Oral Surgery

Oral Surgery

Oral surgery is a specialized branch of dentistry that enables the treatment and correction of irregularities in the mouth. It offers solutions for diseases, defects, anomalies or injuries in the oral cavity, which require surgery, such as tooth extraction, residual roots, and the like.

WHAT DOES ORAL SURGERY ENTAIL?

The word “surgery” often evokes resistance and fear, but with the application of today’s modern methods, oral surgery is no longer as repulsive as it once was. Pain during the procedure is non-existent or minimized, and home therapy with traditional or homeopathic remedies controls any painful postoperative symptoms.

Oral surgery consists of a series of surgical procedures with the purpose of improving adverse anatomical and biological situations. Many medical conditions will require surgical interventions. For example, wisdom teeth are the last to grow. Sometimes they come out of the gum area and the jaw is large enough to accommodate them normally, but most of the time this is not the case. In addition, a decayed wisdom tooth can cause permanent damage to the teeth around it or even worse. That is why dentists recommend that wisdom teeth be surgically removed.

WHAT ARE THE MOST COMMON ORAL SURGERY PROCEDURES?

The most common procedures of oral surgery are tooth extraction, surgical extraction of wisdom teeth and residual roots, apicoectomy (root resection, i.e. removal of the tip of the tooth root together with a cyst or granuloma), implant placement, sinus lift and many others. Some of these problems can be corrected with dentures, but others will still require surgical intervention.

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    Wisdom Teeth

    Patients are often not even aware of their wisdom teeth because they neither bother nor hurt. However, during eruption, wisdom teeth can cause pericoronitis, i.e. inflammation of the gums.

    Whether a wisdom tooth causes problems in the mouth depends on several factors, including the size of the jaw and how the wisdom tooth grows in the mouth. A wisdom tooth can cause swelling and uncomfortable pain, which can be an indication of a problem with the wisdom tooth, but in most cases it can be prevented if you come for regular preventive dental check-ups. Sometimes just cleaning is enough, but if the process becomes complicated, surgical tooth extraction is required.

    A preventive examination can be done at the dentist, but for wisdom tooth extraction, it is usually always best to consult an oral surgeon so that the procedure goes as painlessly as possible, and the postoperative course goes well and without complications.

    Root Resection (Apicoectomy)

    Apicoectomy is a surgical procedure in which the tip of the tooth root is removed along with the periapical pathological process (cyst, granuloma).

    When is Apicoectomy Used?
    It is used as a complementary procedure in cases where endodontic treatment of the teeth has not achieved the desired result. Apicoectomy allows us to keep the tooth in the jaw, that is, to avoid tooth extraction.

    Is apicoectomy a successful method of treating teeth?
    Yes, in most cases, apicoectomy is a successful method.

    How long does the procedure take and is it painful?
    The apicoectomy surgery takes about 30 minutes and is painless because it is performed under local anaesthesia.

    What does the course of this procedure look like?
    Apicoectomy takes place in several stages:

    – An incision is made on the mucous membrane, and the mucous membrane is moved away from the bone to access the bone;
    – A bone drill is used to make an opening in the bone so that the root and pathological process are visible;
    – The tip of the tooth root is removed, as well as the pathological process;
    – The root canal of the tooth is filled;
    – This is followed by the return of the gingival flap and suturing of the wound.

    After the procedure, the patient should follow the instructions for oral care after the intraoral procedure.

    Seven days after the apicoectomy, the dentist will remove the suture from the wound suture.

    Sinus Lift

    Sinus lift is a surgical procedure that rebuilds the lost bone in the upper jaw (which happens, for example, in the case of periodontitis).

    This procedure is performed in cases where the bone mass in the upper jaw is missing, and it is necessary to do the so-called large sinus lift or sinus lift. This gives the required bone height for subsequent implant placement.

    The surgical procedure of sinus lift takes place on an outpatient basis under local anaesthesia.

    As an aid to other branches of dentistry

    In addition to the aforementioned procedures, oral surgery also helps in orthodontic therapy, implantology and corrects large irregularities and defects of the face and jaw.

    Before installing orthodontic appliances, it is sometimes necessary to remove individual teeth, milk or permanent, for the therapy to be successful and the teeth to be straightened. In some cases, it is also a complicated tooth extraction surgically.