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Dental Surgery

Dental surgery is the branch of dentistry directed at surgical procedures in the oral cavity which means operations performed on teeth, jaws and soft tissues of the mouth. (It, however, does not include surgical reconstructions of the facial area). The most frequently provided treatments in dental surgery are: dental implant placement, tooth extraction, apicoectomy, hemisection, amputation, replantation, pre-prosthetic surgery, surgical periodontal therapy, incision, excision/ectomy.

Dental Implants

Situations resulting in an irreversible loss of teeth present a problem of both functional and esthetic nature. Besides, due to loss of working stimulation, the jaw bone tends to shrink in the process called resorption. Dental bridge may be indicated to replace the missing tooth. Trimming down adjacent teeth (which are healthy usually) for this purpose, alas, becomes a prerequisite. The use of Dental Implant can be regarded as the modern-day solution to address such situation instead. Dental implants offer the potential to replace more than one tooth only. They can make for a substitute of the full arch or its part, whichever applies. The dental implant inhibits jaw bone resorption and presents a solid support for other prosthetic solutions – crowns, bridges or removable dentures.

The dental implant actually is a screw-like post made of titanium anchored in the jaw bone during a minor surgical process in the missing tooth´s original socket. It replaces the missing tooth´s root actually. During the healing process (with a duration of anywhere from 3 to 6 months), the bone grows round the implant to assimilate its structure. It is on this firmly anchored „root“ that a safe placement of a crown, bridge or denture can be accomplished. Implants are both esthetical and strong enough to allow the recipients to chew their food without restriction significantly improving the quality of their life in this way.

Tooth Extraction

Known as the most frequent intervention in dental surgery. It represents mechanical removal of the tooth from its bony socket.

Apicoectomy

Root End Surgery – surgical procedure in which tips of the tooth roots are removed. It helps in doing away with an infection as residual effect of the standard root canal therapy. Some specific cases may indicate infection in the adjacent bone area. Apicoectomy offers a 70 p.c. chance of preserving the tooth.

Amputation

Amputation is a partial removal of the crown or the root of a tooth while preserving the treated tooth.

Replantation

This is re-insertion of a tooth lost in accidents or injuries, typical for sports activities. If the tooth is not broken and the bone is not damaged, the tooth can be reinserted in its original position in the jaw. The recommended way of preserving a freshly lost tooth is use of milk or saliva in a closed container.

Pre-prosthetic surgery

A wide array of surgical interventions used to facilitate imposition of dentures. This procedure makes cooperation of the dentist with the oral surgeon most essential. Procedures of this kind are typically required for the elderly and, to some part, toothless patients. Due to tooth loss, the jawbone is prone to transmutation. The goal of this surgery is to prepare the bone surface for reception of a dental prosthesis and its smooth interaction with the denture.

Surgical periodontal therapy

Periodontal surgery is an adjunctive therapy of periodontopathy. In more serious cases of periodontopathy "open curettage“ may be ruled in. Under local anesthesia, the tooth gum is flapped aside, the root surface is deeply scaled, the infected tissue removed, the flap is returned to its position and fixed with sutures.

Excision/ectomy

An excision consists in removal (typically surgical) of a tissue with pathological changes. It can target a segment of mucous membrane but large tumors just as well. The latter, however, falls in line of competence of the maxillofacial surgery. Under local anesthesia, the surgeon removes, for example, excess tissue, wound edges etc. Even the best quality of surgical intervention cannot rule out considerable swelling and pain. By standard, the dentist provides pain medication for use on the first day following the surgery. For further use of pain-soothing substances medical counselling should be sought. Some over-the-counter analgesics may have adverse effect and induce bleeding and are, therefore, not advocated. A responsible approach of the post-operative condition assists the overall success of the treatment importantly. Patients are advised to avoid alcohol, nicotine and caffeine. It is recommended to apply ice to the surgical site externally to reduce pain and swelling.

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