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Oral and Maxillofacial Surgery

A dental specialty that diagnoses and performs necessary surgical treatments for diseases seen in the teeth, jaw and surrounding tissues.

Impacted Teeth

Teeth that have failed to break through the overlying bone, gum tissue or both after formation and have not reached their intended position in the mouth. Most commonly seen in wisdom teeth, canines and premolars.

Treatment: Teeth are guided to their correct position through surgical and orthodontic approaches. Tooth extraction is performed when orthodontic correction is not possible.

Wisdom Teeth

The last teeth to emerge and the furthest back in the mouth. Due to their location in hard-to-reach areas for brushing, they cause decay, gum inflammation, pain and bad breath.

They may not fully emerge due to insufficient space in the jaw:

  • Fully impacted: Below the bone and gum tissue
  • Partially impacted: Below gum tissue only, partially exposed to the oral environment

Partially impacted wisdom teeth cause plaque accumulation and food impaction, leading to an infection known as Pericoronitis. Symptoms include swelling, redness, neck and ear pain, swollen lymph nodes, and pain when opening the mouth or swallowing.

Treatment: A 25–30 minute operation under local anesthesia. The area is closed with sutures after the operation, which are removed one week later.

Dental and Jaw Cysts

Usually tooth-related, fluid-filled formations that develop in the jawbone or jaw soft tissues. If left untreated, they grow causing swelling, pain, loosening and displacement of adjacent teeth. They can lead to complications such as infection, bone resorption, bone fractures, nerve compression and numbness.

Treatment: Removal of the cyst sac under local anesthesia, disinfection of the area and closure with sutures. In some cases, filling with biomaterials such as bone powder and membranes is performed.

Apical Resection

A surgical procedure in which a cyst or infection at the tip of the tooth root is removed along with the lower third of the root. Performed to save the tooth.

Indications:

  • Small cysts at the root tip
  • Root tip infections unresponsive to root canal treatment
  • Cases where an endodontic instrument has fractured at the root tip
  • Overfilled root canal treatments
  • Root tip fractures following trauma

Local anesthesia is applied. The bone surface is opened to access the root tip. Inflamed tissue is cleaned. A portion of the tooth root is cut and removed. The root tip is filled with special materials.

Blood and Growth Factor Concentrates (PRP/CGF-CD34)

The application of platelet cells found in the blood to treatment. The growth factors they contain provide regenerative treatment potential in wound healing.

PRP: Platelet Rich Plasma

CGF: Next-generation technology — used alone or combined with other biomaterials.

Since it is obtained from the patient's own blood, there is no risk of allergic reaction or infection.

Applications:

  • Bone augmentation procedures
  • Sinus lifting
  • Socket preservation after tooth extraction
  • Filling impacted tooth extraction cavities
  • Filling cyst cavities
  • Treatment of gum recession
  • Treatment of nerve damage
  • Treatment of joint diseases

Frequently Asked Questions

Should painless impacted teeth be extracted?
The absence of pain does not always indicate good health. The relationship of the teeth with neighboring teeth, anatomy and surrounding soft and hard tissues is evaluated. If no adverse conditions are observed, monitoring without intervention may be preferred under follow-up.
Should every wisdom tooth be extracted?
There is no concern about keeping wisdom teeth that have completed their natural eruption, pose no risk of damaging adjacent teeth and tissues, and allow for proper cleaning.
Can all four wisdom teeth be extracted at once?
While theoretically possible, it is not recommended for patient comfort. The preference is to remove a maximum of 2 teeth per session.
Will I have severe pain and swelling after impacted tooth extraction?
Following your doctor's advice, applying cold compresses to the area, resting for the first 24 hours and taking medication largely eliminates post-operative discomfort. Discomfort that affects daily life is not observed.
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