In the oral rehabilitation treatments, we practice within our offices, different types of surgeries are always needed. Whether it is dental extractions, ablations of various pathological processes caused by untreated teeth (cysts, granulomas), apical resections, or grafts of various tissues, surgical operations are some of the common procedures in Dental Implant praxis. Especially since surgery is often the first stage of other treatments: the application of dental implants, prosthetic treatments or orthodontic treatments.
As for the grafts, they can be made for the recovery of hard tissues (bone), or for soft tissues (gingival tissue), being made simultaneously or not, depending on the needs of the case. We have the ability to use autogenic or allogeneic tissues.
Dental extractions are addressed to teeth that cannot benefit from a correct and predictable treatment, or do not react well to the previously applied treatment. The included teeth are included in this category, which can not be brought on the arch in a correct position or do not take place on the arch, and their subsequent eruption would lead to changes in the positions of the remaining teeth (dental crowding).
To prevent bone resorption after tooth extraction, there are only two solutions: bone graft (bone addition) or inserting an implant together with the bone graft (in the same session – or later).
It is important to note that, following any tooth extraction, bone resorption is 50% in the first 6-12 months and continues throughout life.
From the range of dental extractions, the included, semi-included or completely erupted wisdom teeth on the dental arches represent a special category. Extractions of these teeth are considered pro-periodontal and pro-orthodontic prophylactic treatments. Basically, their extraction prevents the aggravation or onset of dento-dental abnormalities (crowding) or bone loss and inflammation of soft tissues in the posterior areas of the dental arches.
These posterior areas, due to the difficulty in sanitation and the presence of the wisdom teeth, are real areas of food and microbial retention, practically “reservoirs” for the bacterial population in the oral cavity.
With an increasingly strong presence in surgical treatments, periodontal surgery involves a multitude of treatments with a variable conservative component. These include flap surgeries, bone additions, the application of various membranes, gingival grafts, etc.
All these surgical treatments are performed in our offices by doctors specializing in oral and maxillofacial surgery, dentoalveolar surgery, implantology, periodontology and endodontics, sometimes even together, for a better treatment result, especially in complex cases involving several branches of medicine dental.
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