With our state-of-the art surgery rooms and appliances at MDental Clinic Hungary, our professional surgeons ensure 100% painless oral surgical treatments. At our clinic we offer a full range of surgical treatments from simple tooth extractions through dental implantation to bone augmentation and sinus lift.
Untreated decayed teeth and the illness of their environment can often lead to the removal of the teeth. After having made sure that the broken or damaged tooth cannot be fixed with a crown, a filling or any other preservative dental treatment, the extraction is performed. Here are some exemplary situations when tooth extraction is needed:
when the decay is too extended and does not allow to restore the tooth,
if a tooth is moving because of initial caries,
when a tooth is broken because of a trauma (e.g. an accident, fall),
if a wisdom tooth gets painful,
when a primary tooth is being lost to slowly which delays the eruption of the permanent tooth,
in case of a surgical treatment, if the extraction is inevitable,
in case of an unnecessary tooth.
Since it is a relatively simple procedure, it is carried out under local anaesthesia, in the case of teeth that are visible over the gum line. The dentist loosens the tooth with a dental instrument and smoothly removes it.
Surgical tooth extraction
In certain cases, however, it is not possible to remove a tooth by a simple extraction: for example, if there is an extreme decay, when the tooth can easily snap, or when the tooth has a strongly curved root or diverging roots. A more complex procedure, the so-called surgical extraction is needed if the tooth has broken off at the gum line or has not erupted in the mouth at all. The oral surgeon needs to make a small incision in order to be able to remove the broken tooth.
Wisdom teeth, on the other hand, represent an exceptional case if they are impacted and need to be treated with special care.
Dental treatment is one of the most popular medical tourism procedures, although it’s not always an easy thing to decide whether we want to have our teeth done home or abroad.
Evaluating bone density and structure are key factors in planning before implantation.
There are some cases when it is discovered that the patient’s jawbone condition is not suitable to anchor the implant. In case of a chronic periodontitis i.e., not only the gum but also the jawbone get damaged by bacteria proliferating in the inflammatory environment. The other quite common cause of bone loss is when teeth are lost and years go by without replacing them. The gum and bone in place of the missing teeth recess naturally over time.
This is why it is really important to place dental implants very soon after the extraction. In case of bone loss, i.e. if there is not enough quality and quantity of bone, bone grafting – also referred to as bone augmentation or bone replacement – is necessary. This means using some graft material before replacing the teeth by implants.
Bone augmentation can be performed in three different ways. There is a procedure to elevate the bone by adding either artificial or natural graft to the bone.
Artificial bone graft material
The artificial graft material is called alloplast. It is a synthetic material which is completely biocompatible since it mostly contains Hydroxyapatite which is an essential ingredient of teeth.
Natural bone graft material
The natural bone graft material contains harvested bone that’s been processed to decontaminate it and get the necessary minerals. Along with the substances added, this material provides a framework for the patient’s surrounding bone tissues to grow inside the hole and fill it properly.
The third type is quite different from the other two. In case of an autograft a piece of the patient’s own bone taken from the hip, tibia (shin), scull or jaw is used to fill out the gap around the damaged area. This supplement is usually attached by so called osteosynthesis screws.
In almost all cases a so-called resorbable membrane is necessary to cover the bone graft in order to achieve the finest bone and tissue regeneration.
The bone graft material integrates with its surrounding area and becomes part of the body in 6-8 months.
Watch our video on bone grafting:
Provided by Geistlich Biomaterials
Am I Suitable candidate for bone grafting?
Bone grafting is a surgical treatment, therefore the patient has to meet some important criteria to able to take part of the process. The suitable candidate for bone graft needs to have a fine overall dental health and he or she should be able to handle the oral surgery. Having some kind of a problem like uncontrolled diabetes is an excluding reason.
Procedure of bone grafting
The procedure of bone grafting takes about 30 minutes to 3 hours under neuroleptic analgesia (the patient may receive Dormicum in case of serious anxiety) and local anaesthesia which makes the surgery completely painless. The point of the whole process, which is placing the implant, can be performed 6 to 8 months after the grafting. There are also some cases when it is possible to perform the graft and the implantation simultaneously.
Is bone graft material safe and reliable?
At our clinic we use premium quality, resorbable AlphaBio graft material that is very similar to human bone, ensuring excellent integration, bone formation and volume. It is 100% biocompatible and non-toxic, i.e. do not cause harm to the body in any way or does not trigger any tissue reactions.
Image on the left: the bone is too thin because of resoprtion to support a dental implant.
Image in the middle: bone graft material is added to the bone and needs 6-8 months to heal.
Image on the right: the graft integrated with the bone and it is ready to anchor the tooth implant.
When there is insufficient bone mass in the maxillary (upper jaw) our oral surgeons add bone grafting material to the upper jaw in the area of molars and premolars, between the upper jaw and the maxillary sinuses (two hollow spaces in the bones around the nose), which are on either sides of the nose. To make room for the bone, the sinus membrane has to be moved upward, or “lifted.” This procedure, called sinus lift, has been performed successfully for over two decades now and is considered an accepted and predictable method of bone grafting.
Watch our video on sinus lift:
Provided by Geistlich Biomaterials
Placing dental implants is the main profile of our dental clinic in Budapest, Hungary. We firmly believe that this type of tooth replacement option is the most solid, durable and stable solution.
It is an artificial tooth root, anchored to a pre-drilled hole in the jaw-bone to hold a crown, bridge or full bridge or denture on implants (overdenture) in place. Dental implants are made of titanium, a material that is well tolerated (biocompatible) by the human body and easily integrates (osseointegration) with bone tissue.
To read more on dental implant, please visit our dedicated page here.
Guidelines after oral surgery
The wound after tooth extraction, oral surgery or dental implant procedure needs to be handled according to a range of precautions, which we would like to kindly ask you to considerate during the first hours after your treatment:
Do not eat or rinse the affected area because of any reason more during this transition period then what was specified.
During the week after your surgery you will experience an excessive effect in the wound (i.e. the area that was operated), so it is advised to eat on the other side to protect that set.
Do not to remove the blood clot because that enables the affected area to gain a well-balanced recovery after the surgery.
Do not eat while being under local anaesthesia (it can last 2-5 hours after your treatment) in order to protect the mucosa; drinking is allowed.
Do not drink alcohol, coffee, dairies or eggs.
Avoid physical exertions such as sport, sauna or thermal water.
Be careful by cleaning the affected area, use a brush with soft and flexible bristles, and feel free to clean the other teeth the way you normally would.
Avoid using mouth water until complete recovery.
Do not blow your nose too hard and avoid any hit in case of a maxillary operation. Feel free to use a nose spray as you would normally in case of having a cold or contact your doctor / pharmacist for further advice.
Sleep on the other side or on your back if it is possible.
Place a bag of ice on your face or use that pocket you have received at the clinic and put it into the refrigerator to re-use it.
Apply a moisturizing cream on the face underneath the ice pocket.
Inform your oral surgeon about abundant postsurgical bleeding, excessive pain, fever and other symptoms that occur after the surgery and all impacts that effect your overall medical condition.
What are the risks of oral surgery?
All medical interventions can cause risks or potential medical complications. We take a huge care of minimizing the possibilities of a complication by treating you by a high qualified medical staff and with high quality materials. All sterilization and hygiene guidelines and all other protocols are being followed. However, not all risks can be excluded.
When you have a big pain that does not stop (you cannot even suppress it with painkillers), when your face gets too swollen or when symptoms do not end in 5-7 days, this can be a sign of a complication.
Complication with the sinus
In rare cases the maxillary sinus (two hollow spaces in the bone on the sides of the nose above the maxilla) opens above a tooth extraction. This complication needs an immediate surgery (still it is not that dangerous and can easily be handled with modern methods).
There is a test to explore this issue, the so-called nose blowing test. Shut your nose by pressing the nostrils together, in the meanwhile press air into your nose. A whistling sound or bubbling on the site of the extraction refers to an open sinus which can easily be closed with a few stiches. These are the most obvious symptoms of this complication, so when you experience these at home during blowing you nose, contact us immediately. Please also contact our clinic if other suspicious or uncomfortable symptoms occur.
Risks of local anaesthesia
Allergic reactions: hardly ever occur
Local haematoma: disappears in 1-2 weeks
Damage of the nerve: rare, it might happen in case of a mandibular block. This can cause sensibility disturbance in the cheek for a few months. The nerve is able to regenerate by itself in months.
Restricted mouth opening: lasts for 1-2 days
Temporary facial palsy (effects the mimic muscles) which disappears in 2-3 hours
Temporary dullness, fading
We hope you’ve been given all the necessary pieces of information. Should you have any questions, feel free to contact us. MDental Team is at your disposal answering all of them.
Risks of dental implantation
It is not advisable to drive a car right after the surgery.
Avoid physical exertions such as sport, sauna (they increase the risk of bleeding).
Place a bag of ice on your face or use the pocket you have received at the clinic. For re-use, put this pocket into the refrigerator. Apply moisturizing cream before putting the ice on your cheek to protect your skin. We recommend to use the ice bag more times on the day of the surgery, 10-20 minutes per occasion. It is also advisable to apply ice on the second and third day after the operation.
The oral surgery is performed under local anaesthesia, the effect lasts 2-5 hours. Do not eat while being affected to protect the mucosa from any injury. You can drink in the meanwhile.
Eat on the other side, if it is possible. Avoid consuming alcohol, coffee, milk and other dairies, do not smoke for at least 5-7 days. It is advisable to eat rather soft food like soups, potato puree, etc.
Do not touch or suck on your wound and do not rinse it because with that you will remove the blood clot which increases the risk of an infection.
Considering the mouth hygiene recommendations supports the healing process and the successful implementation of the dental implant. The set of the operation can be cleaned with a soft brush, the other teeth can be cleaned normally in the meanwhile. Using mouth water in the first few days after the surgery is strictly forbidden.
Inform your doctor about abundant postsurgical bleeding, big pain fever or other symptoms that occur after the operation and influencing your general medical state.
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