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Oral Surgery in Fresno, CA

If you need oral surgery or tooth extraction in Fresno, CA, Milburn Dental provides personalized dental care for teeth that are damaged, infected, impacted, severely decayed, or otherwise difficult to treat with routine dental procedures.

Our dental team evaluates your oral health, reviews your symptoms, and may use dental X-rays to understand the condition of the affected tooth and surrounding structures. Based on your needs, we can discuss whether extraction, restorative treatment, or another dental procedure may be appropriate.

If you are looking for oral surgery in Fresno, CA, contact Milburn Dental to schedule an evaluation.

What Is Oral Surgery?

Oral surgery includes dental procedures that involve removing, treating, or surgically accessing teeth and the surrounding oral tissues.

Depending on your condition, oral surgery may include tooth extraction, surgical extraction, treatment of an impacted tooth, or other procedures designed to address problems that cannot be treated adequately with routine dental care.

Not every damaged or painful tooth needs to be removed. During your examination, our dentist can evaluate whether the tooth may be restored or whether extraction is the more appropriate option.

Tooth Extraction in Fresno, CA

Tooth extraction is one of the most common procedures associated with oral surgery.

A dentist may recommend removing a tooth when it is severely damaged, infected, impacted, or cannot be predictably restored.

Common reasons for tooth extraction include:

  • A severely broken or damaged tooth
  • Extensive tooth decay
  • A tooth with an infection that cannot be predictably treated
  • An impacted tooth
  • Dental trauma
  • Severe crowding
  • A tooth that cannot be restored
  • Remaining tooth fragments or roots
  • Certain dental conditions that require removal before additional treatment

Before an extraction, your dentist may perform an examination and dental X-rays to determine the condition and position of the tooth.

For more information about diagnostic imaging, visit our Dental X-Rays page:

https://milburndental.com/dental-services/general-dentistry/x-rays/

Simple Extraction vs. Surgical Extraction

Not every tooth extraction is performed in the same way.

A simple extraction may be appropriate when the tooth is visible and can be removed without surgical access to the surrounding tissue.

A surgical extraction may be necessary when the tooth is difficult to access, partially erupted, impacted, broken below the gumline, or otherwise requires a more involved procedure.

The type of extraction recommended depends on the individual tooth and your overall oral health.

Your dentist can explain the recommended approach after examining the tooth and reviewing any necessary X-rays.

When Might You Need Oral Surgery?

Several symptoms or dental problems may indicate that an oral surgery consultation is appropriate.

You may need an evaluation if you have:

  • A severely broken tooth
  • A tooth that is loose because of significant damage
  • Persistent pain from a damaged tooth
  • A severely decayed tooth
  • An impacted tooth
  • Swelling around a tooth
  • Recurrent infection
  • A tooth that cannot be restored
  • A dental injury or trauma
  • A tooth that needs to be removed before replacement with another treatment

If you are experiencing severe pain, facial swelling, dental trauma, or another urgent dental problem, visit our Emergency Dental Services page for information about urgent dental care:

https://milburndental.com/dental-services/general-dentistry/emergency-dental-services/

Oral Surgery for a Broken or Damaged Tooth

A broken tooth does not automatically mean that extraction is necessary.

Depending on the extent of the damage, your dentist may be able to restore the tooth with a filling, crown, root canal treatment, or another restorative procedure.

For example, a smaller area of damage may be treatable with a composite filling:

https://milburndental.com/dental-services/family-dentistry/composite-fillings/

A more extensively damaged tooth may require a dental crown to restore strength and function:

https://milburndental.com/dental-services/family-dentistry/crowns-and-bridges/

If the tooth has significant damage to the pulp or nerve, root canal treatment may be considered when saving the natural tooth is possible:

https://milburndental.com/dental-services/family-dentistry/root-canal/

When a tooth cannot be predictably restored, extraction may become the appropriate treatment option.

Oral Surgery for an Infected Tooth

A dental infection should not be ignored.

An infected tooth may cause:

  • Persistent tooth pain
  • Sensitivity
  • Swelling
  • Tenderness around the tooth
  • Pain when biting or chewing
  • A bad taste in the mouth
  • Drainage around the tooth
  • Fever or feeling unwell in more serious cases

The appropriate treatment depends on the source and severity of the infection.

When the natural tooth can be saved, root canal treatment may be an option. You can learn more here:

https://milburndental.com/dental-services/family-dentistry/root-canal/

If the tooth cannot be restored, your dentist may recommend extraction.

If you have significant swelling, severe dental pain, facial trauma, or another urgent problem, learn more about emergency dental care in Fresno:

https://milburndental.com/dental-services/general-dentistry/emergency-dental-services/

Impacted and Difficult-to-Remove Teeth

Some teeth do not erupt normally or may become difficult to access.

An impacted tooth may remain partially or completely underneath the gum tissue or bone. Depending on its position and condition, surgical treatment may be recommended.

Your dentist may use dental X-rays to evaluate:

  • The position of the tooth
  • The surrounding bone
  • The roots
  • Nearby teeth
  • The overall condition of the area

Dental imaging can help your dentist determine the appropriate treatment approach.

Learn more about our diagnostic services:

https://milburndental.com/dental-services/general-dentistry/x-rays/

What Happens During an Oral Surgery Consultation?

Your first step is an evaluation.

During your appointment, your dentist may:

  1. Review your dental and medical history.
  2. Discuss your symptoms and concerns.
  3. Examine the affected tooth and surrounding tissues.
  4. Take or review dental X-rays when appropriate.
  5. Determine whether the tooth may be restored.
  6. Explain extraction or other treatment options.
  7. Discuss what you can expect before and after the procedure.

The goal is to make sure you understand your treatment options before proceeding.

Is Tooth Extraction Always Necessary?

No.

The goal of a dental evaluation is not simply to determine whether a tooth should be removed. Your dentist should first determine whether the tooth can be predictably treated and restored.

Depending on the condition of the tooth, possible treatment options may include:

  • Composite fillings
  • Dental crowns
  • Root canal treatment
  • Other restorative treatment
  • Tooth extraction

For some patients, preserving the natural tooth may be possible. For others, extraction may provide a safer or more predictable solution.

A personalized examination is necessary to determine which option is appropriate.

What Can Replace a Tooth After Extraction?

If a tooth needs to be removed, replacing the missing tooth may be an important part of your long-term dental treatment plan.

Depending on your oral health and goals, options may include:

Dental Implants

Dental implants can replace missing teeth and provide a stable foundation for tooth restoration.

Learn more about dental implants in Fresno, CA:

https://milburndental.com/dental-services/cosmetic-dentistry/dental-implants/

Dental Bridges

A dental bridge may be used to replace a missing tooth by connecting a restoration to neighboring teeth.

Learn more about:

https://milburndental.com/dental-services/family-dentistry/crowns-and-bridges/

Dentures

Patients who are missing several teeth or all teeth may be candidates for partial or complete dentures.

Learn more about:

https://milburndental.com/dental-services/family-dentistry/dentures-prosthesis/

Your dentist can discuss which tooth-replacement option may be appropriate after evaluating your oral health.

Oral Surgery and Dental Anxiety

It is normal for some patients to feel nervous about dental procedures.

If you have dental anxiety, let our dental team know before treatment. Understanding the procedure, asking questions, and discussing comfort options can help make the experience more manageable.

Milburn Dental also provides comfort-focused dental care for patients who feel nervous about dental treatment.

Learn more about:

https://milburndental.com/dental-services/general-dentistry/comfort-aid/

What Should You Expect After Oral Surgery?

Recovery depends on the type of procedure performed and your individual circumstances.

After an extraction or other oral surgical procedure, your dentist will provide personalized post-operative instructions.

Your instructions may include guidance regarding:

  • Eating and drinking
  • Oral hygiene
  • Physical activity
  • Smoking
  • Medication
  • Managing discomfort
  • Swelling
  • Follow-up appointments

Following your dentist’s instructions is important for supporting proper healing.

Do not assume that every procedure has the same recovery timeline. Your dentist will explain what to expect based on the treatment you receive.

Eating After Tooth Extraction

Your dentist may recommend softer foods immediately after certain oral surgical procedures.

Depending on your procedure and recovery, appropriate foods may include foods that are easy to chew and do not require significant pressure around the treatment area.

Avoid foods or activities that your dentist specifically tells you to avoid during healing.

If you have questions about your diet or recovery after surgery, contact the dental office for individualized guidance.

Oral Hygiene After Oral Surgery

Maintaining appropriate oral hygiene remains important after oral surgery.

However, the surgical area may require special care while it heals. Your dentist will explain how and when to clean around the treatment area.

For long-term oral health, regular dental cleanings and good daily oral hygiene habits remain important.

Learn more about:

Routine Dental Cleanings:

https://milburndental.com/dental-services/general-dentistry/routine-cleanings/

Oral Hygiene Education:

https://milburndental.com/dental-services/general-dentistry/oral-hygiene-education/

When Should You Contact a Dentist After Oral Surgery?

Contact your dental office if you are concerned about your recovery or notice symptoms that seem unusual or significantly worse than expected.

Urgent dental evaluation may be appropriate for symptoms such as:

  • Significant or worsening swelling
  • Severe or worsening pain
  • Persistent bleeding
  • Signs of infection
  • Fever or feeling seriously unwell
  • Dental trauma
  • Difficulty swallowing or breathing

Difficulty breathing or significant swelling involving the face, mouth, or throat can be a medical emergency. Seek emergency medical care when appropriate.

Oral Surgery for Families in Fresno

Dental surgical needs can affect patients of different ages.

Children, teenagers, adults, and older adults may require dental extractions or other surgical treatment depending on their individual oral health.

At Milburn Dental, our goal is to evaluate each patient individually and explain the available treatment options clearly.

For comprehensive family dental care, visit:

https://milburndental.com/dental-services/family-dentistry/

Why Choose Milburn Dental for Oral Surgery in Fresno?

Choosing the right dental office for an extraction or oral surgical procedure starts with a thorough evaluation and clear communication.

At Milburn Dental, we focus on:

  • Personalized treatment planning
  • Diagnostic evaluation and dental X-rays when appropriate
  • Clear explanations of treatment options
  • Patient comfort
  • Comprehensive family dental care
  • Tooth replacement options when needed
  • Convenient dental care in Fresno, CA

Our office is located at:

6721 N Milburn Ave Ste 101
Fresno, CA 93722

Call Milburn Dental at (559) 825-0990 to schedule an evaluation.

Schedule an Oral Surgery Consultation in Fresno, CA

If you have a broken, damaged, infected, impacted, or severely painful tooth, do not wait until the problem becomes more difficult to treat.

Milburn Dental can evaluate your condition and explain whether tooth extraction, restorative treatment, or another dental solution may be appropriate.

If you are looking for oral surgery in Fresno, CA or need a tooth extraction in Fresno, contact Milburn Dental to schedule an appointment.

https://milburndental.com/contact/

Frequently Asked Questions About Oral Surgery

1. Who will need an oral surgery?

Oral surgical procedures involve the incision, excision, or reflection of tissue that exposes the normally sterile areas of the oral cavity. Examples are biopsy, periodontal surgery, apical surgery, implant surgery, and surgical extractions of teeth (removal of erupted or nonerupted tooth requiring elevation of the mucoperiosteal flap, removal of bone or section of tooth, and suturing if needed).

2. Who will need periodontal surgery?

Periodontal or “gum” surgery is needed when conservative non-surgical treatments are ineffective in completely eradicating the periodontal disease. Luckily, periodontal surgery is a very simple and extremely effective technique to treat advanced periodontal problems.

3. What is apical surgery?

Apical surgery is considered a standard oral surgical procedure. It is often the last resort to surgically maintain a tooth with a periapical lesion that cannot be managed with conventional endodontic (re-)treatment. The main goal of apical surgery is to prevent bacterial leakage from the root-canal system into the periradicular tissues by placing a tight root-end filling following root-end resection. A major step in apical surgery is to identify possible leakage areas at the cut root face and subsequently to ensure adequate root-end filling. Only a tight and persistent apical obturation will allow periapical healing with good long-term prognosis.

4. When do I need a surgical extraction of teeth?

If a more volatile tooth has yet to grow in, however, our Milburn Dentist needs to remove gum tissue or bone in order to extract it. This is called a surgical extraction and requires stitches to close the site so that it can heal properly.  If a tooth breaks off during the procedure, for instance, it may need to be taken out in pieces. Wisdom teeth often face surgical extraction because they are usually impacted, meaning they are not completely erupted into the mouth. This condition requires cutting through bone and tissue. Removing severely broken down teeth, root tips or teeth with long-curved roots are other examples of surgical extractions. Then there are times when the bone around a tooth has become dense, resulting in the need for surgical treatment.

5. What will happen during my procedure?

Our Dentist in Fresno, CA will explain how they plan to perform your surgery. Without having to get into too many specifics, you will know where your incision is being made, and any other details about what the procedure entails and what the goal is.

6. Do I need to be sedated during my oral surgery instead of the local anesthesia?

Our Family Dentists will request in-depth past medical history before a patient can be sedated. Not all patients are able to be sedated. Patients who are anxious, nervous, or scared of dental visits may request sedation for a variety of dental care from a regular cleaning to wisdom teeth extractions. However, there may be other techniques to help a patient receive the necessary dental treatment in a safe and comfortable manner.

7. How long will the procedure take?

It depends on which oral surgery that our dentist consulted you to take. It could be from one hour to four hours or more. Ask our dentist for more details to suit your schedule by calling Milburn Dental Office in Fresno, CA at (559) 825-0990 or visit our dental office at 6721 N Milburn Ave Ste 101, Fresno, CA.

8. How long is the recovery?

It depends on the kind of oral surgery. Wisdom teeth extraction usually takes a few days to one week for the pain and swelling to subside. The gums can take up to a month to completely heal. Our Dentist will recommend a soft diet for a few days and provide detailed recovery instructions, such as how to deal with discomfort and swelling. Dental implants also require some healing time and this varies from patient to patient and procedure to procedure.

9. What food should I eat and avoid after surgery?

For 2 days after surgery, drink liquids and eat soft foods only. Such as milkshakes, eggnog, yogurt, cooked cereals, cottage cheese, smooth soups, mashed potatoes, refried beans, ice cream, pudding, fruit smoothies and protein shakes. On day 3 after surgery, eat soft foods that do not require much chewing, such as macaroni and cheese, cooked noodles, soft-boiled /scrambled/ poached eggs and soft sandwiches. Avoid tough or crunchy foods, such as pizza, rice, popcorn, and hamburger. Avoid spicy and acidic foods. Most patients may resume their normal diet 7 days after surgery.

10. What should not you do after oral surgery?

  • Do not apply heat to your face, unless your surgeon told you to do so.
  • Heat can increase swelling.
  • Do not use straws, suck on anything, or smoke.
  • These actions cause negative pressure in your mouth, which can dislodge the blood clot that is keeping your wound closed, causing more bleeding, and delay your healing.
  • Do not blow your nose. Wipe instead.  If you need to sneeze, do so with your mouth open.

4 Comments

    • We take most of the PPO insurances. Unfortunately, we are not contracted with Calviva or Medical at this time. Please call our office at 559-825-0990 if you have any questions regarding insurance. Thanks!!

  1. I have a broken tooth, the last one right before the wisdom tooth. Anyways i had it for about 2 years, i didnt really think anything of it till now… Abscessed tooth, ibuprofen is not working anymore, neither is Tylenol. Its at the point my throat feels like its closing, my whole gums hurt, my temple hurts, and i get ear aches…. I still smoke cigarettes like once every 1-2 hours max. What should I do????? I need home remedies before i go get it pulled out.

    • Sorry Kelsey for the late reply. Hope you are doing better and have already seen a dentist. If you haven’t, please do yourself a favor and call our dental office in Fresno, CA. One of our dental professionals can help determine what’s best for you. Our dental office number is: (559) 825-0990.

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