Complex molar (wisdom tooth) extractions – Alveotomy
The extraction of molars (alveotomy) is one of the most common oral surgery procedures. Patients are often unaware of the wisdom teeth in their mouth because they do not bother or hurt. During their growth, the wisdom teeth may cause inflammation of the gum. Sometimes cleaning is enough but if the process is complicated it is necessary to remove the teeth surgically.
If the tooth often causes disturbances, such as inflammations caused by leftover food, it is recommended to extract it to prevent further spread of inflammation caused by bacteria. A bacterial infection can cause inflammations which can extend to the surrounding bone. A root canal destruction of the adjacent molar may occur during serious inflammations. The tooth can press the nerve causing unpleasant pain.
How long can I delay the extraction and is the extraction procedure painful?
Delaying the removal of the affected and and impacted molars is not the best decision, because in persons older than forty , a resorption of the root of the adjacent tooth or a cyst development may occur.
The complex molar extraction procedure is carried out under local anesthesia and the process is painless and lasts for about 30 minutes.
In agreement with the oral surgeon a further therapy is applied.
Apicoectomy – The last resort for Your tooth
Apicoectomy is a very successful minor surgical procedure whereby a tooth’s root tip is removed together with the inflammatory process.
Apicoetomy is a procedure we carry out when root canals are bent and can not be endodontically well cleansed and consequently inflammations occur repeatedly. The root tip is removed along with the infected tissue by a small surgical procedure, and then sealed so no inflammation can occur anymore. If necessary, the root canal is filled through the tip of the root. In this process, our oral surgeon uses micro – piezo devices, with specially curved extensions, which facilitate the procedure even in cases with harder reachable roots.
Depending on the tooth, an apicotomy may last from 30 to 60 minutes. The procedure is very short for the front teeth while it takes longer for the back teeth
After 6 months, an intraoral x-ray of the tooth is needed.
Cystectomy
Cystectomy is a surgical removal of a cyst.
Cysts are most commonly caused by inflammatory tissue (granuloma) after trauma or developmental etiology. The patient often feels the first symptoms when the cyst is already in acute condition with severe pain and swelling.
Symptoms of a dental cysts are:
Change of tooth color
Non treated major cavities
A bulge on the jaw bone above the tooth
Fistulas
Pain, red or swollen gums
The cyst needs to be removed as soon as possible to stop its spreading and growth, thus causing large inflammation on the face. Cystectomy is performed under local anesthesia, which means that the procedure is completely painless. The oral surgeon removes the cyst, shortens the tip of the root and seals the tooth canals. In the remaining cavity after the cyst removal, bone can be regenerated making the healing process as effective as possible. One week after the procedure, the seams can be removed.