Surgeries performed in our dental surgery

Dentoalveolar surgeries

Tooth extractions

If for any reason a tooth cannot be treated or is not worth saving the tooth has to be removed (strictly speaking a tooth extraction is a minor surgery as well.) With each tooth extraction complications may occur: fracture of the tooth or the root, opening of the maxillary sinus, damage to the surrounding teeth, etc.
Removal of the fractured root

If the tooth or its broken parts cannot be removed, or when the wound has to be closed, a surgery must be performed.

Gum correction surgery

A surgery may be needed as a supplement to root canal treatment (e.g. the removal of the root tip or cysts), when treating periodontal diseases or when performing an aesthetic or an other type of gum correction surgery. Surgeries are performed with local anaesthesia. Gum correction surgery may occasionally be performed with electrocautery instead of scalpel. This is advantageous insofar as there is no bleeding after the surgery (electrocautery ‘solders’ the veins) or if there is, only to a minimal extent and for the most part there is no need for stitches. After every surgery complications may occur, such as swelling of the face, effusion, sensitivity of the area operated, etc.

Removal of wisdom teeth

It is advisable to remove the wisdom teeth (‘third molars’) of almost everyone as they get impacted. They push the teeth forward even before eruption, crowding with the anterior teeth under the gum. Before removing the third molars it is best to have a CT shot made in order to judge their positions in 3D.

Root tip resection

Operative removal of the infections at the end of the roots.

"Halving" of the teeth -dissection

If the decay or infection only affects one of the roots of a tooth with multiple roots it is possible to remove only the affected root and retain the healthy ones.

Insertion of implants

See: "Implantations"

Periodontal surgeries

Bone replacement

By stopping the inflammation the movement of the teeth usually decreases.
When the bone has already dissolved to a great extent it may become necessary to fasten the teeth with bridges or with glass fibre materials.
It is also possible – even though only to a limited extent – to apply surgery to make new bone and/or new periodontal ligaments evolve by using regenerative (‘bone expletive’) substances. Thus the teeth may become fastened.

Gum contour with unfavourable aesthetics

There are several possibilities to change an unfavourable looking gum- or bone contour (caused by an inflammation of the tooth neck or by any other reason): the fillings and the prostheses may be ‘biologically’ planned; several surgical methods exist; and in some cases regenerative (‘bone expletive’) materials may be used as well.

An inflamation around the implants

When no proper oral hygiene is kept or when the implants had been placed disregarding the biological principles inflammations and aesthetically unfavourable gum edge retreats may occur similarly to those around real teeth.
Periodontal procedures may provide a solution for treating and preventing these conditions: therapy to decrease the inflammation, gum surgery, regenerative (‘bone expletive’) materials and strict consideration of the biological principles.