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SURGERY
Surgery by
an on-call surgeon : Dr. Rolly T. Ibanez II
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Odontectomy
Impacted tooth/teeth
usually occurs in this age of modern oral health. Mainly because of
the processed food diets we normally consume thereby limiting the
work of our masticatory functions. This in turn causes limited
growth of the maxilla & mandible, that gives risk to absence/limited
space for the 3rd molars. Canines & premolars are also susceptible
to impaction. Odontectomy is the procedure done to retrieve impacted
tooth/teeth. Reasonable incision is made on the affected area. Bone
reduction is commonly done to facilitate its removal.
Alveoloplasty / Alveoloectomy
Extractions made
without any care to the Alveolar Bone/Socket usually results in
irregular contour when healed. This procedure is done to smoothen
out this irregularly shaped bone in order to receive the prosthesis |
Vestibuloplasty
Early extractions
render the residual ridge flat. Vestibuloplasty re-contours the
vestibule to augment the ridge so as to prepare it to receive the
denture.
Apicoectomy
Infected tooth/teeth
wherein root canal treatment is not enough due to presence of enormous
infection at the apex.
Apicoectomy is done, where the apex is cut and removed with the lesion.
Bone Augmentation
The advent of synthetic
bone materials gave more options to dental practitioners to save the
tooth of their patients. Bone support the tooth in the dental arch.
Infected/compromised bone health will lead to tooth loss. But because of
this procedure, it can be prevented.
Cystectomy
Removal of oral cysts
Incision &
Drainage
Long-standing infection
with pus w/c cannot be arrested by antibiotic must be incised and
drained.
Flap Replacement
For sever cases of
periodontal diseases w/c do not respond to routine deep scaling & root
planning, a flap is raised and direct scaling and debridement is
done to involved root.
Gingivoplasty/Gingivectomy
Gums are
re-shaped/re-contoured. Usually this is done when the tooth is to
receive a prosthesis or laminates. Pathologic reconsiderations are also
taken into view. Gingival hyperplasis and the like.
Crown Lengthening
Some tooth/teeth are
naturally short that makes it difficult to restore using crowns &
jacket. This procedure is done so as to lengthen its clinical crown.
WHY DO I NEED TO
HAVE MY WISDOM TEETH OUT IF THEY DON'T HURT?
Reasons why "you"
should have it removed:
- As a general rule.
All impacted teeth should be removed unless removal is
contraindicated.
- Preventive
Dentistry dictates that impacted teeth be removed before
complications arise
- Early removal
reduces the post-operative morbidity and allows for the best healing
- In this day of
excellent dental care, the young person who is receiving good dental
therapy should have all the third molars removed before the age of
17 years.
More reasons..
- Prevention of
periodontal disease - it resorbs (i.e. Eats up the bone/root of the
adjacent tooth)
- Preventions of
Dental Caries
- Prevention of
Periconitis
- Prevention of root
resorption
- Impacted teeth
under a dental prosthesis
- Prevention of
odontogenic cysts and tumors
- Prevention of pain
of unexplained origin
- Prevention of
fracture of the jaw
- Facilitation of
orthodontic treatment
For any questions, feel
free to contact your dentist
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