Category: Oral Surgery

Wisdom Tooth Extraction

Click Here – Teeth Care Centre® Tooth Extraction Treatment Guide
Wisdom teeth are the third set of molars which erupt in your mouth during late teens or early twenties. As long as these teeth erupt straight, they do not cause any problem or discomfort. However if these teeth erupt sideways, partially or remain trapped within the gums, they may cause lot of complications and may require surgical intervention.

When wisdom tooth fails to erupt or push through into the mouth, it is referred to as impacted wisdom tooth. It can be either fully enclosed beneath the gums or be partially exposed into the mouth. Since wisdom teeth are last to erupt, sometimes there may be inadequate amount of space for them to erupt into the mouth. This results in development of tilted, angled or crooked wisdom tooth, which if not removed can be troublesome in the long run. Impacted wisdom tooth may crowd other teeth and may cause pain, swelling around jaw, red or swollen gums, tender or bleeding gums, jaw pain, bad breath, unpleasant taste in mouth or difficulty opening  mouth. Sometimes they may also cause infections and lead to the development of cysts and tumours. Incompletely erupted teeth can lead to pocket formation where food, bacterial plaque and calculus tend to collect. This results in the cavity formation which may spread to the neighbouring teeth and cause their decay. Moreover, wisdom teeth which do not erupt may move in the direction of the adjacent tooth roots and thereby cause resorption by exerting pressure on them. Therefore it is imperative to get rid of wisdom teeth which do not erupt straight in the mouth.

Teeth Care Centre® have competent and skilful oral surgeon who is proficient in wisdom tooth extraction. Our team of dental professionals will thoroughly examine and evaluate the position and condition of your wisdom teeth through clinical examination and 2D or 3D X-rays, in order to determine the right treatment plan and safe surgery for you. The entire procedure of wisdom tooth removal is carried out under local anaesthesia with hi-tech instrument in order to ensure a pain free and comfortable dental experience. We also provide the option of conscious sedation for anxious and apprehensive patients.  Moreover, we also render wisdom tooth extractions using dental lasers for blood free dental treatment.

Impacted Tooth Extraction

Click Here – Teeth Care Centre® Tooth Extraction Treatment Guide
Impacted teeth are the teeth which either erupt partially or are completely blocked from erupting through the gums. These teeth may remain stuck in the gums or bone either due to overcrowding or due to resistance offered by surrounding structure or oral pathologies. Sometimes overcrowding leaves no room for the teeth to emerge, which may cause the teeth to become twisted, tilted, or displaced as they try to emerge out.

Impacted teeth, as such are often painless and generally do not cause problems. However, there are instances where an impacted tooth or teeth might exert pressure on to the roots of the adjacent teeth, causing a misaligned bite. A partially erupted tooth may trap food debris around it, which can result in pain and gum inflammation and can cause decay in the adjacent tooth. In order to keep unpleasant side effects of impacted teeth like pain, cyst, temporomandibular joint pain, decay, misaligned teeth, relapse of orthodontic treated cases at bay, a surgical intervention is often indicated.

We have highly skilled and experienced oral surgeon who is specialised in wisdom tooth extraction. Surgical dis-impaction is one of the most feared dental procedures and sometimes it may look like a gruesome procedure, but our tooth extraction specialists do it with the utmost sensitivity and care in order to prevent injury to the surrounding structures. For the final diagnosis, CBCT scans may be required in order to prevent damage to the adjacent structure. All the dental extractions, irrespective of the tooth position are performed very gently and precisely under local anaesthesia.

Teeth Care Centre® is known to incorporate latest technologies in all treatments and therefore we provide facility of incorporating dental lasers for surgical extraction of teeth for painless and blood free dental experience. To ensure our patients are pain free and comfortable throughout the process, we also provide option of conscious sedation.

Sterilization and disinfection are paramount parameters in our clinic which ensure a safe and sound dental experience eliminating any chances of cross infection or contamination.

Socket Preservation

Extraction of a tooth or teeth becomes inevitable due to pain, infection, bone loss, cracks or fracture in some of the cases. The bone and gums surrounding the extraction site may shrink and recede rapidly and in case of multiple teeth extraction it results in the collapse of lips and cheeks and facial sagging. The jaw defects developed as a result of teeth extraction may create hindrance while performing restorative treatments like dental implants, bridges, or dentures. Such jaw deformities arising from tooth extraction can be prevented or fixed by a procedure called socket preservation.

At Teeth Care Centre®, we use several methods to minimize bone loss after tooth extraction. Filling the socket with bone graft material is one of the most commonly adopted modes of treatment. Once the socket is filled with bone graft, it is then covered with gum and allowed to heal for a considerable period of time. Socket healing eliminates chances of shrinkage and collapse of the adjacent bone and gums. Moreover, the newly formed bone in the socket aids in implant placement, by eliminating the need for procedures like sinus lift, ridge split and nerve repositioning.

We encourage the need of socket preservation following each extraction, to make the process of tooth replacement as sound and hassle free as possible for you.

Bone Grafting

Once the tooth exfoliates or is removed, over a period of time the bone supporting the teeth gradually atrophies and gets eventually resorbed. This often leaves a condition in which there is poor quantity of bone available for the placement of dental implants. In these situations, most patients are not candidates for the placement of dental implants.
With bone grafting, we now have the opportunity to not only replace bone where it is missing, but we also have the ability to promote new bone growth in that location. This not only gives us the opportunity to place implants of proper length and width, but it also gives us a chance to restore functionality and aesthetic appearance.
Some of the commonly used bone grafts are:
TYPES OF BONE GRAFT
Autograft: In order to achieve the best results, patient’s own bone is preferred as a graft. This is termed as autograft. Depending on the requirement of the bone, our dental surgeon harvests bone from within the patient’s mouth or other areas. The current gold standard for bone defect repair is still autologous.
Allograft: This graft is harvested from humans other than the recipient himself.
Xenograft: Such grafts are harvested from animals.
Alloplast: These are derived from naturally occurring minerals.
Growth Factors: PRF (Platelet-rich fibrin) membrane helps in wound healing, protects the surgical site, and thereby promoting soft tissue repair. When PRF is mixed with bone graft, it may act as a “biological connector”, which attracts stem cell, favours the migration of osteoprogenitor cells and provides a neo-angiogenesis.

At Teeth Care Centre, we use world’s renowned, highly researched and documented brands for maximum treatment outcome with minimum reactions and cross infections on recipient body. The clinician’s preference for one type of graft or another may depend on several reasons, such as the amount of bone to be regenerated, systemic illness in patient, evidence regarding the material’s performance and safety, expertise and previous experiences, among others.

Sinus Lift

Sinus lift is the surgical procedure to add bone in the back region of the upper jaw, in the area of upper molars and premolars when enough bone is not present below maxillary sinus for placing implants. It is also sometimes termed as sinus augmentation. Lack of sufficient bone in the maxillary jaw can either be due to loss of one or more tooth in the posterior region of upper jaw.

Sinus augmentation can be achieved by two procedures –direct and indirect. However the gain in bone height is greater when achieved through direct procedure compared to the indirect.

The entire procedure is delicate and needs to be performed with utmost care and precision, in order to avoid any mishaps. Teeth Care Centre® has a team of highly qualified oral and maxillofacial surgeon and implantologist who are experienced and have performed many sinus lift surgeries in the past. Our cutting edge technology, latest instruments and highly researched and renowned brand of bone graft material ensure that the entire surgery is completed safely and seamlessly.

We also provide the facility of conscious sedation for patients facing anxiety and apprehension related to dental surgeries. Conscious sedation relieves the treatment related stress and anxiety, and makes the entire dental treatment smooth and pleasant.

With combination of best surgeons and advanced techniques like dental laser, we make the entire procedure of sinus lift, bloodless and absolutely pain free for you!

Apicoectomy

Apicoectomy is the surgical removal of root tip of an infected tooth along with its adjacent infected tissues or cystic lesion. The root end is filled in order to eliminate any chances of reinfection in future. Apicoectomy is recommended in cases of inaccessible canals, overfilled canals, fractured root, draining sinus tract, broken instrument and cyst or granuloma formation.

Persisting pain in a previously root canal treated tooth may be indicative of re-infection or an unsuccessful root canal procedure. Sometimes there may also be chances of cystic formation in infected region. Usually a second root canal treatment is considered before performing apicoectomy in an attempt to eradicate the recurrent infection. Failure to curb infection may cause it to spread and can damage the adjoining teeth or an underlying bone. Therefore it is imperative to cease the spread of infection at the grass root level through apicoectomy procedure.

At Teeth Care Centre® we have highly skilled endodontist and oral surgeon who perform this endodontic surgery with utmost precision. For anxiety ridden patients we also provide the facility of conscious sedation to reduce treatment associated stress and apprehension.

In order to completely remove any chances of reinfection we provide the option of laser application.

This eliminates any further chances of infection and leaves you with a smile you always deserved.

Cyst Removal

Facial or jaw cyst is the sac of tissue either filled with fluid or some tissue. These cysts develop next to or around teeth which often do not have any symptoms and usually diagnosed during routine dental check-ups. Dental cyst if left to grow can impose serious problems on your dental health in future. Some cysts develop around the root tip due to trauma, crack or decay. While some cysts are formed around un-erupted or partially erupted teeth. A growing cyst can impose problems if they get infected. It can be very painful and cause swelling in the area of growth. These cysts sometimes can cause the untimely exfoliation of adjacent teeth. Occasionally, they can grow big enough to fracture a jawbone. To avoid future complication, surgical intervention is necessary.

At Teeth Care Centre we have highly skilled oral and maxillofacial surgeon who diagnosis, performs this surgery with utmost precision and minimally invasive and also send tissue sample to laboratory for further investigation if needed .For anxiety ridden patients we provide the facility of conscious sedation, in order to calm the patient and reduce treatment associated stress and apprehension. In order to make surgery bloodless and completely remove any chances of re-infection and to cause shrinkage of any cystic lesions, we also provide the option of laser application. This eliminates any further chances of infection and leaves you with a smile you always deserved.

Tumour Removal

Tumour is an abnormal mass of tissues which may form lumps or growth. There are various types and sizes of tumours. Tumours may be non cancerous, precancerous or cancerous.

Diagnosis of tumour is based on their type and location. This is done by our oral surgeon or oral pathologist using biopsy test performed on the section of tissue taken from the tumour. Treatment of tumours is also based on its location and type. Non-cancerous tumour excision is a delicate job and is usually performed by an oral and maxillofacial surgeon while the cancerous ones are treated with chemotherapy, radiation or surgery performed by an onco surgeon and health care team.

At Teeth Care Centre we have highly skilled oral surgeon who is specialised in non-cancerous tumour removal surgery and our prosthodontist is specialised in reconstruction of the site after tumour removal to restore normal function. For anxiety ridden patients we provide the facility of conscious sedation, in order to calm the patient and reduce treatment associated stress and apprehension. In order to completely remove any chances of re-infection, we also provide the option of laser application.