Surgical Treatment

Dental implants

Bone grafting

If there is no enough bone in the jaw (height, width, thickness) to insert the dental implant, then bone grafting procedure is necessary. In this procedure bone can be collected in block either from chin area or the wisdom teeth region on the lower jaw.
Allternative to an extra surgical procedure for borrowing bone from other parts of the mouth, artificial filler materials can be used for the deficient bone. These materials are osseoinductive and direct bony apposition on them is possible.

Sinus lift procedure (for edentulous maxilla)

Sinus spaces are cavities in the upper jaw (Maxilla) on each side of the nose and above your upper back teeth. Specially treated donor bone from a `Bone Bank`, synthetic bone substitutes, or bone from other areas of the mouth or body is placed into these empty areas. In this way the height of the bone available will be increased. Over a period of time this is replaced by new bone thus providing a bed into which implants can be fixed.

Apicectomy

 What is Apicectomy? An Apicectomy is the name for removing the apex (the tip or tips if tooth has more than one root) of a tooth, cleaning out the suurounding infection and placing a small filling to seal the end of the root of the tooth.
When a tooth is badly decayed, has a large filling or receives a blow in an accident, the nerve (pulp) in the tooth may die. This dead tissue must be removed to prevent infection and dental abscess. This is usually undertaken by a procedure called “root canal treatment”. Sometimes this treatment is unsuccessful and infection persists at the tip of the root. This may cause pain (usually dull), but more often the infection will spread and cause a small spot/swelling or “gumboil” next to the tooth.
An apicectomy remove this infected part of the root tip and any surrounding infection. The success rate in this procedure to save your tooth is the highest on the first attempt. But in some cases, despite our best efforts infection persists and the tooth will need to be removed.
The affected tooth may be loose temporarily.
The procedure takes around 30-45 minutes under local anaesthesia. For a couple of day mild pain, tenderness and swelling can persist. The operated area may feel numb from few weeks to few months.

Surgical removal of impacted or partially impacted Wisdom Teeth

What are wisdom teeth?
Your wisdom teeth are the last teeth to come through at the back of your mouth during your late teens. In some patients this teeth can erupt later in life by losing the first or second molars. Although wisdom teeth are the mostly missing teeth in human they can stay latent in bone if there is no enough space for eruption.
When should I have my wisdom tooth removed? What are the indications?
Researches and various studies showed that the prophylactic extraction of wisdom teeth is not justified. That means wisdom teeth removal to prevent relapse of orthodontic treatment, to prevent mandibular fracture and to prevent disease (decay and gum disease) are not true indications for wisdom teeth removal. So the true indications are:
1. Recurrent or persistent pericoronitis (pain, swelling, jaw stiffness and general illness).
2. Decayed wisdom tooth or being the cause of decaying adjacent tooth (usually second molars).
3. Prior to orthodontics or orthognathic surgery
4. Wisdom tooth on the line of fractured lower jaw
5. Pathology associated with the wisdom tooth such as, cyst or carcinoma
6. Periodontitis affecting wisdom tooth
7. Wisdom tooth with abscess
8. Failed root canal treatment

These teeth can be removed either local anaesthesia or under sedation and local anaesthesia. The pain and swelling after the extraction depends on the level of the impaction, shape and number of the roots and hardness of the bone surrounding the tooth.

Deeply impacted and difficult wisdom teeth will be referred to the regional hospital for extraction under general anaesthesia.

What to expect after the removal of your wisdom teeth?

• Swelling and bruising from 1-2 days up to two weeks.
• Jaw stiffness and limited mouth opening.
• Stiches which are dissolve within two weeks.
• Numbness due to the damage to the nerves supply sensation to the teeth, gums, chin, cheek, lips and tongue.
• Infection may develop in the socket, causing pain and swelling. You may need a course of antibiotics if this happens.
• Bleeding may continue for a day or so following surgery, but this is very little and you should follow the instructions from your surgeon.
• Root fragments: Extremely long or curved roots may break during surgery. These are usually removed, but small portions may left particularlyif they are close to a nerve (lower jaw) or the sinus (upper jaw). These usually cause no long-term problems.
  

Gingivectomy and correcting gummy smile, Frenectomy, Crown lengthening - For more details please contact us.