Oral surgery

Tooth extraction, tooth extraction

We know that your own tooth is valuable; that's why we do everything we can to save it. In a small percentage of cases, however, there comes a point when tooth extraction becomes unavoidable, and this can prevent a lot of inconvenience, pain and health problems later on. In all cases, we use state-of-the-art technology and take the utmost care to ensure that the procedure is carried out without pain or discomfort.

The tooth is removed if

• cavities have been damaged to such an extent that they cannot be restored by filling or prosthetic methods (inlays, crowns, etc.).
• in cases of severe, extensive periodontal disease, the inflammation has spread to the tooth's attachments, causing even perfectly sound teeth to become loose and lose function. 
• the patient has been diagnosed with a nodular disease (arthritis, hair loss, eye and skin problems, gynaecological problems) and the cause is a cavity, inflamed gums or a cavity that is a nodule (if other health problems do not disappear soon after the procedure, further research is unfortunately needed to find the actual nodule).
• the inflamed tooth does not heal with root canal treatment or root canal treatment is not feasible for some reason.
• we need extra space in the dental arch for orthodontic purposes. With the latest orthodontic methods, tooth extraction can be avoided in the vast majority of cases.
• there are supernumerary teeth in the dental arch.
• if the tooth has been damaged by trauma to the extent that it cannot be saved.

What to do and what not to do after tooth extraction?

A few things to remember after tooth extraction to pay attention to. Your doctor will explain this in detail, both orally and in written information. information. Always follow the instructions given to you, so that you you can expect a quick and uncomplicated recovery. 

Some of the requests to be met:

• You may still have bleeding for 24 hours after surgery. You can effectively stop this by biting down on a sterile swab/gauze pad. If you experience bleeding later or if heavy bleeding starts, let us know immediately!
• The numbing effect of the anaesthetic lasts for about 2-3 hours, during which time you should not eat, as it can seriously bite your tongue or lips.
• Pain may occur as the anaesthetic wears off - this can be reduced or eliminated with over-the-counter painkillers.
• On the day of the procedure, eat foods that are easy to chew (but not mushy, as this will stick to the stitches).
• After the procedure, try to rest, avoid physical work, sports activities and bending over that day, as this may trigger bleeding, which will push out the clot.
• After surgery, if there is a way, do not drive or ride a bike.
• Avoid smoking, alcohol, coffee, dairy foods/drinks, hot, spicy and chunky foods for 72 hours after the procedure.
• Protect the blood clot, which is essential for healing: do not poke it with your tongue or fingers, do not make suction movements with your mouth and do not gargle for 1-2 days, and then only gently, not by swishing.
• Oral hygiene is very important: do not brush the site of the operation on the first day, but afterwards make sure you clean regularly, thoroughly but carefully. Electric toothbrushes and mouth showers are prohibited during the first ten days.
• The swelling that persists for a few days, as well as the discolouration of the face, is a normal reaction and can be reduced by cold compresses and icing.
• If your doctor prescribes antibiotics, take them as directed.
• If the wound is still painful 3 days after the procedure or the tooth is unusually swollen, please contact our surgery.

Wisdom tooth extraction

Pre-emergence of wisdom teeth to other teeth occurs later, in young adulthood, if it happens at all.

Often they do not break through the gums at all or only partially, and sometimes there is not enough room for them. Their positioning is often different from the physiological one, often outside the gum. No wonder that dental problems associated with wisdom teeth are very common.

Dental problems of wisdom tooth origin

• In addition to partially erupted crowns, bacteria in the oral cavity can enter the gums, causing acute or chronic inflammation of the surrounding soft tissues and pouch formation.
• The teeth furthest back in the dental arch are difficult to clean, causing them to decay. Decayed teeth cause disease of the gums, the periodontium, which affects the condition of the other teeth and the entire oral cavity.
• The abnormal inflammation around the tooth can spread to distant parts of the body, causing a nodular disease.
• A cyst can form around the unerupted wisdom tooth in the soft tissue or even in the jaw.
• A molar tooth positioned in front of the wisdom tooth can be damaged by the pressure exerted by the abnormally protruding wisdom tooth.
• The pressure exerted by a tooth protruding in an abnormal direction can distort the entire lower dentition, causing bite irregularities and the need for orthodontic treatment

The procedure of the intervention

The removal of abnormally positioned wisdom teeth can be done not only for therapeutic but also for preventive purposes. In the majority of cases, wisdom teeth are removed through oral surgery, in an exploratory procedure. Once the procedure is performed, all four wisdom teeth are usually removed.
The pre- and post-procedure steps are the same as after any other tooth extraction.

1. Design
   To accurately diagnose the position of the wisdom teeth, we also take panoramic X-rays and, if necessary, CT scans to determine the anatomy.
2. Pulling
   Under local anaesthesia, we separate the gum from the bone and use special instruments to free the tooth. The tooth is then removed in one or more pieces, depending on its location and size.

Specialists in the field

Dr. Zsolt Molnár

Specialist in dental and oral diseases, implantology

Dr. Zsuzsa László

Dento-alveolar surgeon specialist

Root tip resection

A cyst is a fluid-filled, epithelium-lined mass surrounded by a connective tissue envelope, resulting from a malformation or inflammatory origin. It grows slowly but steadily, usually without complaint or pain for a long time; it is no coincidence that it is most often discovered during a lumpectomy or X-ray diagnosis for other reasons.
If a root cyst has formed around the tip of the root, you can only expect the tooth to heal if the cyst is surgically removed.

The essence of the intervention

During a root resection (root resection), the apical end of the root is removed along with the abnormal tissue around the root tip to preserve the tooth and allow the space around the root tip to heal. A prerequisite for the success of the operation is that a perfectly sealed root canal is placed in each of the root canals. The root canal seal can be inserted before the resection or during the procedure. If a significant part of the root has to be removed, tooth extraction is preferred.

Cyst removal from the jawbone

The removal of a cyst in the jawbone cannot always be performed under normal dental conditions; in this case, the patient is referred to the appropriate institution.

Gingival surgery

Surgical treatment for severe gingival atrophy, gum recession intervention may be necessary.

In the case of decayed gums, if the damage is less severe, it is sufficient to perform a so-called "closed curettage", when the inflamed tissue of the gums towards the tooth surface is removed, as well as the tartar that has formed under the gums in the gum pockets and is firmly attached to the teeth. The gum will adhere back to the professionally cleaned and polished tooth surface and remain firmly in place with proper oral hygiene.

For deeper inflammation, we surgically remove the inflamed gum tissue. Teeth located in the smile zone may also require restorative surgery, gum correction or gum surgery to ensure a smile that you can smile with pleasure!