Osseous Surgery Dental
Save your teeth with Osseous surgery
Advanced periodontitis is frequently treated with osseous surgery, sometimes known as flap surgery. When traditional gum disease therapies have failed to stop the disease’s progression or the illness is discovered when it is advanced, we may suggest osseous surgery as a therapy option. This surgical method aims to remove any active periodontal infections from the mouth while protecting the remaining bone structure and the teeth it supports. As we endeavor to assist you in creating a healthy mouth and body, saving teeth is our primary objective.
Sometimes, depending on the surgery performed, the treatment is completed with analgesics, anti-inflammatories and antibiotics. They are performed using local anesthesia to avoid the inconvenience that can cause the patient.
It is a delicate practice, although the team led by Dr. Umar Akmal has professional experience that adds up to many years and is accompanied by the use of the most advanced technology to offer you the best care.
In addition, at the Virginia Dental Clinic, we go beyond in-office treatment. Each patient’s well-being and tranquility are of utmost importance to us. For this reason, we offer you postoperative transfer and conscious sedation services, thereby reducing the problems derived from anxiety.
How we restore the health of your Pearly Smile?
Within oral surgery, there are a series of treatments that we call complex extractions. They are the ones that are applied to remove wisdom teeth and cases of retained teeth, a very frequent pathology in canine teeth. So how do we act in each case?
Wisdom teeth are the final to erupt. They are usually ‘born’ between the ages of 16 and 20, although they can appear much later or never emerge. Since they are the last to erupt, they tend to cause many problems for most patients because the mouth no longer has free space to accommodate them. In addition, if they are born crooked, they can cause crowding, move the rest of the teeth, make them ugly, and even damage the neighboring pieces. For this reason, the extraction of wisdom teeth is one of the complex cases that dental professionals practice on most occasions.
Another example of complex extraction oral surgery is the one we schedule when there is a tooth (usually a canine) retained in the maxillary bone. And it is that there are people to whom this tooth does not erupt or does so in an inappropriate position. Although the initial option is to redirect the piece so that it integrates with the rest of the teeth, if it is impossible to do so, the best option is to remove it since it can cause damage to the roots of neighboring teeth and even cause a retention cyst.
Step by Step overview of Osseous Surgery
If gum disease hasn't spread to the jawbone or connective tissues, teeth cleaning or laser treatment can help. Untreated, the bacterial infection affects the underlying bone structure and widens periodontal pockets to 5 mm or more. Once the infection reaches the jawbone and connective tissues, osseous surgery VA is necessary.
1. Anesthesia
Local anesthesia will be used before the surgery. A treatment area's gums are incised. The gum is moved away from the tooth and bone to gain access. Plaque and tartar are removed from the tooth's surface.
2. Make Incision
When the dentist makes a cut in the gumline and lifts the gingival flaps, it is easy to see the periodontal pocket and the germs in it. The dentist removes infected bone and gum tissue and smooths broken bones.
3. Bone Smoothing
Next, the bone is smoothed. Bacteria in dental pockets can degrade bone, making it uneven and tough. Smoothing the bone is required for optimal healing. Bone grafting is used to fill bone deficiencies.
4. Trim Gum Tissue
The gum tissue is then cut to fit the new underlying structure and sewn into place after the tooth root has been cleansed and the bone smoothed. The stitches are placed so that the gum tissue will heal in the right place.
Cosmetic gum surgery
The most frequent aesthetic gum treatments that we treat at Virginia Dental Clinic are related to patients who present receding gums or people who have not completed the eruption of their teeth, these being partially covered by gums, which makes them have short or excessively small tooth appearance, showing excess gum when smiling. These are treatments that also require oral surgery, although, in these cases, they do not involve teeth extraction, unlike those we have discussed so far.
Cosmetic gum surgery is more delicate than the extraction of osseous surgery dental pieces in some cases, so if you plan to do it, we always recommend you go to a professional specializing in this treatment. We have extensive experience in this practice, so if you want to receive more information about it, you can ask us here.
Bone regeneration
Losing a tooth doesn’t just mean leaving a gap in the teeth. It often means losing the surrounding bone and gums as well. To return this area to optimal health, it is necessary to practice a bone regeneration intervention. Its function is to replace lost tissues for functional purposes (to be able to place an implant later) and also for aesthetic purposes (mainly in cases where the teeth are visible when one smiles, those that are in the so-called “esthetic zone”).
This oral surgery is scheduled before or simultaneously with the placement of a dental implant. It is known as bone grafts, although gum grafts are also performed in these cases frequently for functional and purely aesthetic purposes.
How is bone regeneration done? First, for the result to be optimal, we take bone samples from another part of the mouth, which we frequently mix with hydroxyapatite particles (generally of bovine origin), usually from the wisdom tooth or chin area.
This graft modality causes some postoperative discomfort because two areas of the mouth are intervened in a single treatment. But there is an alternative solution based on bone regeneration with bones of animal origin. These materials meet all safety criteria and have demonstrated their high efficacy in the field of implantology and that they significantly reduce discomfort.
In addition, in our dental clinic, bone regeneration is complemented by using plasma rich in growth factors. This substance is obtained from the patient’s platelets by extracting and centrifuging the blood. As a result, proteins are obtained, known as growth factors, which facilitate tissue healing and regeneration.
Maxillary sinus lift
There are patients who, when performing a dental implant in the posterior area of the maxilla, find that they do not have sufficient bone support.
The maxillary sinus lift fills the lower part of the maxillary sinuses adjacent to the premolars and molars of the maxilla with bone, which are usually filled with air and mucosa.
It is practiced by accessing the maxillary sinus cavity from the part where the teeth were and elevating the mucosa. After that, a bone graft is filled in the hole that we have just generated to stimulate the formation of new bone.
To optimize results, at Virginia Dental Clinic, we combine maxillary sinus lift with plasma rich in growth factors.
In this practice, local anesthesia is used, reducing the discomfort you may suffer during this oral surgery session. In many cases, we can place the implants in the same act, but when this is not possible, the bone will be ready for it between 6 and 8 months after the treatment.
