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Dental Surgery

Bone replacement

Bone replacement is deemed necessary in cases when there is no available bone with an adequate thickness to properly support the implant.

The material used in the bone transplantation process can either be the patient’s own bone material retrieved by way of autotransplant, or an artificial bone-replacement material.

The procedure can be conducted both on the upper and the lower jaw.

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Sinus lift or Sinus Enlargement

Sinus lift or Sinus Enlargement is a surgical method by which we can increase the amount bone tissue of the upper jaw, above the molars and premolars.
sinuslift This surgery is performed by an oral surgeon or parodonthologist. Sinus lift surgeries have become part of regular practice for the past 15 years, since an increased number of people opt for dental implants.

If there is not enough bone tissue in the upper jaw, or the sinus is too close to the jaw in which we intend to place implants, this is the method to apply.

 

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This may be due to one of the following reasons
1) Following the loss of the upper teeth (molars and pre-molars), there is not enough bone for an implant procedure.
2) The bone tissue has been depleted due to periodontal disease.
3) Once the teeth are lost, the bone tissue gets absorbed. If the teeth are not replaced for long, there will be not enough bone tissue left for the implants.

An X-ray scan is carried out prior to the sinus-lift surgery, which will be carefully examined by the dentist. For supplementing the missing amount of bone tissue, synthetic/artificial or natural bone-replacement materials are being used.

Cyst surgery

What is a major trait of cysts?
cisztaAn oral cyst is a sac, or pouch, having a lymph tissue wall, and being lined with epithelium; it is usually filled with yellowish liquid.
A major trait of cysts is that they grow continually. Due to the pressure exercised by the fluid contained, the surrounding bone tissue decays, and depletes. In an advanced decay state the jaw bone may also break spontaneously.

Teeth are more resistant than bone is, so they do not get absorbed under pressure, but a cyst growing between two teeth would push the roots apart. This may not cause any problem at an early stage, however, later the teeth crowns would tilt against one another. Since cysts generally cause symptoms only at a later stage, very often they are detected on X-ray scans taken for completely other reasons.

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Root Resection Treatment

The procedure means that the tip of the root of a tooth is removed from the bone tissue, while keeping the tooth itself. Such teeth must always be provided with a root filling.

In which cases is this kind of treatment necessary?
1. When a recurring cyst-like deformation is detected around the root of a decayed tooth, and there is no hope that it will repair. In such cases a a root-filling is the solution, followed by a root resection treatment

2. When the root canal (or one of the root canals) is not completely traversable. In such cases the area which is unaccessible to the root filling must be removed.

3. In the case of the occurrence of chronic inflammations (granulomae), showing no tendency to heal.

4. In case of focal diseases root canal treated teeth can be considered as foci for inflammations, even in cases when there is no detectable inflammation process around the roots.

5. In cases when the root filling spilled over the root of the tooth (thus being in the bone tissue).

6. In cases when the drying of the root canal during root canal sealing cannot be performed.

7. In cases when during root canal treatment and the root canal sealing a stray canal is formed, i.e. if the root canal scraping dental equipment went the wrong way.

8. In cases when root canal filling or root canal scraping tool broke into the root canal.

Root Resection Treatment
Following the root filling (which can be performed before or during the resection itself, depending on the specific case) cuts will be made in the gum under local anesthesia, and the dentist will go through the bone with a drill or a chisel to expose the roots of the tooth, and the tip of the root (at least 3 mm of it) will be removed.
The gum will be then stitched closed and the threads removed in about a week.
 

Tooth extraction

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Tooth extraction (extractio) is the procedure when a tooth is removed from the mouth cavity.

The most common reason for extracting a tooth is advanced cavity.

Apart from this, there are several reasons why they revert to extraction of a tooth,
1) such as advanced paradontopatia,
2) an impacted tooth (a tooth unable to burst from the jaw),
3) the use of braces, etc.



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