Evidental / Dentistry in Vancouver

Oral surgery and tooth replacement in Vancouver.

A decision about surgery should include what comes afterwards. We assess whether a tooth can be saved, whether a gap needs replacing and how healing, supporting tissues and the final restoration affect your options.

Understand the diagnosis
Discuss treatment and alternatives
Plan recovery

Where should I start if I have a missing tooth?

An assessment helps establish whether replacement is useful and which options fit the space. We consider implants, bridges and whether monitoring the space is reasonable. The decision includes the condition of neighbouring teeth and your priorities. Before choosing a replacement, assess the space, neighbouring teeth, gum support and intended bite. A missing back tooth and a missing front tooth may create very different functional and aesthetic priorities.

Can a damaged tooth be saved instead of removed?

A damaged tooth may be kept when it can be restored and has suitable supporting tissues. Options can include a repair, root canal treatment and protective coverage. Crack depth, remaining tooth structure and gum support determine whether keeping the tooth is reasonable; an unfavourable fracture may require extraction.

Do impacted wisdom teeth always need surgery?

No. We assess disease and risk as well as symptoms. A painless tooth still needs evaluation, but its presence alone does not settle the decision. The dedicated wisdom-tooth guide explains monitoring and removal. No pain does not guarantee no disease, but an impacted tooth without disease is not an automatic extraction. We assess the neighbouring molar as well as the wisdom tooth and discuss a monitoring plan when appropriate.

Do you refer complex cases?

Where a case would benefit from specialist expertise or a different care setting, we discuss referral. You should understand who will provide each part of treatment and how follow-up will be arranged. Complexity may involve anatomy, medical conditions, the extent of disease or the restoration needed afterwards. If specialist input is appropriate, we will explain what that clinician adds to the plan.

What should I discuss before a procedure?

Planning includes your medical history, medicines, bleeding history, previous reactions and comfort needs. We explain anaesthesia, procedure-specific risks, expected recovery and how to contact the team afterwards. When treatment has several stages, the plan includes the healing milestones before the next step.

Sources and further reading

Research and guidance supporting this page. Study results describe groups of patients and do not predict an individual outcome.

Cochrane: removing or retaining wisdom teeth · Do impacted wisdom teeth always need surgery?

Let’s talk about your options.

Tell us what is on your mind. We will help you arrange a visit at our Fairview clinic.