Oral, Dental And Maxillofacial Surgery

Various problems that threaten oral health can make tooth extraction mandatory. Problems such as excessive tooth decay, dental infection, operations associated with orthodontic treatment may require tooth extraction. In addition, people who have undergone chemotherapy or had an organ transplant may need a tooth extraction to maintain oral health.While many patients experience pain problems before the extraction, the correct application of tooth extraction is almost painless and has a fast recovery period. Patients can resume their normal functions within a reasonable period of time after the tooth extraction. Experience is important when it comes to all medical conditions, not just oral health conditions. In our polyclinic equipped with modern equipment, you can safely have a tooth extraction with specialist doctors.HOW IS TOOTH EXTRACTION PERFORMED ?Removal of visible teeth can be done with a simple extraction procedure, while teeth that break or remain under the surface may require a more serious surgical operation. Before starting treatment, the doctor will take an X-ray of your tooth. Antibiotics may be prescribed prior to the extraction to ensure that all conditions are stable or treated.
Tooth extraction can be performed simply or surgically, depending on whether your tooth is visible or affected. Most of the visible teeth can be removed with a simple extraction process. The doctor will inject a local anesthetic to numb the area and prevent you from feeling pain, and use a tool called an elevator to shake the tooth back and forth. After the tooth is loosened, it is carefully removed with forceps. This procedure typically requires only local anesthesia (injection) and usually takes only a few minutes. After the tooth is removed, a blood clot forms in the cavity formed. The doctor will fill the cavity with a gauze swab to stop bleeding.
More complex techniques and a surgical extraction may be required in the following cases:
- If the tooth is broken on the gum line,
- If the tooth has not yet reached the visible level,
- If the tooth has wide or curved roots.
Combined anesthesia applications can be performed during a surgical tooth extraction. Both methods are almost painless, despite the feeling of pressure or withdrawal.
HOW TO CARE AFTER TOOTH EXTRACTION ?
Although dental care differs depending on the type of tooth extraction, you can usually expect to recover within 7 to 10 days. In this process, it is important that you do your best to keep the blood clot that forms at the site of the pulled tooth in place because the blood clot will help rebuild the tissue. The dislocation of the clot can cause a complication called dry socket, which can be quite painful.
Managing pain after tooth extraction is a top priority because most people feel some discomfort or pain after tooth extraction. Your dentist may prescribe antibiotics to treat or prevent infection. The application of ice can reduce any swelling on the chin or cheeks. In general, swelling and bleeding persist until just a day or two after tooth extraction. As for the pains caused by tooth extraction, they stop after a few days.

Because of the lack of space in the structure of the tooth jaw, the gum may remain embedded under another tooth or bone. Impacted teeth appear in the process of development of the body. In some patients, it helps in biting and chewing functions, while in some patients it may develop in a way that harms oral and dental health or even general health.
Contrary to popular belief, impacted teeth may not be located only in the upper or lower jaw. There are also cases when it was observed that it appeared in various parts of the body, such as sinuses, skull bones, tumoral cysts. The fact that the tooth remains buried can develop due to genetic reasons, as well as due to lack of space.
WHAT ARE THE SITUATIONS WHEN IMPACTED TEETH NEED TO BE REMOVED ?
Impacted teeth can cause some problems if they are half-embedded. Situations that require removal of impacted teeth :
Caries: If oral hygiene is not observed, saliva, bacteria and food residues accumulate around the half-impacted tooth. This causes the impacted tooth or the tooth next to it to decay. This type of caries, on the other hand, is quite difficult to clean and has a high risk of infection.
Gum Infection: Bacteria accumulate under the gums when the impacted teeth are rubbed in half, causing infection. Infection, on the other hand, can cause discomfort such as bad breath, pain, swelling, and difficulty opening your mouth at a later stage.
Before Orthodontic Treatment: Orthodontic treatment is performed to correct the tooth arch and tooth alignment in young patients. If the impacted teeth are not pulled out, they cause distortions, especially in the front teeth, in order to find a place for themselves when they try to get out. In order for orthodontic treatment to be completed successfully, it is necessary to perform impacted dental treatment first.
Cyst Formation: A cyst can form due to an impacted tooth in the tissues located around the embedded tooth. Cysts, on the other hand, can cause damage to bone tissue, enlargement of the jaw, and damage to nearby teeth. Removing an impacted tooth prevents the risks that can lead to advanced cysts and bone loss that can occur in this area.
Before Prosthetic Dental Treatment: Patients who will have a prosthesis should first undergo embedded dental treatment. If denture treatment is started without interfering with the impacted teeth, irritation of the soft tissues in the gums occurs. In addition, when the impacted tooth tries to come out later, situations such as removing and re-installing the prosthesis may be faced.
WHEN SHOULD IMPACTED TEETH BE REMOVED ?
At a young age, the surgical procedure can be performed more easily because the roots of the mature teeth are not fully developed and the tissue is softer. As the age progresses, the treatment may become difficult because the tooth roots will develop. In the treatment of impacted teeth, patients usually wait until they encounter a situation that will make them uncomfortable. But it is not right to delay this process. Healing is developing faster in impacted dental treatments performed at an early age. Dentists recommend early intervention in the treatment of impacted teeth. At an older age, the risk of complications increases and the healing process slows down.
IMPACTED DENTAL SURGERY PROCEDURE :
The ease or difficulty of impacted dental surgery depends on some conditions, such as the location, position, and root formation of the tooth. The impacted tooth is removed as a whole or by dividing it into roots, depending on its position.
Tooth extraction is performed under local anesthesia, intravenous sedation, or general anesthesia. The doctor decides which method is suitable for the general health of the patient. In impacted dental operations, the anatomy of the region is examined and appropriate and adequate anesthesia is applied so that the patient does not feel any pain during the operation. During the operation, the bone is removed with the state-of-the-art devices used by our polyclinic and tooth extraction is easily performed. After the extraction, stitches are applied to the area.
WHAT SHOULD BE DONE AFTER IMPACTED DENTAL SURGERY ?
Swelling and moderate pain in the face may appear as part of the healing process after the surgical procedure. What the patient should pay attention to after surgery :
.The tampon inserted into the mouth to stop bleeding is removed after 30 minutes,
.Within 2 hours after the procedure, nothing should be eaten or drunk. In the next process, it is necessary to be fed with liquid things such as soup,
.Bleeding in the form of leaks and the taste of blood in the mouth may appear in the first 48 hours,
.Swelling may appear on the face 5 to 7 days after the procedure. It is recommended to apply cold compresses,
.The drugs recommended by the dentist should be used regularly,
.On the 7th day following the procedure, stitches should be removed and checked by a dentist,
.Extraction of embedded teeth is successfully performed by specialized dentists at the Ugurel Oral and Dental Polyclinic.

Wisdom teeth, also popularly referred to as 20-year-old teeth, are the last decayed adult teeth. 20-Year-old teeth with molars located at the very back of the jaw usually lead to pain, abscess formation and discomfort in most individuals due to the fact that they do not adapt to the structure of the jaw. For this reason, many wisdom teeth need to be removed by tooth extraction or dental surgeries. The problems in question are caused by the fact that there is not enough space in the jaw for the wisdom teeth to come out. In addition to the severe pain caused by it, it can also lead to a deterioration in the structure of the jaw and adversely affect the health of other teeth located in its neighborhood. For this reason, when the wisdom teeth start to come out, it is useful to undergo a checkup in consultation with dentists. Wisdom teeth do not need to be pulled out in individuals with a suitable jaw structure. In some cases, because the wisdom teeth come out at the wrong angle due to the improper jaw structure, they may remain impacterd in the gum and may not be visible when viewed from the outside. These teeth, called impacted wisdom teeth, are usually manifested by the pain they cause. In order not to adversely affect the structure of the jaw and teeth, to prevent unwanted problems such as abscesses, a dentist’s examination should be performed regularly. With a regular dental examination, the onset and development of wisdom teeth can be monitored, and if there is a negative, the teeth can be removed without harming oral and dental health.
WHAT IS A WISDOM (20 YEAR OLD ) TOOTH AND HOW MANY ARE THERE?
Tooth development begins with milk teeth, which have a total of 20 pieces, including 10 at the bottom and 10 at the top, which are completed between dec months and 3 years of age in infancy. Then, from the age of 9-10, the milk teeth gradually fall out and are replaced by adult teeth. 28 of the adult teeth (main teeth), of which there should be 32 in total, are completed in childhood and early adolescence. The remaining 4 large molars are wisdom teeth located at the very back of the lower and upper jaws. As the name suggests, these teeth that come out around the age of 20 usually cannot come out in a healthy way. It can remain buried or semi-buried, as well as cause many other disadvantages, such as compressing the gums inside the mouth due to insufficient space, damaging other teeth, causing pain. In individuals with a suitable jaw structure and sufficient outlet space behind large molars for wisdom teeth, these teeth do not cause any problems. However, even in individuals who regularly perform oral and dental care, their wisdom teeth, which are located far back, in a difficult-to-reach position, may not be cleaned adequately. For such reasons, wisdom teeth may need to be removed surgically in some cases if they are pulled out or impacted.
WHAT ARE THE SYMPTOMS OF WISDOM TEETH ?
Wisdom teeth, which can find enough space in the gums and come out as they should, develop in a healthy way and do not cause any signs of discomfort. But the wisdom teeth of most individuals cause problems due to the lack of this area. Common symptoms that occur during the exit of wisdom teeth or their embedded stay are the following:
.Pain in the teeth and gums,
.Gingival sensitivity,
.Pains that hit the jaw and ear,
.Swelling of the lymph nodes,
.Headache,
.Bad smell in the mouth,
.Feeling pain when chewing,
A large part of such symptoms in individuals aged 17-25 years is caused by wisdom teeth and the complications caused by these teeth. Therefore, individuals who experience these complaints should contact a dentist.
HOW TO UNDERSTAND AN IMPACTED WISDOM TOOTH ?
A dental X-ray is usually taken during an oral and dental examination performed in individuals showing wisdom tooth pain and other symptoms. This X-ray allows you to get clear images of the bone structures, angles and embedded teeth, as well as the roots of all teeth. Wisdom teeth that are invisible from the outside, horizontally protruding or half impacted can be examined on the X-ray. If teeth that need to be removed are detected during an X-ray examination, it can also be decided whether they should be removed in the form of an ordinary tooth extraction or by surgical operation. Some impacted teeth can cause conditions such as infection, cyst formation. In case of such a situation, it may be necessary to apply medication treatments for them before making an appointment for tooth extraction.
HOW TO REMOVE WISDOM TEETH ?
Impacted, half-impacted, or inflammation of the gum tissue surrounding the teeth cramped (perikoronit), due to a buildup of nutrients, bad breath and tooth decay in the root of the neighboring teeth and enamel tissue loss (resorption) can lead to various dental problems such as. For this reason, it is necessary to remove half-impacted and impacted teeth, as well as wisdom teeth that come out at a right angle, but create tightness in the mouth. How to remove the wisdom tooth can be done by looking at the X-ray images. Wisdom teeth that have come out at the right angle and need to be pulled out due to problems such as tightness or caries can be pulled out just like any other tooth extraction. In this case, no surgical operation is required. But very few of the problematic wisdom teeth can be pulled out in this way. A larger part of it has to be removed with the help of surgical interventions called wisdom tooth surgery.
HOW IS THE WISDOM DENTAL SURGERY PERFORMED?
How to perform wisdom tooth surgery is completely decided by the position of the tooth seen on the X-ray images. In cases where the wisdom tooth is located in the gum, and the tooth roots are impacted in the jawbone, it is usually not possible to remove the tooth in one piece. The wisdom tooth, which will be pulled out in these cases, is divided into several parts by the dentist and pulled in this way. Another method is to make an incision in the gum so that the tooth can be pulled out. With the help of this incision, the tooth can be pulled out much more conveniently. After tooth extraction and cleaning of the area, a suture is placed on the gum. These seams should be removed after a certain period of time after the operation. Such surgical operations fall under the specialty of oral and maxillofacial surgeons. How long the operation under local anesthesia will take may vary depending on the location of the tooth and the number of teeth to be removed. It is normal for individuals with wisdom tooth surgery to have blood leakage at the surgery site for a certain period of time. During the period recommended by the doctor to ensure clotting at the site of the operation, food should not be eaten and water should not be drunk. After the operation, swelling may occur in the area, severe pain may develop with the passage of the effect of anesthesia. In this case, it is beneficial to use painkillers prescribed by the attending physician. The area where the tooth is pulled should not be touched by hand or tongue, the other side of the mouth should be used when eating. Smoking should also be avoided for the first 24 hours, as it will increase bleeding. Ice compresses can be used to relieve swelling.
If you are experiencing similar toothaches problems, you can contact your dentist and undergo an examination. You can prevent damage to your other teeth and protect your oral and dental health by ensuring that your problematic wisdom teeth are pulled out in a timely manner.