Surgery
Oral surgery has a broad and quite specialised field.
The most common cases that are treated in the clinic are impacted and semi-impacted wisdom teeth, impacted canines which, with the cooperation of orthodontics, occupy the correct position in the dental barrier, impacted teeth and supernumerary impacted teeth (i. e. those in addition to the normal ones), root remnants, periapical cysts.
Removal of impacted or semi-impacted wisdom teeth
The wisdom tooth often does not have sufficient space to fully erupt and take its place in the dental barrier. The semi-enclosed wisdom tooth causes problems because it causes inflammation in the tissues surrounding it (pigeonitis), caries of the adjacent tooth, constant injury to the cheek area, etc. There are patients who on their own initiative resort to taking antibiotics to treat the painful symptoms caused by a semi-occluded wisdom tooth. This tactic is wrong because it offers temporary relief to a problem that comes back.
Removal of supernumerary teeth
Supernumerary teeth are the extra teeth beyond our normal number of teeth, which are likely to be located in our upper or lower jaw. These teeth can cause problems either due to the pressure they exert on the neighbouring anatomical molecules or by preventing the anatomical teeth from coming in, causing painful symptoms to the patient.
Removal of residual roots
During a tooth extraction, a piece of the tooth root may break off inside the veneer. Sometimes a simple treatment is sufficient and sometimes surgery is needed to remove the residue.
Acrorisectomy-removal of periapical cyst
The most common type of cyst that forms in the oral cavity is the apical cyst (at the tip of the tooth root) which is caused by an extension of inflammation from the pulp of the tooth.
Although these cysts are not dangerous to health, most dentists and oral surgeons prefer to remove them because they can grow and damage the surrounding tissues and bone or affect the position of the surrounding teeth.
Cysts (membranous sac containing fluid, plasma and gas) are usually removed under local anaesthesia. Removal of the cyst and incision of the root tip (acrosectomy) is a simple surgical procedure. If the cyst is too large, a more extensive operation will be needed with the addition of bone at the site of the lesion.
Re-examination, clinical and radiographic, is required in a few months to confirm that they have not recurred.