Oral surgery

Oral surgery in the Dental clinic dr. Inga Vučković in Zagreb, Croatia 

Oral surgery is a branch of dental medicine deals with performing various surgical procedures in the oral cavity:

• tooth extraction (extraction)
• resection of the tooth root (apicectomy)
• alveotomy (wisdom tooth extraction)
• cystectomy (resection of the cyst)
• implant placement (implantology)
• bone augmentation
• by raising the sinuses.

Tooth extraction 

Tooth extraction is done when we cannot save the tooth.

Could be:

1. simple
2. complicated - it is more difficult to extract teeth that grow incorrectly, impacted, retained (immature) teeth, or those that have curved roots.

When is tooth extraction recommended? 

We recommend tooth extraction at:

• dental trauma
• wobbly teeth
• when dental treatment is no longer possible due to a cariously exposed tooth crown.

Why is it important to extract an inflamed tooth? 

If it cannot be cured, the only option is tooth extraction. Our tooth can be the reason for inflammation in the body from which microorganisms spread to other organs: the heart, brain, and kidneys. This can cause inflammation of certain organs and even a heart attack, which has been scientifically proven because microorganisms from an inflamed tooth spread through our bloodstream.

Apicoectomy 

An apicoectomy is a minor surgical procedure in which the very tip of the tooth's root is removed.

When is an apicectomy recommended? 

We recommend it at:

• chronic inflammation
• granuloma
• cysts
• fractures in the area of ​​the root tip
• patients whose root canals are twisted, which can cause frequent inflammation
• in case of failed endodontic treatments.

 

Alveotomy 

Alveotomy is the surgical removal of impacted and retained wisdom teeth. Individual teeth can be prevented from sprouting, but it does not mean they have stopped developing. Impacted and retained teeth are the teeth that are completely formed within the bone but have not found enough place in or outside the dental arch to sprout.

Problems are created by:

1. Impacted wisdom teeth - fully formed teeth inside the bone that have not erupted due to some mechanical obstruction:

• lack of tooth eruption space
• another tooth that prevents the crown of the tooth from erupting freely
• bone

 

2. Retinal wisdom teeth - did not erupt for reasons other than mechanical obstructions.

 

When is wisdom tooth extraction recommended? 

Wisdom tooth extraction is a surgical procedure to remove one or more wisdom teeth — the four permanent adult teeth located at the back corners of your mouth on the top and bottom.

We recommend wisdom tooth extraction:

• when it causes frequent inflammation
• when it causes pain and discomfort
• in the case of pericoronitis (inflammation of the soft tissues surrounding the crown of a partially erupted tooth, including the gingiva (gums) and the dental follicle)

An impacted wisdom tooth may:

• Grow at an angle toward the next tooth (second molar)
• Grow at an angle toward the back of the mouth
• Grow at a right angle to the other teeth, as if the wisdom tooth is "lying down" within the jawbone
• Grow straight up or down like other teeth but stay trapped within the jawbone

 

Periodontal pockets at home are impossible to clean, so standard oral hygiene is insufficient. Inflammation spreads which manifest as redness or swelling above the teeth. It should be noted that it can spread to the surrounding bone and soft tissues.

Cystectomy 

Cystectomy is an oral surgical procedure for removing the periapical lesions of teeth or abscesses, granuloma, and various cysts. The mentioned formations or changes are visible at the root of the tooth and are most frequently noticed with a panoramic x-ray when a patient comes to see a dentist because of great pain and swelling.

What is a cyst? 

An oral cyst is a type of small growth that can occur in the mouth. It's a small fluid-filled sac that feels like a little bump. These oral cysts are sometimes referred to as mucoceles or mucous cysts.

How does a cyst form? 

As a reaction of the organism to a chronic infection of an untreated inflamed tooth, residual tooth root, trauma, disorders in the development of teeth, it can occur in the jaw, but also the soft tissue (cheek, lip).

It should be noted that it does not disappear on its own but must be surgically removed, and the oral surgeon should do that. The problem with cysts is that there have no symptoms at first. They begin to manifest only when they grow to a certain size:

• pain
• redness around the teeth
• change in tooth color
• bite pain
• swelling around the cyst site
• dental fistula
• nasal secretions

Cysts affect the movement of surrounding structures, but also their destruction (soft tissues, bone). They often regenerate and that is why it is recommended to remove them.

Oral surgery - implantology 

Titanium dental implants are those that are surgically implanted directly into the patient's jawbone. This allows the implant post to remain firmly anchored in place, as the bone fuses to it over time. Essentially, a titanium implant mimics the function of a natural tooth root.

It is best that this procedure, which allows a lifelong replacement for the root of the tooth, is performed by an expert who knows the anatomy of the oral cavity - an oral surgeon.

The most common oral surgical procedures are tooth extraction, resection of tooth roots, and dental implant placement.

 

Oral surgery with PRGF - Endoret technology (

 

We perform all the procedures in our office with PRGF - Endoret technology.

Why did we choose that innovative technology? 

 

PRGF-Endoret® (Plasma Rich in Growth Factors - endogenous regenerative technology) is a state-of-the-art biotechnology tool that has a very wide application in dentistry, and especially in oral surgery.

 

It is used in the following situations:

• implant procedures
• bone augmentations and extensions (as a replacement for artificial bone augmentation materials)
• soft tissue upgrades
• sinus lift
• apicectomy
• closing wounds after tooth extraction
• periodontal procedures
• for improved osseointegration
• aesthetic facial treatments for rejuvenation

 

Why is PRGF-Endoret a better method than other conventional methods? 

 

Compared to other methods of making fibrin membranes from the patient's blood, in the PRGF - Endoret procedure, blood cells, leukocytes, are isolated from plasma and there is no possibility of any inflammatory reaction.

The biggest advantage is that the patient's plasma retains its factors and growth hormones. Why is this so important? With the implantation of "artificial bone" and collagen membranes, these factors are absent, so there is a greater possibility of complications, infections, or slower healing and the formation of new bone.

 

Is the procedure painful? 

The procedure is painless and very simple:

1. Blood collection
2. Centrifugation - blood cells and plasma are separated
3. Special procedures are used to create bone augmentation material and fibrin membrane from the patient's plasma
4. We cover the place of implant placement or augmentation with the obtained material