Pre-Prosthetic Extractions and Surgery

The preparation of your mouth before the placement of a prosthesis is referred to as pre-prosthetic surgery.

Some patients require minor oral surgical procedures before receiving a partial or complete denture in order to ensure the maximum level of comfort. A denture sits on the bone ridge, so it is very important that the bone is the proper shape and size. If a tooth needs to be extracted, the underlying bone might be sharp and uneven. For the best fit of a denture, the bone might need to be smoothed or reshaped. Occasionally, excess bone may need to be removed prior to denture insertion.

One or more of the following procedures might need to be performed in order to prepare your mouth for a denture:

  • Smoothing and reshaping of bone
  • Removal of excess bone
  • Bony ridge reduction
  • Removal or re-contouring of excess gum tissue
  • Lowering of muscle attachments in order to increase ridge height
  • Bone or soft tissue grafting to optimize ridge shape and/or dimensions

In some cases where your jaw ridges are not suitable for a well fitting and functional denture, implants may represent a treatment option by providing anchorage for removable dentures. For more information see the dental implant section of this website or ask your restoring dentist and/or surgeon.

We will review your particular needs with you during your consultation appointment.

Do You Need Pre-Prosthetic Surgery?

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Pre-Prosthetic Extractions

A tooth may be extracted for many reasons. Some teeth are extracted because they are severely decayed, others may have advanced periodontal disease, or may have been broken in a manner in which they cannot be repaired. Other teeth may need removal because they are poorly positioned in the mouth such as wisdom teeth or in preparation for orthodontic treatment.

If the tooth is not fully erupted (impacted), it may be necessary to first remove some of the overlying gum and bone tissue in order to access the tooth. Some teeth must be cut and removed in sections. The extraction site may or may not require one or more stitches to close the incision.

When multiple teeth require extraction, the remaining bone or soft tissue often needs to be shaped to allow for a comfortable fitting prosthesis and to prevent sharp bony ledges from developing, this procedure is called an alveoloplasty.

Tooth extraction can be performed with local anesthesia, nitrous oxide (laughing gas) or I.V. sedation.

Virginia Oral & Facial Surgery

5 out of 5 stars based on 38 Extraction reviews.

Patient Testimonial

Dr. Omar Watson is a doctor who goes above and beyond! He is the most thorough, caring, professional and knowledgeable doctor that my husband and I have ever had the good fortune of going to. My husband had a root canal in December and in February it became infected to the point that it could have been life threatening very quickly. The tooth needed to be extracted asap. It was 4:00 in the afternoon and the Endodontist who had done the root canal needed us to go and have it extracted immediately, not his job. First they called our dentist, who was located just across the street, and they could not fit us in for 2 days. We have gone to them frequently for years, waiting was not an option. Unacceptable. The Endodontist had 2 of his office workers making calls to quite a few Oral Surgeons to try and get us in immediately. Watson was the only one who was willing to see my husband, knowing the severity of the situation. He knew that this would go beyond his closing time but he would take on this challenge. After all, he was a good 25 minutes from the Endodontist and it was already 4:10. By his side, Alexis, was willing to stay and assist. Wow, two people so dedicated to help someone in dire need was truly a blessing. Once we got there, they started setting up for surgery. IV being prepared for antibiotics for infection... He was so reassuring and competent, I quickly realized that we were in good hands. Check out his bio, very impressive. As we discussed the procedure, he learned that my husband had radiation on that side of his mouth years ago. Because of that the amount and strength of the radiation was a big concern. We could provide little information about the radiation dosage as it was years ago. He explained that he could extract the tooth, give him antibiotics...but this would be risky since his x-rays showed quite a bit of bone loss in the last 2 months. He was so honest explaining how going to VCU where my husband had received his radiation and they knew the history of his radiation was the best option. It was too late in the day for Dr. Watson to obtain this information from VCU and time was working against us. He said that at VCU it could be a turn key operation and explained some treatment that VCU could provide in order to address the bone loss. OMG, he was so right. He was not trying to move us on, believe me. It was because of this true concern and understanding of the danger my husband was in that he recommended VCU. Dr. Watson did stay beyond his normal hours (6:00) did not hurry us and was so through. We went to VCU ER, my husband was admitted to the hospital to get his infection under control. He had to stay overnight. It was pretty serious. The next morning VCU arranged for us to go to their dental clinic where they extracted the tooth. By the way, before leaving his office, Dr. Watson called VCU to talk to someone there to help facilitate our arrival and treatment making it a quicker and smoother process. He even wrote a note explaining his observations and recommendations for the receiving doctor. His connections really helped. God bless him. While there, the next day, he called to check on us. Additionally, he spoke with the VCU team working with us to discuss our treatment. This is a true DOCTOR who is in the right occupation! His concern for our understanding, ability to communicate with us, compassion for his patients, passion for his job are to be commended, His fabulous staff, especially Alexis, is a reflection of his desire to offer his patients only the best and most caring care. Dr. Watson is truly a stellar doctor. I highly recommend him. I only wish that he was a primary care doctor as well as I am always looking for a good one:) DR. WATSON IS A TRUE GODSEND!

- John H

5 out of 5 stars on

Patient Testimonial

Today I had two extractions performed by Dr. Gardner. He did an excellent job from start to finish. When I had my consultation last week he was very caring and took the time to talk with me about the extractions and my health issues(Cancer) with pre and post care. Today I experienced his wonderful bedside manners. Told me what was happening and asked how I was doing during the procedure. His staff both front desk and surgical assistants were very kind and professional. Great experience all around. Would recommend Dr. Gardner to family and friends

- Jackie G

5 out of 5 stars on

Patient Testimonial

Dr. Phelps went above and beyond his duty. Great beside manner . I had Three Extractions without any pain or adverse reactions or complications. Great with IV's as well. I would Highly recommend him to all . I would Give 10 stars if I could . Thanks Dr. Phelps for a job well done...

- Arlene H

5 out of 5 stars on

Patient Testimonial

Dr.Dymon I really loved his bed side manor .he was so reassuring and he knew I was nervous.he took the lead and made me feel better.thx to him and his team.I have made new friends.love you guys and thank you for working me in.truly a blessing.your the best..100%.

- Dorine Y

5 out of 5 stars on

Patient Testimonial

DR. HERRERA MADE SURE THAT I WAS NOT EXPERIENCING ANY PAIN FROM START TO FINISH. HE DID AN OUTSTANDING JOB COMPLETING A VERY DIFFICULT EXTRACTION THAT COULD NOT BE SUCCESSFULLY COMPLETED BY MY DENTIST. TOTALLY PROFESSIONAL, POLITE AND CONCERNED.

- STEVEN E

5 out of 5 stars on

Patient Testimonial

Dr. Herrera performed a delicate extraction under a bridge with excellent results. He was very caring and made the procedure as easy as possible. The recovery was simple. The whole staff was very helpful and made the visit go smoothly. The view from his operating area was calming and relaxing.

- Kathleen G

5 out of 5 stars on

Patient Testimonial

Just today I had to see Dr. Dymon for a procedure. My first visit with him at this practice was last year. Let me say this Dr. Dymon and his staff are absolutely superb. Everything is explained very well. They take their time with you ensuring you are fully aware of what is going on. The doctor and the staff at the Short Pump location makes you feel like part of the family. Dr. Dymon is a genius. He was very honest with me and doesn’t try to talk you into procedures that aren’t necessary and possibly expensive. I love Dr. Dymon and his staff. Yes, will continue to use this doctor and this practice!!!!!

- Maggie R

5 out of 5 stars on

Patient Testimonial

Dr. Wlodawsky showed compassion and immediately asked about my pain; it was my first visit and was treated with family-like care. I will definitely refer to friends and others

- Gladys H

5 out of 5 stars on

Patient Testimonial

Doctor Herrara was awesome with my child and his assistant as well! Friendly and assured my son was well taken care of thank you all!

- SherieH

5 out of 5 stars on

Patient Testimonial

I had another dentist fail at extracting my root after the crown broke. They scheduled me to go to Dr Phelps the same day. I had never meet anyone at the practice before, but I’m glad I have now. Dr Phelps and the staff went above and beyond to help me, and successfully, painlessly, removes my root and pain. Thank you Dr Phelps and your team!

- Daniel H

5 out of 5 stars on

Patient Testimonial

I would highly recommend Dr. Wheeler for any procedure. He is easy to talk to and explains everything so completely. I knew exactly what to expect with my procedures. I had little to no pain after two extractions and a bone graft! His staff is amazing which added to an already excellent experience.

- Susan P

5 out of 5 stars on

Patient Testimonial

Excellent, professional, skillful, and caring; describes the experience at the monument avenue office from scheduling an appointment, to the procedure and follow-up. Thank you so very much Dr. Harris and staff

- kevan v

5 out of 5 stars on

Patient Testimonial

I was referred by my dentist to VA Oral & Facial Surgery and I was very nervous‼ The wonderful Staff, Assistant's and Dr. Bryan Wheeler made me feel hopeful and confident about my upcoming procedure with ease. My procedure went very well and Dr. Wheeler and his Assistant helped me through it all‼ I am so grateful for all of the assistance and care I received. Happy Holidays

- Marie W

5 out of 5 stars on

Patient Testimonial

I can not say enough great things about Dr. Sean Pack and his team! This doctor and his amazing staff are top notch and go above and beyond in every aspect. Having a dental emergency and needing a tooth extracted, Dr. Pack talked to me about what would be done to get me out of pain. He not only spoke to me about my concerns and minor setbacks I had but he listened... he cares about his patients. This kind of concern and caring demeanor cannot be faked. He genuinely cares and his very knowledgeable in all areas of his profession. Dr. Pack and his staff were prompt in returning calls and getting me an appointment in more than a timely manner. I HIGHLY recommend Dr. Pack to anyone that has oral surgery needs.

- Jennifer A

5 out of 5 stars on

Patient Testimonial

Dr. Bryan Wheeler extracted my tooth with no pain at all! He was attentive to my anxiety and eased it quickly. He explained everything very clearly. I am 68 years old, and I would highly recommend Dr. Wheeler to anyone.

- Judith F

5 out of 5 stars on

Patient Testimonial

Dr. Wheeler is a young quality skilled doctor who did me a great favor. I was lucky get him,and the practice is lucky to have picked him. The personal phone call later that evening ,asking about my pain and comfort, was an example of how nice this Doctor is. Bright future !

- Leonard W

5 out of 5 stars on

Patient Testimonial

Dr. Kenney removed ten of my teeth and I kept waiting for the pain to start and I had none! While I obviously can't guarantee this for everyone,other doctors have told me no pain was directly the result of the skill of the oral surgeon. Thank you Dr. KENNEY

- Mark H

5 out of 5 stars on

Patient Testimonial

I am having all teeth removed and i found your sight and info to be highly informative ...knowing the after care ahead of time helped put me at ease...thank all for great in put. God bless..faith d.

- Faith D

5 out of 5 stars on

Patient Testimonial

MY EXPERIENCE WAS EXCELLENT! No side effects from the anesthesia and no discomfort from the procedure

- CAROLYN R

5 out of 5 stars on

Patient Testimonial

Coming in today to an emergency last minute appointment from an already started procedure with my dentist i was nervous and in a lot of pain. The front staff accommodated me and helped me fill out my paperwork quickly and effectively. When I went back with the nurse ( I wish i could remember her name) she was so sweet amd gentle with everything she did with me. We met with Dr. Wlodawsky aho immedoately made me comfortable went over what was going to happen and eberything worked out. The team was able to squeeze me in last minute to get the tooth removed and in a matter of a few short hours from my arrival i was on my way home pain free and so happy with the service i had received!

- Kristina J

5 out of 5 stars on