New Surgical Technique Dramatically Reduces Pain After Wisdom Tooth Extraction
An oral and maxillofacial surgeon has developed a novel technique combining partial tooth extraction with immediate root canal therapy, dramatically reducing post-operative pain.
A new surgical technique developed by Dr. Nir Porat, an oral and maxillofacial surgeon, significantly reduces post-operative pain and complications following lower wisdom tooth extractions. Lower wisdom teeth are often positioned dangerously close to the inferior alveolar nerve, which provides sensation to the lower lip and chin. Traditional extractions in such cases carry a risk of permanent nerve damage, leading many practitioners to avoid the procedure or refer patients to hospital centers.
The standard alternative for high-risk cases has been coronectomy—removing only the crown of the tooth while leaving the roots intact near the nerve. However, this method historically caused severe post-operative pain for weeks due to exposed nerve endings in the remaining roots.
Dr. Porat resolved this issue by combining his specialized background in oral surgery with endodontics (root canal therapy). In the new surgical protocol, a dedicated root canal treatment is performed directly on the remaining root during the partial extraction procedure. This neutralizes the exposed nerve endings preemptively, reducing post-operative pain to near-zero levels and eliminating the need for heavy pain medication.
Operating under local anesthesia without the use of nitrous oxide or sedation, Dr. Porat emphasizes that establishing complete trust and ensuring absolute local anesthesia are key to managing patient anxiety. His clinic routinely treats both complex surgical cases and patients with severe dental phobias rooted in past traumatic experiences, aiming to deliver corrective and reassuring medical care.
