Surgical Treatments
Diagnosis and treatment of all kinds of illnesses such as diseases and deformities in teeth, jawbone, sinuses, gingiva and oral mucosa are carried out by this department. Cyst operations, arrangement of soft and hard tissues before prosthesis construction, treatment of infections in the maxillofacial region, bone augmentation and sinus floor elevations if there is not enough bone volume before dental implants are the main surgical procedures.
Bone Augmentations
Due to long-term edentulousness, inflammatory and cystic lesions, traumatic tooth extractions, and gum diseases, there may be volumetric losses in the jawbone. These losses must be eliminated because they constitute an obstacle for dental implant applications and prosthesis construction. Under favorable conditions, it is possible to rebuild the lost bone. These operations can be performed with bones taken from the person's own body, as well as with bovine bone or synthetic bone materials.
Apical Resection
It is the process of surgically removing the inflammatory sac, which we call the lesion at the tip of the tooth root, together with some root tip. Apical resection can be performed in cases where root canal filling is overflowed or root canals are incompletely filled, in cases with clogged canals that cannot be reached up to the root tip, in cases where root canal fractures are seen as a result of trauma, in cases that do not heal despite having canal treatment. This operation, which can be performed in approximately 30 to 45 minutes with local anesthesia, is the last step before the extraction of tooth.
Cyst Operations
Cysts within the jawbone, which may or may not be related to teeth, are tissue sacs filled with liquid or semi-liquid substances. Although rare, cysts can also occur in soft tissues. Although it is possible for the cysts that expand from the center to the wall and spread quite rapidly, they can be noticed by the patient by causing pain and swelling, but they can progress insidiously without any symptoms. Cysts that can cause serious damage to the jawbone must be removed. The basic principle of cyst operations is the removal of the cyst together with all the surrounding tissue. Although the degree of difficulty varies according to its location and size, cyst operations are easily performed in our clinic under sterile conditions under local anesthesia.
Maxillary Sinus Surgery
Maxillary sinuses; are the air spaces in the skull on both sides of the upper jaw that help to make sounds properly. The sinuses in the areas adjacent to our premolars and molars, can be congenital, physiologically sagging; After tooth extraction, the sinuses may also expand in the bone and tend to sag. In this case, there is not enough bone for implant application in the distance between the sinus wall and the jawbone apex. In order to increase the amount of decreased bone, the sinus floor is surgically elevated, the floor of sinüs is supported with bone grafts and the bone volume is increased, that is called sinus lifting operation.
It can be done in two ways.
- Direct sinus lifting: It is applied when there is less than 6 mm of bone under the sinus floor. A window is opened on the lateral side of the bone, and the sinus membrane is lifted and supported by bone grafts. If the existing bone height is 4 mm or more, it can be applied in the same session with the implant. However, if there is a bone height of less than 4 mm, the bone graft is placed first, and the implant is applied after waiting for healing. It is performed in our clinic under local anesthesia in approximately 30 to 45 minutes.
- Indirect sinus lifting: It is applied when there is 6 mm or more bone under the sinus floor. With this method, a bone height of 2-4 mm can be gained. Implants can also be placed in the same session.
Preprosthetic Surgery
These are the procedures performed to prepare the bone tissue and soft tissues for prosthesis use before prosthesis construction. It is easily performed under local anesthesia in our clinic. These are mostly;
- Arrangement of recesses and protrusions in the bone after tooth extraction
- Regulation of soft tissue growths
- Correction of developmental bone growths that do not allow prosthesis construction, although it does not pose any risk
- Releasing the tongue and lip ligaments that cause the prosthesis to move
- Increasing the depth of the soft tissues inside the lip and cheek