Oral and maxillofacial surgery

The procedures of oral and maxillofacial surgery involve the surgical treatment of soft tissues of the cervico-facial region, the bones of the viscerocranium, salivary glands, temporomandibular joint, reconstructive plastic surgery in the fields of oral and maxillofacial surgery, and surgical treatment of dento-periodontal injuries.

Tooth extraction

which involves the extraction of an irreversible tooth that can no longer be treated with conservative methods.

Apical resection

is a surgical method that involves the removal of the tooth apex along with the periapical tissue, preceded by properly performed endodontic treatment. Indications for apical resection:

Anatomical conditions that prevent the proper cleaning and obturation of the root canal.

Diseases associated with the prosthetics of impacted teeth.

Radical fractures.

Obstructions in the length of the root canal, which cannot be overcome with endodontic treatment.

Periapical lesions that cannot be treated with regular endodontic treatment.

Failure of endodontic treatment.

Sinus lift

Maxillary sinuses are open cavities filled with air that are located at the level of the maxilla, adjacent to the premolars and upper molars.

A sinus lift intervention performed by a doctor specialized in maxillofacial surgery is necessary when the sinus is very close to the level of the maxilla and there is insufficient bone for the placement of dental implants.

The intervention will be performed, like all other interventions, under local anesthesia, so the patient does not feel pain and discomfort.

The maxillofacial surgery specialist raises the sinus membrane to the level necessary for the placement of the implant. After the removal of the sinus membrane, bone is added to the newly formed cavity, and the implants are placed. After the sinus lift intervention, the patient must strictly follow the medications prescribed by the doctor and postoperative indications to avoid pain.

Gingival remodeling

Gingivectomy - the role of removing excess gum tissue to improve the appearance of the smile. Once it is ensured that all involved areas are perfectly anesthetized, a small incision is made, and the excess gum tissue is removed.

Gingivoplasty - surgical remodeling and recontouring of gum tissue for aesthetic, functional, or physiological purposes. The "smile" of the gums can be caused by overly enlarged gum tissue. This gum tissue can be removed in such a way that after healing, the gums have a natural and pleasant appearance.

Periodontal surgery

periodontal diseases, known as periodontitis, are diseases of the gums, alveolar bone, and ligaments that support the tooth in the alveolus.

The main cause is bacterial plaque that leads to inflammation of marginal periodontium.

The initial phase is referred to as gingivitis and is reversible with adequate treatment and strict hygiene maintenance. Unresolved gingivitis can lead to periodontitis or periodontosis and ultimately tooth loss in the arch.

Periodontal disease does not cause pain and mostly does not affect the teeth at all, only the supportive elements: gums and bone.

Signs of periodontal disease:

Bleeding gums during brushing, chewing, or spontaneously.

Bad breath, red-violet gums.

Contraction of the gums and exposure of the root.

Swelling of the gums (edema).

Dental mobility

In the initial stage, treatment may consist of simple sanitation, while in more advanced stages, curettage of pathological tissues will be used. It is ideal for the patient to visit a specialist at the very first signs of the condition. Thus, treatment will be short and preventive. There are also solutions for the advanced stages of periodontal disease, but the later it manifests, the more difficult treatment will be.