Oral surgery in Croatia

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About oral surgery

Oral surgeon and a patientOral surgery as a branch of dentistry includes different surgical interventions in patient’s oral cavity.

The most frequent interventions are:

  • Wisdom tooth extraction
  • Complex tooth extraction or leftover tooth root extraction
  • Root end surgery or apicetomy
  • Removal of unerrupted or impacted teeth or odontotomy
  • Removal of different cysts in the jawbone or cystectomy
  • Bone transplantation or regeneration
  • Placement of dental implants

Wisdom teeth problems

Oral surgery in CroatiaWisdom teeth are the last teeth to appear in the alignment, when we are adults. Very often, patient’s jawbone is not big enough to allow the growth of wisdom teeth. In such situations growth of wisdom teeth can be very unpleasant and cause swelling, pain and infection of gums around the wisdom tooth. Irregular growth can lead to damages of neighboring teeth, gums and jawbone, and it sometimes can lead to development of cysts or tumors. Dentist’s recommendation is, in most cases, to surgically remove such wisdom teeth.

 
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Extraction of a tooth or a tooth root

Tooth extractionIf tooth or tooth root extraction is not possible in the common way (with forceps), a surgical section must be made in the area of jawbone and mucosa to reveal the bone surrounding the tooth or the tooth root. Oral surgeon will free the tooth or the tooth root by osteotomy of the surrounding bone in order to remove it. After the intervention, the mucous membrane is sutured with surgical silk.

Removal of cysts or cystectomy

Removal of cysts or cystectomyAlmost all jawbone cysts develop from epithelial cell rests of Malassez of Hertwig's epithelial root sheath, and especially inflammatory ones connected to dental diseases.

Though different in their development, all of the above mentioned cysts can cause series of disorders as e.g. teeth movement due to bone absorption, teeth deformation or jawbone deformation, inflammation of the cyst, which can cause great abscesses on the area of jawbone and face, and even tooth fracture. Dental radiographs or x-ray photos of the mouth will help us diagnose and get a detailed picture of both jaws with all the teeth. If the cyst is smaller we can remove it under local anesthesia, but if its larger, an intervention under general anesthesia will be needed.

Implants are painlessly placed by...

Daniel Spehar

Daniel Spehar, DDS, oral surgeon

Dr. Daniel Spehar is a leading European expert in implantology and one of the best oral surgeons in Europe. He is a lecturer at international seminars and congresses, and has gained rich experience in implantology practice. Take this opportunity to ask him anything you would like to know about implantology - dr. Spehar will personally answer all of your questions!

 
 
 

Artificial bone or bone transplantation

Bone transplantationIn order for an oral surgeon to place dental implants or a fixed partial denture it is essential to have healthy and firm bones in the jaw. If your jaw lacks bone matter, there are several ways of bone transplantation.

  • Autograft (autotransplantation) - the bone is transplanted from one place to another in the patient’s jaw. In this case the patient is the donor and the recipient at the same time. This is the best method, because in most cases it guarantees very good results.
  • Allograft (allotransplantation) - the bone is transplanted from one person to another. In this case the donor and the recipient are two different persons.
  • Alloplastic transplantation - synthetic materials like hydroxyapatite, tricalcium phosphate, polymeres, glass ceramic and collagen fibers are used.
  • Xenograft (xenotransplantation) - transplantation is done from one species to another. There is bovine-derived xenograft (Bio-Oss) having only osteoconductive feature. There are also Cerabone, Biogen and others.

Irrelevant of the chosen procedure, it can only be done by an oral surgeon specialist.

Frequently asked questions

1. How to maintain oral hygiene after a surgical intervention in the oral cavity?
Oral hygiene after a surgical intervention is extremely important to prevent possible infections of the wound, swelling and a series of other complications. You will get instructions on how to maintain your oral hygiene from your surgeon after the surgical intervention.

2. Which surgical intervention is done to remove the cysts?
Surgical intervention begins by drilling the bone until the cyst wall is visible. After gaining access, the cyst is fully peeled out using surgical instruments. After cystectomy the mucosa is sewn up with surgical silk.

3. What is apicetomy and how is it done?
Apicetomy is removal of tooth root apex, and the most common reason for this intervention is chronic inflammation around the apex of the tooth root i.e. apical granuloma. First we have to fill the tooth canal with special materials, and it can be done immediately before or during the intervention. By a section in the jawbone mucosa we access the bone, which is drilled in order to access the tooth root. Tooth root apex and granuloma are removed together, and mucosa is sewn up with surgical silk.

4. What are unerrupted or impacted teeth?
Impacted teeth are teeth that have not emerged because of a physical barrier on their way of eruption, for example another tooth. Unerrupted teeth are those teeth that have not erupted for some other reason as for example the wrong direction of growth, too deep position of the tooth germ, wrong position of the tooth germ, damage of the tooth germ and similar.

5. What is odontotomy and when is it done?
Odontotomy is surgical removal of unerrupeted or impacted teeth. It is done if impacted or unerrupted teeth get in the way or represent a threat to other teeth.

 
 
 
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