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ORAL SURGERY
Teeth Extraction (Pulling Out)
Pulling out (extraction) of a tooth is one of the most extreme treatment methods – when the tooth can no longer be recovered or when it injures a nerve and causes damage to the oral mucosa, to the tongue or interferes with the normal bite. Extraction should only be performed as a last resort, when other methods of tooth rescuing are not possible or a bad tooth can lead to other, more severe complications.
Which teeth are subject to removal?
- Teeth with deep caries (below the level of the gum) that cannot be recovered
- Fractured (broken, damaged) teeth with an unfavourable prognosis
- Teeth with granuloma or cysts that are not subject to endodontic treatment
- Teeth that cause abscess and are not subject to endodontic treatment
- Teeth with periodontitis where it is not possible to eradicate the source of inflammation
- Teeth that prevent an orthodontic treatment
- Retained teeth that create local symptoms
- Supernumerary teeth (hyperdontia)
- Teeth preventing denture fixation
- Teeth with severely damaged tooth holding apparatus
Extraction of retained teeth
Wisdom teeth are the ones retained most often. Sometimes they do not cause problems throughout the life of the patient and their removal is not necessary. However, often their difficult eruption leads to complications and they need to be surgically removed.
When should retained wisdom teeth be removed?
- In case of recurrent inflammation of the surrounding soft tissue (peri and paracoronitis)
- In case of risk of root resorption of the front tooth
- In case of risk of caries formation on the front tooth
- When all teeth of the jaw are crowded
- Based on orthodontic indications
- In case of formation of a follicular or retromolar cyst
Main contraindications for tooth extraction:
- Cardiovascular diseases during exacerbation
- Acute viral respiratory tract disease
- Psychic disorder during exacerbation
- Malignant tumors
- Stomatitis
Cyst removal
Dental cysts can be of different types, origins and locations. The ones most commonly found are those at the apex of the root of dead teeth. These are the periapical cysts. Usually the reason for their formation is untreated caries that reaches the pulp, which causes chronic pulp inflammation, and over time this process encompasses the entire pulp. In many cases, when this inflammation is left untreated, it penetrates through the opening of the root apex, where a connective tissue structure is located. This connective tissue is made up of fibres, blood and lymph vessels, nerves and a tissue fluid called periodontium. This fluid has protective properties which activate in the event of inflammation. This is how the cyst is formed.
Granuloma is also a cause of cyst formation. When a granuloma is left untreated, it becomes a cyst.
Cysts can form on all teeth, as well as at any age. The presence of a cyst can be diagnosed using a panoramic dental X-ray.
Very often the cause of the cyst is poorly performed endodontic treatment. Poor sealing when the root canal is filled causes inflammation, which again causes a dental cyst.
Cyst treatment:
- By surgical removal
- By medication treatment, via injection through the root canal.
- Endodontic treatment
At EO Dent Dental Clinics we have the most modern equipment with which we can diagnose and perform cyst treatment. The microscope at our endodontists’ disposal significantly reduces the risk of poorly performed root treatment.
Sinus lifting
In many cases, the amount of bone in the area of the upper molar teeth is not enough to place implants. Not even the shortest implant can be placed when there is bone loss. In these circumstances, the sinuses on both sides of the nose are too close to the jaw. In order for implant placement to be possible, it is necessary to perform the so-called sinus lifting.
This procedure, simply put, means lifting the sinuses with appropriate bone material. It can be applied in two ways – lateral sinus lifting and crestal sinus lifting.
Lateral – laterally to the jaw
Crestal – underneath, from the direction of the teeth
Our new Clinic of Implantology and Surgery provides the best possible conditions, like equipment and specialists who can perform the sinus lifting procedure.