– Impacted Teeth
– Semi-Impacted Wisdom Teeth
– Apical Resection
– Cyst Operations
– Preprosthetic Surgery
– Frenectomy
– Biopsy

Reasons for Extraction of Teeth
– Teeth that are too damaged for filling or prosthesis
– Acutely or chronically inflamed teeth where root canal treatment cannot be performed
– Teeth with periodontal (gum) disease, in which the teeth lose their bone support excessively
– Teeth that do not respond to apical resection (cutting the root tip of teeth with inflammation at the root tip by surgery)
– Roots left in the mouth without any function
– Teeth that require extraction in orthodontic treatment (braces)
– Persistent deciduous teeth that do not fall out at the normal time when permanent teeth are present
– Surmumerary (overcrowded) teeth
– Sinus-associated teeth causing maxillary sinus infection
– Teeth that will cause focal infection (microorganisms causing infection in other organs and tissues via blood or lymph from the focus of infection, that is, from the tooth)

What You Should Do After Tooth Extraction
– Bite the tampon for half an hour.
– Following the removal of the tampon, you can take an appropriate painkiller, except aspirin and its derivatives.
– Do not consume very hot food and drinks during the day of the extraction.
– Do not smoke and drink alcohol during the day of the extraction.
– Do not rinse your mouth frequently and do not gargle during the day of the extraction.
– Do not brush the extraction area for 2 days.
– You do not need to take any medication unless your physician gives you a prescription.
– In case of pain for two days or more following the extraction, consult your doctor.

Impacted Teeth

– Impacted teeth are teeth that are not included in the tooth row and remain under the mucosa or bone even though they are due to erupt.
– Impacted teeth may tend to erupt in the following periods due to the pressure caused by the patient’s use of dentures.

Why Do Teeth Remain Impacted?

Local Causes
– Prolonged inflammations thickening the mucosa on the tooth
– Pressure from neighboring teeth
– Too dense bone
– Abnormal positions
– Space constriction in the jaw
– Extra teeth or cystic formations around permanent teeth
– Infections in the jawbone
– Milk teeth staying in the mouth for too long
– Premature loss of milk teeth

Local Causes
– Genetic causes
– Diseases (such as scarlet fever, measles, chickenpox) and medications used by the mother during pregnancy
– Anemia
– Tuberculosis
– Cleft palate
– Wisdom teeth (third molars or wisdom teeth) are the teeth that are most commonly impacted because they are the last teeth to erupt in our mouth.

Radiographic Evaluation
Radiographic evaluation is necessary to determine the shape of the impacted tooth, its proximity to adjacent anotomic spaces and whether there is a pathological condition around it. Periapical, occlusal and panoramic radiographs are used for radiographic evaluation.

What are the Conditions that Require Extraction of Impacted Teeth?
– Impacted teeth that damage neighboring teeth
– Impacted teeth that pose a risk of infection
– Impacted teeth that interfere with orthodontic treatment
– Impacted teeth that cause pathological formations such as cysts and tumors or are found in these formations
– Impacted teeth that create a focal focus of infection
– Impacted teeth that cause pain of unknown origin (ear pain, impacted teeth causing jaw joint pain
– impacted teeth causing restricted mouth opening
– impacted teeth in the fracture line

What to Do After Impacted Tooth Surgery
– Bite the tampon for half an hour.
– During the day of the surgery, apply cold to your surgical site from the outside.
– Do not consume hot food and drink during the day of surgery.
– Do not smoke or drink alcohol during the day of surgery.
– Do not take hot showers or baths during the day of my surgery.
– Do not rinse your mouth frequently and do not gargle during the day of surgery.
– Do not brush your surgical area for 1 week after surgery or until your stitches are removed.
– Start taking the medicines prescribed by your doctor after the operation.
– If pain persists for two days or more following surgery, consult your physician.
– Please come to our clinic 1 week after the day of surgery to have your stitches removed.

Apical Resection
Apical resection is the process of surgically cutting the root tip of teeth with inflammation at the root tip, removing the pathological formations in this area, and at the same time cleaning and filling the root canal or canals from bacteria.

In Which Situations Is Apical Resection Surgery Performed?

– In cases where root canal treatment cannot be performed completely due to excessive curvature, perforation (perforation) or calcification in the root canal
– In teeth where root canal cleaning and filling material application cannot be performed successfully in teeth whose root tip is not completely closed, that is, teeth that cannot complete their development
– In cases where root canal treatment cannot be performed when the root canal cannot be reached over the tooth (in the presence of crown or bridge prostheses, ie crowns)
– If the instrument is broken during root canal treatment, If the broken instrument must be removed, when it is necessary to remove the instrument
– In cases where cystic formations occur at the root end of the tooth
– In cases of fracture of the 1/3 end part of the tooth root in the bone

Periapical radiographs and clinical symptoms are the most realistic measures to evaluate healing after apical resection. Therefore, follow-up of patients is necessary.

Cysts
A cyst is a walled pathological cavity that grows from the center to the periphery. The pressure created by the cysts as they grow causes resorption of the roots of neighboring teeth, and in very large cysts, loss of neighboring teeth can be seen.

How Do Cysts Occur?
Cysts can develop from cell debris that settle into tissues during embryologic development, or they can develop as a result of pathologic changes in the root tip area as a result of irritation from an infected root canal or as a result of the residual lesion in the jawbone after extraction of teeth with cystic lesions at the root tip.

Cyst Surgeries
The basic principle in cyst surgeries is to remove the entire cyst together with its wall. Neighboring tooth roots that are not associated with the cyst lesion should be preserved and the teeth in the cyst should be kept in the mouth by apical resection.

In some types of cysts, a resistor is placed in the cyst in order to ensure the eruption of the impacted teeth, which are pushed by the pressure created by the cyst itself. This resistor is changed every week to reduce the pressure inside the cyst, to allow new bone formation around the cyst and the eruption of the impacted teeth. Cyst treatment should not cause functional or aesthetic problems.

For this reason, reconstruction of large cyst cavities with appropriate bone grafts (bone powder) and membranes (barrier) is necessary.
Arrangement of jaw bones and soft tissues for prosthesis (Preprosthetic Surgical Procedures) These are surgical procedures performed to improve the condition of soft and hard tissues before prosthesis is made.

These include;
– Correction of indentations and protrusions on the jawbone (these constantly cause puncture wounds during the use of removable prostheses)
– Removal of toruses (developmental bone growths, ie lobular bone protrusions)
– Frenectomy (removal of tongue and lip ligaments)
– Formations that develop due to irritation of the mucosa by the edges of the prosthesis (prosthesis edge ulcer, removal of irritation fibroma
– Removal of mobile tissues (arrangement of mobile crests) that occur on the jawbone with bone resorption as a result of unbalanced transmission of chewing pressures to the bone in patients who use the same prosthesis for many years with tooth loss at an early age.

Frenectomy
The lip ligaments (frenum), which are attached to the top of the jawbone, cause the borders of the denture to be shorter than they should be in edentulous patients, resulting in reduced denture retention. In patients with teeth, this lip tie (frenum) causes a gap between the two teeth (diastema). The tongue tie (frenum) may be short enough to restrict tongue movements and negatively affect speech. Therefore, tongue and lip ties should be surgically removed when they cause functional and aesthetic problems.

Biopsy
It is the process of taking a piece from that area in order to examine the histopathological features of the formation or lesions occurring in the mouth and to make a diagnosis.

In which cases should a biopsy be taken?
– Lesions that persist for more than 3 weeks without any cause
– Inflammatory lesions that persist for 10-14 days or longer after removal of local irritation factors and local treatment
– Persistent hyperkeratotic (white-colored) lesions in surface tissues
– Tumoral growths in the tissue that can be seen by eye or felt on palpation (palpation)
– Long-lasting inflammatory changes of unknown cause
– Local functions (chewing), speech etc.
– Bone lesions that cannot be diagnosed clinically and radiologically
– Lesions suspicious for malignancy