It is used to correct a variety of problems in the mouth, teeth and jaw area. This may include removing impacted or semi-impacted wisdom teeth, removing damaged teeth that cannot be saved, placing implants, and rebuilding the jawbone to accommodate implants.
More specifically, it includes:
- Removal of teeth and broken roots
- Removal of impacted teeth
- Revelation of impacted teeth
- Acrorrhizectomy
- Investigation of oral pathology
- Investigation and treatment of oral diseases
- Biopsies
- Reconstruction of the missing jaw bone
- Bone reconstruction for implant placement
- Implant placement
Disharmony in the development of the jaw bone in relation to the dental barrier, sometimes leads to the 3rd molars remaining in the wrong position in relation to the rest of the teeth. Very often the cusps are enclosed and never rise into the oral cavity. However, even in this case, they often cause a variety of problems (periosteanitis, alveolar abscess, odontogenic or odontogenic cysts, periodontal or periapical problems in neighboring teeth).
The extraction of these teeth is a relatively complex surgical operation that requires special knowledge, experience, respect for the adjacent anatomical structures (vessels, nerves, neighboring teeth) and specialized equipment.
Another category of teeth that are often impacted are impacted canines. In this particular case, in collaboration with the Orthodontist, we undertake, as part of a comprehensive orthodontic treatment, their surgical disclosure and their movement to the correct position in the mouth. If this is not possible and their extraction is unavoidable, it is carried out safely and without affecting the neighboring teeth.
If there is a gap in the dental barrier, it is usually recommended to place an implant or other restoration, depending on the case.
It depends on the underlying pathology of the tooth. In general terms, exports are divided into two major categories:
Simple: they are done on the teeth that are visible and require the use of special tools.
Surgeries: performed on teeth that have not yet erupted or in situations where there is a fracture of the tooth below the gum line (e.g. wisdom tooth extraction). They require special tools and an incision to be made and possibly bone resection.
We may recommend the extraction of one or more teeth in the following cases:
- Tooth fracture
- Extensive caries
- Active and extensive periodontal disease
- Failure of endodontic treatment
- Problems during teething
- Occluded teeth
- Placement of complete dentures
- Radiation to the face area
- Failure of simple extraction (for surgery)
Contraindications mainly concern surgical extraction, because it is a more invasive method and the use of anesthesia is required. The dentist must take a complete history and assess the patient’s general state of health. It is very important to ask about the medications the patient is taking, with the most important being anticoagulants and antiplatelets. In any case, the specialist weighs the benefit against the risks of this method and decides accordingly.
The extraction of the teeth must be done by a specialist. It is a method that is performed quite often and is safe. Nevertheless, no method is without complications and risks, with surgical extraction being clearly more difficult than simple extraction. There are many factors that the dentist must consider before performing the extraction and estimating how “difficult” the procedure will be. If these factors indicate a very difficult case, it would be advisable to have the extraction performed by a maxillofacial surgeon. Some of these factors are:
- Condition of dental tissues: the more damaged the tissues, the more difficult the extraction process.
- Relationship to adjacent tissues: radiological examinations are the most helpful tool. If the tooth is in direct contact with other tissues, extraction will be difficult.
- Shape and direction of roots: if not many radiological images are taken, either some root may remain, or the procedure may not be done correctly. The more irregular the shape and direction of the roots, the more difficult the extraction.
- Periradicular condition: checked by radiological examinations
Before the extraction, the dentist should take a detailed history, perform a clinical examination and take the necessary radiological images. The patient must be informed about the entire procedure and possible complications. After the above is done, the doctor administers local anesthesia to the area where the extraction is to take place. With the help of the extractor and a dental forceps, the specialist removes the tooth and, if necessary, reshapes the working area. Η διαδικασία τελειώνει με ράμματα. To reduce bleeding and not to infect the area, the doctor places a sterile gauze, which the patient holds for 30-45 minutes. For at least one day, smoking and cleaning of the area is prohibited.
Before the extraction, the dentist should take a detailed history, perform a clinical examination and take the necessary radiological images. The patient must be informed about the entire procedure and possible complications. The patient should be covered with antibiotics one hour before extraction with a combination of amoxicillin 500mg and clavulanic acid 125mg. After the above is done, the doctor administers local anesthesia to the area where the extraction is to take place. With the help of special tools, the periosteum and mucous membrane of the area are cut. This exposes the root and the doctor reshapes the area. The tooth and the required areas are removed and the wound is closed with stitches. To reduce bleeding and not to infect the area, the doctor places a sterile gauze, which the patient holds for 30-45 minutes. For at least one day, smoking and cleaning of the area is prohibited.
Extraction is a safe method as long as it is performed by a specialist dentist. The most common complications are bleeding and infection.
Alpha Smiles performs all surgical practices with the help of technology and of course under completely aseptic conditions, in order to reduce the possibility of any complication.
The patient must not smoke or clean the area for at least 24 hours. To prevent infection, it is recommended to use 0.12% chlorhexidine oral solution morning and night for a week. For the first few hours, it is recommended to put ice on the face, outside the area where the extraction was done. In the first three days, the patient is expected to experience swelling. The stitches are usually removed after about a week.
Because each case is unique, you will be given detailed instructions before and after the procedure. Do not hesitate to contact us for anything that concerns you.
- A rhizectomy can be done in the following cases:
- Failure of endodontic treatment
- Abnormal root anatomy (eg narrow or bent root canals)
- Abscess
- Pain that remains after endodontic treatment
- Fracture or perforation of the root
As in any dental procedure, it is very important for the dentist to take a very good history and perform a thorough clinical examination. The most helpful tool, however, is imaging tests. With them we can see how extensive the damage is and plan the treatment plan. It is of the utmost importance that the patient understands the entire process and that any questions are answered. After this is done, the area where the rhizectomy will be performed is isolated with special tools and local or stem anesthesia is administered.
With the help of a special tool, the surgical cringe, the gums are removed and at the height of the apex with a wheel, drilling of the bone is applied. When the doctor sees the diseased part, he removes it and reshapes it. At the point where the root has been removed, the dentist places a special biocompatible material so that it is “sealed”. The procedure ends with stitches on the gums.
A cyst is the localized collection of fluid in the gums. If the fluid is purulent, then we have an abscess.
If there is a large cyst in the gums, it can threaten the health of the teeth located in this area. If there is an abscess, things unfortunately become more serious. The complications of the abscess can be local and devastating (eg osteomyelitis, tooth loss) or even create very serious multisystemic problems (eg endocarditis, cavernous sinus thrombosis, etc.). The sooner the abscess is treated, the better.
Our first action after diagnosing the cyst or abscess is to open and drain it. Through a small incision on the surface of the tooth, the specialist tries to drain the purulent fluid. Then, endodontic treatment is performed. It is very important that the specialist cleans the area correctly and methodically, so that the abscess does not reoccur. Antibiotics and painkillers are recommended for a few days after surgery.
For any questions call us or fill out the contact form below. One of our associates will contact you immediately. We will be happy to help you!
