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Oral surgery

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Oral surgery is a part of dentistry which deals with all types of surgical interventions, whether simple or complicated.

Many patients are scared when they realise that they need a surgery. However, these procedures are simple, they don’t last very long, excellent results are achieved and, most importantly, they are painless, performed under local anaesthesia. In our dental practice, we offer all kinds of oral surgery procedures:

  • Tooth extraction

  • Apicoectomy (root end surgery)

  • Surgical removal of impacted wisdom teeth

  • Alveolar ridge levelling

  • Closure of the maxillary sinus

  • Frenectomy (lip or tongue frenulum removal) and plica removal

TOOTH EXTRACTION

Extraction is a procedure in which the tooth is permanently removed from the oral cavity. Many various reasons can lead to this. Our team will try to do everything that is possible to cure a tooth and save it. There are, however, a few indications when the tooth removal is inevitable:

TOOTH EXTRACTION

- Impossibility of further endodontic treatment – when all the resources offered by conservative dentistry are used, and there is no solution, extraction is inevitable

- Terminal stage of parodontopathy – gingival recession, migration of teeth and high level of decay, the only solution is extraction

- Orthodontic indications – in children with a lack of space for all teeth, during the orthodontic treatment it is necessary to remove a permanent tooth (usually premolar), to create conditions for placing of all teeth in the dental arch and achieving an ideal bite

- Prosthetic indications – during complete reconstruction of the oral cavity, sometimes the situation occurs that some teeth simply disturb the future prosthetic work and cannot be included in it because they will compromise it

Apicoectomy (root end resection)

Apicoectomy (root end resection) is the most common surgical intervention in dental practice. It is performed on teeth with the infectious process localized around the root end usually detected by a Rtg image. This process can have a form of periapical granuloma or cyst.

If it has occupied more than 1/3 of the root surface, this process cannot be cured by endodontic treatment, but the only solution is apicectomy.

Resekcija korena zuba

It is performed under the local anaesthesia, a small cut in the gums is made to make the process accessible, then the root end is removed along with all the infected content. The wound is sutured, the sutures are removed after seven days, the recovery is fast and without complications.

Surgical removal of impacted wisdom teeth

The most common teeth that remain trapped in the jaws without potential to emerge are the third molars or wisdom teeth. The cause leading to impaction is the inadequate position of these teeth. Very often, they are horizontally laid, pushing the root of the second molar, endangering its integrity in this way.

Impaktiran umnjak

If there is no space in the oral cavity for the wisdom tooth to emerge, or if it would cause displacement and incorrect position of the other teeth, it is necessary to be extracted.

After extraction of the lower wisdom teeth, swelling can be expected, also difficult mouth opening and sporadic pains. The troubles can last for 5-10 days.

Impaktiran umnjak

Alveolar ridge levelling

After the tooth removal, sometimes the dental ridge remains uneven and irregular, with some parts that are sharp and protruding. It is almost impossible to make a denture on such a ridge. Before making any prosthetic restorations, as part of the pre-prosthetic preparations, it is necessary to level the alveolar ridge. It is an intervention that involves levelling of the ridge, removal of the sharp and protruding parts of the bone and contouring of the dental ridge suitable for making a future prosthesis.

Closure of the maxillary sinus

Anatomically, the roots of the upper lateral teeth can often be in contact with the maxillary sinus. When extracting these teeth, the sinus will be inevitable opened. Existing communication between the oral and the nasal cavity always requires the intervention of a surgeon to close such a defect.

The mandatory procedure after the removal of the upper lateral teeth is a "nose blowing test". The patient is instructed to try to exhale through a blocked nasal airway. If the sinus is open, a fine hissing noise can be heard through the wound, and bubbles develop over the perforation. If there is no air flow, the test is negative and the sinus is intact. The closure of the maxillary sinus is needed if the test is positive.

Frenectomy (lip or tongue frenulum removal) and plica removal

A frenulum is a mucous membrane that connects the upper and the lower lip with the gums. It is located right along the centreline of the face and ends between the incisor. Frenulum also connects the tongue with the floor of the mouth.

Each man has a frenulum, it is a normal anatomical part of the oral cavity but for 8% of the population it is real problem. If the frenulum is thick or short, it causes the separation of permanent incisors, creates a gap (the diastema) between them and the consequent occurrence of orthodontic irregularities.

If the sublingual frenulum is short, the tongue is tied, resulting in difficulties with speaking and breastfeeding.

Frenectomy is a surgical intervention by which the frenulum is released and is most often performed during orthodontic therapy, prior to the setting of the fixed apparatus. The intervention is painless, short lasting and recovery is quite fast.

The plicae are the mucous membranes in the places of muscles attachment in the oral cavity localized between the cheek and the gums at the level of the canines and lateral teeth. They are removed only in cases when they are very bulky and impede the stability of total dentures.

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