As a branch of dentistry, oral surgery deals with the diagnosis and treatment of dental surgical procedures. Dr. Alavi is a specialist dentist for oral surgery and our specialist when it comes to oral surgical treatments. In the field of oral surgery we concentrate on the gentle removal of teeth, surgical root canal treatment and the removal of cysts in the maxillary sinus. For our patients, this specialisation means – even in the case of special procedures – that they only have one contact person during the duration of the treatment.
Occasionally it is necessary to pull teeth to improve the overall oral situation. In order to remove teeth and especially wisdom teeth as gently and gently as possible, many years of experience, sensitivity and dexterity are decisive criteria.
The more minimally invasive and careful we work, the lower the swelling will be and the faster you will recover. Treat yourself to rest after the treatment – this also contributes decisively to your recovery and thus also to your well-being!
If a later implantation is planned, we can already build up the bone and gums during the extraction in order to create perfect conditions for the implant treatment. With this procedure we save our patients the separate step of pre-treatment.
What to consider
When a tooth is extracted, the next steps should be planned very carefully in advance, as the bone begins to decompose shortly after extraction. The longer a tooth gap remains untreated, the greater the extent of bone loss. In order to avoid this and to rule out later time-consuming bone augmentation work, the gap should therefore usually be filled with an implant within six to eight weeks.
Surgical Root Canal Treatment
In very rare cases, surgical root canal treatment may be necessary if conventional root canal treatment is no longer sufficient. It is the last possibility to save your own sick teeth.
By the way: This procedure is extremely rarely performed in our practice, as we achieve success rates of almost 98 percent with conservative root canal treatment for our patients. It is not always classical surgery that brings the greatest success. Often, minimally invasive treatments are just as effective.
The healing of bone and tooth is checked over a period of several months using x-rays.
Cysts can in principle – depending on their origin or cause – be classified as harmless. Nevertheless, a jaw cyst should be treated immediately as it displaces healthy bone and can therefore seriously damage the teeth.
Types of cysts
If a tooth is the cause for the development of the jaw cyst, it is an odontogenic cyst. Usually a bacterial infection of the root canal system is the starting point. The radicular cyst is the most common form with almost 80 percent. The inflammation can be chronic or acute. Odontogenic cysts can also develop as a result of development. A misdevelopment of teeth can also be responsible for the formation of cysts. These cases are follicular cysts. A non-odontogenic cyst is always referred to when the cyst has formed from the tissue in the jaw. By the way: Men are more frequently affected than women and cysts occur primarily in younger to middle age.
A cyst is a cavity lined with a shell, which is filled with liquid or – much more rarely – with gas. Cysts are harmless in themselves, but not what they can cause: Since a cyst is self-contained, it cannot drain away. As a result, it increases in volume. The larger a cyst is, the more it displaces the jawbone and the surrounding tissue. A cyst does not hurt. The lack of symptoms makes it difficult to recognize the cyst. It is usually discovered by chance during X-ray diagnosis.
Treatment of cysts
In our practice there are two treatment methods available to remove cysts: cystectomy and cystostomy.
In cystectomy we remove the cyst completely surgically. The resulting cavity is usually filled with blood and regenerates itself. If necessary, the cavity can also be filled with bone substitute material. At the end of the treatment, the wound is always sutured.
If a cyst cannot be removed because it is located, for example, in the area of the nasal or maxillary sinus or a tooth worth preserving, we apply the cystostomy. In these cases we open the cyst so that the secretion can run off. The opening is not sutured to allow the bone to regenerate gradually over time.