Centres of Excellence -> Dental medicine -> Oral surgery

Oral surgery

We perform all oral surgery procedures, where the most common are: surgical removal of wisdom teeth and left-over roots, apicoectomy, augmentation of sinus and alveolar jaw extensions in scope of dental implantology as well as treatments of soft tissues of the mouth cavity. All oral surgery procedures are performed under local anaesthesia and according to the newest microsurgical principles by applying the best materials. We actively apply the principles of multimodal analgesia (therapy and prevention of pain) and have the newest devices (Piezo knife, dental microscope, laser, PRF) in order to maximise the success of all oral surgery procedures.

Visit us and check out why to choose St. Catherine Dental Centre:

  • oral surgery specialist
  • no waiting list
  • from diagnosis to surgery in one day
  • we use the most modern devices (Piezo knife, dental microscope, laser, PRF)
  • periodontal plastic surgery

What is alveotomy

Alveotomy of wisdom teeth means precise removal of bone which is preventing its sprouting. After its bone shell is removed, the tooth is extracted.

The procedure lasts between 15 minutes and half an hour, and the recovery is between 3 and 5 days if provided instructions are adequately followed. Stitches are removed on the 7th day.

What is apicoectomy

Apicoectomy is a surgical procedure of removal of the root tip together with the inflammation. The purpose of apicoectomy is to remove the pathological substrate, prevent relapse and in the end preserve the tooth. The procedure lasts half an hour and is performed in local anaesthesia, whereby the procedure is performed with piezo knife under monitoring with dental microscope and the root is filled with MTA filling in order to ensure maximal success of the procedure (over 90% by applying the stated technologies). The recovery lasts between 3 to5 days.

What is corticotomy

Corticotomy is an oral surgery procedure performed with patients whose certain permanent teeth have not erupted and are placed somewhere in the upper or lower jaws. With the procedure the bone cover of the permanent tooth is removed in order to make its eruption easier and swifter. Corticotomy is most commonly performed for impacted (stuck) canines in the upper jaws in combination with orthodontic extrusion.

What is PRF

"Smart blood derivatives" are terms used with the PRF concept. Platelets Rich Fibrin (platelet-rich fibrin) is the most potent autologous regenerative material obtained by centrifuging one's own blood. The result can be fibrin clot or liquid fibrin, both rich in growth factors, leukocytes and stem cells.

PRF is the only blood derivative that contains stem cells. PRGF has only growth factors, while in PRP there is a very small quota of leukocytes, also without stem cells. In these systems, anticoagulants are present in the vacuates in which blood is drawn, so they do not contain fibrin, but are the result of plasma centrifugation.

Why is fibrin important? It serves as a scaffold or network in which growth factors are released from platelets and leukocytes, which remain in the fibrin network for 10-15 days. This is extremely important for the whole concept, because in this way long-term tissue stimulation is achieved, which results in faster healing.

The method of bone and mucosal replacement with PRF is the safest procedure for recovery and tissue replacement. Leukocytes, which act in the stage of formation, also play an important role in the whole process physiological inflammation and stimulate the formation of new blood vessels, and without good blood circulation there is no regeneration. Leukocytes also serve as a niche in which mesenchymal stem cells are located.

What is piezosurgery

Piezosurgery is a relatively new technique of bone surgery applicable in dental implantology, periodontology and oral surgery. The device produces specific ultrasonic frequency modulation (22,000–35,000 Hz) and thus provides exceptional precision and safety, as well as micrometric cutting of bone structures. Moreover, the device causes less bleeding during and after surgery, and the healing process is shorter. Because of the above advantages, the ultrasound device can be used in a wide range of surgical procedures, e.g., tooth extraction, open sinus lift, ridge dilation, tooth root tip resection (apicotomy), and corticotomy.

What is periodontal plastic surgery

Given the special level of education our oral surgeon obtained at the world wide renowned Hürzeler/Zuhr Academy we pay special attention to the state and treatment of soft tissue (gums, gingiva) of the mouth cavity.

We perform all procedures in the field of periodontal plastic surgery (recession cover, implant recession cover, thickening of soft tissue prior or after implant-prosthetic procedures, vestibuloplasty) with microsurgical approach and use of dental microscope and loops.

Cover of recession (receding tooth gums) is a microsurgical procedure by which the initial relation of the tooth gums towards the clinical tooth crown is restored by applying aesthetic principles. The need for the procedure is given when due to tooth gum recession aesthetic disharmony and/or functionality problem manifested as constant inflammation because of non-existing connective gingiva occurs.

The procedure  lasts approximately one hour under local anaesthesia, whereby usually dental gums from the palate are used (free connective or gingiva transplant). Stitches are removed in 7 to 10 days and during the healing period a special cleaning treatment is to be carried out as you will be instructed in detail by our dentists. A definitive healing and results are visible after 3 to 6 months.

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