Oral surgery is a dental specialty that offers a range of procedures for treating diseases, injuries and defects of the oral cavity. All procedures are done using local anaesthesia and are completely painless.
The most common oral surgery procedures
It is performed using local anaesthesia, and our staff take special care to protect the surrounding tissue.
Surgical root extraction is a procedure in which a surgeon removes both the part of the bone that prevents access to the retained root piece and subsequently the root itself.
Apicoectomy is an oral surgery procedure in which the tooth’s root tip is removed. It is done when usual endodontic treatment is not enough to remove infectants from the root canal, seal it and prevent further inflammation in the root tip area.
Alveolectomy is surgical extraction or removal of teeth where it may be necessary to first remove the part of the bone that prevents tooth extraction. It is most often performed in cases of unerupted or partially erupted wisdom teeth.
Modulation of alveolar bone is a procedure which redesigns and smooths bony edges that sometimes remain after tooth extraction, thereby preparing the oral cavity for receiving a dental prosthesis.
When back teeth in the upper jaw are missing, the sinus cavity becomes larger because the bone and soft tissue also deteriorate over time. A similar process happens in the lower jaw. These anatomic limitations make dental implant placement difficult – but there is a solution. We use dental panoramic radiograph (orthopantomograph) or dental cone beam computed tomography (CBCT) to determine the exact degree of deterioration and plan further treatment (bone augmentation or sinus lift).
A sinus lift is a surgical procedure during which the bottom of the sinus cavity is lifted so that there is enough room for the implant. Depending on the extent of the deformity, a sinus lift can be open (lateral / direct) or closed (osteotome / indirect). The procedure involves adding artificial bone (bone graft) and resorbable membrane below the sinus. Bone is given time to develop (usually 4-6 months), after which it is strong and large enough to support implants. Sinus lift is painless since it is performed using anaesthesia, but some patients experience a certain amount of pain and swelling in the area of surgery.
How to prepare for oral surgery
In order to minimize unnecessary pain and complications during and after procedures, patients should follow these instructions:
Why choose the PRF method?
The PRF method (short for Platelet-Rich Fibrin) was developed in France in 2001 by Dr. Joseph Choukroun. This method is employed primarily in oral and aesthetic surgery and uses products obtained from the patient’s own blood. In recent years the PRF method has been increasingly used in complex dental procedures to accelerate the healing of bone and soft tissue and is an excellent way to prepare for pre-implant and pre-prosthetic surgery. The PRF protocol attempts to accumulate platelets and released cytokines in a fibrin clot. The process starts by taking the patient’s own blood, then centrifuging and separating it in a blood centrifuge machine. Interestingly, the process is fairly quick (about 12 minutes) and simple. Blood separation gives us plasma and fibrin, which are later used as healing biomaterial. For instance, a PRF membrane can be placed over the wound after tooth extraction to accelerate the healing process and help tissue accept the implant. It also makes the implant placement procedure faster, safer and less painful.
The method is risk-free because only the patient’s blood is used, and the results are excellent; we therefore recommend it to all our patients in procedure planning.
Patients on anticoagulant therapy
Considering many dental procedures (tooth extraction, fitting implants) carry a risk of slight to moderate bleeding, patients on anticoagulant therapy (such as Martefarin, Heparin, Antithrombin III Immuno, Kybernin P and similar) should inform their DMD of this.
After consulting the patient’s GP or haematologist, the DMD will decide whether it is necessary to withhold anticoagulant therapy prior to surgery. For most dental procedures this will not be the case, as they do not carry a risk of heavy or prolonged bleeding, but the final decision will be made by the haematologist based on the patient’s medical history.