Surgery

Wisdom teeth often do not have enough space in the jaw or are displaced and stuck in the bone. Most wisdom teeth, however, want to make their way out. They often get stuck and cause problems, such as chronic inflammation. They are harder to be kept properly clean. In some cases, they cause unwanted movements of the other teeth, which is particularly disturbing after orthodontic treatments.

The procedure is tailored to each individual situation. The extraction is carried out under local anesthesia, making it pain free. In some cases, there is no need for an incision, in other cases a cut has to be made and the use of a dental drill may also be required. Sometimes the relocated tooth needs to be cut (which is preferred to removing bone).

In all cases, the treatment is as gentle as possible. After the extraction, the surface of the bone-exposing wound is closed with a suture. As an option, the healing of the wound can be significantly improved by using the PRF (autologous membrane) method. In some cases, an antibiotic may need to be administered.

In the case of lower wisdom teeth, the individual position and close relationship to the lower jaw nerve (which supplies feeling to the lower lip) require proper assessment and diagnosis, in order not to cause nerve damage.

This nerve can be seen in an X-Ray radiograph. Furthermore, the tongue nerve (which supplies feeling to the tongue) is located nearby. Upper wisdom teeth have a proximity to the maxillary sinus. The chance of tearing the bony wall of the maxillary sinus during removal is rare. If it does happen, when blowing one’s nose, applied pressure is to be avoided for 2 weeks.

After treatment, there will be swelling (to a different degree in the case of every individual), which is maximal 24 hours after the intervention and then regresses. The use of cold compresses is only allowed on the outside of the cheek area, and never on the inside. It is not advisable to use ice, but rather a cold washcloth. Eating – preferably soft food for a week – is only allowed after the local anesthetic has completely subsided. There are no restrictions for drinking liquids. The food that promotes healing consists of plenty of fruits and vegetables. It is beneficial to limit dairy products, eggs, fat and animal products.

Good oral hygiene and a regular dental care of the oral cavity is important to avoid infection.  The operated area can either be left out or carefully cleaned with a soft brush.

Analgesics can be taken as soon as the anesthetic wears off, provided that one doesn’t have an allergy to them: Paracetamol (500mg), Algocalmin (500mg), Ibuprofen (400mg).         If antibiotics have been prescribed, alcohol consumption must be avoided.

An evaluation of wound healing by the dentist is recommended after 7-10 days.

Root-end resection may sometimes be required if a dead tooth does not heal after a root canal treatment. An infection or a cyst can form inside the bone surrounding the tip of the tooth. It is important to remove it, at the same time with shortening the tooth root, in the hope that the inflammation will heal. The success rate is slightly higher in the case of front teeth than in the case of side teeth.

From a biological point of view, it has to be pointed out very clearly that a dead tooth will be perceived as a foreign body by the immune system, that will want to get rid of it.

Apicoectomy is carried out under local anesthesia. It is a painless procedure. An incision exposes the bone inflammation, allowing the infection and root tip to be removed through an access hole.

After treatment, there will be swelling (to a different degree in the case of every individual), which is maximal 24 hours after the intervention and then regresses. The use of cold compresses is only allowed on the outside of the cheek area, and never on the inside. It is not advisable to use ice, but rather a cold washcloth. Eating – preferably soft food for a week – is only allowed after the local anesthetic has completely subsided. There are no restrictions for drinking liquids.

Analgesics can be taken as soon as the anesthetic wears off, provided that one doesn’t have an allergy to them: Paracetamol (500mg), Algocalmin (500mg), Ibuprofen (400mg).

If antibiotics have been prescribed, alcohol consumption must be avoided.

An evaluation of wound healing by the dentist is recommended after 7-10 days.

Inflammation of the wound inside the periodontium can occur. Depending on the operating site of the affected tooth, nerves or other anatomical structures that lie nearby (e.g. the mandible nerve), can theoretically be damaged. Such complications can be avoided through precise pre-operative diagnostics.

Cysts form because of chronic inflammation in the bone. Some are filled with air, while others are filled with soft material or fluid. If cysts are not removed, the pressure they exert increases, they grow and displace healthy bones.

NICO is a chronic bone infection, in which toxins accumulate inside a dead cavitational area. It causes aches and pains throughout the body. NICO is often caused by a wisdom tooth extraction wound or tooth removal wound, that has not properly healed.

The procedure is carried out under local anesthesia and it is pain free. An incision gives way to the diseased tissue that is removed through an access hole or with an ultrasonic knife.

It is highly recommended to fill up the remaining bone cavity with a gel-like material, obtained using the patient’s own blood (PRF membrane). Alternatively, a collagen material can be used. The wound will then be stitched.

Inflammation of the wound inside the periodontium can occur. Depending on the operating site of the affected tooth, nerves or other anatomical structures that lie nearby (e.g. the mandible nerve), can theoretically be damaged. Such complications can be avoided through precise pre-operative diagnostics.

After treatment, there will be swelling (to a different degree in the case of every individual), which is maximal 24 hours after the intervention and then regresses. The use of cold compresses is only allowed on the outside of the cheek area, and never on the inside. It is not advisable to use ice, but rather a cold washcloth. Eating – preferably soft food for a week – is only allowed after the local anesthetic has completely subsided. There are no restrictions for drinking liquids.

Analgesics can be taken as soon as the anesthetic wears off, provided that one doesn’t have an allergy to them: Paracetamol (500mg), Algocalmin (500mg), Ibuprofen (400mg).

If antibiotics have been prescribed, alcohol consumption must be avoided.

An evaluation of wound healing by the dentist is recommended after 7-10 days.