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Dr. Binyahya Dental Clinic
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Wisdom tooth & surgical extraction in Dhahran

Simple and surgical tooth extraction. Surgical and impacted-tooth extractions are carried out by oral and dental surgeon Dr. Ziyad Abdulkarim, with laughing-gas sedation available when the dentist judges it suitable.

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~20years’ experience: Dr. Ziyad Abdulkarim
A white molar model beside a dental extraction elevator on a folded navy surgical cloth

In short

Surgical extraction removes a tooth that cannot be taken out in the usual way, such as an impacted wisdom tooth or a tooth broken at the gum line. Dr. Binyahya Dental Clinic in Hajer, Dhahran, provides simple and surgical extractions; surgical extractions are carried out by Dr. Ziyad Abdulkarim, an oral and dental surgeon with about 20 years’ experience. They are planned on in-clinic digital panoramic X-rays and done under local anaesthetic, with nitrous-oxide (laughing-gas) sedation when the dentist judges it suitable.

Dentistry aims to keep the natural tooth, so a tooth is extracted only when it cannot be treated with a filling, root canal treatment or a crown, or when keeping it would do more harm than removing it. The decision to extract is made after an examination, with an X-ray where needed.

There are two kinds of extraction. A simple extraction is for a tooth visible above the gum: the area is numbed, and the tooth is gently loosened with dedicated instruments and lifted out, with no incision. A surgical extraction is for a tooth that is fully or partly impacted under the gum or in the bone, broken off at the gum line, or has curved roots. The dentist makes a small opening in the gum, may remove a little bone or divide the tooth into sections so it comes out with less pressure on the surrounding tissue, then closes the site with stitches if needed.

Wisdom teeth are the last molars to come through, and they often lack the room to erupt properly, staying buried or coming in at an angle, which can mean pain, repeated gum infections around the tooth, or decay in the molar next door. Not every wisdom tooth has to come out: a healthy one that has erupted straight and is easy to clean may simply be monitored. Impacted teeth are removed by Dr. Ziyad Abdulkarim, an oral and dental surgeon with about 20 years of experience whose work also covers implant surgery and laser gum surgery. Nitrous-oxide (laughing-gas) sedation is available alongside the local anaesthetic; the dentist decides on its use according to the patient’s health and level of anxiety.

The type of extraction is not decided by how severe the pain is. A painful tooth may come out with a simple extraction in a few minutes, while a tooth that causes no symptoms at all may need a surgical extraction because its roots are curved or close to the nerve. Planning therefore starts with an examination and a digital panoramic X-ray taken in the clinic; the dentist then decides whether the extraction is simple or surgical, and explains to the patient what to expect during and after it.

A treatment chair beside the nitrous-oxide (laughing gas) sedation unit
A treatment chair beside the nitrous-oxide (laughing gas) sedation unit

Surgical extraction

Treatment at the clinic

Surgical and impacted-tooth extraction

Surgical and impacted-tooth extractions are performed by Dr. Ziyad Abdulkarim, an oral and dental surgeon with about 20 years of experience whose work also covers implant surgery, fixed prosthetics and laser gum surgery.

Panoramic X-ray before extraction

A panoramic X-ray shows where an impacted tooth sits, the shape of its roots and how it relates to the nerve and the neighbouring teeth, so the dentist plans the extraction before it begins. The unit is in the clinic, so the image is taken at the same visit.

Nitrous-oxide (laughing-gas) sedation

Nitrous-oxide sedation is available alongside local anaesthesia. It helps the patient relax while staying awake, and the dentist decides after an examination whether it is suitable, according to the patient’s health and level of anxiety.

Replacing the tooth after extraction

If the extracted tooth needs replacing, immediate implants are available at the clinic, and Dr. Ziyad Abdulkarim has supervised more than 1,000 implant surgeries. He decides after an examination whether an implant placed right after extraction suits the case.

Dedicated sterilization room

Instruments are prepared and sterilized in a dedicated sterilization room inside the clinic before they reach the treatment room, because sterilization is fundamental to any surgical procedure in the mouth.

Laser for gum work around an extraction

The clinic has a dental laser that the dentist uses for gum and soft-tissue work around an extraction, such as preparing the gum around a tooth broken at the gum line, and decides after an examination whether it applies.

When is this treatment advised?

  • An impacted or partly erupted wisdom tooth causing pain, swelling or repeated infections of the gum around it.
  • A wisdom tooth growing at an angle that presses on the neighbouring molar or is hard to clean, causing decay or gum problems.
  • A tooth so decayed or broken that it cannot be restored with a filling or crown, or saved with root canal treatment.
  • A tooth broken below the gum line, or roots left behind after a tooth has fractured.
  • A tooth that is very loose because of advanced gum disease and loss of the bone supporting it.
  • Recurring infection or an abscess around a tooth that the dentist judges can no longer be treated conservatively.
  • Other impacted or extra teeth, when the dentist decides that removing them is the right option.
  • Making space as part of a treatment plan drawn up by an orthodontist, or a baby tooth that has not fallen out and is blocking the adult tooth.

Treatment steps

  1. 1

    Examination and X-ray

    The dentist examines the tooth and the gum around it and, where needed, takes a digital panoramic X-ray in the clinic to see the tooth’s position, the shape of its roots and how close it is to the nerve and nearby structures.

  2. 2

    Health history and medicines

    The dentist explains whether the extraction will be simple or surgical and what to expect during and after it. Tell the dentist about your medicines and your health, such as blood thinners, diabetes or pregnancy, because they can change the timing of the extraction or the precautions taken, and ask about laughing-gas sedation if you would like it.

  3. 3

    Local anaesthesia

    The area is numbed with a local anaesthetic, and the dentist checks it has taken effect before starting; laughing-gas sedation can be added if the dentist judges it suitable. You may feel pressure or pushing during the extraction, which is expected; if anything hurts, say so and more anaesthetic can be given.

  4. 4

    Removing the tooth

    In a simple extraction the tooth is gently loosened with dedicated instruments and lifted out. In a surgical extraction the dentist makes a small opening in the gum and may remove a little bone or divide the tooth into sections, so it comes out with less pressure on the surrounding tissue.

  5. 5

    Closing the socket

    The socket is cleaned and closed with stitches if needed, then the patient bites on gauze for a while so the bleeding settles and a protective clot forms.

  6. 6

    Aftercare instructions

    The dentist goes through the aftercare instructions, prescribes whatever medication the case needs, and books a review or stitch removal if required. If the tooth should be replaced, the dentist discusses options such as an implant, a bridge or a denture.

Who performs this treatment

Illustrative placeholder photo — Dr. Ziyad AbdulkarimDr. Ziyad AbdulkarimOral & dental surgeonYears of experience: About 20 yearsView profile

Aftercare instructions

  • Bite firmly on the gauze for about 30–45 minutes to help the bleeding stop. A little blood mixed with saliva on the day of the extraction is common.
  • For the first 24 hours, do not rinse hard, spit or drink through a straw, so the clot protecting the socket stays in place.
  • Avoid smoking and shisha for the first few days if you can: both slow healing and raise the risk of a painful dry socket.
  • Hold a cold pack on your cheek, on and off, on the day of the extraction to limit swelling, and sleep with your head slightly raised the first night, as that also limits swelling.
  • Once the numbness wears off, eat soft, lukewarm or cool food such as yoghurt, lukewarm soup or mashed potatoes, chew on the other side, and skip very hot, crunchy or spicy food for the first two or three days so the site is not irritated.
  • After 24 hours, rinse gently with warm salt water after meals to keep the socket clean, and keep brushing your other teeth carefully, avoiding the extraction site.
  • Take painkillers and any other medicines as your dentist directs, and do not take antibiotics without a prescription, as they are not needed in every case.
  • Contact the clinic on 0538588580 if bleeding stays heavy, if pain or swelling gets worse after the third day instead of easing, or if you develop a fever or a bad taste or smell. If you have difficulty breathing or swallowing, seek urgent medical care straight away.

Frequently asked questions

Are impacted (buried) wisdom teeth removed at the clinic?

Yes. Impacted teeth, buried wisdom teeth included, are removed by Dr. Ziyad Abdulkarim, an oral and dental surgeon with about 20 years of experience. It starts with an examination and a digital panoramic X-ray taken here to locate the tooth, the shape of its roots and how close it sits to the nerve. The dentist then explains the plan and what to expect afterwards, and laughing-gas sedation is available when the dentist judges it suitable.

What is the difference between a simple and a surgical extraction?

A simple extraction lifts out a tooth visible above the gum without any incision; a surgical extraction, for a tooth that is impacted, broken at the gum line or has complex roots, needs a small opening in the gum. The dentist may remove a little bone or divide the tooth into sections, then close the site with stitches if needed. The clinic provides both, and which one is needed is decided from the examination and the X-ray rather than from how much the tooth hurts.

Is wisdom tooth removal painful?

Wisdom tooth removal is done under local anaesthesia, so many patients feel pressure or pushing rather than pain during it, and if you do feel pain, tell the dentist so more anaesthetic can be given. Nitrous-oxide (laughing-gas) sedation is available, when the dentist judges it suitable, to make the session calmer. Once the numbness wears off, some pain and swelling are normal; this varies from person to person and usually eases within a few days with the painkillers and instructions the dentist gives.

When should a wisdom tooth be removed, and is it always necessary?

Removal is usually advised when a wisdom tooth causes pain, repeated gum infections or decay in itself or the neighbouring molar, or is impacted in a position that harms nearby teeth, and the dentist judges that after an examination and a panoramic X-ray. A healthy wisdom tooth is not removed simply because it is there: one that has come in straight and is easy to clean can be monitored at routine check-ups.

How long does pain last after a surgical extraction, and how many days off will I need?

Pain and swelling after a surgical extraction usually peak within the first two to three days and then ease gradually over about a week, although the gum can take a few weeks to heal fully. Many people are back at a desk job within one to three days, but this depends on how involved the extraction was and on the kind of work. The treating dentist advises how much rest the case needs, based on the surgery itself and on how healing is going.

When can I eat after wisdom tooth removal, and what can I eat?

Eating is fine once the numbness wears off, which usually takes a few hours, as long as the food is soft and lukewarm or cool. Good options include yoghurt, lukewarm soup, mashed potatoes, scrambled eggs and juice without a straw, since the suction of a straw can dislodge the clot. For the first two or three days avoid very hot, spicy or crunchy food such as nuts, chew on the other side, and return to a normal diet gradually as the site heals.

Does a surgical extraction need stitches or antibiotics?

A surgical extraction often needs stitches to close the gum. Antibiotics are not given to every patient: Dr. Ziyad Abdulkarim decides whether they are needed after assessing the extraction and the patient’s health. Stitches may be the self-dissolving kind or removed at a review visit after about a week. If an antibiotic is prescribed, finish the course as directed, because stopping early can allow the infection to return.

When does the bleeding stop after an extraction, and when can I rinse?

Bleeding usually settles within 30–45 minutes of biting on gauze, a little oozing mixed with saliva can continue until the end of the day, and gentle rinsing can start after 24 hours. If bleeding continues, place clean gauze over the site and bite on it for another 30 minutes. After 24 hours, rinse gently with warm salt water after meals without swishing hard, so the clot is not dislodged, and avoid spitting and straws. If bleeding stays heavy, contact the clinic on 0538588580.

Can a wisdom tooth be removed during pregnancy, or when it is close to the nerve?

Often yes, but the dentist decides after an examination. During pregnancy, removing a wisdom tooth that is not causing problems is usually postponed until after delivery; one causing pain or infection can be treated, ideally in the second trimester, with precautions around X-rays and medicines, so tell the dentist about the pregnancy from the start. If the tooth sits close to the nerve, Dr. Ziyad Abdulkarim studies that relationship on the digital panoramic X-ray and may request additional imaging before settling on the approach.

How much does wisdom tooth removal cost, and is it covered by insurance?

The cost is set after an examination; contact us on 0538588580. It depends on whether the extraction is simple or surgical, where the tooth sits, how deeply it is impacted and what the X-ray shows. For insurance enquiries, reach the clinic on the same number by phone or WhatsApp.

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