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Surgery

In some cases, surgical intervention is required to eliminate a threat against oral health or guarantee the success of further treatment.

Oral surgery includes such procedures as dental extraction, implantation, jawbone corrections and circumdental mucous membrane surgeries.

DENTAL EXTRACTION

There are many reasons for dental extraction: huge damage from caries, cracks and fractures, irregular bite, surrounding tissue disorders or a tooth that has failed to cut through or fully emerge from the gums and is probably causing complications. All of the dental extraction procedures, whether simple or sophisticated, are performed under local anaesthesia.

Regular extraction of a permanent tooth
This is an easy procedure for a professional dental surgeon. The tooth is extracted through the use of special instruments without any damage to the surrounding bone or gums. In cases where an implant may be possible for a patient, implant screwing in is possible right after an extraction to shorten the period of healing and fitting of the prosthesis.

Extraction of a an uncut wisdom tooth
Uncut wisdom teeth should most often be extracted for preventive purposes. These are the very last teeth in the back row which are difficult to reach and clean, can easily trap and collect the materials that cause caries, and the caries may eventually damage the adjacent teeth. Inflammation and pain may develop in the surrounding tissues. Besides, wisdom teeth often do not participate in chewing and are functionally worthless. This is why it is advisable to extract such teeth. All four wisdom teeth can be extracted during the same procedure if necessary, thus shortening the period of healing and allowing medicines to only have to be taken once. For many patients, the extraction of all four teeth lasts less than one hour.

Retained tooth extraction
When teeth have formed but have not cut through the gums, they are called retained teeth or impacted teeth. They can be stuck in the bone below and may cause serious complications: damage the roots of adjacent teeth, cause the formation of cysts, development of inflammation or pain, etc. The teeth are extracted surgically by making a small incision in the gums and eliminating the thin osseous layer covering the teeth.

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There are cases when retained teeth are not to be extracted. The canine teeth are of extreme importance to maintain the correct positioning of other teeth and for chewing; they also protect other teeth from wearing down too fast. So, if the canine teeth are retained, they are made to cut or fully emerge from the gums by employing specific orthodontic methods rather than being extracted.

After an extraction, patients are advised to cool the area of the face for some period of time to reduce and prevent swelling. After the procedure, your doctor will explain a regimen that is essential to ensure fast and effective healing. Depending on the complexity of the procedure performed, a medication may be prescribed for some time; however, this is not always necessary.

JAWBONE RECONSTRUCTION

Sinus lift surgery

The cavities inside the jawbone on both sides of the nose are called sinuses. An osseous and mucous layer separates them from the teeth roots. If a tooth is lost, the osseous layer begins getting thinner and may become so thin that there is no place left for screwing in an implant.

In such case, sinus lift surgery is helpful. It is performed under local anaesthesia and lasts for about one hour. The procedure involves making a small window in the jawbone. An incision is made inside the oral cavity, so no signs are visible from the outside and the surgery has no effect on the function of the sinuses. The mucous membrane inside the sinus is lifted and the cavity is filled with a special bone substitute that is usually well-tolerated by the body; after some months, the material takes and become equivalent to the real bone. A safe, high-quality implantation can then be performed.

The surgery and the post-surgery period are painless. A minor irritation may remain several days in the area of the sinus surgery; non-steroidal anti-inflammatory drugs (for example, Ibuprofen or similar) may be prescribed to eliminate it.

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Bone block transplantation

A bone block transplantation is required when the jawbone is not thick enough to safely screw in an implant. The bones lose their thickness due to reasons similar as in the case of load loss (when a tooth is lost due to an extraction or  trauma: the bone loses the load and begins to decline.

The surgery involves incisions in the gums; a block of the patient’s own bone is taken from the chin or another location in the jawbone and fixed with the small titanium screws at the point it is needed. High-quality synthetic materials functioning similar to bones can also be used for such purposes. The gums are sutured and the bone takes within 4–9 months. The intervention does not change the patient’s appearance or leave marks on the face.

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Bone regeneration

This procedure is used when there are minor bone defects or when the bone must be filled in to screw in an implant replacing a lost tooth. An incision is made in gums, and the problem area is filled in with a substance known as a bone substitute and covered with a special naturally melting membrane; the gums are then sutured. After some time, the bone substitute hardens and become like natural bone. The procedure can be performed before or during the implantation, but a dental surgeon must evaluate each particular case.

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SOFT TISSUE AUGMENTATION

This procedure is applied when there are gum defects. The defects may be caused by periodontitis (inflammation of the tissue that surrounds the teeth; the tissue declines and recedes from the teeth), trauma, bone augmentation or other reasons. Soft tissue augmentation restores the healthy and natural look of the gums. The procedure can be performed in several ways. One of them is to slightly release and lift the adjacent gums, and another way is to transplant a small patch of palatine tissue.

Laser

   The DentalPRO clinic uses advanced medical technologies, so a regular scalpel is often replaced by a laser. A laser ensures very precise incisions, kills bacteria, prevents wound bleeding, guarantees faster and easier wound healing, prevents the formation of scars and eliminates the necessity for suturing. The procedure is painless.

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Intravenous sedation

It is no secret that visiting an odontology room raises unpleasant thoughts for many people. It is especially typical in cases of long and sophisticated surgical interventions. The DentalPRO clinic offers a procedure called sedation. It is only performed in clinics with a special licence to do so, and only under the supervision of a specialist (doctor anaesthesiologist). It is a kind of light narcosis administered by the intravenous dripping of medicines. The patient feels calm and sleepy, has no fear throughout the procedure, and partially or even entirely forgets the treatment procedures they have undergone. Sedation can be applied to anyone afraid to visit odontology rooms. Sedation is also good for patients who do not want to know what is happening during a procedure, cannot sit peacefully in the odontology chair, have low pain threshold, a strong sense of nausea, experience vomiting or have very sensitive teeth. Sedation can be used during any procedure, surgical (e.g., tooth implantation) or regular (tooth treatment or whitening).

The dental surgeons of the DentalPRO clinic will explain the possibilities, necessity, course and safety of any of the above procedures and answer all your questions during your consultation.