Oral Surgery

We are able to carry out a wide range of surgical procedures:
• Dental Implants
• Removal of impacted third molars (wisdom teeth).
• Removal of retained roots/fractured teeth.
• Apicectomy and retrograde root canal treatment.
• Exposure/removal of impacted teeth prior to orthodontic treatment.
• Soft tissue procedures.
• Enucleation of Cystic lesions.
• Repair of oro-antral communications.

We are very happy to discuss particular needs/concerns with both patients and referring practitioners.

We have provision to see patients at short notice if necessary, particularly if an emergency situation arises and prompt treatment is required.

Dental Implants
Dental implants are a man-made titanium tooth root which is a replacement tooth and can be secured too, once the surrounding bone has attached to the implant.The new tooth looks, feels and performs just like your natural teeth.
Dental implants can be used in a variety of situations to replace an individual tooth or even a full denture.
With dental implants you will never need to cover your mouth when laughing, smiling, or speaking. You will look better, feel better and live more confidently. And, by following a regular routine of careful oral hygiene and regular checkups, your implants can last for many years.

Wisdom Tooth Extraction
This is one of the most common oral surgery procedures. Due to the position of the third molars (wisdom teeth) in many people they do not fully emerge into the mouth but can become impacted against the next molar or against the bone of the jaw.
When problems occur and the decision is taken to surgically remove a third molar, your oral surgeon will have very carefully assessed the benefits and deficits of the treatment and you will be fully informed of these. Because of the proximity of other structures such as nerves, there is a small chance of damage to these during the surgical procedure. One of the most important factors to try and limit the risk of these negative outcomes is for your surgeon to be as clear as possible exactly where your tooth is in relation to these other structures.

Removal of retained roots/ fractured teeth
Retained root refers to the partial root structure that remains in the jaw following the extraction or fracture of a natural tooth. If the retained root remains it will either stay frozen in the bone forever or work its way out where it can be removed. Retained root however may cause infection of the jaw or osteitis, in such cases where the remaining root becomes infected it requires surgical removal.

The roots and/or teeth are removed from inside the mouth. Often only special forceps are all that are needed. The gum may need to be cut slightly to make access to the teeth/roots easier. A small amount of bone may have to be taken away to loosen the tooth/root. The tooth/root may need to be cut into one or more pieces to help its removal. The gum will be stitched after the tooth is removed, often with stitches that disolve 7 to 10 days.

Exposure/removal of impacted teeth prior to orthodontic treatment
If baby teeth do not come out on time or there is a lack of space, the permanent replacement teeth can become impacted. Once a tooth is impacted, it either needs to be pulled, left up in the bone, or surgically exposed and brought down into place with orthodontic appliances.The tooth most often impacted from age 12-18 is the canine tooth, which is in the front of the mouth and extremely important in appearance and in chewing. Your orthodontist may refer you to have the tooth uncovered or exposed as part of on-going orthodontic treatment to help the teeth to erupt normally into the mouth.
Helping the tooth to erupt into the mouth involves a relatively minor surgical procedure.

Soft tissue procedures
Soft tissue procedures including fraenoctomies, excisional biopsies A frenectomy is the surgical removal of the frenulum or frenum, which is a thin band of tissue. Children and people being fitted for dentures are the most frequent candidates for a frenectomy. There are two primary locations in the mouth where frenum is found — under the tongue and underneath the center of the upper lip. The frenum attaches the muscles of the cheeks and lips to the mouth; in some cases, however, this tissue may interfere with the development of the mouth. In the event that the frenum is attached too close to the tip of the tongue or too far down the gums between the front teeth, a frenectomy may be performed. Patients rarely experience any complications from the surgery, and it can often correct problems that have or could occur due to excess tissue

Biopsies are an important diagnostic tool for the diagnosis of lesions ranging from simple periapical lesions to malignancies. A biopsy is often the only way to diagnose oral lesions and diseases and as with most procedures there is often more than one method of undertaking the surgery successfully. Whatever the method used, however, the aim is to provide a suitably representative sample for the pathologist to interpret, while minimising perioperative discomfort for the patient.

Enucleation of Cystic lesions
A cyst is a pathological cavity with fluid, semi-fluid or gaseous contents, which is not created by accumulation of pus. It is frequently lined by epithelium. Most jaw cysts behave similarly—they grow slowly and expansively. They differ mainly in relationship to teeth and radiographic features. They form sharply-defined radiolucencies with smooth borders and are frequently a chance radiographic finding. All dentigerous cysts are submitted for histopathologic examination.

Repair of oro-antral communications
There are many causes of fistulas that involve the nasal and antral cavities or both. They may result from pathological entities or secondary to removal of tumors or maxillary cysts. However, the extraction of a maxillary molar or premolar is the most common cause of oroantral fistula. This is explained by the close relationship between the apex of these teeth and the thinness of the antral floor.When the primary fistula repair fails to heal spontaneously during the first three weeks after surgery, a secondary repair may be indicated. During treatment process of the fistulas, there are procedures to make a directclose or the use of a sliding mucosal flap, all techniques own an equal and high degree of failure.

The mentioned treatment is simple, complete and allows an extensive applicability in most of cases.

Apicectomy
This is where the root tip of a tooth is surgically exposed and removed. Often this treatment is provided when a conventional root filling has failed and for various reasons it is thought better to try and treat the root tip directly.
Once the root tip has been removed, any associated infection is also cleaned away and often a special root filling is placed into the root canal at the tip. This is called a retrograde root filling.

Surgical Cyst Removal
Cysts are hollow fluid filled swellings. They can develop in the jaws for various reasons but one of the most common reasons is due to a long term chronic infection around the end of a tooth with a dead nerve. This type of cyst is called a radicular cyst.
When cysts are surgically removed, it is vital that all remnants of the cyst are successfully cleared away to prevent possible
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