Business Profile and Homepage: Dental Surgery
Collins Street Specialist Centre – Dental Surgery
Collins Street Specialist Centre is a specialist dental practice in Melbourne focused on oral surgical care, patient comfort, and evidence-based treatment. Whether you need a straightforward extraction or a more involved procedure, the team brings together highly trained dental specialists to guide you through every stage of your care.
Dental surgery covers a wide range of procedures performed to diagnose, treat, and restore oral health. From tooth extractions and dental implants to jaw surgery and oral disease management, these interventions play a critical role in maintaining both function and quality of life — and knowing what to expect makes a real difference to your experience.
What is dental surgery?
Dental surgery refers to any surgical procedure performed in or around the mouth, teeth, gums, or jaw. These procedures may be carried out by a general dentist or, for complex cases, by a specialist such as an oral and maxillofacial surgeon, periodontist, or prosthodontist. All specialists at Collins Street Specialist Centre hold advanced postgraduate qualifications and are registered with the Australian Health Practitioner Regulation Agency (AHPRA). Patients can verify specialist registration through the AHPRA public register.
Common reasons patients require dental surgery include:
- Severe tooth decay or damage beyond repair
- Impacted wisdom teeth
- Tooth loss requiring implant placement
- Advanced gum disease
- Jaw misalignment or temporomandibular joint (TMJ) disorders
- Oral infections, cysts, or tumours
- Preparation for orthodontic treatment
- Bone loss requiring grafting
Dental surgery is not a single procedure but a broad category of treatments, each with its own indications, techniques, recovery timeline, and aftercare requirements. What follows is a detailed overview of the most common procedures, what each involves, and what patients can reasonably expect.
Types of dental surgery
Tooth extractions
Tooth extraction is one of the most frequently performed dental surgical procedures. It involves removing a tooth from its socket in the jawbone. Extractions may be straightforward — performed on fully visible teeth under local anaesthetic — or surgical, which is required when a tooth is broken below the gum line, impacted, or otherwise difficult to access.
A simple extraction is typically performed when a tooth is fully erupted and can be loosened and removed with dental instruments without incisions. Most patients find this well-tolerated with effective local anaesthesia.
A surgical extraction involves making an incision in the gum tissue, and sometimes removing a small amount of bone around the tooth or dividing the tooth into sections before removal. This approach is most commonly required for impacted wisdom teeth and is routinely performed by oral and maxillofacial surgeons experienced in managing complex cases.
Wisdom tooth removal
Wisdom teeth, or third molars, are the last teeth to develop and often emerge between the ages of 17 and 25. Many people don't have sufficient jaw space to accommodate them, leading to impaction — where the teeth become trapped beneath the gum line or grow at an angle that prevents normal eruption.
Impacted wisdom teeth can cause:
- Pain and swelling around the jaw
- Infection or abscess
- Damage to adjacent teeth
- Cysts or other pathological changes
- Crowding of existing teeth
Removal of impacted wisdom teeth is one of the most frequently performed oral surgical procedures. Depending on complexity, the procedure may be carried out under local anaesthetic, sedation, or general anaesthetic. Your specialist will discuss the most appropriate option during the pre-operative consultation.
Dental implants
Dental implants are titanium posts surgically inserted into the jawbone to function as artificial tooth roots. Once integrated with the surrounding bone through a biological process called osseointegration, implants provide a stable foundation for crowns, bridges, or dentures.
The implant process typically involves several stages:
- Initial consultation and imaging — Assessment of bone density and oral health using dental X-rays or cone beam CT scans, allowing precise surgical planning
- Implant placement — Surgical insertion of the titanium post into the jawbone under local anaesthetic or sedation
- Healing period — Several weeks to months for osseointegration to occur
- Abutment placement — Attachment of a connector piece to the implant in preparation for the final restoration
- Crown or prosthesis fitting — Placement of the definitive restoration, restoring both aesthetics and function
Dental implants are a well-established, long-term solution for tooth loss. With appropriate care and maintenance, they can last many years — in many cases, a lifetime. They preserve jawbone structure, prevent adjacent teeth from drifting, and restore natural chewing function and appearance in a way that closely replicates natural dentition.
Bone grafting
Bone grafting is often a necessary prerequisite for dental implant placement in patients who have experienced significant bone loss due to tooth extraction, periodontal disease, or trauma. The procedure involves transplanting bone tissue — sourced from the patient's own body, a donor bank, or a synthetic substitute — to rebuild the jawbone and create an adequate foundation for implant placement.
Types of bone grafts used in dentistry include:
- Autografts — Bone harvested from the patient's own body (for example, from the chin or hip), offering excellent biological compatibility
- Allografts — Bone sourced from a human donor bank, processed and sterilised for safe clinical use
- Xenografts — Bone derived from animal sources, most commonly bovine, with a well-documented record in dental applications
- Alloplasts — Synthetic or biocompatible bone substitutes that serve as a scaffold for new bone formation
In each case, the grafted material supports new bone growth and is gradually replaced by the patient's own bone tissue over time. Your specialist will recommend the most appropriate graft material based on your clinical requirements.
Periodontal surgery
Periodontal surgery is performed when non-surgical treatments such as scaling and root planing have been insufficient to control advanced gum disease (periodontitis). Surgical intervention aims to reduce pocket depth, remove diseased tissue, and re-establish a healthy environment for the teeth and their supporting structures.
Common periodontal surgical procedures include:
- Flap surgery (pocket reduction surgery) — The gum tissue is carefully folded back to allow thorough cleaning of the tooth roots and underlying bone, reducing the bacterial load driving ongoing disease
- Bone surgery — Reshaping of the alveolar bone to eliminate irregular contours and craters where bacteria tend to accumulate
- Soft tissue grafts — Tissue harvested from the palate or obtained from a donor source to cover exposed root surfaces or augment areas of thin or receded gum tissue
- Guided tissue regeneration — A specialised membrane positioned between the bone and gum tissue to encourage selective regrowth of the supporting periodontal structures
- Crown lengthening — Removal of gum tissue and, where necessary, a small amount of supporting bone to expose more of the tooth surface; often performed in preparation for restorative work or to address a gummy smile
Jaw surgery (orthognathic surgery)
Orthognathic surgery — jaw surgery — corrects skeletal irregularities of the jaw and realigns the jaws and teeth to improve both function and facial harmony. It is typically planned and carried out in close collaboration with an orthodontist.
Jaw surgery may be recommended for patients experiencing:
- Difficulty chewing, biting, or swallowing
- Chronic jaw pain or temporomandibular joint dysfunction
- Open bite, overbite, underbite, or crossbite that cannot be adequately corrected with orthodontic treatment alone
- Facial asymmetry affecting appearance or function
- Obstructive sleep apnoea related to jaw position
- Congenital conditions affecting jaw development
The procedure is performed under general anaesthetic by an oral and maxillofacial surgeon, typically in a hospital setting. Recovery may take several weeks, during which patients follow a modified diet and attend regular follow-up appointments to monitor progress. The functional and aesthetic results are generally significant and long-lasting.
Treatment of oral pathology
Oral and maxillofacial surgeons are trained to diagnose and manage a broad range of pathological conditions affecting the mouth, jaws, and face. These may include:
- Oral cancer — Surgical removal of tumours, often in combination with radiation therapy or chemotherapy as part of a multidisciplinary oncology team
- Cysts and benign tumours — Surgical excision to prevent progressive expansion and damage to surrounding structures, including adjacent teeth and bone
- Osteonecrosis — Management of bone death, which may occur in association with certain medications such as bisphosphonates or antiangiogenic agents
- Salivary gland disorders — Removal of obstructive stones or diseased gland tissue affecting salivary flow and comfort
- Facial trauma — Surgical repair of fractures to the jaw, cheekbones, or orbital bones following injury
Early detection and timely treatment of oral pathology are essential to achieving the best possible outcomes. Patients who notice an unusual lump, ulcer, or change in the oral tissues that persists beyond two to three weeks should seek assessment without delay.
Cleft lip and palate repair
Cleft lip and palate are congenital conditions in which the lip or the roof of the mouth fails to fuse correctly during foetal development. Surgical repair is typically initiated in infancy and may require a series of staged procedures throughout childhood and into adolescence to optimise both function and appearance over time.
A coordinated, multidisciplinary team — oral and maxillofacial surgeons, orthodontists, speech therapists, paediatricians, and other relevant specialists — is essential for comprehensive management of these conditions across all developmental stages.
Preparing for dental surgery
Preparation varies depending on the type and complexity of the procedure. The following provides a general overview of what patients can expect during the pre-operative phase.
Medical history and assessment
Before any surgical procedure, a thorough medical history is taken to identify factors that may influence surgical planning or the choice of anaesthesia. Patients should disclose:
- All current medications, including blood thinners, anti-inflammatory drugs, and complementary supplements
- Known allergies, particularly to anaesthetic agents or antibiotics
- Pre-existing medical conditions such as diabetes, cardiovascular disease, or bleeding disorders
- Any previous adverse reactions to anaesthesia or surgical procedures
- Smoking history and alcohol use, both of which can affect healing
This information allows your specialist to plan your care safely and to liaise with your medical practitioner where appropriate.
Pre-operative instructions
Depending on the procedure and type of anaesthesia planned, patients will receive specific pre-operative instructions. These may include:
- Fasting for a specified period before surgery if sedation or general anaesthetic is to be used
- Ceasing certain medications prior to surgery, as directed by the treating surgeon
- Arranging for a responsible adult to accompany you home following the procedure
- Preparing for post-operative dietary and activity restrictions
Follow these instructions carefully — they are designed to support your safety and recovery.
Imaging and diagnostics
Dental X-rays, panoramic radiographs, or cone beam CT scans are routinely used to assess the surgical site, evaluate bone structure, and plan the procedure with appropriate precision. In some cases, additional investigations — such as blood tests or medical clearance from a physician — may be requested prior to surgery.
Anaesthesia options in dental surgery
Dental surgical procedures may be performed under various levels of anaesthesia, selected based on procedure complexity, patient anxiety, and individual medical history:
- Local anaesthesia — Injection of an anaesthetic agent to numb a specific area; the patient remains fully conscious throughout
- Oral sedation — A sedative medication taken by mouth to reduce anxiety; the patient remains awake but relaxed and less aware of the procedure
- Intravenous (IV) sedation — Sedative agents administered through a vein; the patient is deeply relaxed and typically has limited or no memory of the procedure
- General anaesthesia — The patient is fully unconscious; generally reserved for complex or lengthy procedures, or when IV sedation alone is not appropriate
The most suitable option will be discussed during the pre-operative consultation and tailored to each patient's clinical needs and personal preferences.
Recovery after dental surgery
Recovery time and post-operative care requirements depend on the nature and extent of the procedure.
Immediate post-operative period
- Rest for the remainder of the day following surgery
- Apply ice packs to the face to help reduce swelling (20 minutes on, 20 minutes off)
- Bite firmly on gauze pads to assist with bleeding control; replace as directed by your surgeon
- Avoid rinsing, spitting forcefully, or using straws for the first 24 hours, as these actions can dislodge the blood clot essential to normal healing
Pain and swelling management
- Take prescribed or recommended pain relief medications as directed; don't wait until pain becomes severe before taking your first dose
- Swelling typically peaks at 48–72 hours after surgery and gradually subsides over the following week
- Bruising may develop around the surgical site and surrounding tissues; this is a normal part of the healing process
Diet and nutrition
- Consume soft foods and liquids in the days immediately following surgery
- Avoid hard, crunchy, or chewy foods that may disturb the surgical site or dislodge sutures
- Maintain adequate fluid intake to support healing
- Gradually reintroduce normal foods as healing progresses and comfort allows, following your surgeon's guidance
Oral hygiene
- Resume gentle tooth brushing the day after surgery, taking care to avoid the surgical site initially
- Begin gentle warm salt water rinses approximately 24 hours after surgery to help keep the area clean and reduce infection risk
- Avoid commercial mouthwashes containing alcohol unless specifically directed otherwise by your specialist
Follow-up appointments
Attend all scheduled follow-up appointments to allow your surgeon to monitor healing, remove sutures where necessary, and address any questions or concerns. Contact the practice promptly if you experience unexpected symptoms such as severe or worsening pain, excessive or persistent bleeding, fever, or signs of infection including increasing redness, swelling, or discharge.
Potential risks and complications
As with any surgical procedure, dental surgery carries certain risks. While complications are uncommon when procedures are performed by appropriately qualified specialists, patients should have a clear understanding of the potential issues relevant to their care:
- Infection — Generally manageable with antibiotics when identified early; good oral hygiene and adherence to post-operative instructions significantly reduce this risk
- Dry socket (alveolar osteitis) — Occurs when the blood clot at an extraction site is dislodged or dissolves prematurely, exposing the underlying bone and causing notable discomfort; more common in smokers
- Nerve injury — Temporary or, in rare cases, permanent altered sensation or numbness in the lips, chin, or tongue; the risk is discussed in detail during the consent process for relevant procedures
- Excessive bleeding — A more significant consideration in patients with known bleeding disorders or those taking anticoagulant medications; pre-operative assessment helps identify and manage this risk
- Adverse reaction to anaesthesia — Uncommon but possible; thorough pre-operative assessment and disclosure of medical history minimise this risk considerably
- Implant failure — May occur if osseointegration does not proceed as expected, most commonly in association with infection, smoking, or insufficient bone density
- Sinus complications — A relevant consideration for implant placement in the upper jaw or extractions in close proximity to the maxillary sinuses
Your specialist will discuss the specific risks applicable to your procedure during the informed consent process and will take every reasonable precaution to minimise them. Ask questions, and make sure you feel confident that you understand the benefits and risks before proceeding.
When to seek specialist care
While many routine dental procedures are appropriately performed by general dentists, certain conditions warrant referral to a specialist with advanced training in oral surgery. You may benefit from specialist dental surgical care if you:
- Have been advised that a tooth extraction is complex or surgical in nature
- Require removal of impacted wisdom teeth
- Are considering dental implants, particularly if you have experienced bone loss or have a complex medical history
- Have been diagnosed with gum disease that has not responded adequately to non-surgical treatment
- Present with an oral lesion, lump, or abnormality requiring biopsy or further investigation
- Have a jaw discrepancy affecting your bite, chewing function, or facial appearance
- Have a medical history that makes standard dental treatment more complex or higher risk
Referring practitioners are welcome to contact Collins Street Specialist Centre directly to discuss cases prior to formal referral. All specialists hold current AHPRA registration, verifiable through the AHPRA public register.
The role of the multidisciplinary team
Many dental surgical conditions are best managed through a coordinated approach that brings together the relevant expertise of several practitioners. At Collins Street Specialist Centre, specialists collaborate closely with referring general dentists, orthodontists, prosthodontists, and other medical specialists to develop integrated treatment plans tailored to each patient's clinical circumstances and personal goals.
This collaborative model ensures that all aspects of a patient's oral and overall health are considered — from initial diagnosis through to long-term maintenance and review. Clear, timely communication between the specialist team and the referring practitioner is central to the care provided at Collins Street Specialist Centre, and referring clinicians can expect detailed correspondence at each significant stage of their patient's treatment.
Frequently asked questions about dental surgery
How long does dental surgery take?
Procedure duration varies considerably depending on complexity. A straightforward extraction may take as little as 20–30 minutes, while implant placement, jaw surgery, or complex reconstructive procedures may require several hours. Your specialist will give you a realistic estimate during your consultation.
Will I be in pain during the procedure?
Effective anaesthesia ensures that patients don't experience pain during the procedure itself. Some awareness of pressure or vibration is normal and expected, but sharp pain should not occur. If you feel discomfort at any point, tell your surgeon immediately so that additional anaesthetic can be administered.
How long is the recovery period?
Recovery time depends on the type and extent of surgery. Minor procedures such as simple extractions may involve only a few days of mild discomfort and limited disruption to daily activities, while more extensive surgeries such as jaw surgery or multiple implant placements may require several weeks of recovery and a graduated return to normal function.
Is dental surgery covered by health insurance?
Coverage varies depending on your health fund and the level of cover you hold. Contact your insurer prior to treatment to understand what benefits may apply to your specific procedure. In some cases, Medicare may contribute to the cost of certain oral surgical procedures performed in a hospital setting. The practice team can assist with fee queries and provide documentation to support your health fund claim.
Can I drive home after dental surgery?
If you have received IV sedation or general anaesthetic, you must not drive for at least 24 hours following the procedure, and you will need a responsible adult to accompany you home and remain with you for the initial recovery period. If only local anaesthetic was used, driving restrictions may not apply — but confirm this with your surgeon beforehand, as individual circumstances vary.
What should I eat after dental surgery?
A soft food diet is recommended in the immediate post-operative period. Well-tolerated options include yoghurt, soup, mashed vegetables, scrambled eggs, smoothies, and soft pasta. Avoid hot foods and drinks for the first 24 hours, and steer clear of hard, crunchy, or sticky foods until healing is well established and your surgeon has confirmed it is appropriate to resume a normal diet.
Conclusion
Dental surgery covers a diverse range of procedures that address complex oral health conditions well beyond the scope of routine dental care. From wisdom tooth removal and dental implant placement to jaw surgery and oral pathology management, these interventions require specialist expertise, careful planning, and attentive post-operative support.
Collins Street Specialist Centre is committed to delivering specialist dental surgical care grounded in clinical evidence, delivered with genuine warmth, and guided at every stage by a patient-centred approach that prioritises safety, transparency, and long-term oral health outcomes. If you have been referred for dental surgery, or if you are a practitioner wishing to discuss a patient's suitability for specialist care, Collins Street Specialist Centre welcomes enquiries and referrals from patients and dental practitioners alike.
Frequently asked questions
What is Collins Street Specialist Centre: A specialist dental surgical practice in Melbourne
What types of specialists practise at Collins Street Specialist Centre: Oral and maxillofacial surgeons, periodontists, and prosthodontists
Are specialists at Collins Street Specialist Centre registered with AHPRA: Yes
How can I verify a specialist's registration: Through the AHPRA public register
What is dental surgery: Any surgical procedure performed in or around the mouth, teeth, gums, or jaw
Is dental surgery performed only by general dentists: No, complex cases are handled by specialists
What is a simple tooth extraction: Removal of a fully erupted tooth without incisions
Does a simple extraction require general anaesthetic: No, local anaesthetic is used
What is a surgical extraction: Extraction requiring gum incision, bone removal, or tooth sectioning
When is surgical extraction required: For impacted, broken, or difficult-to-access teeth
At what age do wisdom teeth typically emerge: Between ages 17 and 25
What causes wisdom tooth impaction: Insufficient jaw space for the tooth to erupt normally
Can impacted wisdom teeth damage adjacent teeth: Yes
Can impacted wisdom teeth cause cysts: Yes
What anaesthetic options are available for wisdom tooth removal: Local anaesthetic, sedation, or general anaesthetic
What are dental implants made of: Titanium
What is osseointegration: The biological fusion of an implant with surrounding jawbone
How many stages does the dental implant process involve: Several staged appointments over weeks to months
What imaging is used for implant planning: Dental X-rays or cone beam CT scans
Can dental implants last a lifetime: Yes, with appropriate care and maintenance
Do dental implants preserve jawbone structure: Yes
What is bone grafting used for in dentistry: To rebuild jawbone before implant placement
What is an autograft: Bone harvested from the patient's own body
What is an allograft: Bone sourced from a human donor bank
What is a xenograft: Bone derived from animal sources, most commonly bovine
What is an alloplast: A synthetic or biocompatible bone substitute
Does grafted bone eventually get replaced: Yes, by the patient's own bone tissue over time
What is periodontal surgery used for: To treat advanced gum disease not controlled by non-surgical methods
What is flap surgery: Folding back gum tissue to clean tooth roots and underlying bone
What is guided tissue regeneration: A membrane technique to encourage regrowth of periodontal structures
What is crown lengthening surgery: Removal of gum tissue to expose more of the tooth surface
What is orthognathic surgery: Surgery to correct skeletal jaw irregularities
Is jaw surgery performed under general anaesthetic: Yes
Where is jaw surgery typically performed: In a hospital setting
Can jaw surgery treat obstructive sleep apnoea: Yes, when related to jaw position
How long is recovery from jaw surgery: Several weeks
Does jaw surgery require orthodontic collaboration: Yes
Can oral and maxillofacial surgeons treat oral cancer: Yes, often as part of a multidisciplinary team
What is osteonecrosis: Bone death, sometimes associated with certain medications
Which medications are associated with osteonecrosis: Bisphosphonates and antiangiogenic agents
When should an unusual oral lump or ulcer be assessed: If it persists beyond two to three weeks
Is cleft lip a congenital condition: Yes
Does cleft lip and palate repair require multiple surgeries: Yes, staged procedures across childhood and adolescence
What specialists are involved in cleft lip and palate management: Surgeons, orthodontists, speech therapists, and paediatricians
What medical information should I disclose before surgery: Medications, allergies, medical conditions, and anaesthetic history
Does smoking affect surgical healing: Yes, negatively
Does alcohol use affect surgical healing: Yes, negatively
Do blood thinners need to be ceased before surgery: Possibly, as directed by the treating surgeon
Is fasting required before dental surgery: Yes, if sedation or general anaesthetic is planned
Must I arrange transport home after sedation: Yes, a responsible adult must accompany you
What is local anaesthesia: An injection to numb a specific area while the patient remains conscious
What is IV sedation: Sedative agents via a vein causing deep relaxation and limited procedure memory
Does IV sedation cause unconsciousness: No, but patients are deeply relaxed
What is general anaesthesia: A state of full unconsciousness during surgery
Can I drive after IV sedation: No
How long must I avoid driving after IV sedation or general anaesthetic: At least 24 hours
Can I drive after local anaesthetic only: Confirm with your surgeon beforehand
How long should I rest after dental surgery: For the remainder of the day following surgery
How should I apply ice packs after surgery: 20 minutes on, 20 minutes off
When does post-operative swelling typically peak: At 48 to 72 hours after surgery
Is bruising after dental surgery normal: Yes
When should pain relief be taken after surgery: Before pain becomes severe, as directed
Should I rinse forcefully in the first 24 hours: No
Should I use a straw after extraction: No, avoid for the first 24 hours
Why should straws be avoided after extraction: They can dislodge the blood clot needed for healing
What foods are recommended after dental surgery: Soft foods such as yoghurt, soup, and mashed vegetables
Should hot foods be consumed in the first 24 hours: No
When can I resume brushing teeth after surgery: The day after surgery, avoiding the surgical site
When should salt water rinses begin: Approximately 24 hours after surgery
Should alcohol-based mouthwash be used after surgery: No, unless specifically directed by your specialist
What is dry socket: Premature loss of the blood clot at an extraction site exposing bone
Who is at higher risk of dry socket: Smokers
Can nerve injury occur after dental surgery: Yes, temporarily or rarely permanently
What areas may experience altered sensation after oral surgery: Lips, chin, or tongue
What can cause dental implant failure: Infection, smoking, or insufficient bone density
Are sinus complications possible with upper jaw implants: Yes
Is infection after dental surgery treatable: Yes, generally with antibiotics when identified early
What signs of infection should prompt urgent contact: Increasing redness, swelling, fever, or discharge
What is a complex extraction: One requiring specialist referral rather than general dentist treatment
Can referring practitioners contact the centre before formal referral: Yes
Does the centre provide correspondence to referring practitioners: Yes, at each significant stage of treatment
Is Medicare available for any oral surgical procedures: Possibly, for certain procedures in a hospital setting
Should I contact my health insurer before treatment: Yes, to confirm applicable benefits
How long does a simple extraction take: As little as 20 to 30 minutes
How long can jaw surgery or complex procedures take: Several hours
Will I feel pain during the procedure: No, effective anaesthesia prevents pain
Is pressure or vibration awareness normal during surgery: Yes
What should I do if I feel pain during surgery: Inform your surgeon immediately
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- Collins Street Specialist Centre is described as a specialist dental surgical practice located in Melbourne
- Specialists at the centre are stated to hold advanced postgraduate qualifications and current AHPRA registration
- AHPRA registration is stated to be verifiable through the AHPRA public register
- Specialists practising at the centre include oral and maxillofacial surgeons, periodontists, and prosthodontists
- Dental implants are described as being made of titanium
- Osseointegration is described as the biological fusion of an implant with surrounding jawbone
- Wisdom teeth are stated to typically emerge between ages 17 and 25
- Post-operative swelling is stated to typically peak at 48 to 72 hours after surgery
- Driving is stated to be prohibited for at least 24 hours following IV sedation or general anaesthetic
- Bisphosphonates and antiangiogenic agents are identified as medications associated with osteonecrosis
- Bone graft types referenced include autografts, allografts, xenografts (commonly bovine), and alloplasts
- A simple extraction is stated to take as little as 20 to 30 minutes
- The centre is stated to provide correspondence to referring practitioners at each significant stage of treatment