Our Treatments
Oral and Maxillofacial Surgery

What is a 20 years teeth?

These are the teeth we call the third molars. There are four in total, one on the right and one on the upper and lower jaws. As they become visible in the mouth between the ages of 18-24, they are called 20-year-old teeth. However, they can appear at an older age.

Should every 20 years tooth be extracted?

Not every 20-year-old tooth needs to be extracted. If it is in the position it should be in the mouth, if it is in contact with the opposite tooth and if there is no condition such as caries, it does not need to be removed.

What kind of problems arise from wisdom teeth?

It is difficult to clean these teeth because they are very posterior, often cannot find a place, and are located in different positions. Caries formation is faster in these teeth. As a result, it can cause bad breath and pain. Teeth that cannot fully erupt may cause displacement of these teeth by pressing on the anterior teeth. One surface of the teeth that cannot fully erupt is covered with gingiva. This part is quite susceptible to infection. It manifests itself with problems such as pain, swelling, difficulty in swallowing, restriction in opening the mouth. When it does not come out in the right position, it may cause you to chew your cheek.

What should be considered after 20 years tooth extraction?

After the extraction, do not eat until the effect of the local anesthetic (your drowsiness) wears off.

You can throw the tampon out after half an hour unless your doctor recommends something different. Do not replace with a new tampon.

Do not smoke for the first 48 hours. (It affects the healing negatively.)

Do not spit.

Do not drink beverages with straws.

Do not gargle on the first day.

On the first day, you can start brushing your teeth without touching the wound area.

Do not consume very hot or very cold things.

Eat warm and soft foods.

Do not consume small grained foods that may escape to the shooting site.

Do not play the wound area with your tongue.

Use the medicines prescribed by your doctor regularly.

Will there be a lot of pain after the shooting? Does my face swell a lot?

There may be pain, swelling and bruising after extraction. These reactions vary from person to person. At the same time, your doctor will prescribe you various drugs so that you can go through the process comfortably. These drugs will help prevent pain, swelling and infection. Applying ice compresses for the first 24 hours will also make you very comfortable. It will minimize the formation of swelling and bruising.

Apical resection

Infection in the teeth due to caries and trauma may turn into a cystic structure at the root tip. In these teeth that do not heal despite root canal treatment, the infection at the root tip should be surgically removed. Apical resection is the process of removing the tip of the root, cleaning the inflammation and the bone tissue affected by the inflammation, and removing the formed cystic structure. In order to perform apical resection, it is important that the root canal treatment has been done successfully. Apical resection prolongs the life of the tooth and makes it possible to use it easily for many years.

In which situations can apical resection be applied?

If there is a cyst or infection in the roots of the teeth that does not go away despite root canal treatment

If pain continues to occur in the tooth after root canal treatment

If root canal treatment cannot be applied due to the anatomical structure of the tooth

If there is a fracture at the root tip of the traumatized teeth

If the root canal tool is broken during root canal treatment

If the root canal treatment has overflowed from the root tip

If root canal treatment is required for a tooth whose root tip is not closed, it can be applied to close the root tip.

Cyst; It can be defined as a pathological cavity containing fluid, semi-fluid or caseous material but not formed by the collection of pus. Cysts formed in the jaws originate from teeth or epithelial remnants.

How is cyst formation noticed by the patient?

It can be noticed by the patient with the complaint of pain and swelling. However, there is not always pain and swelling. The cyst can quietly reach large sizes. It can be discovered incidentally during a dental examination.

Should cysts be removed?

Dental cysts are usually benign and slow growing formations. However, if it is not intervened in time, it can reach very large sizes and damage normal anatomical formations such as sinus, nasal cavity, nerve, or transform into malignant tumors.

How is cyst surgery done?

Before the surgical procedure, root canal treatment is performed on the teeth in the area where the cyst is located. Local anesthesia is usually sufficient for cyst removal. General anesthesia can be used to remove very large cysts. The removed part is sent to pathology for examination.

Is it a painful procedure?

While the cyst is being removed, you will not feel any pain due to anesthesia. Afterwards, the recovery period is as comfortable as tooth extraction. Your doctor will help you to pass the treatment comfortably by prescribing drugs such as pain relievers, antibiotics and mouthwash.

In which cases is tooth extraction necessary?

Teeth that are a source of infection in people with endocarditis, rheumatism, kidney diseases,

Teeth that are too damaged to be treated,

Teeth with excessive bone loss around and loosening (mobile)

Infected teeth that cannot be root canal treatment,

Infected teeth that do not heal despite root canal treatment and apical resection,

Impacted or not fully erupted teeth,

Teeth with root fracture as a result of trauma,

Roots that are broken during extraction, broken as a result of trauma or broken due to infection,

If a jaw fracture has occurred as a result of trauma, teeth that will affect the healing of the fracture,

Teeth that cannot be corrected for orthodontic purposes or in orthodontic treatment should be extracted in order to gain space.

Who can not have tooth extraction?

There are no strict rules in tooth extraction and surgical procedures. But there are some situations and diseases where the shooting is delayed.

An acute infection: After treatment, tooth extraction is performed.

Acute maxillary sinusitis: The acute period is expected to pass.

Teeth in the tumoral formation: The tooth is not extracted, it is removed together with the tumoral formation.

Patients receiving radiotherapy from the area to be shot: If possible, the shots are made before radiotherapy. If shooting is required after radiotherapy, it is done under the control of a doctor and with antibiotic prophylaxis. Antibiotics are required until the wound heals.

Heart patients: Procedures are performed after consulting their physician. Antibiotic prophylaxis is applied before tooth extraction in people with heart valve prosthesis, rheumatic heart valve disease, and heart valve defect.

Patients using blood thinners: Before a bleeding procedure, blood thinners should be discontinued under the control of a doctor. The physician also decides when to start the medication after the procedure.

Hypertension patients: Since bleeding problems may occur after extraction, blood pressure is expected to decrease to normal.

Blood diseases: Your doctor should be consulted before shooting. The missing factor is given to the patient before the shooting, and then the doctor checks again.

Diabetes patients: There are changes in blood vessels in uncontrolled diabetes. These patients have a tendency to bleed, the wounds heal slowly, their body resistance is low, and they are susceptible to infection.

Pregnancy: It is not an obstacle for shooting. In the first pregnancy and in patients with a history of miscarriage, if possible, the last 3 months of pregnancy should be taken.

Those who use drugs that regulate the nervous system: They should give information before shooting. These drugs can reduce the effect of local anesthesia.

What should be considered after tooth extraction?

After the extraction, do not eat until the effect of the local anesthetic (your drowsiness) wears off.

You can throw the tampon out after half an hour unless your doctor recommends something different. Do not replace with a new tampon.

Do not smoke for the first 48 hours. (It affects the healing negatively.)

Do not spit.

Do not gargle on the first day.

Do not drink beverages with straws.

Do not consume very hot or very cold things.

Eat warm and soft foods.

Do not consume small grained foods that may escape to the shooting site.

Do not play the wound area with your tongue.

Are anesthetic agents used in tooth extraction harmful?

The anesthetic solutions used are harmless. If you have a known allergic condition, please inform your doctor before the procedure.

What is an impacted tooth?

A tooth that needs to erupt is under the gum or bone.

Which teeth remain impacted?

Every tooth has a chance of being impacted. The most frequently impacted teeth are wisdom teeth, canines and premolars.

What is the treatment of impacted teeth?

Impacted teeth can be sustained with orthodontic treatment. Impacted teeth that cannot be sustained orthodontically require surgical extraction.

Should every impacted tooth be extracted?

Especially impacted wisdom teeth can put pressure on the teeth in the anterior region. This can cause tooth displacement, bone loss, and caries formation. It may cause pain in the head, ears and around the eyes from time to time. In the teeth that we call half-impacted, the tooth cannot come out completely and one surface is covered with the gingiva. Since these teeth cannot be cleaned well between the teeth and gums and between the impacted tooth and the adjacent tooth, this area is prone to infection and caries formation. In order not to spoil the result of the orthodontic treatment, it is requested to extract the impacted wisdom teeth before the treatment. The teeth are contained in a sac within the jawbone. In impacted teeth, this sac may change over time and cause the formation of large cysts. So much so that the cyst can reach very large sizes and cause weakening and fracture of the jawbone. Depending on the position of the impacted canine and premolar teeth in the jaw and the current location in the mouth, there is a possibility that they can be maintained orthodontically.

What should be considered after the impacted tooth extraction?

After the extraction, do not eat until the effect of the local anesthetic (your drowsiness) wears off.

You can throw the tampon out after half an hour unless your doctor recommends something different. Do not replace with a new tampon.

Do not smoke for the first 48 hours. (It affects the healing negatively.)

Do not spit.

Do not drink beverages with straws.

Do not gargle on the first day.

On the first day, you can start brushing your teeth without touching the wound area.

Do not consume very hot or very cold things.

Eat warm and soft foods.

Do not consume small grained foods that may escape to the shooting site.

Do not play the wound area with your tongue.

Use the medicines prescribed by your doctor regularly.

Will there be a lot of pain after the shooting? Does my face swell a lot?

There may be pain, swelling and bruising after extraction. These reactions vary from person to person. At the same time, your doctor will prescribe you various drugs so that you can go through the process comfortably. These drugs will help prevent pain, swelling and infection. Applying ice compresses for the first 24 hours will also make you very comfortable. It will minimize the formation of swelling and bruising.

In patients with bone loss for various reasons, it may be necessary to stimulate bone formation by external intervention. Especially if the implant is to be made, the amount of bone around it is very important. If there is not enough bone, the amount of bone is increased by using bone powders or bone tissue taken from the patient himself. Bone powders are produced from human origin, animal origin or synthetically.

In which situations should bone grafts be used?

If there is not enough bone for implant construction

If sinus elevation is required before implantation

If the implant will be applied in the same session as the tooth extraction

If bone loss is high after cyst operations, in order to accelerate healing

What is sinus?

Sinus means air space. There are a total of ten sinuses, five on the right and left. In dental treatments, the maxillary sinus located on the sides of the nose is the one that interests us the most.

What is sinus lift?

In the area where our molars are located in the upper jaw, the roots of these teeth and the maxillary sinus are adjacent. When these teeth are pulled, the sinus floor collapses down and causes bone loss in this area. If an implant is desired to replace the lost teeth, the sinus floor must be moved up again in order to create sufficient bone tissue.

How is it applied?

There are two types of operation techniques:

Lateral sinus lifting (Open lift): A small window is opened in the bone tissue on the side adjacent to the sinus wall, and the sinus membrane is lifted up. Bone powders are added to the space created in between, and it is waited for 6 months for bone formation. Then the implant is applied.

Internal sinus lifting (Closed lift): In this method, the sinus membrane is reached from the socket where the implant will be applied. With the help of blunt instruments, the sinus membrane is moved up and bone powders are placed through the opened slot. The implant is then placed.

What is the difference between open sinus lifting and closed sinus lifting surgeries?

The closed lifting process is much simpler and easier.

In the closed lifting process, the implant is placed at the same time. There is no need for a second surgical procedure.

Postoperative complaints of the patient are less in closed lifting.

In closed lifting surgery, the sinus can be increased by 3-5 mm on average, while in open lifting surgery, the sinus can be increased by an average of 10-12 mm.

In closed lifting surgery, an invisible area is worked and we cannot see if there is any damage to the sinus membrane.

If there is a tear in the sinus membrane during open sinus lifting surgery, it can be easily seen and the treatment is continued according to the size of the tear.

What should be considered after sinus lift surgery?

The tampon is not bitten for half an hour.

Ice compress should be applied to the area where sinus lift was applied for the first 48 hours.

Avoid very hot environments for two weeks (hot shower, bath).

Avoid hot drinks and hard foods.

You should use the medicines prescribed by your doctor regularly.

Care should be taken not to sneeze and not to clean your nose with pressure. If you need to sneeze, pressure build-up can be prevented by sneezing with the mouth open.

Air travel and underwater diving should be avoided for the first two weeks if possible.