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Minor Oral Surgery

Apicoectomy

Apicoectomy, or Root-End Resection, is the removal of the root tip and the surrounding infected tissue of an abscessed tooth. This procedure may be necessary when inflammation and infection persist in the area around the root tip after root canal therapy or root canal retreatment.

The surgeon will cut and lift the gum away from the tooth to gain access to the root. The infected tissue will be removed along with the last few millimeters of the root tip. To complete the apicoectomy, the endodontist will clean and seal the end of the tooth’s canal. Most apicoectomies take 30 to 90 minutes. The length will depend on the location of the tooth and the complexity of the root structure. Procedures on front teeth are generally the shortest. Those on lower molars generally take the longest.

The area may bruise and swell. It may be more swollen the second day after the procedure than the first day. Any pain usually can be controlled with the pain relieving medication.

Wisdom Teeth Removal 

Wisdom teeth are the third permanent molars. There are four wisdom teeth in total, two upper and two lower third molars. It is believed that they are referred to as wisdom teeth because they erupt later in life when the person attains the mature wisdom.

Wisdom teeth can erupt as early as 16 years old or until late twenties. wisdom teeth are the most commonly congenitally missing teeth, meaning that they do not form at all.

Usually there are no symptoms at all, especially if the teeth are deeply impacted in bone. Symptoms are more often if wisdom teeth are “partially impacted” that means only a small part of the tooth is exposed in the mouth while the rest of it is buried underneath the gums. This results in food getting trapped in that area. Also, it is difficult to keep clean. Chronic food impaction may result in gum infections in that area causing swelling of gum tissue . Also, it might result in decay of wisdom tooth or the adjacent molar and their subsequent infection. Wisdom teeth may also cause discomfort even if they are completely erupted because the cheeks tend to get trapped and even bitten by them during eating

Indications for extraction are
– Chronic pain and/or discomfort
– Inability to maintain good oral hygiene in that area because of their presence
– Increased risk for tooth decay of the adjacent teeth
– Restoration of adjacent teeth is complicated by their presence
– Alignment or uprighting of second molars
– Periodontal indications to maintain alveolar bone around the adjacent teeth
– Recurrent gingival inflammation
– Facilitating orthodontic treatment

Alveoloplasty

Alveoloplasty is a dental surgery procedure that shapes the bone that supports the teeth. Alveolar bone is the part of the jaw that holds the teeth in place. After removing teeth, this bone can be very sharp. Sharp bone can be very irritating to a denture wearers. Downward pressure on the gum tissue presses into the sharp bone and causes pain when wearing a denture.

Alveoloplasty is done under local anaesthesia in the dental office as a routine oral surgery procedure. When done in conjunction with tooth extraction procedures, a bone file is often used to file off the sharp edges of the exposed bone. With periodontal osseous surgery, the shaping is often done with high speed handpieces .

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