Tooth extractions are performed under local anaesthetic, while maintaining sterility of the surgical field. The procedure involves removing a tooth from the alveolus using a suitable instrument.
It is always performed under anaesthetic, after determining the position of the tooth based on the X-ray images.
APICOECTOMY (ROOT RESECTION)
The treatment involves removing the apex of the root with the periapical changes in the bone, and then filling the root canal with the right material.
Resections are most often performed in case of failure of endodontic treatment, like fracture of the tool in the duct or the filling of the filling material of the root canal outside the apex. This treatment is carried out on incisors and canines, and sometimes is performed also in the case of premolars and molars. There are contraindications to its implementation in the case of milk teeth and serious malocclusion.
ROOT CANAL TREATMENT
Root canal treatment is necessary in case of irreversible nerve damage in order to save the tooth. When the patient reports pain it is often due to the destruction process involving the enamel and the pulp.
In such case it is necessary to remove the nerve from the tooth. The treatment involves mechanical and chemical cleansing and enlargement of the root canals over their entire length.
This endodontic procedure is less invasive than removing the damaged tooth and replacing it with an implant or a bridge.
The whole procedure is monitored using X-ray imaging.
EXPOSURE OF UNERUPTED TEETH
The procedure is performed under anaesthesia, after determining the position of the tooth based on the X-ray images.
When the tooth is exposed, its orthodontic lock is applied to its surface. By applying the orthodontic force, the tooth is “pulled” into the dental arch and positioned in the correct position.
In case such a tooth is qualified for removal, bone regeneration is necessary, followed by implantation.
POST-EXTRACTION COMPLICATIONS AND TREATMENT
Sterile conditions while performing extractions are vital in order to prevent complications.
The only way to stop tooth decay is to treat it, because the destroyed tooth structure is unfortunately not able to regenerate itself.
The main treatment option is to remove the decayed tissues by drilling and restore the tooth using appropriate formulations and fillings.
In our Surgery, we only use the highest quality materials for dental reconstruction. However, you must be aware that when we use composite materials to replace cavities, over time there is a “polymerisation shrinkage” phenomenon and these fillings may become unsealed, so they will need to be replaced.
In those instances, a good alternative is an inlay which is a more durable insert which perfectly complements the lost tooth tissue.