In the department of oral, dental and maxillofacial surgery, diagnosis and surgical treatment of all kinds of diseases of all soft tissues (tongue, bucca, lip, salivary glands etc), teeth, jaws and jaw joint in the mouth are performed.
Oral, dental and maxillofacial diseases and surgery is a branch of dentistry that deals with the diagnosis and treatment of diseases, injuries and deformities related to the mouth, teeth and jaws.
- Extractions of impacted or complicated teeth
- Treatment of chin cysts
- Treatment of dental-related lesions in the bone
- Dental implant applications
- Hard and soft tissue corrections needed during the dental practice
- Correction of soft and hard tissues before the dental prosthesis procedure
- Treatment of fractures in the jaw and face area
- Medical and surgical treatments of salivary gland diseases
- Surgical correction of deformities that cause aesthetic and functional disorders in the mouth, jaw and face area
- Treatment of bone necrosis in the jaws due to drugs and radiotherapy applied within the scope of cancer treatment
The third molars, which should erupt between the ages of 17-26, are called wisdom teeth.
Teeth that cannot take their place in the mouth for various reasons even though it is time to erupt are called “impacted teeth”. Wisdom teeth are among the most common impacted teeth. If there is no room in the mouth for the third molars to errupt and if the person is 25 years old and these teeth have not yet errupt, then these teeth are called “impacted teeth”. If the third molars have not yet errupt, you can visit your dentist to learn about the situation and ensure that the relevant tooth is extracted before some problems such as pain, swelling, infection, decay and periodontal diseases that may be caused by impacted teeth occur.
There is no need to extract a healthy wisdom tooth if it is in a correct position.
There may be pain, swelling and bruising after extraction. These reactions vary from person to person. At the same time, your doctor will prescribe you various medications so that you can go through the process comfortably. These drugs will help prevent pain, swelling and infection. Applying ice compresses for the first 24 hours will also make you very comfortable. It will minimize the formation of swelling and bruising.
Odontogenic (tooth-related) cysts occur anywhere in the mouth. It can be noticed by the patient by causing pain or swelling, or it can reach quite large sizes without being noticed at all. Although the treatment methods differ according to the area and size of the jaw cyst, they should be taken by oral and dental surgeons.
Dental cysts are usually benign and slow growing formations. However, if it is not intervened in a timely manner, it can reach very large sizes and damage normal anatomical formations such as sinus, nasal cavity, nerve, or turn into malignant tumors.
Before the surgical procedure, root canal treatment is performed on the teeth in the area where the cyst is located. Local anesthesia is usually sufficient to remove the cyst. General anesthesia can be used to remove very large cysts. The removed part will sent to pathology for examination.
It is a simple endodontic surgical procedure performed when root canal treatment is not sufficient or appropriate. Apicoectomy is the process of removing the tip of the root, cleaning the inflammation and the bone tissue affected by the inflammation, and removing the formed cystic structure. It can be applied to all teeth. The surgery, performed with local anesthesia, takes about 30 minutes.
In this procedure, the root tip is exposed by cutting the gingiva. The root tip and the surrounding cyst and infected tissue are excised. After the root canal is cleaned, it is filled again. The gingiva is placed back in place, sutured and the operation is completed.
Patients do not feel any pain in the apicoectomy procedure performed under local anesthesia. Generally, swelling occurs on the cheeks of patients for 2-3 days. In cases where the drugs are used regularly, the patients won’t have a problem.
In patients with bone loss for various reasons, it may be necessary to stimulate bone formation by external intervention. Especially if the implant is to be made, the amount of bone around it is very important. If there is not enough bone, the amount of bone is increased by using bone powders or bone tissue taken from the patient. Bone powders are produced from human origin, animal origin or synthetically.
- If there is not enough bone for implant,
- If pre-implant sinus elevation is required,
- If the implant will be applied in the same session as the tooth extraction,
- If bone loss is high after cyst operations, in order to accelerate healing.
Sinus means nasal cavity. There are a total of ten sinuses, five on the right, and five on the left. In dental treatments, the maxillary sinus located on the sides of the nose is the one that interests us the most.
In the area where our molars are located in the upper jaw, the roots of these teeth and the maxillary sinus are adjacent. When these teeth are extracted, the sinus floor collapses down and causes bone loss in this area. If an implant is desired to replace the lost teeth, the sinus floor must be moved up again in order to create sufficient bone tissue.
Açık Sinüs Lifting
There are two types of operation techniques:
- Lateral sinüs lifting (Open lifting): A small window is opened in the bone tissue on the side adjacent to the sinus wall and the sinus membrane is lifted up. Bone powders are added to the space created in between, and it is waited for 6 months for bone formation. Then the implant is placed.
- Internal sinüs lifting (Closed lift): In this method, the sinus membrane is reached from the socket where the implant will be placed. With the help of blunt instruments, the sinus membrane is moved up and bone powders are placed through the opened slot. The implant is then placed.
Kapalı Sinüs Lifting
- The closed lifting process is much simpler and easier.
- In the closed lifting process, the implant is placed at the same time. There is no need for a second surgical procedure.
- Postoperative complaints of the patient are less in the closed lifting.
- In closed lifting surgery, the sinus can be increased by 3-5 mm on average, while in open lifting surgery, the sinus can be increased by an average of 10-12 mm.
- In closed lifting surgery, we work on an invisible area and we cannot see if there is any damage to the sinus membrane.
- If there is a tear in the sinus membrane during open sinus lifting surgery, it can be easily seen and the treatment is continued according to the size of the tear.
- The tampon should be bitten for half an hour.
- For the first 48 hours, ice compress should be applied to the area where the sinus lift was applied.
- You should avoid very hot environments (hot shower, turkish bath) for two weeks.
- You should avoid hot drinks and hard foods.
- You should use the medicines prescribed by your doctor regularly.
- Care should be taken not to sneeze and not to clean your nose with pressure. If you need to sneeze, pressure build-up can be prevented by sneezing with the mouth open.
- Air travel and underwater diving should be avoided for the first two weeks if possible.