Oral surgery ıncludes all surgical applications on all soft and hard tissues in the mouth and jaw.
As each tooth is important for oral and jaw health, chewing and speech functions, tooth extraction is normally not a desirable treatment. However, if significant bone loss has occurred and the tooth is irreversibly damaged, the tooth needs to be removed because of the risk of a systemic disease, as well as its threat to the general oral health and chewing functions of the patient. Tooth extraction is a procedure performed without feeling pain with local anesthesia.
Impacted Tooth and Wisdom Tooth Extraction
The jawbone, teeth and surrounding tissues are living structures that constantly renew, nourish and develop themselves. In this living structure, sometimes the teeth remain embedded in the jaw. Thus, if a tooth can not take a part in the chewing movement, it carries the risk of development disorder and infection, for the the other teeth and tissues under the jawbone. In these cases, surgical tooth extraction is required. Surgical extractions are mostly stitched operations and the patient should be followed up after the extraction. In general, due to the hard bone around the wisdom teeth in the lower jaw, the extraction becomes more complicated and post-operative follow up of the patient is important. The wisdom teeth in the lower jaw are more likely to be embedded in the bone. Evolution over time, requires our jaws to become narrow. Since wisdom teeth are the last to come out, sometimes they can not find enough space in the jaw. However, the teething needs to continue and the metabolic functioning is accelerated at some seasonal changes. As it continues to find its way in a narrow space, it causes problems such as pain, swelling and infection. At this stage, the extraction of wisdom teeth becomes inevitable.
After tooth extraction, the bone that holds the tooth becomes empty and it dissolves over time due to dysfunction. This is called bone resorption (bone loss). A healthy dental prosthesis can hardly or not at all be applied in the areas with bone loss. Restoring bone lost under these conditions is one of our dental practices. Bone tissue taken from outside or from the patient’s own bone, is added to the area. It is an operation applied under local anesthesia. Depending on the extent of bone transplantation, pain and swelling may occur after the procedure.
It is a form of bone transplantation. When there is not enough bone tissue for implant placement, it is the process of applying bone graft by removing the base of the sinus from the inner posterior parts of the upper jaw. As it is made under anesthesia, no pain is felt.
Connective Tissue Graft
If the connective tissue around the tooth or implant is insufficient, the implant or tooth is always at risk. To eliminate the risk, connective tissue is taken from the palate rich in connective tissue and placed around the tooth or implant with suture.
It is a surgical operation performed in cases of periodontitis (pyorrhea) in gum disease, caused by bone loss around the tooth. By removing the gum, granulation tissues and dental stones formed at the site of the lost bone are removed. The root surfaces are healed and the operation ends by applying external bone graft.
Soft tissues that connect the cheek to the chin are called frenulum. If the frenulum is attached too close to the tooth, it may cause widely spaced tooth. Frenectomy is the procedure of removing the frenulum from this area by conventional surgery or laser application.