Oral surgery

Oral surgery

Oral and maxillofacial surgery is a recognized international surgical specialty. It consists in surgery to correct a wide spectrum of diseases, injuries and defects in the jaws and the hard and soft tissues of the oral and maxillofacial region.

Surgical tooth extraction/impacted teeth

The most known impacted teeth are the wisdom teeth, the last set of teeth to develop. More often than not, they do not emerge over the gum line and become entrapped, "impacted" beneath it. This can result in swelling, pain, and infection of the gum tissue. Further more, they can cause permanent damage to nearby teeth, gums, and bone even to a degree where cysts or tumors appear and destroy sections of the jaw. Therefore, dentists recommend people with impacted wisdom teeth have them surgically removed.

Other teeth can also become impacted, creating the same problems.

When is it needed?

Unlike the regular tooth extraction, surgical tooth extraction is necessary when the tooth cannot be seen easily in the mouth, either because they have broken off at the gum line or because they have not come in yet. Surgical extractions almost always require an incision.

Procedure

The surgical procedure is done under local anesthesia or I.V. sedation. The dentist cuts through gum tissue to expose the tooth, and may require removing portions of bone to free the tooth. The tooth may have to be removed in pieces to minimize destruction to the surrounding structures. The extraction site may or may not require one or more stitches to help the incision heal.

After Procedure

Patients are given antibiotics and anti-inflammatory drugs after the procedure.

How long it takes until full recovery?

Maximum one week.

Advantages

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Apical resection with bone grafting using BIO-OSS

When is it needed?

Apical resection is needed when there is a cavity with infected tissue in the jaw bone, at the base of the tooth's root canal. Most of the times the delta shape of the cavity makes it impossible to clean. The only way to clean the root without extracting the tooth is through apical resection.

Procedure

The apical resection consists of creating the canal directly through the bone, removing the infected tissue and shortining the apex by 1 to 2 mm. Then the bone defects can be filled with a material that stimulates regeneration (Bio-Oss®).

The operation is done under local anesthesia.

What is BIO-OSS?

Bio-Oss® is a natural, osteoconductive bone substitute that promotes bone growth. Bio-Oss® provides the body with a matrix for bone cell migration and has the same morphology as the human bone. It is a collagen membrane and functions as a natural protective barrier to help ensure undisturbed bone regeneration.

After the procedure

How long it takes until full recovery?

The doctor will remove your stitches after 2-7 days. The soreness and swelling are gone after 2-3 days.

Why do it?

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Sinus lifting with bone grafting

Sinus lifting is a surgery that adds bone to the top jaw (maxilla) for prosthetic reasons. It consists of 2 parts:

When is it needed?

Sometimes when you want a dental implant operation in the front upper jaw you find that the bone mass is not enough to sustain the dental implants. This can have different causes, among which:

After the procedure

You should not blow your nose or sneeze. If you have seasonal allergies you should be careful to schedule the procedure when they are not active.

You will be given pain medication, saline sprays, antibiotic and an antimicrobial mouthwash to help prevent infection.

Most patients experience only small discomfort after the sinus lift procedure.

How long it takes until full recovery?

You will see the doctor after 7 to 10 days to have the sutures removed. You will have to wait only as few as six months for the bone material to integrate with your jaw.

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