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Painless oral surgery
Medicover Dentistry is providing you with 100% pain free oral surgery interventions thanks to its latest technology appliances and modern treatment rooms.
We offer a wide range of surgical treatments from tooth extraction to bone graft, sinus lift or dental implantation.
When the tooth is too damaged or it cannot be sufficiently supported because of the state of the surrounding gum or jawbone, its removal might be necessary. First of all, our dentists make sure that the decayed or broken tooth cannot be fixed in any other way, like a crown, a filling, an inlay/onlay or root canal, then they decide to apply the extraction. Please find below some examples of when it is inevitable:
- very extended decay when the restoration is impossible
- moving tooth because of caries
- accidently broken tooth because of trauma
- painful wisdom tooth
- delayed loss of primary tooth that hinders eruption of permanent tooth
- in case of some surgical interventions
- in case of unnecessary tooth eruption
In most of the cases it is a simple process realized under local anaesthesia when one part of the tooth can be reached with special dental tools over the gumline.
Surgical tooth extraction
However, in other cases it is necessary to apply some more complex techniques than a simple extraction. In case of an extremely extended decay or when the tooth is having curved or diverging roots, surgical tooth extraction might be necessary. It is also advised in cases when largest part of the tooth is situated under the gumline or not even erupted. The oral surgeon makes a small incision to remove the broken tooth then.
Also wisdom teeth have to be treated in a surgical way when they are impacted and endanger the neighboring teeth and/or become painful
Special case: the wisdom tooth
The last tooth on both sides of our lower and upper jaw is the wisdom tooth. There are those who develop and even go out on their own, but the phenomenon that the tooth cannot erupt on its own, even though it is in the jawbone, is not common either.
In such cases, we are talking about an impacted wisdom tooth, which can be removed with oral surgery and special tools. The oral surgery procedure is performed under local anesthesia and most of the time the tooth is removed in several parts, if necessary we can even access the lower parts by “cutting off” a part of the jawbone.
It is an unpleasant procedure, as the mouth has to be kept open for a longer time and the pain and swelling following the operation may last longer.
However, in most cases minor oral surgery is unavoidable, as local inflammation, fever, jaw lock or even the health of the surrounding teeth may depend on it.
Wisdom tooth wedging (impactions)
An obliquely impacted wisdom tooth
- the tooth cannot break through the jawbone and soft tissues, its crown bends towards the root of the adjacent tooth
- in extreme cases, this can even lead to the fracture of the root of the adjacent tooth
Partially impacted wisdom tooth
- the wisdom tooth can only partially emerge from the jawbone, its crown “gets stuck” under the crown of the adjacent tooth
- there is an extremely high risk of unnoticed caries of the adjacent tooth root
A horizontally impacted wisdom tooth
- the tooth cannot break through the jawbone, because the crown rests on the root of the adjacent tooth, it is located horizontally
- in this case it is almost certain that it can only be removed in pieces
A vertically impacted wisdom tooth
- the tooth cannot erupt from the jawbone as it is wedged vertically under the crown of the adjacent tooth
- in such cases, the only thing that helps is to remove the adjacent tooth in front of the wisdom tooth
Before starting a dental implantation procedure, the dentist is evaluating the state of the bone. If its density and/or quality are not enough to support the artificial root, bone graft might be necessary to help the jaw to anchor the implant.
Bone loss can be a result of a long time missing tooth in the jawbone or chronic periodontitis, for example.
Dental implantation soon after tooth extraction or loss can be a good solution to avoid natural bone loss in the affected area. If it hasn’t been happening, we can expect the necessity of augmentation of the bone during a procedure also called bone grafting. During the process we elevate the bone by adding graft material before the tooth replacement. This material can be artificial or natural.
Bone graft materials
The following materials can be used during bone replacement:
- Artificial bone graft material
The name of the artificial graft material is alloplast. It is a synthetic, biocompatible material that mostly contains Hydroxyapatite, an essential ingredient of the tooth.
- Natural bone graft material
It contains harvested bone that’s been processed to decontaminate and supplemented with 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.
- Bone transplantation
This third type of material is different as it is a more complex intervention. An autograft is realized from the own bone of the patient (hip, shin, scull or jaw) that we use to augment the bone quantity of the patient at the damaged area. This piece of bone is attached by osteosynthesis screws.
Most of the time we also use resorbable membranes to cover the material for a better regeneration of the bone and the tissue.
Regeneration takes around 6-8 months following the operation.
Am I Suitable candidate for bone grafting?
General health and oral hygiene are highly important to get a successful operation done. In case of uncontrolled diabetes, for example, it is not possible to have this kind of a severe surgical intervention.
Is bone graft material safe and reliable?
At Medicover Dentistry, we use resorbable AlphaBio graft material that is similar to the human bone structure. It’s a premium quality, 100% biocompatible and non-toxic material that provides perfect integration for the extension of the bone volume. No harm to the body, neither allergic reactions.
Procedure of bone grafting
- It can take 30 minutes but even 3 hours, depending on the location and the nature of the bone grafting procedure.
- The whole operation is happening under neuroleptic analgesia and local anaesthesia to make the intervention completely pain free.
- After the bone graft, we need to wait 6 to 8 months to get the dental implantation process started, though in some cases, it is possible to start it right after bone augmentation.
In case the bone volume or quality is not enough in the upper jaw bone, we talk about sinus lifting. It is made with the same method as simple bone grafting but only in the area of molars and premolars, over the maxillary. The simple bone grafting procedure is being completed by the lifting of the sinus membrane while we get some more space for the grafting material to provide more density. This technique exists for over 20 years and has a proven record of being a successful solution.
Dental implantation procedure
The dentists of Medicover Dentistry are real experts of dental implantation. Our experiences had proven many times that this is the best way to replace a missing tooth for its reliability and long-term stability.
Dental implants are artificial tooth roots that support the crown, the bridge or the denture that we make as a final restoration. They are biocompatible, easily integrating with the body, as they are made of titanium.
Please click here to know more about dental implants.
Guidelines after oral surgery
We need to handle carefully the post-operational area after an oral surgery intervention. We would kindly recommend you to take the following advices to serious after the operation:
- avoid eating and rinsing for a couple of hours
- try to chew on the other side of the mouth for a few days following the oral surgery intervention
- do not remove the blood clot to avoid infection and help healing
- avoid drinking alcohol, coffee, dairies and eggs
- no sports, sauna or thermal water for a few days
- avoid eating under local anaesthesia (lasting 2-5h after the end of the treatment)
- clean carefully the affected area, we recommend you to use soft brushes for that part of your mouth
- do not use mouth water until the healing process is over
- no hard nose blowing is advised because of eventual maxillary problems
- try sleeping on the opposite side of the affected area or on your back
- use ice jelly on the face and moisturizing cream underneath
- call immediately your oral surgeon in any case of serious complication, like excessive pain, bleeding or fever
What are the risks of oral surgery?
Medical complications may arise in any kind of surgical operation. Medicover Fogászat is trying to make sure, these risks are minimized by working only with a highly qualified and experienced medical staff as well as the highest quality materials available on the market. Our ISO qualification is another proof that we take it very seriously. At the same time, there can be upcoming problems that we cannot exclude completely.
If you feel like having excessive, unstoppable pain that cannot be resolved by the use of painkillers, if your face is too swollen for longer than a week, you should consider the possibility of having some complications.
Complication with the sinus
One problem that may arise is the opening of the sinus after a tooth extraction in the upper jaw. It needs to be treated immediately, even though it’s not as dangerous as it seems at first sight.
The sinus has to be closed with some stitches and handled carefully until final healing.
Risks of local anaesthesia
- Allergic reactions: very rare
- 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 (affects the mimic muscles) which disappears in 2-3 hours
- Temporary dullness, fading
This is only a short, resuming list of all the information. Please contact us clinic for further details.
Risks of dental implantation
- avoid driving a car shortly after the intervention
- no sport or sauna to decrease risks of bleeding
- use of ice jelly is recommended, application of moisturizing cream under the ice is advised
- avoid eating under local anaesthesia for 2-5 hours, drinking is allowed
- try eating on the other side, mainly soft food ; consuming alcohol, coffee, dairies and smoking are not recommended
- do not suck on the wound, nor rinsing is advised as they are increasing risks of infection
- keeping proper oral hygiene during the healing process is primordial from the point of view of the successful integration of the dental implant, the use of soft brush is recommended, mouth water is not advised in the first couple of days following the operation
Please do not hesitate to contact your dentist in case of excessive bleeding, pain or fever or any kind of unexpected health issues.