Surgical procedures include oral and jaw surgery,
pathologies such as cysts on soft tissue or teeth, tumors (apical resection),
treatment of broken teeth and jawbone, extraction or shifting of teeth which
are buried in the jawbone and the adjustments on the hard and soft tissue to
facilitate denture manufacturing when necessary. Regional pain in the jaw-face,
temporomandibular joint diseases, and salivary gland diseases are also concerns
of jaw surgery. Identification of oral symptoms of various systemic conditions
and their treatment are also able to be handled thanks to jaw surgery.
Advanced surgical techniques such as placing implants
on the jawbone, and augmentation procedures with bone grafts and membranes are
also within the surgical scope of application.
Another field of application in jaw surgery is
congenital or contracted jaw-face anomalies. Frequently encountered cleft lip
or palate, chewing ability, and esthetic deformation due to prognathism or
retrognathism are among such anomalies.
The diagnosis in jawbone surgery is supplemented with
apical and panoramic films as well as tomography, thus making it possible to
plan for treatment by reaching a definitive preop diagnosis. To be successful
in both the diagnosis and the treatment, a multidisciplinary approach has to be
adopted including dentistry's other branches, such as orthodontics and dental
prosthetics.
Surgical procedures involving oral and jaw diseases
are performed under local (regional) anesthesia. Before the surgery, the patient's
genuine concerns and present systemic conditions have to be taken into account
and the treatment plan must be prepared accordingly.
Types of Surgical Procedures in Dentistry
Tooth Extractions
Tooth extractions are one of the most common surgical
procedures in dentistry. Tooth extractions may also be necessary when there is
insufficient space in the mouth for all teeth or when wisdom teeth are
impacted, or tooth extractions for orthodontic purposes are preferred when
space is limited. During a tooth extraction, the dentist will numb the area
with local anesthesia and then remove the tooth using special tools.
Implantology
Implantology is a surgical procedure that involves the
placement of dental implants. Dental implants are artificial tooth roots that
are used to support a dental prosthesis such as a crown, bridge or denture.
Implantology is a complex procedure that requires a high level of skill and
expertise. It involves the placement of a titanium screw into the jawbone,
which then fuses with the bone over time. Once the implant has fused with the
bone, a dental prosthesis can be attached to it. Implant procedure is preferred
only when the patient's own tooth cannot be saved.
Periodontal Surgeries
Periodontal surgeries are performed to treat gum
disease. Gum disease is a common condition that affects many people. It is
caused by the buildup of plaque and tartar on the teeth, which can lead to
inflammation and infection of the gums. If left untreated, gum disease can lead
to tooth loss. Periodontal surgeries are aimed at removing bacteria and plaque
from the gums and restoring the health of the gums.
Endodontic Surgeries
Endodontic surgeries are performed to treat problems
with the root of the tooth. This can include procedures such as root canal
therapy, which is used to treat an infected or inflamed tooth pulp. Endodontic
surgeries can also be used to remove a damaged or infected root or to repair a
cracked tooth.
Orthognathic Surgery
Orthognathic surgery is a complex surgical procedure
that is used to correct problems with the jaw and facial structure. It is often
used to treat conditions such as a misaligned bite or a protruding jaw. During
the procedure, the surgeon will make cuts in the jawbone and reposition it to
improve the alignment of the teeth and jaw.
In conclusion, these are some of the most common types
of surgical procedures in dentistry. Each procedure is aimed at restoring oral
health and improving the quality of life of patients. If you are experiencing
any oral health problems, it is important to consult with a dental professional
to determine the best course of treatment.
Pre- and Post-Operative Care
Patient Assessment
Before performing any surgical procedure, it is
essential to assess the patient's medical history, current medications, and any
allergies. This information helps to identify any potential risks and determine
the most appropriate anesthesia and pain management options.
Anesthesia and Pain Management
The use of anesthesia and pain management techniques
is crucial to ensuring patient comfort during and after the procedure.
Depending on the patient's medical history and the complexity of the surgery,
local anesthesia, regional anesthesia, or general anesthesia may be used. Pain
management options include prescribed medications and the use of ice packs to
reduce swelling and discomfort.
Postoperative Instructions
Providing clear and concise postoperative instructions
is essential for successful recovery. Patients should be advised on how to care
for the surgical site, including proper oral hygiene practices, dietary
restrictions, and when to seek medical attention if complications arise.
Complications and Management
Although rare, complications can occur following
dental surgery. These may include bleeding, infection, and nerve damage. It is
important to inform patients of the potential risks and provide them with
information on how to manage any complications that may arise. This may include
prescribing antibiotics, pain medications, or scheduling additional follow-up
appointments.
In conclusion, proper pre and post-operative care is
essential to ensure successful surgical outcomes and patient satisfaction.