What Types of Oral Surgeries Are There?
The wisdom teeth or third molars appear between 15 and 25 years old. In most cases, it comes out in a bad position, partially or fully through the gum or bone covered. This situation can cause pain, inflammation, infections, tooth decay, development of cysts and tumors or periodontal disease in neighboring teeth.
Therefore, oral surgeons, on many occasions, recommend their removal during their eruption to avoid possible complications in the future. It is convenient to analyze each particular case and perform the necessary complementary radiological tests.
The Surgical Removal of Wisdom Teeth
It is a quick and painless intervention, between 10 and 30 minutes long and generally under local anesthesia. Recovery is usually between 2-3 days, as long as minimally invasive techniques are used and the recommended postoperative guidelines are followed.
Sometimes the canines (fangs) can be retained inside the palate or jaw and not appear in the mouth. It is very important to make an early diagnosis that allows you to take them to their usual location on time. To move the canine to its normal position and align it with the rest of the teeth, a small surgery is performed to expose it (fenestration) and the rest of the teeth are aligned and aligned by orthodontic treatment. On rare occasions, usually due to a late diagnosis, removal of the included canine may be necessary – the surgical intervention is similar to the removal of the wisdom tooth.
The Fenestration or Extraction
Extraction of any tooth included (which has not come out in the mouth) is necessary to avoid pain, infection, tooth decay, the appearance of cysts or tumors and damage and periodontal disease in neighboring teeth.
It is a quick and painless intervention lasting 30 minutes and is performed under local anesthesia. Recovery does not usually take more than 2-3 days with minimally invasive techniques and proper application of postoperative guidelines.
Periapical Surgery (Apicetomy)
It is the type of surgery that is applied as a last resort to preserve a tooth affected by a periapical infection that after a correct (endodontic) duct treatment has not had results. This happens very rarely and it is when we resort to periapical surgery that will eliminate the infection in most cases. The periapical surgery is to access the root end of the affected tooth, clean the area, making apicectomy and seal hermetically (retrograde approach) to prevent reinfection. It is also performed on teeth associated with inflammatory cysts (root cyst) that usually form after chronic asymptomatic infections. Periapical surgery is an intervention whose duration does not exceed the hour and is fast recovery, between 2-4 days. It can be performed under local anesthesia or intravenous sedation.
Periodontal Therapy (Gums)
Periodontal surgery is usually necessary when gum disease and periodontium (the tissues that support the tooth in the bone) are relatively advanced. There are many types of periodontal surgery:
- Resective or bag reduction surgery that involves surgically reducing the deeper periodontal pockets.
- Periodontal regenerative surgery in which it is intended to recover the lost bone that surrounds a tooth through bone regeneration techniques, either with bone substitutes or with proteins derived from enamel.
- Mucogingival surgery or gingival plastic surgery deals with a set of surgical techniques of connective grafting that allows to solve recessions or gingival retractions. Sometimes, it is also necessary to eliminate excess gums (gingivectomies).
- Periodontal surgery is a painless intervention with a rapid recovery period, which is usually 2-3 days.
Contact Dr. Brian Gurinsky
If you have any additional questions about oral surgeries or would like to schedule a consultation, please don’t hesitate to contact Dr. Brian Gurinsky, our periodontist in downtown Denver & Centennial, CO!