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Jaw Surgery
Jaw surgery covers all surgical procedures, from a simple tooth extraction to major jaw operations, including Oral and Dental Health. Surgical procedures are performed by a specialist dentist and maxillofacial surgeon.
Our patients who want to benefit from Jaw Surgery services in our dental clinic can meet with our specialist physicians by making an appointment.
The reason for the impaction generally seen in our 3rd molars (wisdom teeth) is that there is not enough space in our jawbone for these teeth. Wisdom teeth last within the age range from which they were named and are the last teeth to erupt in the mouth. For this reason, when jaw development stops before there is enough space for wisdom teeth, these teeth cannot fully erupt or remain completely impacted. Apart from wisdom teeth, early loss of primary teeth or problems in jaw development may cause other teeth to remain impacted.
When impacted teeth fail to erupt, they can cause infections, form jaw cysts, and damage the surrounding teeth. Impacted wisdom teeth most often present with infection problems. Infections can cause severe pain and swelling. Wisdom teeth should be extracted to prevent infections suppressed with antibiotic support from recurring.
Impacted teeth can remain quietly buried for years without causing infection. However, this may not always be a good sign. Cysts that can form around impacted teeth can grow and even cause fractures in the jawbone.
The reason why wisdom teeth remain impacted is usually that there is not enough space in the jawbone, so no other option other than extraction is possible. However, not only wisdom teeth remain impacted. Canine teeth and premolars may also remain impacted. These teeth usually remain impacted due to crowding and narrowness in the jaw. By correcting the crowding and narrowness in the jaw, these teeth can be maintained. For this, the orthodontist and maxillofacial surgeon perform examination and planning together.
Implant is the name given to a structure that is generally made of titanium and placed in the jawbone and imitates the tooth root. The implant applied to the area of tooth loss imitates tooth roots, and after the jawbone heals, toothless gaps are completed by making a crown or bridge on the implant.
Implant treatment is performed by a specialist maxillofacial surgeon under local anesthesia, or under general anesthesia depending on the patient's health condition. After waiting for a 2-3 month healing period, the superstructure crown or bridge is applied and the toothless spaces are filled.
In order for an implant to be placed in the jawbone, there must be a certain volume of bone. Bone volume is determined by dental tomography and implant treatment is planned. If there is not enough bone for the implant, bone grafting is first used to increase the bone volume in the area where the implant will be placed, and then implant surgery is performed.
The main reason for not having enough jawbone is that a long time has passed since tooth loss. Another reason is that conditions such as infections and cysts that lead to tooth loss damage the jaw bone. In the upper jaw, especially in the molar region, if a long time has passed since tooth loss, the sinuses in the upper jaw sag towards the toothless area with bone loss, preventing implant surgery.
In patients who do not have enough bone for implant application, bone grafting is performed to increase bone volume. This procedure is performed with fabricated grafts of animal or human origin or with bone grafts taken from the patient himself. The maxillofacial surgeon decides which type of graft to use according to the amount and area of bone loss of the patient.
Sinus lift application is the name given to the process of lifting the sinuses sagging towards the toothless area in the upper jaw molar region and filling the gap with bone graft. In this way, the jaw bone volume in the upper jaw molar area is increased and sufficient bone is formed for the implant.
Waiting time may vary depending on the extent of surgery performed. As a result of the evaluation made by the maxillofacial surgeon, it is decided how long the implants will wait after the graft and sinus lift application. This waiting period lasts 4 to 6 months. In some cases, implant and graft application can be done at the same time.
Jaw cysts are fluid-filled sacs formed within the jawbone, and these vesicles are benign. Just because they are benign does not mean that they do not require treatment. Jaw cysts can cause tissue destruction and infections in the jaw. That's why they need to be treated.
Jaw cysts are usually detected during routine check-ups; They are diagnosed by methods such as radiographic imaging, tomography or biopsy. In diagnosis, first the type and size of the cyst is learned, and then why it develops. Accordingly, the treatment method is determined.
The treatment method for jaw cysts is usually surgical removal. However, the same cannot be said for every cyst. Supportive treatments (root canal treatment, marsupialization) are applied to shrink cysts that have grown too large and are in contact with surrounding tissues, and after the cysts shrink, they are surgically removed.
Jaw cysts may recur after treatment. The main reason for this is that the residual tissues of the removed jaw cyst are not sufficiently cleaned from the area. The probability of recurrence of a cyst that is well cleaned by a specialist physician is quite low. Depending on their type, some cysts have the possibility of recurrence even if the entire procedure is performed in the most correct way. This situation is conveyed to the patient by the maxillofacial surgeon.
Apical resection is the process of surgically removing and cleaning from the root tip of infections that do not regress despite root canal treatment. This procedure can be called the last rescue treatment for persistent infections before they lead to tooth loss.
Apical resection is performed in cases where the persistent infection that does not regress has not spread to more than 1/3 of the tooth roots. The area where the tooth roots are located is surgically opened like a window by the maxillofacial surgeon, and 1/3 of the tooth root is removed along with the infection. If the infected area covers a widespread area within the bone, bone grafting can be performed along with resection. The resection area is closed and recovery is expected.
What Should Be Considered After Surgical Procedures?
- The tampon placed after the extraction should remain in the extraction area for 30-60 minutes.
- No spitting, mouth rinsing, pipetting, etc. for the first 24 hours. Suction force should not be created with things.
- It is normal to have bleeding in the form of leakage during the first 6-24 hours, do not worry. You can contact your doctor.
- After tooth extraction, pain may begin as the effect of anesthesia begins to wear off. In this case, a painkiller other than aspirin will be sufficient.
- It is important to use painkillers and the medications prescribed by your doctor correctly.
- You can start brushing your teeth after 24 hours, but you should not brush the extraction socket.
- After the extraction, you should stay away from hot, bitter, acidic and grainy foods and drinks for a while.
- Smoking and alcohol should not be used for 24 hours after the shooting.
- If a surgical extraction has been performed, ice should be applied to the procedure area for 1 day. Ice should not touch your face for more than 10 minutes.
- While resting after tooth extraction, it is recommended that you rest by placing a few pillows under your head and keeping it elevated.
- If there is a surgical tooth extraction, stitches etc. Don't forget to make an appointment to check the situation.
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