Oral-surgical procedures are such interventions, which are necessary for the dental, orthodontic and surgical solution of oral cavity disease. These include for example complicated tooth extractions, the removal of a broken tooth or tooth root, or of a wisdom tooth. The radisectomy (tooth root resection), carried out in order to save the tooth, the removal of cysts, closure of the maxillary sinus, bone replacement procedures and implantation require oral-surgical interventions, as well.
Wisdom teeth, complicated tooth extractions
The extraction of a tooth is not always easy to perform. The gum or the bone may cover the tooth to be extracted, but it might also happen that the crown part of the tooth doesn’t exist any more, either because it is broken due to an accident or it became a victim of tooth decay. In both cases the surgical removal of the tooth is necessary. One of the most frequent procedures is the removal of wisdom teeth. There is only enough space in the jaw for wisdom teeth in the ideal case, if so they don’t cause any problems. But often they cause problems while growing or after that. The complicated or limited break through of wisdom teeth especially occurs in the lower jawbone. Wisdom teeth are the last adult teeth to come into the mouth (erupt). If the wisdom tooth is affected in developing, it’s called impacted wisdom teeth. An impacted wisdom tooth may partially emerge so that some of the crown is visible or it may never break through the gums. The tooth may grow at an angle toward the next tooth and put pressure on it. This pressure can also cause problems with crowding of the other teeth, it may form a cyst that can damage the jawbone, teeth and nerves. Even abscess can be formed. The difficulty cleaning impacted wisdom teeth increases the risk of developing painful, inflammatory gum conditions.
Bone replacement is necessary in case of bone loss as a result of disease, infection or injury or if the dental implant can’t be inserted with corresponding security. For the treatment several techniques and bone replacement materials can be used. This can involve using small amounts of your own bone or synthetic bone replacement material, depending on the type of lack of bone. The treatment is carried out in local anaesthesia, with a relatively small surgical intervention.
A sinus lift is surgery that adds bone to your upper jaw in the area of your molars and premolars. Bone replacement material is added between your jaw and the maxillary sinuses, which are on either side of your nose. This is carried out under local anaesthesia. Many people who have lost teeth in their upper jaw, do not have enough bone for implants to be placed. Tooth loss may have led to a loss of bone as well. Once teeth are gone, bone begins to be resorbed. If teeth have been missing for a long time, there often is not enough bone left to place implants, but individual anatomic conditions play an important role (wide maxillary sinus, tooth roots reaching into the maxillary sinus) as well.