Surgical Dentistry

Oral and maxillofacial surgery specializes in treating injuries, defects and pathologies in the face, jaw, hard and soft tissues of the oral and maxillofacial region. We have a special team of oral surgeons and general dentists, to deal with conditions like the impacted tooth, maxillofacial trauma and other situations which involve surgery.

Removal of Impacted ToothFrenectomyMaxillofacial TraumaSinus Augmentation

Removal of Impacted Tooth

Often the third molar or the wisdom teeth either fail to come through in proper alignment or they fail to emerge at all. This causes the impacted wisdom teeth that are trapped between the gum tissue and jawbone. They may be full bony impacted or partial bony impacted.

A person with impacted tooth may present with the following symptoms-

  • Swelling and infection-Impacted teeth can damage nearby gums, teeth and bone. The longer the impacted wisdom tooth persists, the more likely it is that an infection will result from bacteria entering open tissue, resulting in swelling and pain.
  • Tooth pain: Pain can be a sign of impacted wisdom teeth, which occurs when they are prevented from emerging by the jaw bone or other teeth. Symptoms include jaw pain and tenderness, redness and swelling of gums around the tooth. The cyst can form around wisdom tooth if it does not erupt into the oral cavity.

Evaluation – After enquiring about the signs and symptoms from the patient, the next step would be an oral examination and panoramic radiography or OPG. Based on the findings, our oral surgeons then plan the approach for wisdom tooth extraction.

Procedure – The extraction is done under local anaesthesia and sterile environment. Minor surgery is performed where the tissue and bone around the impacted tooth are removed so that the tooth can be cleanly extracted from the socket. Stitches are given to promote healing of the overlying tissue, for 5 to 7 days.

Removal of Impacted Tooth
Frenectomy

A Frenectomy is the removal of frenulum, a small fold of tissue attaching the lip and cheek to the alveolar mucosa and gingiva. When the procedure is performed inside the middle of upper lip, it is called as Labial Frenectomy and when under the tongue, it is known as Lingual Frenectomy. This surgery may be performed for the following reasons-

  • Aesthetic concern due to midline diastema
  • Gingival recession when the frenula is too closely attached to gingival margin
  • Orthodontic treatment
  • An abberant frenum with an inadequately attached gingiva and a shallow vestibule persists

Procedure – We at TnSS use advanced technology of electrosurgery and Laser, for frenectomy, with the advantage of shorter duration of surgery, the simplicity of the procedure, the absence of postoperative infections, lessen pain and swelling, and a small or no scar.

Our team of oral surgeons are well versed in emergency care, acute treatment and long-term reconstruction. They are well trained, skilled and experienced to treat patients with physical trauma as well as handle the emotional trauma associated with it. Our high standards of sterilization protocol ensure sterile atmosphere during treatment while our high-end technology ensures quick healing and alleviation of pain. We take care of the following conditions-

  • Facial Laceration
  • Intraoral Laceration
  • Fractured or knocked out teeth
  • Fractured Jaws
  • Highly mobile teeth due to injury
Maxillofacial Trauma
Sinus Augmentation

A sinus lift is a surgery that adds bone to the upper jaw, in the area of premolars and molars. It is done when implants are to be placed and there is not enough bone height in the upper jaw or the sinuses are too close to the jaws. Bone loss might be due to-

  • tooth loss in the upper jaw, leading to resorption of bone
  • periodontal disease
  • maxillary sinus may be too close to the upper jaw or it may be too large

The loss in volume of bone adversely affects the placement of implants, which rely on the principle of osseointegration. The goal of sinus augmentation is to graft extra bone into the maxillary sinus, so that more bone is available to support implants.

Our oral surgeons first assess the condition by Panoramic radiograph, OPG, or by CT scan, in some cases, to measure sinus’s height and width. The surgery is performed with precision through Ostetome technique or Lateral Window technique, whichever is required.