Dental services

Oral surgery

About oral surgery in general

Oral surgery has now developed into a new, much broader medical specialty, the surgery of the face and jaw. Therefore what we simply call oral surgery today should more correctly be called the surgery of the face and jaw, i.e. maxillofacial surgery.

Let us now see in detail the conditions that oral surgery (let's simply call it by this name) cures and corrects.
However, it has to be known that there are often overlaps between the various medical professions. Accordingly, the illnesses listed below are not only treated by oral surgery, or, more precisely, maxillofacial surgery, but they do constitute a crucial element of this medical specialty.

  1. The treatment of various illnesses related to the teeth and jaw-bones (this is also part of dentoalveolar surgery: the removal of teeth and tooth roots, surgical methods of retaining teeth, surgical treatment of teeth prevented to erupt properly, inflammatory conditions and cysts of the jaw-bones, etc.); the treatment and removal of dental focuses
  2. Maxillofacial traumatology: jaw fractures, fractures of the facial skull, treatment of accidental injuries, etc.
  3. Surgery of the salivary glands
  4. Treatment of the benevolent and malicious tumours of the oral cavity and the face
  5. Surgery of cleft lip and palate
  6. Surgical therapy of biting disorders
  7. Surgery of the mandibular joint
  8. Preprosthetic surgical solutions (before preparing/wearing dentures)
  9. Dental implanthology
  10. Surgery of facial and head deformities

The above list clearly shows that the medical specialty has well grown out of the term "oral surgery".

In everyday practice, the most common problems are those mentioned in points 1, 8 and 9.

A dental focus...

...may be, for example, the paradental cyst, a granuloma (a ball-like formation occurring around the root tip of the tooth), a tooth that has failed to erupt (for example a wisdom tooth), an unremoved tooth root, etc.

The granuloma is a chronic, "silent" inflammation, from which bacteria and the toxins (poisonous substances) they produce can get into other organs, where they can cause other diseases. These may be inflammatory processes of the joints, the organ of sight, the kidneys or the heart, as well as various skin diseases, etc.
If a confinable inflammatory focus is situated on the root tip of the tooth, this focus must be removed surgically after the root treatment of the tooth, by visualising the area. This treatment is called root tip resection.

Wisdom teeth

During the development of the human body, some of our teeth - generally the small incisors, small molars, and, in particular the third molars (the latter also called wisdom teeth) do not develop due to the lack of tooth germs. In other cases, mainly regarding wisdom teeth, development may begin but its direction and tendency are not appropriate.

It may cause numerous problems...

...if the development of the wisdom teeth is not smooth. It is a frequent phenomenon that they cannot erupt from under the gums due to the lack of space, however, growth does not stop. In such cases the wisdom tooth, trying to erupt, causes the whole set of teeth to move forward, in the direction of the centre-line. This is not only the source of an aesthetic problem but also the development of a jaw cyst.

The partially erupted wisdom tooth...

...may cause very serious inflammatory conditions, in addition to causing teeth congestion, as the "pouch" forming between the tooth and the gum traps food scraps and deposits, serving as breeding ground of bacteria that cause inflammations. Such pouches deteriorate oral hygiene and may also cause unpleasant mouth odour.

The removal of wisdom teeth that failed to erupt... generally performed within an operation, applying local anaesthesia. This treatment often involves the removal of some amount of bone tissue, which is why the operation may be followed by swelling and partial lockjaw.

Before orthodontic treatments...

...which are often made necessary by the wisdom teeth, causing the congestion of the other teeth, it is definitely worth removing them. The extraction itself does not solve the problem of tooth congestion but it stops the process.
Orthodontic treatment can then correct the problem of the already "reorganised" teeth. There are such deformities of the mandibles and the teeth that cannot be solved by orthodontic treatment alone; in such cases the treatment has to be supplemented with a jaw surgery.

Immediately after tooth extraction... should not rinse or spit. Otherwise the clot of blood may fall off the wound and this may lead to bleeding.
It is not advisable to eat until the effect of the anaesthetic injection wears away or else you may bit yourself badly, which you will not feel at that moment but later it will indeed be very painful. It is all right to drink but alcoholic drinks are to be avoided, due to their vasolidating effect, which stimulate bleeding. You should not drink dairies or smoke for a few days.
In the days following the tooth removal, maintaining oral hygiene is especially important. If possible, you should wash your teeth even more frequently than usual, naturally, avoiding hurting the open wound while doing so. It can be especially useful to rinse your mouth using a mouth sterilising mouthwash. Fever may occur after tooth extraction. In this case use one of the usual, well-established antipyretic drugs.