Oral Surgery

WISDOM TEETH REMOVAL

Wisdom teeth are the third set of molars in the back of your mouth. They can be trapped in your jawbone or gums, which can be painful. If they don’t fully break through the surface of your gum line, wisdom teeth can cause issues over time. Bacteria and food particles can build up and get trapped leading to gum disease, infections, and tooth decay.

Wisdom teeth usually grow out during the early twenties for most patients. There are several different types of impacted wisdom teeth which include:

• Horizontal Impaction – Grows Horizontally.
• Vertical Impaction – Wisdom tooth can’t break through the gums because it’s stuck against the next tooth.
• Mesial Impaction – Grows at an angle facing the front of the mouth.
• Distal Impaction – Grows away from the tooth next to it.

We must take X-rays of your wisdom teeth in order to get a better understanding of why you are experiencing pain and if they need to be removed or not. If it has to be extracted, you will usually be given a local anesthetic injection to numb the area.

In some cases, a cut may be needed in your gum, and the tooth may need to be cut into smaller pieces before it’s removed. The time it takes to remove the tooth will vary. Some procedures only take a few minutes, whereas others can take 20 minutes or longer.
There will be some swelling and discomfort after the tooth is removed with the first couple of days being the worse. The dentist will be able to give you some pain medication to help cope with the discomfort, but after a couple of weeks, everything should be back to normal.

BONE GRAFTING

Over a period of time, the jawbone associated with missing teeth atrophies and is resorbed. Therefore the quality and quantity of bone suitable for placement of dental implants is compromised. Many patients are not candidates for placement of dental implants because of these conditions.
The bone grafting procedure is an excellent way to replace lost bone tissue and encourage natural bone growth, which may be performed under local anesthetic.

MINOR BONE GRAFTING is used only in patients where minor atrophy has occurred. In this case, autogenous bone (pacient’s bone) or allogenic bone (sterile bone from another source) is frequently used. This is a minor surgical procedure that is normally done in a dental office with local anesthesia. An incision is made in your gum to gain access to the bone beneath it, and then grafting material is added. Then, over the next several months, your body will replace the graft with its own bone; reversing the decline in bone quantity you have experienced creating the base for further periodontal restorations.

MAJOR BONE GRAFTING can repair implant sites with inadequate bone structures and it is typically performed to repair defects of the jaws. Previous extractions, gum diseases or injures can lead to jawbone deterioration. Large defects are repaired using the patient’s own bone harvested from a number of different sites depending on the size of the defect. The skull (cranium), hip (iliac crest), and lateral knee (tibia), are common donor sites.

SOFT TISSUE GRAFT this procedure is needed to protect your teeth from damaging effects of gum recession, exposing more tooth or tooth root, causing damage in the supporting bone, infections, high sensitivity, and pain.
Patients are provided with local anesthetic cleaning the area to ensure they are free of plaque and tartar build-up. Soft tissue used for gum tissue grafts is obtained from the roof or palate of the patient’s mouth. This soft tissue will be transplanted to build up the gum tissue where it is too thin. The grafted site at the roof of the mouth soon heals and does not cause damage to any other oral structures.

IMPLANT PLACEMENT AND RESTORATION

Dental Implants are a small screw like fixtures that are surgically inserted into the jawbone to form an artificial tooth root, made of a metal post, which anchors in place a new tooth crown. Dental implants combine the best of modern science and technology resulting in a permanent solution that will serve its owner for life.

A dental implant placed in a single session, thanks to new methods that have simplified the procedure. A dental implant can be used to replace any amount of teeth, from a single tooth to a full mouth restoration.

In your first visit, thanks to a Panoramic X-ray we will evaluate the quality of your bone and if you are suitable for dental implants. We will listen to your concerns and discuss the issues, treatment options available to your individual needs, and answer any questions you may have.

Advantages:

  • Preserve natural teeth: They can replace one or several of your teeth without the need of filing down your adjacent teeth.
  • It is a permanent solution: They can give support to a bridge, so you don’t have to wear a removable partial denture.
  • Comfort: If you decide to have a denture, having several tooth implants as a support can make it more comfortable.
  • Better oral health: They can stabilize the jawbone, helping to keep the bone integrity for longer.

Steps:
A small screw made from titanium is inserted into the jawbone – the dental implant. Titanium is commonly used, as it is lightweight, strong and biocompatible with the human body.

An abutment (which we provide from either titanium or zirconium) is attached to an implanted fixture.

A tooth crown is anchored securely to an abutment, giving you the same functions as a natural tooth. The metal post is left for three to four months to heal and integrate with the jawbone.

Your new teeth must be cared for and checked regularly, just like your natural teeth. Brush and floss as recommended by your dentist or dental hygienist. See your dentist in six months, or more frequently if so advised.

Schedule a consultation with ANABEL PAYA, DMD by calling 786-502-4467| 786-534.6179

Our office is located in 2851 W. 68 St. Suite 12. Hialeah Gardens, FL 33018

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