DENTAL SURGERY

Oro-Maxillofacial Surgery is the branch of dental medicine that deals with the diagnosis and treatment of localized diseases in the oro-maxillo-facial sphere, requiring predominantly surgical interventions. Surgical interventions are performed by the oro-maxillofacial surgeon specialist. The oro-maxillofacial surgeon treats the affection of a tooth that carries a cyst at apex to malignant tumors.

Oro-maxillofacial surgery has two branches: dento-alveolar surgery (or small surgery) and maxillo-facial surgery.

Dento-alveolar surgery deals with ambulatory and surgical surgeries: apical resections, semi-inclusions and semi-inclusions or atypical morphology, benign tumors, alveolar crest regularization, or dental implants.

Dento-alveolar surgery deals with ambulatory and surgical surgeries: apical resections, semi-inclusions and semi-inclusions or atypical morphology, benign tumors, alveolar crest regularization, or dental implants.

Oro-Maxillo facial surgery involves a long-term professional training of the surgeon, who is also required to study general medicine. Oro-Maxillofacial Surgery deals with dental alveolar surgery and the treatment of malignant tumors and facial dental anomalies.
In order to better understand what maxillofacial surgery is concerned, here are some of the terms below.

 

THE APICAL RESEARCH

Apical resection is a surgical method that involves removing the dental apex along with infected surrounding bone tissue, usually preceded by proper endodontic treatment and perfect root filling. Indications of apical resection:

  • Large apical damage not resolved by endodontic treatment
  • Anatomical problems that prevent correct endodontic treatment
  • Horizontal fractures of root with apical necrosis
  • Obstacles along the length of the root canal that can not be overcome by endodontic treatment

 

Odontectomy

Odontectomy is the extraction of a tooth included or partially included, which consists of removing the bone surrounding the tooth before applying the force required for extraction.

Odontectomy involves surgery performed in the dental office with local anesthesia. After odontectomy it is necessary to suture and remove the wires after 7 days, if they are not resorbable. Indications after extraction are the same as after a normal extraction.

Postoperative indications both for apical resectations and for odontectomies:

  • Maintain compression of gauze for 30 minutes to stop bleeding;
  • Do not use mouthwash for 24 hours postextractional;
  • Do not rinse the mouth of the day of extraction in order not to remove the blood clot that plays a role in wound healing (postoperative lesion);
  • A dental brush should be avoided on the day of the intervention, and must be resumed the next day;
  • On the day of surgery, you can eat almost anything but at room temperature, and it is advisable to do it after the effect of anesthesia has passed;
  • Do not eat dairy products on the day of the intervention;
  • It is advisable to avoid smoking and drinking alcohol on the day of the intervention;
  • Mild pains can be controlled with medications that soothe the pain indicated by the dentist;
  • On the day of surgery, cold water compresses on the cheek near the site of the intervention.
  • Post operative appears regional edema that accompanies evolution in the first 24-48 hours, after which it begins to retire
  • The persistence of edema, its accentuation and the appearance of pain within a few days of surgery suggest the appearance of septic complications.

Alveolotomy extraction is surgical removal of a fractured dental root, deeply interstitial left behind by recent or older extraction.

Regularization of the alveolar ridge represents the smoothing of the edented alveolar crest, can be performed in the same session with multiple dental extractions or postextractional to obtain an optimal prosthetic field for prosthesis.

Chistectomy is the removal of the intraocular cystic form, the causal tooth can benefit from conservative treatment, apical resection or extraction in the case of irreducible teeth. The post cystectomy bone cavity may be filled with artificial bone grains resulting in faster healing and maintaining a bone support corresponding to subsequent prosthesis.

Plastic gingival surgery is the remodeling of the gingival tissue contour.

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