With the help of modern dental procedures and effects of local anaesthesia, we are now able to perform oral-surgical interventions that cause minimum damage to the tissue around the treated spot. Oral surgery includes all the interventions that are performed inside the oral cavity and they can be divided into:
- teeth extraction
- surgical removal of impacted (not fully erupted) canine and wisdom teeth
- removal of periapical processes in the root of the tooth – apicoectomy
- preparation of bone and soft tissue structures in the mouth for further prosthetic treatments
Once we have exhausted all the possibilities for tooth treatment and restorative root canal treatment procedures, it is sometimes necessary to extract the tooth. In most cases this intervention is considered a routine one, whereas sometimes, due to the tooth’s root specific morphology, surgical tooth extraction must be performed.
Oral surgery – advice on activities after tooth extraction
With the aim of preventing any complications after the surgical tooth extraction, as well as of avoiding infections, patients are given advice on ways of treating the wound. Teeth brushing in the following period must be gentle and careful, and smoking is not advised. Neither is rinsing of the wound that may cause a series of complication. We advise placing ice packs on the outside of the cheek around the spot of extraction to accelerate the process of healing and to prevent swelling.
Oral surgery – impacted teeth
Teeth that do not fully erupt because of the lack of space for normal growth are quite common. This causes problems. In most cases the impacted teeth are wisdom teeth, i.e. third molars. With no room to grow, they take up irregular positions, pushing the surrounding teeth and disrupting the row of already erupted teeth. They also have a negative effect on bite and can be a potentially serious problem. Sharp pain, various chewing difficulties and even chronic inflammations and infections may occur. The process of extracting wisdom teeth does not significantly disrupt speech and chewing processes, nor the connection between the upper and lower jaw.
Oral surgery – preparation for prosthetic procedures:
To facilitate the acceptance of prosthetic restoration, and to even make them possible, the jaw must be surgically prepared. This preparation involves corrections of surrounding soft and bone tissue. These interventions include:
- levelling of the alveolar ridge– bone is surgically processed to receive the restoration and provide adequate adhesion to the base
- sinus lift – a necessary intervention when there is not enough space to place the implant at a certain spot in the upper jaw
- flap surgery– processing and preparation of the gums for placement of crowns and bridges
- augmentation – necessary surgical adding of bone fragments.