Dental Surgery. About Dental diseases, Dentistry and Periodontal surgery under general Anesthesia.
Dental Surgery covers all types of surgery in the mouth, jaw and gums performed by dentists specializing in oral surgery. Including operative tooth extraction, surgical treatment of wisdom teeth, root tip infection and severe periodontitis, and advanced bone structure, tooth reconstruction and implantology. Prospecting will usually take place at your own dentist, who will make a referral to dental surgeon attached to the print journal and X-rays.
DENTAL IMPLANTS AND NEW IMPLANTOLOGY
When you lose one, several or all teeth, there is a desire or need to get these replaced with artificial teeth. Furthermore it has been good and proven methods like dental bridges and dentures, but new breakthrough surgical technique now makes it possible that edentulous in one hour (Teeth-in-an-Hour) may add to the implants and fixed teeth, where before it could take up to 6 months, getting a new set of teeth. In preliminary investigations CT scan (Computed Tomography) jaws together with a model of the desired future teeth and produce a 3-dimensional image of the mouth and jaw bone. Recordings are edited on the computer where the dentist exactly determine where the implants should sit in order to be placed in good bone. From the computer model, using CAD / CAM technique produced both the completed bridge and also a guide rail that is placed on the patient, so the implants will sit exactly where desired. On the day of surgery is the guide rail and finally bridge ready. The patient local anesthetic, the guide rail positioned and are fixed and the implants are placed through small holes punched in the gums. After typically one hour, all implants screwed in and the final bridge with the new teeth are screwed. This method makes the surgery less painful and more gentle, and the subsequent time without much discomfort, so it shortly after surgery can both eat, drink and smile, and thus return to everyday life with full of life and turn that function immediately. Teeth are not just important to chew your food properly, but also to speak clearly and give your face a smooth appearance. - Click and read about implants >>
DENTAL EXTRACTIONS - ORAL SURGERY
For example, a displaced canine in the situation where lack of space makes the canine can not find space in the tooth row. The tooth will therefore remain stuck in the jaw, facing either toward the palate or cheek (retention). A surgical extraction is typically needed in the following situations: by inflammation of bone and soft tissue around the tooth, the cyst formation around the tooth, at the risk of damaging the roots or displacement of adjacent teeth due to pressure from the corner else who tries to come forward when the impacted tooth act source of general illness or cause facial neuralgia (facial pain) and before you embed an artificial tooth. The surgical extraction is typically done under local anesthesia, where the mucous membrane detached from the palate or tooth elongation, depending on tooth position. The bone is removed with a drill bit, until the tooth by means of a rod or a lever tool can be pulled out. The wound is sutured together and can in certain cases be covered by a plate which is removed after 8-10 days. After treatment may occur swelling and pain associated with the wound as well as difficulties in opening the mouth, which, however, subsided after a few days. The healing process usually lasts up to eight days. - Click and get tips on tooth extraction >>
ROOT TIP SURGERY (periodontitis)
Many, including children, get root inflammations. A tooth nerve (pulp) contains in addition to nerves, also connective tissue and blood vessels. Nerves provide sensation to the tooth, and the blood ensures that the tooth can be kept alive. If you get a deep caries hole in the tooth, bacteria can gain access to the tooth nerve and cause inflammation (pulpitis) in the jaw from the root apex, hence the term root tip infection. It does usually very painful, especially when you eat something sweet or hot, and you will very quickly find a dentist. In most cases, the problem is resolved by a common root canal, where the dead dental nerves are removed and the root canals are filled and disinfected. In some cases it is not possible to clean the ducts and root canal through, so that stick dead tissue in the root, which act on the harmful to the surrounding jawbone, and forming a periodontitis. A periodontitis does not cause symptoms and can be asymptomatic for several years, but it increases in size and breaks down more and more of the jawbone. Frequently, there will be dull symptoms, and the condition may be acute with severe pain and swelling. This can usually be killed with antibiotics, but since you have not removed the cause seems only to reappear later. If a root tip infection flares up and can not be treated as described, either because it is the curvature of the root canal occlusion or a cemented pin, so the condition can be treated surgically with a root tip amputation, where the gums are pushed aside, and 2-3 mm of root-end removed. Concomitant inflammatory tissue scraped out and root canal sealed with a filling. The gums are sewn back in place. When the state heal, grow new bone into the hole in the jaw and already after a few months to restore the bone around the root apex. After surgery it is very common that there is an emphasis. The swelling may increase over the next 2-3 days and may cause difficulties in opening the mouth. Additionally, there appear elevated temperature and a possible hematoma (bruise) in the cheek area, respectively, the lower jaw. As with any surgical wound can begin to bleed again and there may be wound healing disturbances. If a root tip infection is not treated it can spread, so the tooth becomes loose and lost. There may be inflammation spreading to the jaw bone, jaw cavities, mouth floor and neck - and formed a tooth abscess. Persons with weakened immune systems may have serious problems with untreated root tip infection.
Precursor to periodontal disease is called gingivitis, or gum inflammation. If gingivitis is allowed to evolve without being treated, the bacteria begin to attack the jaw bone, rather than just the gums. Bacteria release toxins that make the bone disappears from the tooth and replaced by loose gums. Where the bone has shrunk, there is a periodontal pocket. The pocket may be measured with a special probe. When you have pockets of 4-5 mm, there is talk about Mon incipient periodontal disease being treated by a deep dental cleaning. - Severe periodontal disease: When pockets become deeper and greater than 5 mm, one speaks of severe periodontal disease. This marked not only bleeding but also pus from the pockets. Gums may be swollen and sore. In the last stage of the disease, teeth start to wander, loosen, and there may be tooth abscesses. For pockets of 5-7 mm recommended an 'Advanced periodontal disease treatment', with deep periodontal pockets treated under local anesthesia. A dental root treatment where root surfaces are smoothed and cleaned and disinfected pockets with laser and rinse. The teeth, which are very deep periodontal pockets of 8-12 millimeters of the surgical periodontal treatment as usually required. The treatment is carried out under local anesthesia, where the excess of the gums (tooth pockets upper part) is removed either by knife or laser. Thereby the teeth to look longer because part of the root becomes exposed, but the pocket is reduced, and obtained a favorable environment for cleanliness. When the surgical removal of pockets frequently used laser instead of a knife, this is because in this way you are free to cut, surgery takes less time, and the wound heals better. After a dental root-treatment there may be some soreness from the gums, which will diminish within a few days. Whichever treatment is carried out, it is very important that the treatment is followed up by frequent inspections and in many cases also frequent dental cleanings. If you have real problems, dental cleaning once a month will be the only way to keep the periodontitis back on. - Click for information about periodontal disease and loose teeths >>
WISDOM TEETH REMOVAL
Wisdom teeth, the last turn is formed, and therefore are often subjected to lack of space at the rear of the jaw. Some wisdom teeth while never breaking up to normal operation, either because there is no room for them in the jaw, or also because the dawn simply stops. A wisdom tooth, which is unrelated to the oral cavity may lie in the jaw for years without doing harm, but it can also unnoticed cause damage to adjacent teeth. Therefore, the condition checked by x-ray sometimes. Symptoms of inflammation of wisdom teeth is tightness and throbbing pain, and often bad taste. Inflammation and caries in wisdom teeth can cause damage to the anterior teeth and the surrounding jaw bone. In many cases where space conditions are bad, it is necessary to remove wisdom teeth. If they are roughly vertical, and have roots, they can often be pulled out by a normal tooth extraction. Otherwise, it is necessary to remove wisdom tooth by surgical intervention. Especially in the lower jaw, wherein the wisdom tooth can be wedged into the bone, it is necessary to divide multi-part tooth in order to remove the most gentle. Drawings are typically required: by inflammation of bone and soft tissue around the tooth crown, especially at delretinerede teeth by cyst formation around the crown of the delretinerede tooth at risk of damage to neighboring Kindt second due to pressure from wisdom tooth trying to come up when the impacted tooth act source of general illness or cause facial neuralgia (facial pain), where the pressure of the wisdom tooth can cause a displacement of the tooth row, which may subsequently require a jaw orthopedic treatment before integrates an artificial tooth, such as a crown or a bridge, on the last molar , or by the full prosthesis in an otherwise toothless the foot.
THE SURGICAL REMOVAL (dental surgery)
Surgical removal of a wisdom tooth is usually done under local anesthesia, in some cases under general anesthesia. An incision, the mucous membrane is loosened from the bone and the wisdom tooth is exposed by means of a Specialised, which removes the bone surrounding the tooth. Often it is necessary to remove a little of the covering the jawbone, and often must be divided tooth before it can be removed. The wound is closed with a few stitches. It can be complicated, why own dentist often refers to "the difficult" wisdom teeth to a dental surgeon. This may be where wisdom tooth does not have space to its crown may come forward and take its place in the tooth row or if there is danger of damage to neighboring Kindt second or inflammation and cyst formation, as the major causes. After surgery may occur swelling in the cheek area, high temperature and difficulty in opening the mouth and difficulty swallowing, which typically subside after 3-4 days. In some cases, experienced pain that pulls up in the ear. The healing process usually lasts a week. It is important that there are X-ray pictures of wisdom tooth, especially in the lower jaw, where you can judge whether the great sensory nerve of the jaw is connected to the wisdom of the standing of the mess. This nerve provides namely also for the feeling in the lower lip. If you are unlucky, so there may be the influence of this nerve function with varying degrees of pins and tingling or numbness of the lower lip. Sensory disturbances, however, usually is transient. - Click what you can do about nuisance after a dental surgery >>
GENERAL ANESTHESIA FOR DENTAL TREATMENT
Most people are treated in outpatient anesthesia, patients with a severe dental phobia, or in cases where a special dental treatment is so unpleasant or painful, the anesthetic may be necessary. Furthermore, anesthetic used in people who suffer from a disability that makes normal dental treatment impossible, for example, spastic paralysis. And finally, anesthesia is often used by dental treatment of patients with mental disabilities. Children under 15 can not be treated outpatient, and patients with serious illnesses will be referred to hospital if general anesthesia is deemed necessary. In principle, almost all treatments performed under general anesthesia. However, the most common treatments performed under general anesthesia >> wisdom tooth operations, root canals, surgical tooth extraction and other dental surgical procedures and major dental fillings. But in practice, all dental procedures performed under general anesthesia, which means that the treatment is over, when you wake up. Anaesthesia is now encumbered with very little risk if you are otherwise healthy. To make the treatment as safe as possible, the dental surgeon for the preliminary study provide some clarifying questions about your health. Of significance is perhaps the heart and lung diseases. Including chronic diseases such as asthma, bronchitis, emphysema, thyroid problems, and severe obesity as well as hypersensitivity to drugs.
TYPES OF ANESTHESIA
There are two kinds of anesthesia. One is the traditional form, where you as a patient fully anesthetized and therefore no record during processing. The second form, a deep, controlled stupor, has become possible in recent years due to developments in anesthetics. The deep, controlled torpor differs hardly from general anesthesia in terms of monitoring during dental treatment, but patients will not be "farther away" than that one can be aroused quite quickly. There are advantages and disadvantages of both types of anesthesia, which is therefore discussed and evaluated in advance in each case. Clinics that offer outpatient anesthesia care, follow the rules for anesthesia and monitoring, as recommended and used in large hospital anesthesia departments. Including measurements of heart rate, blood pressure, blood oxygen and carbon dioxide in exhaled air. Anesthetic agents for outpatient anesthesia is the newest kind there is. Anesthesia is quickly out of the body after treatment, and one can as a patient leave the clinic after perhaps half an hour. As a general rule, you should be at the wake and observation as long as you have been under anesthesia.