Dental surgery

Dental surgery

It is a field of dentistry dealing with the surgical treatment of oral and adjacent areas.

Tooth dental surgery is one of the basic procedures in the field of dental surgery. However, modern dental surgery – taking advantage of the development of modern diagnostic technologies and innovative materials and tools – is still expanding its range of possibilities.

Currently, dental surgery includes procedures that allow you to save the tooth in the event of improper root canal treatment, or allow for effective implant placement and treatment of advanced periodontal disease. Such procedures as raising the bottom of the maxillary sinus or guided bone regeneration are an increasingly frequent stage of implantological treatment. Root apex resection is a procedure that allows the removal of periapical lesions while maintaining the tooth.

Indications for operational removal of the stopped eight

One of the most frequently performed surgical procedures in the dental office is the extraction of wisdom teeth, i.e. third molars. In most patients, eights grow out quite late – usually between the ages of 17 and 25 (however, sometimes they appear later or do not erupt at all). Due to the anatomy of wisdom teeth and difficult access to them, conservative treatment of eights often turns out to be ineffective or even pointless. Especially since these teeth are more prone to caries than others – it often happens that the carious defect appears in an eight carved only partially.

Indication for this procedure are improperly arranged uncut eights, which pose the risk of complications in the form of damage to adjacent teeth or crowding of the teeth in the anterior segment.

The decision on the extraction of the eight stored in the bone is made by the dentist after thorough diagnosis, enabling the development of a correct and safe procedure for the patient. Medical history, detailed clinical examination, consultation with an orthodontist (if necessary), and above all, referring the patient to panoramic x-rays of the teeth – these are the standard procedures preceding the procedure.

Surgical methods supporting root canal treatment

Apical endodontic surgery consists of three basic procedures. These are: tooth root resection, hemisection and radectomy. Surgical treatment is often for the patient’s last chance to save his own tooth, even if it has inflammation with irreversible pathological changes. Hemisection involves removing half of the tooth along with one of the roots and rebuilding the remaining part with a prosthetic crown.

The indication for the procedure are periapical inflammatory changes, excluding further conservative treatment.

Sometimes hemisection is also performed for periodontological indications or after a vertical tooth or root fracture. Radectomy, like hemisection, is carried out on multi-root teeth.

It boils down to cutting off and removing the dental root, which is no longer suitable for reconstruction.

Any tooth extraction is a surgical procedure during or after which general or local complications may occur. One of them is, for example, dry socket, manifested by severe, rapid pain that can radiate to the temples. In addition to pain, high fever and general weakness of the body are also common symptoms of dry-bones. An empty alveolus usually develops two to three days after surgery due to a bacterial infection. If pain after pulling out lasts for 2-3 days, you should immediately consult a dentist.

Sometimes there are also inflammations or bacterial infections with purulent exudate. In this type of complication, antibiotic treatment is necessary and the extraction wound must be kept clean.

The resection procedure is performed under local anesthesia. It consists in cutting out a window in the mucosa and exposing the bone above the root of the affected tooth. Then the dentist removes the affected places in the root apex, tightly closes the root canal with a special filling, and finally sutures the mucosa. Sutures are removed a few days after surgery.

The most common indication for resection is periapical inflammation, which can occur if canal treatment is not performed properly.