Painless oral surgery
Thanks to our modern oral surgery offices and equipment, the oral surgeons and dentists of Medicover Dental Clinic can guarantee completely painless and professional interventions.
Oral surgery includes simple tooth extraction, oral surgical tooth removal, dental implants, bone grafting and sinus lift. At our clinic, we offer our patients the full range of listed oral surgery procedures.
Tooth extraction
- extensive dental caries and resulting inflammation
- damage to tooth-supporting tissues
- tooth injury due to trauma
- positional abnormalities of teeth
- for orthodontic purposes
- impacted or painful wisdom teeth
- fractured tooth root
Tooth extraction is generally performed under local anesthesia.
Surgical tooth extraction
Heavily destroyed (e.g. root canal treated teeth), teeth in certain positional disorders, damaged due to trauma, are removed during surgical exploration, which is generally performed under local anesthesia.
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
Bone grafting
Bone grafting may be necessary before or during dental implantation in case of insufficient bone mass, which ensures the long-term stability of the implant. Additional examinations for the purpose of setting up a treatment plan are necessary. The most common diagnostic tool is the CBCT scan.
Depending on the size and shape of the bone defects, we use different surgical techniques, during which we use the patient’s own bone and bone grafting materials. The patient’s own bone is used in block or ground form, alone or in combination with bone grafting materials. The most common bone grafting surgery is sinus lift.
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.
Sinus lift
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
Dental implantation is one of the most common procedures performed at our dental clinic. In appropriate cases, dental implantation is the most durable and reliable method of tooth replacement in case of missing teeth.
During the intervention, the oral surgeon places an artificial tooth root (implant) in the jawbone, on which the fixed or removable dental prosthesis can be made after a healing period of 4-6 months. Dental implants are made of titanium, which is easily integrated into the body and bone tissue, so-called biocompatible material.
Guidelines after oral surgery
For a successful recovery, we recommend following the instructions below after the interventions:
- 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?
All medical interventions involve health risks. Our highly qualified and experienced oral surgeons always make sure that the intervention is painless and minimize the chance of possible complications. Among other things, strict sterilization and hygiene rules apply at our dental clinic. Nevertheless, not all risks can be ruled out.
If your pain does not go away (even while taking painkillers), if your face swells too much or if the symptoms do not go away after 5-7 days, they might be signs of more serious 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
- Nerve damage: rare but lockjaw may occur, which might be accompanied by sensitivity of the temporomandibular joint for a few months. The nerve can regenerate itself during this period
- Limited ability to open the mouth for 1-2 days
- Temporary facial paralysis (affects facial muscles), which goes away within 2-3 hours
- Temporary dullness, feeling of weakness
This is only a short 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.
