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Oral surgery

Branch of dental medicine which is specialized in various surgical procedures of the oral cavity. The most common oral surgical procedures are normal and complicated extraction of teeth, impacted wisdom teeth, resection of the tooth root and extraction of roots and broken teeth. Oral surgery plays an important role in implantology, helps even in orthodontic treatment, and also corrects major irregularities and defects of the face and jaw. This field includes surgery of gums, reconstruction of aesthetic and functional disorders of the oral cavity in order to regain health and function of the teeth, but also ensure the aesthetics of a smile.

Apicoectomy

It is a surgical procedure in which the tip of the tooth root is removed with a surrounding inflamed tissue (cysts, granulomas). This procedure is done when endodontic therapy did not cured the pathological process at the root of the tooth. Apicoectomy  is performed under local anesthesia and the course of treatment is painless.

Apicoectomy

During surgery it is needed to cut through the gums in order to get to the root of the tooth where there is a granuloma. The top of the tooth root is surgically removed, together with the inflammatory process, and then the root canal is filled with biocompatible materials. During the operation the endodontic treatment can be performed (cleaning and canal expansion, and root filling). The treatment ends with sewing gingival flap. Apicoectomy is a small surgical procedure that allows to preserve the tooth and prevent extraction.

Alveotomy

This surgical procedure removes the residual or retained wisdom teeth. Wisdom teeth are the last teeth to grow in the jaw in the 20s, and for the most people the growth of wisdom teeth does not create any problems other than temporary pain during growth. A problem may arise if you do not have enough space for proper position and growth or if teeth start to grow in wrong direction which may lead to destruction of the bone, the surrounding teeth and cause inflammation. This problem can be seen on x-rays and problematic wisdom teeth are best removed as soon as possible.

Alveotomy

Extraction of wisdom teeth is not a complicated procedure, and it is usually done under local anesthesia. After the procedure there might be a slight swelling, but this is normal and can be calmed with cold compresses. In some cases it may take a few days to change the diet in favor of softer food.

What are the symptoms that indicate you might need to remove wisdom tooth?

  • irritation of the gums or tongue because the wisdom tooth is growing in the wrong direction and pushes the other teeth
  • swelling of the gums around wisdom teeth
  • "creasing teeth" because of the lack of space
  • pain when eating 

Bone grafting

The loss of tooth can often lead to bone loss. For the implant procedure to be successful, it is necessary that the jaw is sufficiently high, wide or both for the implant to be stable. If the recession of the bone occurs, it is necessary to replace missing bone (augmentation) in order to place the implant. Bone grafting or bone augmentation is a procedure that replaces missing bone with the bone harvested from the clients’s own body or it can use artificial bone.

Bone grafting

After transplantation, a few months are needed for the bone to fuse with existing tissue, and to complete osseointegration. After the examination, the dentist will decide with the client which method of transplantation is the best having in mind the amount of missing bone and the location where the implant should be placed. The process of healing takes 4-9 months. 

Sinus lift

It is possible to insert implant only if there is enough volume in the jaw bone that will hold the implant. When the tooth is lost, the volume of the bone can decrease. Sinus lift procedure consists of upgrading or adding bone to the the sinus cavity above the upper jaw.

Sinus lift

During this procedure artificial materials are used to produce new bone, but also client's own bone can be used instead of artificial materials. Sinus lift can be done at the same time when the implant is placed if there is at least a small volume of bone. If there is no bone at all, it is necessary to take 6-8 months to increased volume. Sinus lift is a routine procedure performed under local anesthesia, and after 2-3 days, you can return to your normal activities.

Recovery after oral surgery

  • After surgery, it is necessary to put a cold  compression in order  to reduce swelling, which is a common occurrence. Area should be cooled every 15-30 minutes with breaks, especially the first few hours after surgery on which the recover will depend.
  • Also, the course of recovery depends on the degree of inflammation and often after the procedure there may be a need to take antibiotics to prevent the spread of infection. And in the case of pain, analgesics are recommended.
  • Sutures are removed 7 days after surgery.
  • Immediately after the procedure, you should not rinse your mouth, and the next day, if there is no bleeding, you should rinse your mouth every 4 hours with saline solution (1 teaspoon of salt in 1 liter of water), cold tea sage or antiseptic liquid.
  • Bleeding can be expected 2-3 days after the procedure, and if after that time the bleeding continues, contact your doctor.
  • After the procedure, liquid food is recommended as well as very soft food, while hot food and drinks should be avoided. You also need to avoid grain foods that might seep into the wound.

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