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Oral Surgery is a broad and complex field. We have created excellent conditions with a spacious operating room and all the modern equipment needed for all surgical procedures. Our surgeons are highly skilled in performing everything from simple or moderately complex tooth extractions to dental implants, complex bone augmentations, and the removal of cysts and soft tissue lesions. If necessary, treatments can be performed under sedation or general anesthesia, administered by a professional team of anesthesiologists.
Often, tooth extraction is a surprisingly quick and painless procedure, leaving patients pleasantly astonished by their minimal discomfort!
Treatment Process:
There are various reasons why a tooth might need to be extracted, such as extensive decay, cracks, misalignment, surrounding tissue issues, or if the tooth is impacted or positioned improperly, causing discomfort and potential complications.
During the extraction, specialised instruments are used, minimising discomfort to a gentle pressure sensation.
We employ minimally invasive technology, allowing for the possibility of immediate implantation under suitable conditions. This means that in favorable circumstances, an implant can be inserted right after the tooth extraction, reducing healing time and minimising the need for additional surgical procedures.
Wisdom teeth, also known as third molars, are often removed for preventive reasons. Being the last teeth in the dental arch, they often don't have enough space to properly erupt. As a result, their positioning can be irregular (angled towards the cheek in the upper jaw, tilted towards the tongue or jaw angle in the lower jaw), making them difficult to reach and clean. Plaque buildup on them can lead to cavities, which over time can affect neighbouring teeth. Inflammation can develop in the surrounding tissues, leading to pain.
Moreover, wisdom teeth, due to their position, do not fulfil the primary function of chewing.
For these reasons, it is advisable to remove wisdom teeth.
An impacted tooth is one that hasn't fully emerged through the oral mucosa, despite having formed more than ¾ of its eventual length in root development, or when other teeth of the same group have fully erupted.
These teeth are essentially trapped within the bone and can lead to significant complications, including damage to neighboring tooth roots, cyst formation, inflammation, pain, and more. Impacted teeth aren't limited to just wisdom teeth; they can also include canines, premolars, or central incisors.
The extraction of impacted teeth is performed surgically by making a small incision in the gums and removing a thin layer of bone covering the tooth. Typically, the tooth is divided into sections for removal due to its position. Following extraction, the wound is carefully sutured with several stitches.
It is the most reliable and long term method of dental prosthetics.
During this procedure, the root of the missing tooth is replaced with a titanium implant. A precise incision is made in the gums, and a socket is meticulously formed in the bone to accommodate the titanium implant. Since the implant serves as the foundation for the new tooth, it is carefully anchored deep into the bone. Following implant placement, the gums are delicately sutured.
Given its involvement with the bone, the integration process typically takes between 3 to 6 months for the implant to fully fuse with the bone. Only after this period can a dental crown be securely placed on the implant, completing the restoration process.
When one or more teeth are missing;
Once the jawbone has fully developed;
When there is sufficient bone tissue available or the option for augmentation exists.
When overall oral health is good.
When there are no underlying medical conditions that may affect bone healing.
For patients who prefer not to use removable dentures.
Especially for non-smoking patients.
After the procedure:
Swelling: It's normal for tissues to swell after surgery. The most significant swelling typically occurs 2-3 days post-procedure and gradually decreases.
Bruising: Depending on individual healing, bruising may occur in the gums or jaw area, usually resolving within 5-7 days.
Sensitivity at the implant site: Pain and sensitivity may persist for a few days following the procedure. Chewing on the opposite side and taking recommended pain medication can help manage discomfort.
Minimal bleeding: Applying firm pressure with a gauze pad and using a cold ice pack can help reduce bleeding post-procedure.
Other post-operative care is similar to that following tooth extraction.
Procedure Duration:
1 to 1.5 hours.
When placing implants in the upper molar area of the upper jaw, the most common issue encountered is bone resorption (bone loss) in the upper jawbone. Sufficient bone height and thickness are necessary for successful implant placement. However, there is often inadequate bone in the areas of the upper molars and premolars. The primary cause of this deficiency in bone height and thickness is bone atrophy following tooth loss, and sometimes individual anatomy also contributes.
When there is insufficient bone height in this area, a Sinus Floor Elevation Procedure is required. Sinus floor elevation can be performed using either an open or closed approach.
Treatment Process
Open Approach
This method is employed when the bone height at the planned implantation site, near the sinus, is less than 5 millimetres. The procedure is performed under local anesthesia. A small incision is made in the gum tissue, followed by the creation of a small window in the upper jawbone at the projection of the maxillary sinus. The sinus lining is then gently lifted, creating a space between the lining and the bone. This space is filled with artificial bone granules. In some cases, an implant can be placed immediately afterward, while in others, implantation may be performed after 6 months.
Closed Approach
Performed when the bone height near the sinus is between 5-7 millimeters. During this procedure, the implant is always placed. This sinus floor elevation procedure differs minimally from a regular implantation.
During the procedure, specialized instruments are used to lift the sinus floor through the prepared space for the implant, and then the gap created is filled with bone granules. On the other hand, sometimes, this step is unnecessary.
In those cases the implant is placed, and the mucosal tissue is sutured as in a standard implantation procedure.
After the procedure, the post-operative instructions are the same as after implantation, and patients are advised to avoid flying for a week.
Bollard implants are flat plates used in orthodontic treatment, affixed to the bone through a surgical procedure.
This technique is commonly applied in children under general anesthesia.
During the procedure, after raising the mucosal flap on the jawbones, the plates, referred to as Bollard implants, are securely fastened with specialized screws.
Following a healing period of approximately 2 weeks, orthodontists use these plates for treatment purposes.
Upon completion of treatment, the plates are removed, often requiring only local anesthesia.
Possible post-procedural effects include swelling, pain managed with medication, and sensitivity at the implant sites.
Unlike the traditional approach, where a gap is left after tooth removal, this method immediately inserts an implant. It's
used when a tooth needs removing but shows no signs of active inflammation,
often seen in trauma cases.
This faster process means prosthetic work can start about 3-4 months after the implant is placed.
After the procedure, there might be some swelling and sensitivity at the implant site, managed with medication.
It's recommended to chew on the opposite side for comfort.
Jaw cysts typically arise from infections in tooth roots.
The most common type encountered is the dental root cyst, often triggered by factors such as dead pulp or untreated/poorly treated tooth roots.
As cysts develop, they usually remain asymptomatic and are typically detected through radiological examinations. With cyst enlargement, palpation may reveal a sensation of "swelling" in the affected area.
Over time, a fistula (channel) may form, allowing for pus drainage. Cysts are treated surgically by lifting the gums and cleaning the bone lesions.
Addressing the underlying cause is essential:
Treating and disinfecting tooth root canals; when this is no longer feasible, severely decayed roots must be removed.
Following the procedure, swelling may occur, and pain is managed with medication. It's advisable to limit physical activity during recovery.
Frenuloplasty of the lips or tongue is a procedure commonly performed on children.
The lingual frenulum influences speech, jaw formation, and tooth alignment.
Lingual frenulum plastic surgery is performed on infants who cannot breastfeed or bottle-feed due to a tethered frenulum hindering tongue movement.
In all other cases, the procedure is performed as the child grows older. Main indications include speech difficulties and orthodontic problems. Frenuloplasty can be performed using laser technology.
The procedure is painless, performed under local anesthesia, and there is minimal bleeding during and after the procedure.
Following frenuloplasty, the child can typically resume feeding (with softer foods recommended) within a few hours. Any sutures dissolve on their own.
It's crucial for the child to start speech therapy with a speech therapist as soon as possible after the procedure.
Following tooth extraction, the assessment of jawbone height and width occurs several months later to determine implant feasibility. Immediate bone augmentation procedures are typically unnecessary after recent extractions. However, prolonged periods post-extraction may result in jawbone resorption, necessitating augmentation.
Various methods include:
Bone Transplantation: In cases of severe jawbone thinness, bone is transplanted from other jaw areas, like the chin or jaw angle. Implantation is delayed for 6 months post-procedure.
Implantation with Artificial Bone Augmentation: When sufficient bone exists for implant anchorage but surrounding bone is insufficient, artificial bone fills the gap.
After augmentation, expect temporary swelling and mild pain, managed with medication. Limiting strenuous activity is crucial. Sutures are removed within weeks.
Soft tissue growths in the lip or facial area can emerge from various causes.
For instance, lip cysts, often termed mucocysts, commonly result from lip trauma. Similarly, benign fatty growths on the face stem from the amalgamation of fat cells.
During the removal procedure, a small incision is made, allowing for the careful separation of healthy tissue from the growth. The wound is meticulously sutured, layer by layer.
Typically, sutures are removed within 5-7 days.
Following the procedure, expect minimal swelling and slight discomfort.
If necessary, tissue samples undergo examination (histological analysis) to precisely ascertain their origin.
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