Periodontal and Oral Surgery

Given that periodontal disease is today the most common cause of tooth loss, early diagnosis and prompt therapy are of vital importance for a good and predictable outcome. It is most often necessary to perform several conservative treatments, to remove concretions from the supragingival and subgingival regions, instruct the patient on correct further hygiene and agree with him on regular visits to the dentist.

Conservative and surgical treatment of periodontal disease and dealing with gingival pockets

It sometimes happens that the condition is diagnosed at a developed stage, when the gingival defects known as “pockets” are present, together with advanced gum recession, destruction of the tooth support or loose teeth. In these cases surgical therapy must be applied. This entails previously conducting all necessary consultations and examinations, x-rays and establishing which teeth are most in danger and what the prognosis is for them. Today, the placing of bone replacement and the use of reabsorptive membranes are the modern approach to gingival pocket therapy. These make it possible to compensate to a considerable extent for the loss of bone tissue, prolong the life of teeth and significantly slow the destructive consequences of periodontal disease.

Preliminary consultations can be carried out following the exchange of x-rays via the Internet and electronic mail. At this time we can discuss your problems, resolve some of your dilemmas or schedule your visit. Do not hesitate, because any time lost can only make problems worse.

Oral surgery procedures

Once the possibilities of conservative therapy have been exhausted, your surgical procedure will be carried out efficiently and responsibly by our surgical team. We can solve problems with the difficult eruption of wisdom teeth, abscesses or purulent inflammation in the root of the tooth. Sometimes procedure may be indicated as priority preparation for the more optimal fitting of dentures or for shortening the junction of the labial and lingual frenulum without complications and in as short a time as possible.

Where there is a strong phobia of oral surgery procedures, certain interventions can be performed using local anaesthesia.

Surgical removal of an impacted wisdom tooth

Extraction of an impacted wisdom tooth is a surgical procedure which is very different from the extraction of erupted teeth. Post-operative complications are possible and in order to avoid them it is necessary to follow the instructions given:
The healing of the wound varies from individual to individual as does the occurrence of pain.
Swelling is a normal occurrence. Swelling is at its peak on the second and third days after the surgery.
Pain in the neck and throat is possible.
Adjacent teeth may be temporarily sensitive.
Painful cracks may develop in the corners of the mouth because of stretching during surgery. Lip cream will relieve this.
A slightly elevated body temperature may occur in the first 24 to 48 hours.
Bruising may sometimes appear on the skin in the area of the tooth which has been removed.
There may be difficulties in opening the mouth and in chewing.
Smoking should be avoided for at least seven days after surgery (nicotine reduces the stability of the clot, so there is a realistic danger of it decomposing, leading to the severe pain known as alveolitis).
Warm salt water (half a teaspoon in a glass of warm water) may be used to rinse the mouth after eating, 24 hours after surgery.
In the event of prolonged bleeding, inability to open the mouth, high temperature or extreme swelling, it is important to contact us.