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Oral surgery

Oral surgery consists of a whole host of different procedures that can be carried out via an operation by a dentist.

Smaller surgical procedures can be performed by the skilled hands of each dentist. Larger and more invasive surgical procedures, however, require both experience and additional qualifications. At our practice, these are performed by experienced dental surgeons, who have undergone relevant further professional training and/or completed a complementary university degree like the Master of Science Oral Surgery/Implantology.

More serious surgical procedures can often cause patients to feel disconcerted and uneasy, and are accompanied by a significant fear of pain. This should not mean, however, that these surgeries are not performed. Therefore, we offer a range of different anaesthetics that allow for treatment free of angst and stress: Nitrous oxide sedation or treatment under general anaesthetic, which is induced and monitored by an anaesthetist.

You are in good hands in our practice, as we are also well-equipped to perform more invasive surgical procedures as well, thanks to our surgical experience and competence, modern diagnostics, and various anaesthetic possibilities.

Below you will find a concise overview of the most important oral surgical procedures:

Extraction of teeth

The most common surgical procedure is the complete removal of a tooth, which can be necessary for a whole host of different reasons, e.g. if the tooth has been destroyed by caries or in serious cases of tooth pocket illnesses (periodontitis).

Removing wisdom teeth

The back molars generally do not break through until people reach their twenties. However, the jaws of over half of the German population are too small, leaving no space for the wisdom teeth. This could result in problems such as pain, inflammation, and tooth displacement. Local anaesthesia is usually used during the removal of wisdom teeth. If all four wisdom teeth need to be removed, it might make sense to treat a patient under general anaesthetic.  

Inserting dental implants

See Implantology

Root tip removal

If the bone at the root tip of a tooth is damaged due to inflammations, a so-called apicoectomy can help preserve the tooth. Here, the tip of the root is removed, and the remaining roots are provided with a bacteria-free sealant if necessary.

Surgical periodontal treatment

Periodontitis is an illness of the tooth pocket (periodont), and the most common reason for tooth loss. If conservative treatment proves ineffective, serious cases of periodontitis might require surgical treatment to reach the surfaces of the roots and remove deep-lying plaque and germs. During this type of treatment, certain substances might be introduced to the pocket which stimulate the regeneration of tissue and bone.

In addition, periodontal apparatus recession (which might result in exposed dental necks, for example) can be corrected with surgical periodontal procedures. These recessions can also look unappealing. 

Correcting lip- and cheek frenulums

Lip and cheek frenulums do not serve any vital purpose; however, they might cause problems if they are too tight or dominant. For example, they might exert constant pressure, which can result in localised gum recession or even prevent gaps between neighbouring teeth from closing. Thus, it might be appropriate individual cases to remove or realign a frenulum. This minor surgical procedure is almost always successful, and the resulting wounds tend to heal without further complications.    

Tooth transplants

If a tooth is improperly formed or is lost, the resulting gap can in individual cases be closed by transplanting another tooth (or dental bud). The most frequent procedure entails transplanting a wisdom tooth into the existing gap. This method is more successful than most people think, with 10-year success rates at over 80%.

Bone reconstruction

The bone substance of the lower and upper jaw might be lost for a variety of reasons, e.g. illness, accident, or as a result of tooth extraction. To anchor implants securely into the jaw, or to allow for another tooth replacement procedure, it might be necessary for the dentist to stimulate bone regrowth in one of several ways. To this end, the body's own bone material might be used, as well as natural or synthetic replacement material, which is then gradually replaced by the body's own bone material. 

Treatment of dental trauma

Teeth might be damaged as a result of falls, accidents, or sports activities. This can range from loosened, bruised, or chipped teeth to teeth that are partially or completely knocked out. Taking into account the damage suffered, the dentist will take immediate action. To name two examples, bruised teeth can be immobilised with braces; teeth that are completely knocked out might be reinserted and secured with a brace as well.