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Oral, Dental and Maxillofacial Surgery Applications

What is Tooth Extraction?

Tooth extraction is the process of removing a tooth from its socket in the bone under local anesthesia by a dentist when the tooth is no longer treatable.

• If cavities or fractures in the teeth can be treated with fillings, root canal therapy, or crowns, but the tooth has lost too much material to be restored by these treatment options,
• If there are significant losses in the surrounding tissues that support the tooth due to periodontal disease,
• If space is needed for orthodontic treatment,
• If embedded or partially embedded teeth cause decay, pain, or abscess formation over time, extraction may be necessary.

 

What is Complicated Tooth Extraction?

Complicated tooth extraction is a procedure that is not performed in every case; it is applied when the tooth root is fractured, remains embedded, or is in a severely damaged state. In a complicated extraction, the dentist follows a different surgical approach than the usual one to reach the root of the tooth. This procedure is typically applied in the removal of wisdom teeth. The recovery time for a complicated tooth extraction may be longer than that of a normal tooth extraction.

 

 

Frequently Asked Questions About Tooth Extraction

After tooth extraction, some pain may be felt as the numbness wears off. In this case, you can use the pain relievers prescribed by your dentist. This mild pain may be felt for a few days after the extraction. Intense and unbearable pain is not common after tooth extraction. If intense and unbearable pain is experienced, or if the pain continues and intensifies, or if it persists after 2 days, it may indicate the possibility of an infection, and you should consult your dentist.

 

You should avoid eating for the first 2-3 hours after tooth extraction. This is because the mouth is numbed during the procedure and there may be bleeding. To avoid mouth injuries and bleeding due to the temperature and hardness of foods, it is recommended to eat soft and lukewarm foods for the first day after extraction.

 

Smoking is harmful to both overall health and oral health. Smoking should particularly be avoided after tooth extraction. In addition to nicotine, cigarettes contain many harmful chemicals that, when burned, can cause bleeding and infection at the extraction site. Extra care should be taken with oral hygiene after tooth extraction.

 

Some pain may be felt after tooth extraction. If the pain persists for 2-3 days, and is accompanied by fever and increasing swelling at the extraction site, this may indicate an infection. Other symptoms may include whitening at the extraction site, foul odor from the mouth, and severe pain spreading to the jaw. In this case, you should consult your dentist.

 

It is normal to experience some bleeding for 2-3 hours after tooth extraction. You should avoid hot and cold foods that could trigger the bleeding. If intense bleeding occurs after tooth extraction, a cotton pad can be applied to the tooth. This situation should be communicated to the dentist, and intervention should be done according to the dentist's recommendations.

 

Tooth extraction can be performed during pregnancy. The use of medication and local anesthesia for pregnant women should be done under the supervision of both the dentist and the obstetrician. The decision to proceed with the procedure depends on its urgency, and the dentists will decide whether to proceed with the patient.

 

The space left by the extracted tooth begins to close within a few days. However, the closure of this space with soft tissue may take about 2-3 weeks. The bone will fully heal and close the space in approximately 6 months. Depending on the size and location of the tooth, the patient's age, and the structure of the other teeth, the duration for the closure of the extraction site may vary.

 

 

Impacted Tooth Surgery

Impacted tooth extraction and treatment is a dental procedure that involves the extraction and treatment of teeth that have not fully or partially developed inside the jawbone. Impacted teeth are commonly known as wisdom teeth and are often located within the jawbone or behind other teeth.


The impacted tooth extraction procedure is performed under local anesthesia and is generally painless. The dentist softens the surrounding tissues and bones of the tooth to effectively remove it. After extraction, the extraction site is cleaned, and stitches may be applied if necessary.


After impacted tooth extraction, the dentist may take preventive measures to heal the extraction site and preserve the tooth socket. This may involve placing a dental prosthesis or implant, reconstructing the bone, or other restorative procedures.


Our goal is to perform the extraction of impacted teeth painlessly and support the patient with the most suitable treatment options after extraction.

The difficulty of impacted tooth surgery depends on the position and angle of the impacted tooth. Extraction of teeth that are superficial or partially impacted is completed quickly. However, the extraction of deeply impacted and angled teeth requires a longer surgical process. Even in highly difficult impacted tooth surgeries, no pain or discomfort is felt during the procedure.

 

Impacted teeth should be removed in certain situations. These situations include:

  • Presence of semi-impacted teeth that cause infections
  • Presence of teeth that compress neighboring teeth and cause pain
  • Risk of cyst formation around the impacted tooth
  • Orthodontic reasons

 

What Is Apical Resection (Root Tip Treatment)?

Apical resection is a surgical procedure performed for infections that occur in the root of a tooth. It is used when an infection in the tooth cannot be treated with root canal therapy or other treatments. The procedure involves removing the infected part of the root and the surrounding inflamed tissue to heal the inflammation and preserve the tooth. Apical resection is also known as root tip surgery.

  • Apical resection is performed when at least one root canal therapy has been done previously and failed. However, this method may also be used in the following cases:
  • When there is injury to the tooth root,
  • When the anatomical structure of the jaw prevents root canal therapy,
  • When a problematic tooth root compresses other tooth roots.
  • Apical resection cannot be performed if the person's jaw structure is not suitable for the procedure, if they have certain systemic and chronic conditions, or if the tooth root is abnormally small.

 

  • Apical resection, a supportive procedure for root canal therapy, increases the effectiveness of the treatment while restoring the natural appearance of the teeth. The advantages of the treatment are:
  • Prevents tooth loss.
  • Stops infections in the teeth.
  • Restores the function of the tooth.
  • Prevents the infection from reaching the tissue at the root tip.
  • Prevents tooth pain and swelling.
    With apical resection, which eliminates root abscesses, you will not risk losing your teeth. The healing process is short, and if you take care of your dental hygiene, you will increase the success rate of the treatment.

 

What is an implant?

Implants are titanium screws placed into the jawbone used for replacing missing teeth. A dental prosthesis is placed on top of the implants. Implants serve as tooth roots and allow you to eat, speak, and smile just like natural teeth. Dental implant surgery includes the process of replacing damaged or missing teeth with artificial teeth that resemble and function like real teeth. Implants offer a pleasant alternative to poorly fitting prostheses or bridges and are therefore more commonly preferred than traditional bridge methods.

Implants are primarily used to replace or support missing teeth. Implants can be applied in the following situations:

  • Single tooth loss: If there is enough bone in the area to place the implant, a dental crown is applied on top to replace the missing tooth.
  • Full or partial tooth loss: In cases where multiple teeth are missing, implants can be used to make fixed or removable dentures. Fixed dentures are attached to the implants and are more comfortable and practical than removable dentures.
  • Resorbed jawbone: If tooth loss has led to bone resorption, a bone graft may be needed before implant placement.
  • Patients who do not prefer removable dentures: Implants are an ideal option for patients who prefer more comfort and stability than removable dentures.

 

The patient's general health is first evaluated, and an intraoral examination is performed. The suitability of the bone for the implant is assessed with 3D radiographic images. Based on these images, precise measurements are made to decide the length and diameter of the implant. After the initial planning, the procedure is performed under local anesthesia. Holes are made in the jawbone for the implants, which are then placed. The procedure ends with stitches, which are removed after approximately one week during a follow-up examination.

 

With implant therapy, fixed dentures can be applied to patients who would otherwise need removable dentures due to a lack of supporting teeth. Unlike bridges, where neighboring teeth are filed down, implants restore missing teeth without damaging adjacent teeth. In patients who use removable dentures but experience retention problems due to bone deficiency, implants can be placed to increase retention.

 

Frequently Asked Questions about Implants

Dental implants are placed under local anesthesia, so the patient feels no pain during the procedure. However, there may be slight pain or swelling afterward, which can be managed with painkillers under the doctor's supervision.



The duration of the treatment depends on the patient's jawbone and the number of implants to be placed. A single implant typically takes 15-20 minutes, while more complex procedures may take longer.

 

If the bone structure in the area of the extracted tooth is sufficient, an implant can be placed immediately after extraction. This speeds up the treatment process and reduces the amount of time the patient is without teeth.

 

Implants are generally applied to individuals with healthy jawbones. However, some health conditions may prevent the use of implants. It is important to consult with a dentist.

 

To ensure the longevity of the implant and a successful recovery, it is essential to avoid putting pressure on the implant, follow the doctor’s instructions, take medications as prescribed, and maintain good oral hygiene.

 

With proper care and regular dental checkups, dental implants can last a lifetime. However, the lifespan of the implant depends on the patient's oral hygiene and overall health. Implants can function for many years without issues when good cleaning and regular checkups are maintained.

 

What is Sinus Lifting?

The sinus region refers to the anatomical cavities located just above the upper jaw, near the molar teeth. These cavities play a vital role in reducing the weight of the skull and aiding in the formation of sound. When teeth in the upper jaw (maxilla) are lost and not replaced with prostheses in a timely manner, the distance between the sinus wall and the highest point of the jawbone (called the crest) shortens. This causes the sinus cavities to sag downward, leading to bone loss in the area. Although this bone loss is a natural process, it becomes problematic when dental implants are needed. Since there is insufficient bone for implant placement, sinus lifting is performed to create the necessary bone volume. This procedure helps to generate enough space for the implant’s required length and width to properly integrate into the bone.

Sinus lifting (also known as sinus elevation or lifting) is typically performed under local anesthesia in a standard dental office setting. The sinus region is elevated to the desired level, and a small window is created in the oral cavity to access the area. After the sinus membrane is elevated to the desired height, bone powder and grafting material are placed in the resulting space. Finally, the area is sutured to close it, completing the procedure.