal is not feasible, removal of small soft-tissue lesions with laboratory examination, treatment of a restrictive lingual frenum, and preparation of the ridge before prosthetic or implant treatment.

The department sits inside a licensed day surgical centre, and that changes the standard rather than the marketing. Sterilisation, consent, medical history, monitoring and escalation follow theatre protocols. Sedation and general anaesthesia are assessed by the clinic's anaesthesiology service with their own consultation, fasting instructions and consent — not improvised at the chair by the person also doing the surgery.

The full patient-facing detail is on the page about tooth extraction and oral surgery.

Third molars arrive last, into a jaw that frequently has no room for them. Removal is indicated for recurrent infection under the gum flap of a partly erupted tooth, decay in the wisdom tooth or in the second molar it presses against, cysts associated with an unerupted tooth, and resorption of the neighbouring root.

What is not an indication: prophylactic removal of a symptom-free, disease-free wisdom tooth, or removal to stop the front teeth crowding — the evidence does not support it. A wisdom tooth that has erupted into a functional position and can be cleaned is left alone.

Lower wisdom teeth sit close to the inferior alveolar nerve, and the relationship between root and nerve canal cannot be judged reliably from a panoramic radiograph. Where the film suggests proximity, a cone beam scan is taken here on a Planmeca Viso G5 to see the true relationship before the surgical approach is chosen — see CBCT and dental X-ray. Altered sensation of the lip and chin is the risk that scan exists to reduce, and it is discussed and consented before surgery rather than mentioned afterwards.

Some details in a medical history change how a tooth is removed, and patients rarely think to mention them.

Antiresorptive medication — bisphosphonates and related drugs taken for osteoporosis or in oncology — carries a risk of impaired healing of the jawbone after extraction. Patients often no longer think of a drug they took years ago as current. Knowing about it beforehand changes the technique and the management of the socket.

Anticoagulants and antiplatelet drugs. Stopping them is frequently more dangerous than the bleeding. The clinic needs the exact drug and dose and liaises with your physician if a change is genuinely required; local measures control bleeding in the great majority of cases.

Also relevant: immunosuppression, uncontrolled diabetes, recent cardiac events, prosthetic joints or heart valves that may require antibiotic cover, and pregnancy.

Any tissue removed is sent for histopathological examination — including lesions that look harmless, because appearance is not a diagnosis. A persistent ulcer or a white or red patch that has not healed within three weeks is assessed rather than watched.

The space left by an extraction does not stay a space. Bone resorbs where the root was, fastest in the first six months; the neighbouring teeth tip towards the gap and the opposing tooth over-erupts into it. Each of those changes makes a later replacement more complicated, and often adds a grafting procedure that would not have been needed.

This is why the replacement conversation belongs before the extraction, not a year after it. Where an implant is likely, preserving the socket with graft material at the time of removal frequently avoids a separate grafting procedure later. Where a bridge or denture is the plan, the extraction is done with that plan in mind.

Not every gap needs filling — a missing wisdom tooth needs no replacement, and a single missing back tooth in a stable bite is sometimes reasonably left. The point is that it should be a decision taken with the information, rather than something arrived at by default.

Bite firmly on the gauze provided for at least twenty minutes without lifting it to check. That day: no rinsing, spitting, hot drinks, alcohol, straws or strenuous activity — all of them disturb the clot holding the socket. From the next day, gentle warm salt-water rinses after meals, and keep brushing the rest of the mouth normally. Swelling peaks around day two or three after surgical removal and then subsides.

Smoking is the strongest risk factor for a dry socket and for delayed healing; every day without it measurably improves the outcome. Contact the clinic for bleeding that does not stop with firm pressure, pain that increases from the third day rather than easing, spreading swelling or fever, difficulty swallowing or breathing, or numbness that has not resolved.

A consultation starts from AED 650. Extraction is quoted after assessment: a simple extraction, a surgical extraction requiring the tooth to be sectioned, and the removal of a fully impacted lower wisdom tooth are three different procedures with different times and different risks. Imaging, sedation and any socket preservation grafting are quoted separately in writing before treatment.