One area of speciality within dentistry is known as oral surgery and this applies to procedures of a surgical nature, such as the extraction of teeth or wisdom teeth.
Oral surgery requires additional training in techniques to perform procedures with care, helping patients to be able to use their teeth and mouths again.
If you have advanced tooth decay or an impacted wisdom tooth, you may require oral surgery to have them safely extracted. Depending on your particular case and the severity of your problem, you will be given anaesthetic and offered sedation if you are feeling anxious about surgery.
The wisdom tooth (or third molar) is usually the last tooth to erupt into the mouth any time after about 16 years of age. Frequently there is not enough room to accommodate wisdom teeth and as such they do not come into the mouth normally. When this happens the wisdom teeth are said to be ‘impacted’ and are usually either impacted forwards into the tooth in front or backwards into the jaw bone.
An impacted tooth can cause a number of problems such as repeated attacks of infection, food packing which causes decay and cysts can also form around the wisdom tooth if it does not come into the mouth properly.
Because the wisdom tooth has not fully erupted into the mouth it is often necessary to make a cut in the gum over the tooth in order to remove it. Sometimes it is also necessary to remove some bone surrounding the crown of the wisdom tooth. Once the wisdom tooth has been removed the gum is put back into place with dissolvable stitches.
The problem: An infection has occured at the tip of the root of one of your teeth. Sometimes this does not cause any symptoms but usually people are aware of discomfort and occasional swelling, gum boils or bad taste. If left untreated the infection is likely to develop into an abscess or cyst and can lead to the loss of bone surrounding the root (as a result the tooth will become loose).
Removing the infection surgically involves cleaning out the infection from the bone, removing a small portion of the tip of root of the tooth and then sealing the root with a small filling. It is necessary to make a small cut in the gum over the root of the tooth and then lift the gum off the bone. A small amount of bone is removed to uncover the area of infection. Once any infected tissue is thoroughly cleaned away from the tip of the root, 2-3mm of the root tip is removed and the root is sealed with a small filling. The gum is then stitched back into place with dissolvable stitches that disappear in around two weeks.
A labial frenectomy is a form of frenectomy performed on the lip. The labial frenulum often attaches to the center of the upper lip and between the upper two front teeth. This can cause a large gap and gum recession by pulling the gums off the bone. A labial frenectomy removes the labial frenelum. Orthodontic patients often have this procedure done to assist with closing a front tooth gap.
The frenectomy procedure takes about 15 minutes. The area is first made numb with local anaesthetic and the muscle attachment is then snipped out and sutured into place at a level further away from the gumline.
While some soreness is possible when the anaesthetic wears off, most patients return to normal activities almost immediately. This is one of the easiest Oral Surgery procedures to have done.
Lichen planus is an inflammatory condition that can affect the lining of the mouth as well as the skin. The cause is not fully understood however it is common and affects up to 2% of the population. It is most frequent in the middle age and women are affected slightly more frequently than men.
Lichen planus is usually found on the inside of the cheeks and on the side of the tongue although it can also affect the gums and roof of the mouth. It has a lace-like pattern of streaky white patches that occasionally can be thickened. Sometimes lichen planus may also be associated with red patches or sores.
If lichen planus is not causing you any problems it does not require treatment although you may be kept a close eye on. If it is causing you problems such as soreness then treatments can be delivered to lessen the symptoms. Usually these are given directly onto the affected areas (topically) rather than having to take tablets.
Mulberry Dental Clinics Colchester have extensive medical knowledge of the face and this is utilised with modern technologies to keep the skin and face looking young. Book a free consultation to discuss options and treatments.
Call Mulberry Clinics on 01206 987 300
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