Our specialists are trained in surgical procedures ranging from sinus lifts prior to implant placement, to exposing 'buried' teeth ready to pull them down into place with orthodontics, to apicectomies (removing the infected tip of tooth that has had a root canal but won't settle down), to of course removing impacted wisdom teeth that are not erupting properly into the mouth and therefore causing problems.
Surgically-Extracted Wisdom Teeth
Not all wisdom teeth need to be surgically extracted by a dentist. It’s only when there is not enough space in your mouth for the teeth to erupt properly into place that they either get partially or completely impacted (or ‘stuck’) in your jaw bone. Oftentimes when you have a wisdom tooth that can’t properly erupt into the mouth, the overlying gums gets predisposed to repeated bouts of infection (a condition known as ‘pericoronitis’). Pericoronitis can result in intense pain, difficulty opening your mouth, swelling, and a terrible taste in your mouth. After we resolve this infection with a course of antibiotics, the next step is to prepare an appointment to extract your wisdom teeth, before this problem keeps occurring again and again.
Our safety and efficacy in oral surgical procedures is second to none given the fact that we have one of the only 3D full facial x-ray machines in Marbella. For example, when surgically removing an impacted wisdom tooth, we can see exactly where the jaw nerve that always runs close to this tooth is in relation to the roots of that tooth, thereby greatly eliminating the risk of cutting this nerve and causing long-term numbness of your lower lip.
When do you need your wisdom teeth extracted?
- Repeated bouts of gum infections around your wisdom teeth
- Decaying wisdom teeth, because it’s hard to keep them clean
- Pain and difficulty opening your mouth fully
- Before orthodontic treatment to create space
- If the impacted wisdom tooth is forming a food trap and decaying the tooth in front of it
Apicectomies (Root Canal Surgery)
When a root canal won’t respond sufficiently to treatment, we can surgically remove the tip of the tooth thus resolving the on-going problems. If you’ve had an unresolved infection assoicated with a previous root canal treatment, we would first have re-treat your old root canal, and if it still doesn’t completely resolve, we would perform an apicectomy (and restore with an advanced material called MTA).
At R&H Clinica Dental we have two specialist periodontal surgeons who are trained experts in carrying out this type of surgery. If you are a patient of another dental clinic and your dentist has advised you need this surgery, we would be happy to carry this out on their behalf.
We have a vast array of oral surgical procedures, often used in conjunction with implant surgery. Alveolar ridge regeneration with bone, for example, is a common supplement to our implant surgeries. For upper implant surgery cases with insufficient bone we can do a maxillary sinus-lift to provide strong bone to support your implant/s.
There are two types of sinus surgery: open and closed, the former being surgically a little more invasive, but sometimes this is essential in order to be able to build the correct amount of bone need to allow your implants to be stable long term. The type of surgery you need will be determined by your periodontal and dental implant specialist during your consultation.
Our clinic is equipped and designed in such a way that should a patient need to be put asleep, either partially (sedation), or fully (general anaesthesia), we can offer this service. We work with an specialist anaesthesiologist from the hospital who comes to our dental clinic and performs this service. This is an excellent option for patients who are scared of going to the dentist, and particularly when they are having a large surgery like multiple-implants, or wisdom teeth removal.
We also provide the option of oral sedation, and also inhalation sedation, to help calm patients who have less severe dental anxiety. Please ask your dentist about these options if you suffer from any form of dental phobia.
These are just a few of the most common oral surgical procedures we perform at R&H Clinica Dental. For a full description you can book in for a free consultation with one of our dental surgeons.