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  • Writer's pictureDentaş Ağız ve Diş Sağlığı Polikliniği

What are Advanced Surgical Applications?

Updated: Oct 14, 2023

Advanced surgical applications can be performed when it is necessary in dentistry. These applications can be performed by periodontologists or oral and maxillofacial surgeons, as well as by dentists who have been trained in these subjects. Advanced surgical applications include all surgical procedures aimed at increasing the comfort and function of the patient. While some of these procedures can be performed with local anesthesia, general anesthesia is also needed in some cases.

Advanced surgeries can be performed to increase the amount of bone in the area when implant is planned, but when the bone width or thickness is insufficient for implant emplace. These procedures include bone graft placement (augmentation), bone crest expansion, open and closed sinus lifting. Other advanced surgical applications include wisdom teeth extraction. In addition, orthognathic surgery can be performed after orthodontic treatment in patients who have completed their jaw development but whose jaw is too far ahead or behind.

Bone augmentation is an advanced surgical procedure that is performed when there is not enough bone for the implant or to rebuild the lost bone around the tooth. Bone powder(greft) can be taken from another part of the patient's mouth, or it can be synthetical. After bone augmentation, it is necessary to cover the bone grafts (powders) with osseous membrane. With bone augmentation, bones that are not suitable for implant can be made suitable. The bone lost around the tooth with periodontal problems or trauma can be replaced, thus the survival time of the tooth in the mouth is extended.

Sinus lifting is the process of pushing up the nasal sinus cavity wall and filling the cavity with bone powders in the posterior tooth region of the upper jaw before the implant placement. Sinus lifting is a procedure that is usually performed by a periodontologist or maxillofacial surgeon using advanced surgical techniques, but can also be performed by a dentist. After the procedure, the bone powders are fused with the bone and the implant can be applied to the area within 4 to 6 months.

When there is no area in the jaw where the wisdom tooth can come out or the position of the wisdom tooth is not suitable for eruption in the mouth, the tooth may be wisdom. Wisdom tooth may cause infection in the jawbone, may ache because they are close to the nerves, or push the tooth in front of them, causing crowding in the teeth.The wisdom tooth does not always have to be extracted. For this, your dentist can indicate when it is necessary with an intraoral examination and x-rays. The wisdom tooth usually starts to cause problems after the age of 17-18. Although the operation of a wisdom tooth extraction under local anesthesia is not very complicated, it can be challenging in some cases.

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