Surgical extraction of impacted teeth and retained roots

One of the most common oral surgical procedures is the extraction of impacted teeth and retained roots.

Impacted teeth are entirely formed within the bone, but have not grown in their place on the teeth arch due to certain obstruction of the eruption path. The most common cases of impacted teeth are the upper and lower wisdom teeth and the upper canines. As such, they can potentially cause numerous symptoms related to head neuralgia, pain related to peripheral nerve damage, or infections of soft and hard tissues.

Retained tooth root is a root that remains in the jaw after caries has been left untreated for a long time, leading to tooth crown deterioration and leaving root extraction as the only possible option. A retained root should be removed because it is contaminated with bacteria and may lead to infection, impacting our general health negatively.

Considering the uncompromising expertise, experience and contemporary approach, dealing and solving the issues mentioned above is no problem for Nova Dental’s surgeons. Such procedures are conducted in compliance with the principles of painlessness, safety and high post-operative success.

Apicoectomy- root end surgery

Smaller surgical interventions used for removal of root tip are called apicoectomy. Such interventions are performed only if teeth treatment (endodontic therapy) or re-cleaning and re-filling of root canal (revision) haven’t achieved their goal, which is eliminating the inflammation around the root tip. If necessary, the root canal is filled (sealed) reversely i.e. from the sides of the root tip. Our surgeons use special micro-piezo tools with bended extension for this procedure, which make the procedure easier even in cases of unreachable roots. A control exam with intraoral teeth scan should be performed 6 months after this procedure.

Surgical therapy of paradontopathy

In cases where after initial curettage gum pockets remain deep (more than 5-6mm) and bleed, it is recommended to perform surgical therapy. It is a procedure under local anesthetics, performed in quadrants or specific teeth indicated for such therapy.

Periodontal surgery aims at combating infections, detailed surgical curettage, but also providing conditions and stimulating regeneration of bone and soft tissues, with special micro invasive procedures. If bone defects have convenient shape, regenerative therapy with special biological materials may be applied, providing certain long-term support for the teeth. Surgical shaping of the gingiva, tooth cement and bone, eliminates the spots with weaker organism resistance, and by that, it eliminates the chances for biofilm and microorganism growth.

Surgical coverage of recessions

There are several possible reasons for the formation of exposed tooth neck, the most common being improper tooth brushing technique.

Plastic surgery techniques may cover exposed tooth necks and solve aesthetics issues, oversensitive teeth, further progression of gum recession and development of caries on the tooth neck.

At our clinic, we apply advanced, sophisticated techniques with minimum invasion, when covering recessions.

Aiming at long-term stable results, we direct our patients to use the appropriate means and technique for dental hygiene.

Red, swollen gingiva, long, exposed tooth necks, jaw defects due to tooth loss, are all bad impacts on a patient’s smile and self-confidence.

Today, most of these defects may be removed or allayed with aesthetic gingival surgery. This minimally invasive procedures are multidisciplinary, with the aim to achieve maximum results.

Pre-prosthetic surgery

Pre-prosthetic surgery is a preparation of soft and hard tissues of the mouth, in order to facilitate functional and aesthetically better prosthetic rehabilitation. It begins with surgical measures for perseverance of structures after tooth removal. This includes several procedures, such as:

• Measures to persevere jaw volume, after tooth removal
• Surgical extension of tooth crown
• Thickening and increase of fixed gingiva
• Gum recession coverage (exposed tooth necks)
• Preparation of tissues for implants