Mr Richard Cobb
Specialist Oral & Maxillofacial Surgeon
- Oral Surgery
- Jaw Surgery
- Facial Surgery
- Skin Surgery
Your dentist, doctor or specialist may refer you to an Oral and Maxillofacial Surgeon for the removal of teeth when there is a difficult clinical situation or complex co-existing medical condition. Teeth may be infected, inaccessible or be close to vital structures such as blood vessels or nerves.
Surgical extraction of broken, retained or unrestorable teeth that cannot be managed in a general dental setting. Usually performed under local anaesthesia with intravenous sedation (twilight anaesthesia), or under general anaesthesia where preferred.
IS THIS FOR YOU?
Both surgeons listed below perform this procedure at OMS Specialists. Each carries dual qualifications in medicine and dentistry plus Fellowship from the Royal Australasian or English College.
Specialist Oral & Maxillofacial Surgeon
Specialist Oral & Maxillofacial Surgeon
RECOVERY TIMELINE
0–1 day
Most patients return home the same day. Rest with the head elevated, ice for 20 minutes each hour while awake, soft diet, and prescribed pain medication as needed.
Heavy bleeding not slowed by pressure, fever over 38.5°C, or severe swelling worsening after day 2.
1–7 days
Swelling peaks around day 2–3 then settles. Most patients return to desk-based work within 3 to 5 days. Soft diet continues.
8–28 days
Dissolvable sutures fall away, diet transitions back to normal, and most patients have fully resumed daily activity.
| Phase | Duration | What to expect | Red flags |
|---|---|---|---|
| First 24 hours | 0–1 day | Most patients return home the same day. Rest with the head elevated, ice for 20 minutes each hour while awake, soft diet, and prescribed pain medication as needed. | Heavy bleeding not slowed by pressure, fever over 38.5°C, or severe swelling worsening after day 2. |
| Day 2–7 | 1–7 days | Swelling peaks around day 2–3 then settles. Most patients return to desk-based work within 3 to 5 days. Soft diet continues. | |
| Week 2–4 | 8–28 days | Dissolvable sutures fall away, diet transitions back to normal, and most patients have fully resumed daily activity. |
RISKS & HONESTY
Some bleeding for the first 24 hours is normal; firm pressure with gauze controls it. Patients on blood-thinners are managed in consultation with their prescribing doctor.
Loss of the blood clot from the extraction site, typically around day 3–5, causing sharp pain. Treated with a medicated dressing in clinic.
Infection of the extraction site can occur in the days after surgery. Prescribed mouthwash and any antibiotics should be used as directed.
Where the tooth lies close to nerves, the maxillary sinus or adjacent teeth, careful technique minimises but does not eliminate risk to those structures. CBCT imaging is used pre-operatively when proximity is a concern.
FREQUENTLY ASKED
General dentists routinely manage straightforward extractions and many simpler oral surgical cases in their own rooms. Specialist oral and maxillofacial surgeon involvement is usually recommended when teeth are impacted within the jawbone, fractured at the gum line, or closely related to important structures such as the inferior alveolar nerve (which supplies feeling to the lower lip and chin) or the maxillary sinus, or when intravenous sedation (twilight anaesthesia) or general anaesthesia is preferred.
Most complex surgical extractions are performed under local anaesthesia with intravenous sedation (twilight anaesthesia) in one of our purpose-designed clinic rooms. Local anaesthesia alone is appropriate for simpler cases. General anaesthesia is reserved for multiple complex extractions, longer cases, or for patients who are particularly anxious.
Costs vary with the complexity of the procedure, the anaesthesia chosen, and whether private health insurance covers part of the treatment. At your consultation a full written estimate is provided covering the surgeon fee, anaesthetist fee (if applicable), theatre fee and follow-up appointments. Southern Cross and Nib commonly cover most procedures under their surgical plans.
Most patients return to desk-based work within 3 to 5 days. Soft diet, head elevation and prescribed pain medication are usually advised for the first few days, with swelling and bruising settling across the first week. Physical work and exercise can usually resume around 2 weeks.
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