In oral surgery we deal with teeth and tissue removal due to inflammation, infections or oncological pathologies.
Alfadental deals with:
• Simple and complex dental avulsions (extractions):Even if considered an extrema ratio it is an indispensable treatment when following destructive caries, fractures or advanced periodontal problems due to dysodontiasis or teeth grown in incorrect positions that then cause damage to other teeth (wisdom teeth are the most commonly removed teeth for this reason).
• thanks to x-rays, it is possible to intercept dental problems and remove developing germs in their early stages as a preventive measure when teeth haven’t erupted yet. This procedure almost always involves wisdom teeth.
A frenulum is a thin band of tissue that connects our upper and lower lip to our gums, our tongue to the bottom of our mouth and our lower and upper jaw together limiting their movements. These frenules don’t’ usually prevent normal speech, smiling or chewing movements because their length is perfect. However, sometimes these frenules are particularly short and in addition to phonetic and movement impediments, due to the excessive tension they exercise on the mucous membranes they can also cause gingival margin retraction and in this case frenulectomy can be performed to remove the frenulum.
• Apicectomies / surgical endodontics:
Devitalization is usually performed on teeth that are infected and inflamed at the apex because of advanced caries or traumas. Sometimes the infection is resistant to this treatment and requires apicectomy: a procedure that allows the surgically removal of the already damaged root tip in order to eliminate the infection and save the tooth.
• The Removal of benign, malignant, dental and non-dental neoplasias:
The mouth, like the rest of the body, is not free of risk when it comes to tumor formation in its tissues. These tumors can and must be identified and removed quickly. The vast majority of neoplasms that develop inside the mouth are benign fibromas: it is very important nonetheless to consult a specialist in order to determine their origin and what treatment should be adopted. The interception and removal techniques are constantly evolving, allowing us to protect and preserve the mouth’s healthy tissues.
• Removal of cysts:
Often originating from non-intercepted minor problems (such as granulomas or post-extractive root residues), cysts may develop in our mouths. They are detected radiographically or clinically. Sometimes these Cysts lose purulent fluid (pus) making it easier to find them. They must be removed as soon as they have been identified.
Our most important salivary glands produce a large amount of saliva, fundamental for oral chewing, digestive mechanisms, protecting from caries and phonetic functions. For reasons that are still being studied the salivary gland ducts sometimes get blocked. This causes the formation of a stone, in the saliva ducts, similar to a kidney stone. It has to be treated surgically only if it’s not possible to drain it.
Mucogingival surgery treats gums and frenula, the mouth’s soft tissues.
Gums sometimes require mucogingival surgery when they are in the wrong position. Action is taken in cases of:
• gum recession: when the gum margin level is retracted compared to the tooth’s crown (the white of the tooth) as a result of tooth brushing and orthodontic treatments, it is possible to bring the gingival margin back to the right position by intervening with a minimally invasive, painless and single session procedure.
• altered passive eruption: when the gum margin covers part of the tooth’s crown creating a “pocket” where bacteria proliferate inflaming the gums and causing an aesthetic problem, it is possible to bring the gingival margin back to the right position by intervening with a minimally invasive, painless and single session procedure.
Dr. Alessandra Pinna, with her 18 years experience, deals with mucogingival surgery in the Alfadental studio, maintaining gingival levels stable over time.