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Wisdom Tooth Extraction

Wisdom Tooth Extraction

This is one of the most common oral surgery procedures. Due to the position of the third molars (wisdom teeth) in many people they do not fully emerge into the mouth but can become impacted against the next molar or against the bone of the jaw.

When problems occur and the decision is taken to surgically remove a third molar, your oral surgeon will have very carefully assessed the benefits and deficits of the treatment and you will be fully informed of these. Because of the proximity of other structures such as nerves, there is a small chance of damage to these during the surgical procedure. One of the most important factors to try and limit the risk of these negative outcomes is for your surgeon to be as clear as possible exactly where your tooth is in relation to these other structures.



Bone graft surgery

Bone graft SurgeryBone grafting is the replacement of supporting bone around the teeth which has been lost. It is also known as bone augmentation or ridge augmentation.

Today, bone grafting procedures have become almost an integral part of implant reconstruction. In many instances, a potential implant site in the upper or lower jaw does not offer enough bone volume or quantity to accommodate a Rootform Implant of proper size or in the proper place. This is usually a result of bone resorption that has taken place since one or more teeth (if not all) were lost. Bone Grafting procedures usually try to re-establish bone dimension, which was lost due to resorption.

Although your surgeon often knows in advance when a graft will be necessary, at times this is only discovered when the implant site is opened during surgery and he is prepared to replace the necessary bone.


Ridge Expansion

Ridge Expansion

Deformities in the upper or lower jaw can leave you with inadequate bone in which to place dental implants. This defect may have been caused by periodontal disease, wearing dentures, developmental defects, injury or trauma. Not only does this deformity cause problems in placing the implant, it can also cause an unattractive indentation in the jaw line near the missing teeth that may be difficult to clean and maintain.
To correct the problem, the gum is lifted away from the ridge to expose the bony defect. The defect is then filled with bone or bone substitute to build up the ridge. Your periodontist can tell you about your options for graft materials, which can help to regenerate lost bone and tissue.

Finally, the incision is closed and healing is allowed to take place. Depending on your individual needs, the bone usually will be allowed to develop for about four to 12 months before implants can be placed. In some cases, the implant can be placed at the same time the ridge is modified.

Ridge modification has been shown to greatly improve appearance and increase your chances for successful implants that can last for years to come. Ridge modification can enhance your restorative success both esthetically and functionally.


Nerve Repositioning

Nerve Repositioning

The inferior alveolar nerve, which gives feeling to the lower lip and chin, may need to be moved in order to make room for placement of dental implants to the lower jaw. This procedure is limited to the lower jaw and indicated when teeth are missing in the area of the two back molars and/or and 2nd premolar, with the above-mentioned secondary condition. Since this procedure is considered a very aggressive approach (there is almost always some postoperative numbness of the lower lip and jaw area, which dissipates only very slowly, if ever), usually other, less aggressive options are considered first (placement of blade implants, etc.)

Typically, we remove an outer section of the cheek side of the lower jawbone in order to expose the nerve and vessel canal. Then we isolate the nerve and vessel bundle in that area, and slightly pull it out to the side. At the same time, we will place the implants. Then the bundle is released and placed back over the implants. The surgical access is refilled with bone graft material of the surgeon's choice and the area is closed.

These procedures may be performed separately or together, depending upon the individual's condition. As stated earlier, there are several areas of the body that are suitable for attaining bone grafts. In the maxillofacial region, bone grafts can be taken from inside the mouth, in the area of the chin or third molar region or in the upper jaw behind the last tooth. In more extensive situations, a greater quantity of bone can be attained from the hip or the outer aspect of the tibia at the knee. When we use the patient's own bone for repairs, we generally get the best results.

In many cases, we can use allograft material to implement bone grafting for dental implants. This bone is prepared from cadavers and used to promote the patients own bone to grow into the repair site. It is quite effective and very safe. Synthetic materials can also be used to stimulate bone formation. We even use factors from your own blood to accelerate and promote bone formation in graft areas.

Sinus Lift Surgery

Sinus Lift Surgery

Sinus is the term given to anatomical cavities that exist within our body.There is one in the region of the cheek bone that is termed the Maxillary Sinus.

Our upper teeth especially the back ones often have their roots dipping into or in close proximity to the maxillary sinus. The natural response to tooth loss is a shrinkage in the amount of bone existing around the tooth that was, this means that if an upper tooth is lost there is a decrease in the height of bone beneath the sinus. In such a situation if the patient wants Implants it becomes impossible to insert the implant in such a diminished height of bone, thereby necessitating such a procedure that would restore the bone height.

This procedure is what we term as a sinus-lift. It is a very specialized procedure carried out under strict asepsis. Implants may be inserted at the same stage or at a later date depending on the situation.

Soft Tissue Grafts

Soft Tissue GraftsThese grafting techniques are also used to arrest further dental problems and gum recession, and to improve the aesthetics of your gum line and to reduce sensitivity to heat or cold.

A soft tissue graft procedure will not only repair the defect but will also help to prevent additional recession and bone loss.

During this procedure, we take some tissue from your palate or another donor source to cover the exposed root. This can be done for one tooth or several teeth to even your gum line and reduce sensitivity.




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