Experienced surgeons will make every oral surgery as noninvasive as possible, making your smile even healthier and more relaxed.
Oral surgery is an important part of our work. Surgery may not sound like the nicest word, but at our clinic we use local anaesthesia to make sure that surgical procedures are very pleasant and as painless as possible. At the Medical Dentistry clinic, all dental and oral surgeries are performed by an oral surgery specialist. In addition to prosthetic procedures, the surgeon also performs dental implant surgeries.
Apicoectomy is a surgical procedure that involves removing the tip or apex of the root – the part that is farthest from the dental crown – along with the inflamed tissue around it. This leaves a small hole that the organism eventually fills with a scar or healthy bone. An apicoectomy is performed if the root canal treatment has been unsuccessful. In this procedure, the gum or oral mucosa is cut open, the bone over the affected area is removed with a drill and the inflamed area along with the root tip is removed. Performed under local anaesthesia, the procedure is completely painless.
Instructions to follow before the surgery
On the day of the surgery and for the following two days:
- Don’t smoke.
- Don’t drink alcohol.
- Avoid physical exertion.
- Eat soft (blended) food.
- After each meal, rinse your mouth with water or camomile tea.
- Don’t poke the wound.
- Brush your teeth (except around the wound).
- Don’t heat the affected area! Compresses on the lip or cheek will reduce the swelling.
- If the wound is bleeding, don’t suck it with your tongue. Lightly press a piece of sterile gauze on the bleeding area.
Gingival flap surgery is the only effective method of treating advanced periodontal disease. This minor, painless procedure under local anaesthesia involves folding back the gums to reveal the roots of the affected teeth, enabling the surgeon to remove the inflamed tissue, bone defects and defects on the root surface. During flap surgery, we can also reshape the root furcations affected by the advanced periodontal disease. This creates better conditions for oral hygiene and improves the prognosis for the affected tooth.
Performed under local anaesthesia, the procedure is painless and is the only effective method of treating advanced periodontal disease. Today we have various types of lasers to facilitate and improve treatment, but they can only be used in the maintenance stage, after the plaque has been manually removed from the roots.
Thanks to contemporary precision techniques, microinstruments and various flap surgery procedures, it is possible to remedy major gum recession, ensure a sufficient amount of hard gum tissue around implants, perform aesthetic microsurgery to lengthen a clinical crown, etc.
When can we use a dental implant?1. Replacing a single tooth
PROS: We can avoid tooth-grinding of at least two neighbouring healthy teeth.
PROS: We can avoid wearing dentures and tooth grinding of healthy teeth and we can retain our tooth bones.
3. Replacing all bonesPROS: The type of tooth which is fixed looks much more natural on implants than the regular prosthetics.
“Every tooth is precious!”
At Medical Dentistry, we do everything in our power to save our patients’ teeth. It is only when there is absolutely no possibility of preserving the tooth that we decide to extract it. Not every wisdom tooth needs to be extracted – we do so only with the wisdom teeth that cause problems or could start to cause them in the future. Relatively short and painless, the procedure is done under local anaesthesia – the anaesthetic is injected into the area around the tooth to be extracted. The missing tooth can be replaced with a variety of prosthetic solutions.
When does a tooth need to be extracted?
- The tooth needs to be extracted for orthodontic reasons.
- The tooth moves when touched by the lips or tongue.
- The dental crown is damaged to the extent that it can’t be restored with a filling or cap.
- There is an untreatable granuloma at the tip of the root.
- The tooth needs to be extracted for general medical reasons: radiation therapy, surgery.
Clinical Crown Lengthening
Gum Recession Treatment
Gum recession is a common process that increases with age and can appear in one or multiple areas. It causes the gums to detach and expose the roots, which can lead to excessive sensitivity of the tooth neck, unappealing appearance of teeth, caries and sometimes even tooth loss. It is often sufficient to cover the exposed part of the tooth neck with a filling, but sometimes a delicate surgical procedure is required in which a piece of healthy gum tissue from the palate is used to cover the tooth neck. Receding gums are treated because of conditions such as overly sensitive root surfaces, root caries, abrasion of the neck part of the root, difficult control of dental plaque and for aesthetic reasons.
Why does gum recession occur?
Gum recession and the resulting exposure of the tooth neck or even root can occur for several reasons. The most common causes are tartar and the use of an unsuitable toothbrush. Tartar covers an increasing amount of the tooth surface, forcing the gums to recede. Another cause is using a toothbrush with hard bristles that are unsuitable for the gums. The pressure of hard bristles against the gums causes the gums to recede and create areas where bacteria accumulate. Gum recession can also be caused by periodontal disease. Tooth necks can also be exposed because of surgical procedures or misaligned teeth in the dental arch.
When it comes to loss of teeth in the jawbone, it is often the case that the remaining bone tissue is not high enough to support a dental implant. The reason for this is in the sinus, the air-filled space above the upper jawbone that reduces the amount of bone. To provide sufficient bone thickness for the implant, it is necessary to perform a sinus lift. This is the only option to make a dental implant possible. The procedure involves lifting the sinus mucosa and filling it with bone.
At the Medical Dentistry clinic, sinus lifts are performed under local anaesthesia by a surgeon. The procedure is perfectly painless and safe for the patient’s health. A small incision is made inside the mouth in the area where the gums meet the sinus. This makes it possible to access the sinus and lift its membrane to make room for the artificial bone graft.
The artificial bone is composed of granules that stimulate the regeneration of natural bone in order to increase the bone volume for the dental implant. After the artificial bone has been inserted, the incision is sutured. Swelling and sensitivity may occur as side effects of the procedure, but they generally disappear within 48 hours.