FAQs

If you have noticed that the neck of your teeth is exposed in some areas and that your gums have receded, there is reason for concern. Where the gums have receded, the jawbone has also receded, leaving the tooth without that part of its bony support. This is the beginning of a vicious cycle, as in such situations, bacteria more easily enter the spaces around the neck of the tooth and cause further bone and gum recession. At the end of this process, the tooth remains without bony support, begins to loosen, and eventually results in tooth loss.

Gums and bone recede due to several reasons, such as:

• excessive and inadequate pressure from chewing on that tooth;
• overly rough tooth brushing;
• thin and sensitive gum biotype…

To prevent further and deeper consequences, it is necessary to first remove the cause of the recession and then restore the lost tissue. There are various methods and techniques we can use to stop and eliminate these processes.

Contact us while there is still time.

The most common un-erupted or impacted teeth are wisdom teeth, but other teeth such as canines, premolars (bicuspids or cuspid teeth), and even molars (sixth or seventh teeth) can also become impacted, although less frequently.

Upper canines most commonly remain impacted due to lack of space for them in the jaw after the incisors and premolars have already erupted. Impacted canines rarely cause complications, but sometimes they can loosen the adjacent tooth because they often cause resorption of the bone around the adjacent tooth.

Lower canines most commonly remain impacted due to the improper positioning of the tooth bud.

In patients with complete dentures, it is always wise to extract impacted teeth prior to making the dentures, as the dentures may press on the area where the tooth is located and cause pain and other complications.

The surgical technique for extracting impacted teeth depends on the location of the tooth. It is performed under local anesthesia, lasts about 30 to 60 minutes on average, and the postoperative period is normal. Pain is not usually severe, and if necessary, analgesics and antibiotics are prescribed. Swelling is a common occurrence after any surgical intervention, but swelling may not occur if the impacted tooth is accessed through the palate.

Patients often refer to this procedure as “root-cutting”. One part of the procedure indeed involves cutting and removing the tip of the root. The common question is why an apicoectomy is performed and what its purpose is. Let’s explain.

If a tooth decay is not treated in time, bacteria can pass through the tooth nerve and into the root tip and then through it into the bone. Bacteria in the bone can cause an infection called a granuloma. An untreated granuloma can spread and enlarge through the bone.

Granuloma can be treated conservatively, without involving surgical interventions. If such treatment fails, an apicoectomy or root-end resection is performed. With a surgical approach and under local anesthesia, the root tip is accessed, cut, and removed from the bone together with the granuloma (infection). The tooth (root) is then closed either over its tip or from the crown direction, and the wound is sutured.

The postoperative course is usual as with other surgical interventions.

Bruising is relatively common after oral surgical interventions such as tooth extraction, surgical tooth extraction, root end surgery (apicoectomy), surgical wisdom tooth extraction, or any other type of intervention. Bruising can occur for numerous reasons, including injury to a blood vessel during the intervention, natural weakness and increased permeability of blood vessels, various blood or vessel diseases, and more. Bruises can appear as dots, stripes, spots, or as a typical bruise. Initially, they are a dark purple color, then turn bluish, greenish, yellow, and finally, the skin above the previous bruise returns to its normal color. In most cases, in otherwise healthy patients, bruises are not a major cause for concern, although they can provide a good environment for infection to develop. In case of bruising, antibiotics are usually prescribed.