Oral Surgery

Oral surgery is the oldest speciality in dentistry. It is dedicated to the diagnosis and treatment of diseases, trauma, defects of the teeth, jaws and adjacent soft tissues that require surgical intervention.

Oral surgery specialists in Barcelona

The oral surgeon must have a thorough knowledge of the basic sciences for his profession, such as anatomy, histology and physiology, as well as the most frequent nosological entities. In addition to his or her training, surgical training and obviously great manual dexterity, it is indispensable that the professional possesses maturity of thought and a great respect for living tissues.

Most frequent interventions

The extraction of wisdom teeth is the most frequent intervention in oral surgery. Among the many indications for the extraction of these teeth, we can mention the lack of space in the jaw for their correct eruption, their anomalous orientation, which can cause damage to neighbouring teeth or dental crowding, or problems of inflammation in the gum due to incomplete eruption, which can generate a chronic infection in the surrounding gum.

Different types of anaesthesia can be used for third molar extraction depending on the expected complication of the surgery and the patient's tolerance. Local anaesthesia can be used to numb the area where the surgery will be performed or general anaesthesia can be used to render the patient unconscious while monitoring their vital signs.

First, an incision is made in the gum to expose the bone and the molar. Next, the bone that prevents access to the root of the tooth is removed and if necessary the tooth is divided into sections to facilitate its extraction. The tooth is extracted and the empty space is cleaned of debris from the tooth or bone. Finally, the gum is sutured if necessary and a gauze is placed to encourage the formation of a blood clot.

Sometimes a dental extraction can be complicated from a surgical point of view. For example, if the patient suffers from major systemic diseases, has recently undergone radiotherapy or suffers from coagulation disorders, if the teeth are destroyed, etc. In such a case, the oral surgeon brings his or her surgical skills to solve the problem.

An impacted tooth is a tooth that does not emerge and is retained inside the bone. This usually happens with canines. It is important to treat this type of tooth to prevent poor eruption of adjacent teeth, the formation of cysts, possible infections or other detrimental changes to the bone.

Depending on the placement of the tooth and the condition of the gums there are different types of treatment. One option is to surgically expose the tooth to guide and position it correctly. This usually requires creating space through orthodontic treatment.

These are interventions that are carried out prior to the fitting of a prosthesis. They consist of conditioning the gum or the maxillary or mandibular bone to facilitate the correct adaptation of the prosthesis. We can also include in this type of surgery the placement of bone grafts for the subsequent placement of implants.

Pre-prosthetic surgery is used to restore oral function through the modification of oral structures that will allow an optimal fit of the dental prosthesis. Pre-prosthetic surgery is used to provide a better anatomical environment and to create support structures for the dental prosthesis. To achieve the goal of this type of surgery, one of the most important parameters is the maximum preservation of the patient's soft and hard tissues.

When children suffer from speech pathologies, dental bad position, or difficulty in the correct position of the teeth caused by buccal or lingual braces, a small operation is necessary. These surgeries are of very short duration, with local anaesthesia and solve problems that could have a greater transcendence in adulthood.

Braces are folds of tissue in the oral cavity above the two upper incisors, below the tongue or on the sides of the gums. The removal of a frenulum does not cause any loss of function. Braces surgery is performed when the frenulum is too tight, is in the wrong place or causes some kind of problem. For example, in some cases, the frenulum under the tongue is too tight and this prevents full mobility of the tongue. Or it can also happen that a frenulum interferes with the placement of a denture and has to be removed.

After applying the anaesthetic, an incision is made with a scalpel or laser, and the operation takes approximately 15 minutes.

Clinical Cases
Oral Surgery

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