Surgical dentistry

Oral surgery is a specialty branch of dentistry that can be used to treat and correct a wide range of diseases and conditions.

Dr. Genis cares for patients with bothersome wisdom teeth, tooth loss, and jaw-related problems. They also treat facial injuries and oral cancer-related symptoms that may interfere with a patient’s way of life.

Dr. Genis has advanced training in anesthesia and is able to provide you with the most comfortable and pain-free experience possible. He will talk with you before surgery to discuss the best ways to keep you comfortable and safe.

List of conditions commonly treated with oral surgery:

Cleft lip and cleft palate repair

Temporomandibular joint disorders (TMJ)

Tooth loss

Wisdom teeth

Jaw/Mouth/Teeth injury

Unequal jaw growth

COMPLICATED EXTRACTIONS

Complicated tooth extractions are performed only if the clinical case does not allow us to perform a simple extraction. This manipulation includes a mucosa incision; a separation of the gums from the neck of the tooth, and sawing out a section of bone tissue or sawing an inter-root septum. The technique of complicated extraction should be used only in the following clinical cases:

  • The presence of wisdom teeth that have not erupted;
  • Wrongly positioned wisdom teeth;
  • Extraction of a tooth with severely destroyed roots;
  • Accretion of the jawbone with roots;
  • The presence of cysts or fistula;

Such an operation requires more time (about 30-40 minutes), with strong anesthetics and usually includes several stages, again, depending on the extraction. Regardless, Dr. Genis will carry out any procedure with the utmost care and attention to detail.

BONE GRAFTING

Bone grafting in dentistry is a set of measures taken to increase the volume of bone tissue for further implantation. Initially, an operation to build up bone tissue was carried out with the purpose of rehabilitation after jaw injuries, but today, the demand for the procedure is determined by completely different clinical needs related to the preservation of the human teeth. Bone grafting in dentistry allows the restoration of the alveolar ridge (the anatomical part of the upper jaw), where the segments of the dentition are located.

Bone grafting in dentistry is used with the following indications:

  • To restore the destroyed bone relief as a result of injuries (to recreate the harmony of anatomical proportions), and after surgical dental interventions related to tooth extraction;
  • Elimination of bone defects due to the prolonged inflammatory process (by restoring impaired chewing functions)/li>
  • Reconstruction of a part of the maxilla with the purpose of subsequent implant installation (the necessary volume of bone mass is an indispensable condition for high-quality implantation).



DENTAL IMPLANTS

Implantation is the most popular way to replace a lost tooth due to several advantages:

Durability – when following the recommendations of the doctor, most patients don’t have any problems with the implants for decades;

Ease of maintenance – maintaining oral hygiene and regular preventive dental visits are all that needs to be kept up with after implantation;

Comfort – dentures on implants do not injure mucosa;(the lining of the mouth), when performed correctly, cause no pain or discomfort;

Bone preservation – after implantation, the bone is subjected to the same stresses as with the native tooth; because of this, the degeneration and thinning of the tooth are prevented.

Dental implantation is a rather serious operation that requires preparation, time, and may require several visits to the dentist.

DIAGNOSTICS

There are usually several steps that will need to be taken to correctly perform a successful implant. At the diagnostic stage, it is necessary to make a Computed Tomography scan, also known as a CT scan, according to which the doctor will determine whether there is enough bone tissue for implantation of teeth or it needs to be increased. You also need to make sure that the adjacent teeth are completely healthy and do not interfere with the engraftment of the implant.

IMPLANT INSTALLATION

If all is well, the doctor will make a hole in the bone and install a dental implant. Within 1-3 weeks the mucosa of the implant will heal, after which, you need to remove the stitches.

Engraftment of a dental implant occurs within 2-3 months, depending on the age and health of the individual, and the state of their implant.

APICOECTOMY

Tooth extraction is an extreme measure that surgeons only perform if there is no way to save a tooth. One of the most common ways to preserve a tooth is through apicoectomy – resectioning of the tooth root. In this operation, the inflammatory focus is removed (the very tip of the root of the tooth, which is situated in the cyst and in the root apex) while functionality and healthy tissues are preserved.

This procedure usually lasts from half an hour to an hour, depending on the location of the tooth. Most often, this operation is performed on canines/incisors, and less frequently on multi-rooted teeth. After completion of the operation, a bandage is applied to the lip and chin and then removed after 10-12 hours. After surgery, swelling of the gums can appear but usually disappears in a few days.

GENIOPLASTY

Genioplasty is a type of plastic surgery of the face, aimed at eliminating congenital or acquired defects of the chin region, by changing the size and improving the shape of the chin. The main goal of genioplasty is to create harmonious proportions between the chin and other parts of the face.