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Oral surgery

ORAL SURGERY is a wide field of odontology which specialises in various surgical procedures of the oral and maxillofacial region. It is a part of a complex treatment while making implants or prothesis or in cases when a patient undergoes orthodontic treatment. The following surgical procedures are:

    • Gingivectomy is a procedure in which a surgeon removes a part of the gums of the mouth.
    • Flap surgery is a surgical treatment of periodontics, during which tiny incisions in a patient’s gum are made so that a section of gum tissue could be lifted back, exposing the roots for more effective scaling and root planing.
    • Crown lengthening is a surgical procedure typically performed to achieve more qualitative prothesis tooth restoring. The procedure is used to expose a greater amount of tooth structure. During the surgery it is aimed to change the contour of gums so that the crown could cover as many of healthy teeth as possible and make gums a more natural look. This surgery is needed when deteriorated gum interferes with the qualitative prothesis.
    • Root tip resection is a surgical procedure which is performed to clean up inflamed and infected tissue around the tip of a tooth root. The tooth is approached from the outside by cutting a gap into the alveolar bone. The procedure is applied when there is no other way how to reach the tip of a root.
    • Removal of bony exotosis is a procedure where a benign growth of new bone on top of existing bone is removed. Typically the bony growth is found on the upper jaw; however, there are cases when they appear on lower jaw. Occasionally they can cause problems, especially if they become large enough to interfere with functions of the mouth.
    • Pre-prosthetic full mouth preparation. The procedure that ensures that there is a comfortable, suitable and secure place for dental prothesis, in some cases some tissue needs to be surgically taken care of. Gums needs to be smoothed or reshaped, which will minimise complications associated with insertion, stability, retention and other possible issues that disrupt a patient’s comfort while wearing a prothesis.
    • Soft tissue plastic is a surgical procedure during which gums are grown in places where they are missing. The procedure is done when dental recession occurs or aiming for a more aesthetic view around dental prothesis or implants. Missing gum patches may be taken from the near areas or palate, or any other artificial soft tissue.
    • Dental cyst removal is a surgical removal during which a cyst on a bone or any soft tissue is removed. Typically some fluid is filled in the cyst. Usually they do not cause any discomfort; however, left without treatment can lead to severe problems, some possible bone deformations or inflammation and many other problems.
    • Removal of retained teeth. Retained teeth are not fully developed teeth that cannot fully grow. Typically this happens due to the lack of space, incorrect growth of teeth or prematurely removed baby teeth. If retained teeth are left, there is a possibility for cysts or tumours. During the consultation, the dentist assess whether a patient needs their retained tooth removed.
    • Atraumatic dental extraction is a procedure during which a dentist immediately places a dental implant to replace the extracted tooth. In this case there is only one post-surgical phase and the results are much better if impaired with implantation procedure done later.
    • Tongue/midline cleft of the lower lip plastic. This is an anomaly which is also known as a tongue-tie which decreases the mobility of the tongue tip and is usually caused by a short, thick membrane connecting the underside of the tongue to the flow of the mouth. It often does not allow babies to eat, talk and pronounce the letters in a proper way. If a tongue-tie is not snipped at the right time, it might affect the appearance of front teeth gap. A short procedure during which the tongue-tie is removed is very short and is done surgically. In cases when tongue-tie is rather wide, tissue plastics is done at the same time of the procedure. The duration of the procedure depends on individual situation from five up to thirty minutes. Tongue-tie influences the appearance of the front teeth gap. Once permanent teeth develop, the gap between the front teeth has to close up; however, in some case tongue-tie does not naturally move up and remains between the front teeth, therefore leaving a gap. In those cases surgical inout is needed.