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Oral Surgery

Oral surgery consists of a series of surgical interventions with the purpose of improving the unfavourable anatomical and biological situations.

With the application of modern methods nowadays, oral surgery is not as repulsive as it used to be. Intraoperative pain does not exist, or is reduced to a minimum, and the home therapy with traditional medicines excellently controls possible painful postoperative symptoms.

The most frequent interventions in oral surgery are dental extraction, surgical extraction of wisdom teeth and remaining roots, apicoectomy, placing of implants, sinus lift and many others.

The objective of the clinics Veselinovic is above all safety and quality of the service provided to the patient.

A top expert team, and constant investing in quality and education of the personnel, make the clinics VESELINOVIC one of the most competent clinics for implantology in our region.

 

 

 

ORAL SURGICAL TREATMENTS:

 

  • AUGMENTATION (BONE REGENERATION)
  • SINUS LIFT
  • DENTAL EXTRACTION
  • APICOECTOMY
  • GRANULOMA

 

AUGMENTATION (BONE REGENERATION)

If the bone is not large enough for placing the implant, it is necessary to perform augmentation, i.e. upgrading and creating of the bone by transplanting the proper bone and/or by using the artificial one. This surgical intervention is performed if there is not enough width or height of the jaw bone. The intervention is possible on both jaws, if there are minimum bases in the patient’s bone for that. Depending on the situation, sometimes the implants are built in simultaneously with the augmentation, while in more difficult cases it is necessary to perform the bone augmentation first, and to build in the implants only after the required healing period.

With an incredibly fast development of implantology, today it is possible to perform some interventions of which one could only dream about until recently.

 

SINUS LIFT

Sinus bottom lift is a surgical intervention by which the bone missing in the lateral part of the upper jaw is substituted, which often happens due to long missing of teeth. Sometimes the implants are built in simultaneously with the sinus lift, while in more difficult cases it is necessary to perform the intervention first, and to build in the implants only after the required healing period.
It is performed under local anaesthesia, which makes the intervention itself painless. Our oral surgeon has the knowledge and skills in various techniques applied in this intervention.

 

DENTAL EXTRACTION (tooth pulling)

Dental extraction is required when the tooth is attacked by a deep dental caries that has destroyed a major part of the tooth, and it is no longer possible to ’’save it’’. Among the patients, dental extraction represents a dental intervention which causes most fear. However, dentists will always do their best to avoid dental extraction, which sometimes is not possible after all. In such cases, our dentists approach to dental extraction by means of modern methods, therefore fast, painlessly and efficiently.

 

Dental extraction - CPP

When is dental extraction needed?
The tooth should be extracted when the major part of its surface is attacked by a deep caries and it is not possible to treat it.
It often happens that, when the tooth diseases are neglected, the infection occurs, which spreads all the way to the top of the root and to the neighbouring bone, and in such case it is necessary to extract the tooth. So, when the tooth gets inflamed, it represents an inflammation point within the patient’s organism, and the microorganisms form the tooth can reach other organs as well and cause their inflammation. If the inflammation occurs, the tooth should be extracted.

Is it a painful procedure?
In all the cases of dental extraction, a local anaesthesia is applied, that eliminates the pains.

What is the procedure of dental extraction?
First a check and an X-ray is performed, the decision is made only after that.

How long does the recovery last?
After a simple dental extraction, the patient can continue right away with his daily activities, however, it is necessary to avoid bigger physical efforts and exposure to the sun.
Post-operative care after dental extraction
It is recommended to keep the gauze between the teeth for an hour or two in order to stop the bleeding, even to hold cold compresses on the outside on the cheek in order to stop the bleeding and prevent possible swelling. Also, it is recommended not to rinse the mouth for an hour or two after the extraction. The teeth should be washed normally, only the zone where the tooth has been extracted should be avoided. Eat normally when the numbness from anaesthesia passes.

 

 APICOECTOMY

Apicoectomy is a surgical intervention applied when it is not possible to treat the tooth and the tissue surrounding the root of the tooth with an apical lesion, so the tip of the root gets removed. The procedure is most frequently performed in case of pathological changes - granuloma or cysts. Granuloma or granuloma-periapical inflammation is a form of chronical infection. It is mostly present on the tip of the root and is a consequence of inflammation and dying out of the nerve, which is most often a result of a deep caries or traumatic injury.

 

Apicoectomy - cpp

 

What is apicoectomy?
Surgical removal of the tip of the root and the present pathological process, granuloma or cyst.

In which case is the surgical intervention necessary?
The surgical intervention of apicoectomy is performed for treating of the complications of the tooth with necrotic pulp: inflammations and granuloma, but only if there is no possibility for tooth revitalisation.

How long does the surgical intervention of apicoectomy last?
The duration of the intervention is usually between 20 and 60 minutes, where the position of the tooth and the complexity of the structure of its roots play an important role.

What are the phases of the intervention?
The intervention is very simple, and it consists in a small incision on the mucosa which is moved away from the bone in order to show the bone. Then the aperture is made in the bone, and the root and the pathological process are visible. It is followed by the removal of the tip of the root and the pathological process, after which the root canal is filled in and the gingival flap is placed back. In the end, the wound is sutured.

Is the intervention painful?
No, the intervention is completely painless, as it is done under a local anaesthesia.

Are there any risks in the intervention?
The biggest risk is that the intervention is not successful, and the tooth must be extracted. Apicoectomy is mostly a permanent solution.

When can the patient return to work?
The patient can return to work, if it is in the office, several hours upon the intervention. Otherwise, it is better to stay home for two days, hold cold compresses on the outside and take the recommended therapy. If it is about larger granuloma, and the workplace is exposed to wind and temperature changes, it is better to stay home for up to three days.
 

X-ray cabinet

X-ray diagnostics enables general check-up of teeth, roots and the neighbouring bone structure. The mentioned represents basic diagnostics during its dental treatment. Our dental practice has an X-ray cabinet with the equipment prescribed and controlled by the Ministry of Health of Montenegro.

Dental prosthetics

Modern prosthetics has made some efforts to solve the problem of dental aesthetics without teeth contouring, if there is an adequate indication for it. It is lumineers, composite flakes with ceramic admixtures that are glued to the intact teeth surfaces without their damaging.

Dental aesthetics

Teeth-whitening at the dentist’s is done by means of the ZOOM technology in our practice, by using the lamp of the corresponding wave length in combination with the H2O2-based gel. The time of duration of the treatment is 60 minutes at the dental practice Veselinovic.

Pedodontia - paediatric dentistry

Enable your children to grow with healthy teeth! Through game, our doctors will teach your child how to maintain dental hygiene. Pedodontia or paediatric dentistry represents a part of dentistry which deals with treating teeth in children.

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