Surgical dentistry in Kyiv
Oral surgery encompasses tooth extractions, procedures to preserve teeth, bone tissue restoration, and preparation for implantation. Its task is to eliminate the source of pain or inflammation, preserve healthy tissues, and create conditions for the further restoration of the dental arch.
Before the intervention, the oral surgeon conducts an examination, specifies complaints, concomitant diseases, and medications that the patient is taking. If necessary, for a detailed assessment, computed tomography is performed, which helps determine the position of the roots, the condition of the bone, the mandibular canal, and the maxillary sinuses.
Dental Surgeon Services at Dobrobut Dental Clinic
Dental surgery at Dobrobut Dental Clinic includes planned and emergency interventions of varying complexity.
- Wisdom tooth extraction. Eights are removed if they erupt incorrectly, injure the mucosa, cause recurrent inflammation, or damage adjacent teeth. If the tooth is located in the bone, the surgery is planned based on CT data.
- Atypical tooth extraction. This is necessary for retained, ectopic, broken, or complexly positioned teeth. If needed, the doctor divides the tooth into parts and removes them step by step.
- Extraction of broken teeth. Surgery is resorted to when the root or crown part cannot be reliably restored. Before making a decision, the possibility of channel treatment, restoration, or crown placement is evaluated.
- Tooth cyst removal. A tooth cyst is a pathological formation near the root that can support chronic inflammation. The strategy depends on the size, location, and condition of the causative tooth.
- Apical surgery. Resection of the root apex allows removal of the inflamed area if re-treatment of the canals is impossible or insufficient. According to indications, the canal is sealed from the apex side.
- Sinus lifting. This procedure increases the height of the bone in the lateral area of the upper jaw by lifting the floor of the maxillary sinus. It is performed separately or simultaneously with implant placement.
- Bone tissue augmentation. Bone plastic surgery, or osteoplasty, is needed when there is insufficient width or height of the alveolar ridge. Bone materials and membranes are used to restore volume.
Additional services include frenulum plastic surgery of the tongue or lip, gum surgeries, removal of benign formations, and implantation. For specific stages of work with bone, a piezoelectric instrument—a surgical ultrasound tool—may be used as indicated.
Indications and Contraindications for Surgical Intervention
Referral to a surgeon is necessary for acute pain, swelling, significant tooth destruction, complicated wisdom tooth eruption, cysts, trauma, or bone tissue deficiency. Surgery may also be part of orthodontic treatment, prosthetics, or implantation.
Planned interventions may be postponed in cases of acute infection, exacerbation of chronic illness, uncontrolled blood pressure or glucose levels, clotting disorders, and unsatisfactory overall health condition. Patients should inform the doctor about anticoagulants and other regular medications; they should not stop them on their own.
Pain-Free Surgery: Local Anesthesia and Sleep Treatment
During surgery, acute pain is controlled with local anesthesia. The patient may feel pressure, touches, or vibrations, but they should immediately inform the doctor about any significant discomfort.
In cases of severe anxiety, prolonged interventions, or extensive treatment, sedation therapy may be considered. The format of anesthetic support is selected individually based on the duration of the intervention, the level of anxiety, and the patient's health condition. During the procedure, the patient's condition is monitored by an anesthetic team.
Post-Operative Recommendations for Quick Healing
After the intervention, it is crucial not to disturb the blood clot and not to irritate the surgical area. In the first day, it is recommended to:
- not rinse the mouth vigorously and not touch the wound;
- not eat until the anesthesia wears off;
- choose soft food at a comfortable temperature;
- not smoke or consume alcohol;
- postpone sports, saunas, and hot baths;
- take only prescribed medications;
- brush teeth gently.
A slight swelling and discomfort in the first few days can be expected. You should contact the clinic if bleeding does not stop, swelling rapidly increases, temperature rises, swallowing or breathing becomes difficult, or pain sharply intensifies.
Advantages of Surgical Treatment at Our Clinic
The dental surgeon in Kyiv at Dobrobut Dental Clinic plans not only the surgery but also the subsequent restoration. If an implant needs to be placed after extraction, to maintain bone volume, or prepare the tissues for prosthetics, these stages are coordinated in advance.
Advantages of this approach:
- digital diagnostics before complex interventions;
- involvement of a surgeon, therapist, orthopedic specialist, and anesthesiologist as indicated;
- the ability to perform extraction, bone plastic surgery, and implantation within one team;
- individual choice of anesthesia;
- follow-up examinations after surgery.
The dental surgeon determines whether a tooth can be saved, whether immediate implantation is advisable, and what additional procedures are necessary. Patients searching for a dental surgeon are referred to a dental surgeon—a specialist who performs extractions, root surgeries, bone plastic surgery, and prepares for implantation.
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Answers to popular questions
- Typical extraction is possible when the tooth crown is accessible, and the shape and position of the roots do not complicate the procedure. Surgical extraction may require incision, access to the bone, division of the tooth into fragments, and suturing.
- No, asymptomatic wisdom teeth are not automatically removed. Surgery may be necessary if the tooth is improperly positioned, has cavities, causes inflammation, damages a neighboring unit, or interferes with orthodontic treatment.
- Yes, immediate implantation is possible if the condition of the socket, the volume of bone, and the soft tissues allow for stable placement of the implant. A final decision is made after an examination and analysis of the CT scan.
- Restrictions may include acute infections, decompensated systemic diseases, uncontrolled hypertension, coagulopathy, and severe overall condition. Risks are assessed individually.
- It is necessary to protect the blood clot, avoid warming the surgical area, temporarily limit physical activities, maintain hygiene, and take only prescribed medications. The follow-up visit is conducted within the timeframe set by the doctor.
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