Perfectly personalized denture – Flexible implementation process – With the latest tools

Dentists: Dr. Zoltán Óvári; Dr. Sebastian Gschwindt

Our Oral Surgery

Our oral surgical techniques are designed to ensure that dental interventions are as gentle as possible. he majority of these procedures involve various tooth extraction methods. In most cases, surgical removal is necessary for wisdom teeth or root extractions, but even for simpler tooth extractions, surgical methods are employed to minimize damage to the surrounding bone.

The removal of minor mucosal lesions, bone reconstruction for implant placement, and specific treatments for the jaw joints are also performed through oral surgical procedures.

Local anesthesia ensures complete painlessness, but treatment under general anesthesia is also an option.

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What are the advantages of oral surgical procedures?

It is not only necessary to resort to oral surgical methods when a tooth or root is in a position that cannot be removed using traditional methods. By employing appropriate surgical techniques, teeth can be extracted more gently, creating an optimal environment for future dental restorations. Healing is faster and involves less pain.

Important:before extracting a tooth, it is advisable to plan its replacement in advance.

Key benefits include:

  • Faster and gentler removal of wisdom teeth with fewer complications during healing.
  • After tooth extraction, there is less bone and gum resorption, making it easier to replace with either implants or traditional bridges.
  • In cases of significant bone loss, it is possible to rebuild the necessary bone volume for implant placement.

What is the treatment process, what tools, what<br>
techniques are used?

In addition to local anesthesia, there is also the option of undergoing surgery under general anesthesia, especially recommended for the simultaneous removal of multiple wisdom teeth or larger bone grafts.

Wisdom Tooth Extraction

For gentle wisdom tooth extraction, we first take a CT scan in our practice. This allows us to determine the position of the tooth root and the location of the sensory nerve in the jawbone. It is crucial to avoid damaging the nerve during extraction. Deeply impacted or improperly positioned teeth are often worth dividing, reducing the amount of bone to be removed during surgery. By strictly adhering to regulations, we sometimes intentionally leave the root apex in the bone to avoid damaging the nerve running through the lower jawbone.

After wisdom tooth surgery, the wound is sutured, and if necessary, we prescribe antibiotics, painkillers, and medications to reduce post-operative swelling. A follow-up visit for suture removal is always necessary.

Simple Tooth Extraction

After every tooth extraction, the jawbone and the surrounding gum tissue undergo varying degrees of resorption and shrinkage. This can pose a problem when we want to replace the missing tooth later, as there may not be enough bone for implant placement, the future bridge may not be adequately cleanable, or it may cause aesthetic issues in visible areas. To avoid this, it is advisable to use surgical techniques even for simple tooth extractions. In such cases, after gentle tooth extraction, we fill the socket with bone graft material and often reposition a non-infected portion of the root as a “lid” to support the gum and promote better regeneration.

Pre-Implant Bone Augmentation

In cases of severe jawbone resorption, if we want to place an implant (artificial root), pre-implant bone augmentation may be necessary in the affected area. Nowadays, advanced and safe oral surgical methods are available for this purpose. We commonly use autogenous bone harvested from the surgical site or other intraoral areas, as well as bone graft particles from external sources—usually of animal origin but free from organic material. These materials are covered with a special tissue membrane to shape the growing bone and provide support. Depending on the size and shape of the missing bone, complete bone plates or smaller bone blocks are sometimes fixed—these are also obtained from other areas of the patient’s jawbone. These bone blocks can be gently harvested using ultrasonic instruments and fixed with small screws. Antibiotics, painkillers, and medications to reduce post-operative swelling are prescribed for these procedures. Post-operative wound control and suture removal are necessary.

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