ORAL, TEETH and JAW SURGERYIn Our Clinic, Surgical Operations are Performed
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ORAL, TEETH, JAW SURGERY and RELATED APPLICATIONS
Teeth that are too rotten and broken that cannot be treated with filling veneers, etc., and teeth that are wobbly due to advanced gum disease should be extracted. In addition, if the orthodontist deems it necessary to save space during orthodontic treatment, teeth can be extracted. It is also appropriate to extract milk teeth that do not shake even when the time comes.
Why is acute abscessed tooth not extracted? Should antibiotics be used before each tooth extraction?
If there is an acute abscess (pain, swelling, fever and general weakness) in the tooth, tooth extraction cannot be performed on the day of the application to the dentist. Antibiotics must be used for at least two days before tooth extraction. The reason for using antibiotics is to prevent the spread of infection in the tooth to the body through blood. However, a tooth cannot be treated with the use of antibiotics alone, it must be treated by a dentist. In chronic abscessed teeth, tooth extraction can be performed without the need for antibiotic treatment.
What should be done before tooth extraction?
If the physician has recommended antibiotics, they should be used regularly, by observing their hours. If there is a systemic disease or allergy, and if medication is used continuously for this reason, these should be reported to the physician. Aspirin or other blood thinners that delay clotting should not be used before the shot. If possible, the teeth should be brushed well and the mouth should be rinsed with an antiseptic water. Thus, the risk of developing infection decreases with the decrease of bacteria in the mouth.
Is there pain after tooth extraction? What is alveolitis?
After a quick and atraumatic extraction, patients who follow the doctor's recommendations do not have pain, except for a mild pain that can be controlled with painkillers on the first day. However, the most common cause of pain after tooth extraction is dry bone inflammation. Dry bone inflammation, also called alveolitis, occurs when food residues fill the space formed at the extraction site, causing bad odor and pain as a result of the clot being thrown out, due to reasons such as smoking, tampering with the wound, sucking the wound, using a straw, and consuming hot food and beverage. It is seen 2-3 days after shooting. In this case, a doctor should be consulted immediately.
What are the issues to be considered after tooth extraction?
» Sterile gauze pad placed for clot formation should be kept in the mouth for half an hour.
» The wound should not be tampered with with tongue or foreign objects.
» On the day of tooth extraction, the mouth should not be rinsed and spit as much as possible.
» Immediately after the operation, the application of a 10-minute cold pad, a 5 minute break, and a 10-minute cold pad (ice) to the area where the extraction was performed on the chin prevents swelling of the face, especially after difficult extractions.
Bleeding may continue in the form of leakage. However, in cases where it is more intense, a tea bag kept in warm water can be put on the wound and bitten for 1 hour. In case of prolonged bleeding, a physician should be consulted without delay.
If bleeding occurs, putting cotton on the area will impair wound healing and increase bleeding while that cotton is being taken back, so cotton should not be placed on the wound.
» For the first 24 hours, chewing should not be done with the extracted side.
» Do not drink anything using a straw for the first 24 hours.
» Smoking should be avoided in the first 24 hours and alcohol should not be consumed in the first 72 hours.
» After the first 24 hours, it is necessary to gargle with warm salt water or a mouthwash prescribed by your doctor every 2 hours. The salt water mixture is prepared by adding 1 teaspoon of salt to 1 glass of boiling water that can be taken into the mouth.
» The day after tooth extraction, tooth brushing should be started with a soft toothbrush and oral hygiene should be kept at the highest level without damaging the wound site.
Spicy, bitter, sour, sweet, very hot and very cold foods should be avoided during the first 5 days.
If the swelling on the face is excessive, if there is difficulty in opening and closing the mouth, a warm pad can be applied to the face in consultation with the physician.
It is not necessary to use medication after every tooth extraction. If the doctor does not prescribe medication, it should not be insisted on. [ref:AtteliaDiş]
Which tooth is the wisdom tooth?
Wisdom teeth are the third molars that last between the ages of 17-26 and are located in the back of the lower and upper jaws.
In which cases should I have the wisdom tooth extracted?
In some people, wisdom teeth cannot come out due to the limited space in the jaw. They can be completely buried under the gingiva and jawbone, or they can be found only under the gingiva semi-buried. In this case, they cause food to be stuck and accumulate in the area where they come out of the gums and cause infection. This picture, which causes swelling and redness in the gingiva around the 20-year-old tooth, severe pain spreading to the neck and ear, swelling of the lymph nodes, pain during mouth opening and swallowing, is called pericoronitis. In this case, they must be removed.
In some people, wisdom teeth cannot come out due to the limited space in the jaw. They can be completely buried under the gingiva and jawbone, or they can be found only under the gingiva semi-buried. In this case, they cause food to be stuck and accumulate in the area where they come out of the gums and cause infection. This picture, which causes swelling and redness in the gingiva around the 20-year-old tooth, severe pain spreading to the neck and ear, swelling of the lymph nodes, pain during mouth opening and swallowing, is called pericoronitis. In this case, they must be removed.
Sometimes wisdom teeth can compress the teeth in front of them and create crowding in the teeth. Wisdom teeth found to cause crowding should be extracted.
Fully impacted wisdom teeth, which are not noticed for many years, can cause serious problems by causing cysts that reach large sizes in the jaw. Therefore, fully impacted wisdom teeth should be followed up even if they do not cause problems.
Should every wisdom tooth be extracted?
Completely erupted, problem-free wisdom teeth can remain in the mouth. However, it should be cleaned very well and should be under the control of a dentist. Also, fully impacted and non-problematic wisdom teeth can remain in the mouth with regular radiological controls.
Will wisdom tooth extraction be difficult and painful?
Extraction of fully erupted wisdom teeth is no different from other tooth extractions. Extraction of semi-impacted and fully impacted teeth can be performed easily and painlessly with a small surgical intervention under local anesthesia. Our patients can quickly return to their daily lives after atraumatic and fast operations performed by the expert team using advanced technological devices such as laser, piezzo surgery, etc., especially in our clinic.
What should we pay attention to after wisdom tooth extraction?
Spitting, tooth brushing, vigorous shaking, or gargling should not be done on the first day after extraction. Hot showers should not be taken. Ice application for the first twenty-four hours will reduce swelling and bruising. For the first two days, warm, granular and soft foods should be consumed. Antiseptic mouthwashes recommended by the doctor should be used after each food consumption and tooth brushing. Pain relievers and, if recommended, antibiotics should be used regularly. You should not smoke for the first 48 hours as it will impair the healing process. After one week, the stitches should be removed.
Does my face swell after wisdom tooth extraction?
Swelling due to postoperative edema varies from person to person. Applying ice for the first twenty-four hours reduces edema. It is very important to use the medications recommended by the physician regularly. [ref:AtteliaDiş]
Why Do Teeth Remain Impacted?
• Keeping milk teeth in the mouth longer than necessary,
• Premature loss of milk teeth,
• Genetic causes,
• Long-lasting inflammation thickens the mucosa on the tooth,
• Very dense bone
• Shortness of space in the jaw and pressure from adjacent teeth,
• Presence of extra teeth or cystic formations around permanent teeth,
• Infections in the jawbone,
• Reasons such as the diseases that the mother has had during pregnancy (such as scarlet fever, measles, chickenpox) and the drugs she used may cause the teeth to remain impacted.
How to Identify an Impacted Teeth?
Teeth that remain under the mucous membrane or bone, but not in the row of teeth, even though it is time to erupt, are called impacted teeth. Most of the time, they are only noticed on radiographic examination, as they do not cause any discomfort.
Is it necessary to remove impacted teeth?
The decision of the physician as a result of radiological examination of impacted teeth is important. However, the general tendency is to remove the impacted tooth. Bone destruction and periodontal problems develop around the adjacent teeth where impacted teeth abut. In fact, the root of the adjacent tooth may dissolve and the tooth may be lost without any discomfort. Pathological formations such as cysts and tumors may develop from the tooth follicle in which the impacted tooth is located. Pain in the jaw, ear pain, jaw joint pain of unknown cause, and when an impacted tooth is extracted, can sometimes be relieved. Since it will prevent tooth movements in orthodontic treatment, they should be removed before treatment.
Can impacted teeth be placed in the mouth?
Impacted teeth, especially in the anterior regions, at a young age are placed in their place in the tooth row with orthodontic treatment if their positions are suitable.
What should we pay attention to after the operation of impacted teeth?
On the first day after extraction, spitting, tooth brushing, vigorous shaking, using a straw or gargling should not be done. Hot showers should not be taken. Ice application for the first twenty-four hours will reduce swelling and bruising. For the first two days, warm, granular and soft foods should be consumed. Antiseptic mouthwashes recommended by the doctor should be used after each food consumption and tooth brushing. Pain relievers and, if recommended, antibiotics should be used regularly. Since it will disrupt the healing process, smoking should not be allowed for the first 48 hours. After a week, the stitches should be removed. [ref:AtteliaDiş]
What is a Jaw Cyst?
They are cysts that are often seen in the jawbone in the mouth and originate from the teeth. Cysts may also occur in the salivary glands and soft tissues in the mouth. By causing pain or swelling, it can be noticed by the patient or can reach quite large sizes without being noticed at all. Although the treatment methods differ according to the area and size of the jaw cyst, they should be taken by oral and dental surgeons.
Is It Possible to Leave Jaw Cysts Without Removal?
Jaw cysts are usually benign slow growing formations. However, if it is not intervened in time, it can reach very large sizes and damage normal anatomical spaces such as sinus, nasal cavity, nerve, or transform into malignant tumors. Untreated or unnoticed cysts grow slowly over time, weakening the jawbone. The jawbone can become fractured even with the slightest trauma. That's why they have to be taken.
Is Jaw Cyst Surgery a Painful Procedure?
Cyst surgery is no different from procedures such as tooth extraction or implants. It is done painlessly with an effective and sufficient local anesthesia. However, jaw cysts that are found to be very large may need to be removed under general anesthesia.
Afterwards, just as in other surgical procedures, antibiotics, pain relievers and antiseptic mouthwashes recommended by the doctor are used. Care should be taken to avoid external trauma to the area where the cyst was removed. It is very important to care and clean the wound site and not to open the stitches during the healing period. In order to evaluate the bone healing of the patient and to evaluate whether the cyst reoccurs or not, it is necessary to come to the routine controls at the times determined by the physician.
These are surgical procedures performed to improve the condition of soft and hard tissues before the prosthesis is made.
Should every prosthesis have surgery beforehand?
A healthy prosthesis is only possible if the oral tissues are healthy and adequate for the prosthesis. In some cases, the mouth must be prepared for prosthesis making with minor surgical interventions.
Frequently applied pre-prosthetic surgical procedures;
• Alveoloplasty : The indentations and protrusions on the jawbone constantly cause puncture wounds during the use of removable prostheses. In addition, some people have developmental bone growths called torus, that is, lobular bone protrusions, which prevent the placement of the removable prosthesis. These should also be corrected before the prosthesis is made.
• Frenectomy: Tongue and lip tie called frenulum is long in some people. This can be a problem in making the prosthesis. This ligament must be removed by a procedure called frenectomy. In patients who use incompatible prostheses for a long time, formations such as prosthesis edge tumor and fibroma, which develop due to the irritation of the soft tissue by the prosthesis edges, should also be removed before the new prosthesis is made. In patients who have been using the same prosthesis for many years with tooth loss at an early age, the bone melts as a result of unbalanced transmission of chewing pressures to the bone. The gum on it becomes mobile. It is also important to remove these mobile tissues.
• Crest Augmentation: It is the process of increasing the volume of the jaw bones in the horizontal and vertical directions in patients who do not have sufficient bone amount.
• Vestibuloplasty: It is the process of expanding the area where the new prosthesis will sit by increasing the depth of the soft tissues inside the lip and cheek.
What is Root Tip Resection (Apical Resection)?
If abscesses or cystic lesions in the root of the tooth are too large to be treated with root canal treatment, the gingiva is opened and the infected root area is cut and removed. This procedure is called apical resection.
Will the tooth survive the extraction after Apical Resection?
pical resection is a treatment option that should be considered before tooth extraction. However, re-infection may occur afterwards.