Oral Surgery

In the VitalCenter clinics you can receive full range of oral surgery treatments:

• Tooth or root extraction (removal)
• „simple” extraction
• surgical extraction
• Tooth preserving surgical treatments.
• Tooth based inflammatory disorders and cysts of the jaw bones.
• Removal of partially or fully impacted teeth, in particular the wisdom teeth.

Tooth extraction

Tooth extraction is always carried out in anesthesia, usually in local anesthesia. You mustn’t eat until the effects of the anesthesia are totally ceased, because your bite can cause serious injuries to your senseless mouth. You mustn’t rinse your mouth on the day of the extraction, because the small blood clot formed at the place of the extraction facilitates the healing process. During the following days the proper oral hygiene and thorough tooth brushing is very important.

In case of an inflammation the healing period after the extraction can be longer and mild or higher fever can occur shortly after the procedure. The fever might have to be reduced medically and antibiotics might have to be taken. In case of a slight pain a single analgesic pill can be very effective.

If you have any query, or you experience any unexpected complications please do not hesitate to contact VitalCenter!

WISHDOM TEETH

If you experience any problems with your wisdom teeth we recommend you to visit VitalCenter.

In our clinic we have highly experienced professionals to deal with your oral surgical problems.

Nearly everyone has wisdom teeth, but in 90% of people these teeth are not involved in chewing and remain partially or fully unerupted. The reason is the wrong proportion between the size of the teeth and the jaws. In other words we have more teeth that can fit in our jaws.

Tooth development is genetically programmed. Inside the jaw bone the teeth are covered with a mantle of soft tissue which dissolves the bone in order to provide suitable space for the developing tooth.

If there’s no sufficient space, the following problems might occur:

• The teeth erupt only partially – a part remains under the gum. In this case bacteria found normally in the mouth might get under the gum and cause serious inflammation as quick as in a couple of hours.
• The tooth remains under the gum but the soft tissue mantle dissolves the bone and even the root of the neighbouring tooth which may result in the loss of this tooth (the second molar).
• The growing tooth puts pressure on the neighbouring teeth pushing them forward. Sooner or later the front teeth will be involved which is especially undesirable after a completed orthodontic treatment.
• Rarely, due to the malposition of the wisdom tooth, a cyst is formed in the jaw bone wich may cause the fracture of the jaw due to the resorption of the bone material.

Prevention is the best protection. A panoramic x-ray shows the position of your wisdom teeth. If the position is problematic the best is to remove them before any problems occur.

Please note that the lack of pain doesn’t necessarily mean there is no problem. The right diagnosis followed by a preventive intervention is the best solution.

In our clinic the four wisdom teeth can be removed in a single procedure. With us there’s no need for four visit at the oral surgeon. The duration is usually 20-30 minutes. Due to the atraumatic method used in our clinic the healing period is quick and relatively painless.

The treatment is usually completed in sedation which reduces the anxiety in addition to the full painlessness. In 99% of all wisdom teeth removals there are no complications. Yet if you experience any complications please contact your clinic as soon as possible.

Relatively common complication is swelling (more commonly at the lower wisdom teeth) which ceases after a few day. Slight bleeding might occur in 24 hours after the procedure. It can be controlled by biting on a sterile cotton roll. Lockjaw might develop due to the pain. It is most commonly partial and will cease after a couple of days.

Rarely, the lower wisdom teeth are in direct connection with the nerves that provide senses of the chin and the lips. In these cases the nerves might be damaged resulting in numbness lasting for weeks or even months. The numbness will improve day-by-day and in most cases fully vanish in the course of time.

In a few cases, when the sinus is close, it might be left open when an upper wisdom tooth is removed. If the problem is observed during the procedure the sinus is immediately and fully closed by the oral surgeon. In rare cases when the symptoms occur only after the treatment it has to be treated as soon as possible to avoid further complications.