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Treatments

Oral and Maxillofacial Surgery

Surgical procedures of the mouth and jaws — from impacted wisdom teeth to bone grafting before implants.

Oral and maxillofacial surgery covers the procedures that go beyond routine dentistry: teeth that are impacted in the bone, roots that cannot be removed with forceps, cysts, infections at the root tip, and rebuilding bone before an implant.

Oral and Maxillofacial Surgery

Overview

Every case starts with imaging. A panoramic X-ray shows the general picture; a 3D cone-beam scan shows the exact relationship between a tooth root and the inferior alveolar nerve or the maxillary sinus, which is what determines how the procedure is planned.

Who is it for?

  • Impacted or partially erupted wisdom teeth causing pain, swelling or crowding
  • Broken-down roots that cannot be removed conventionally
  • A cyst or a persistent infection at the tip of a root
  • Insufficient bone volume for a planned implant

How we do it

  1. 01

    Imaging and risk assessment

    Panoramic and, where indicated, cone-beam imaging to map the roots, the nerve canal and the sinus floor before any incision.

  2. 02

    Anaesthesia

    Local anaesthesia is standard. Sedation is available for anxious patients or longer procedures, arranged in advance.

  3. 03

    The procedure

    A small flap is raised where necessary, the tooth or lesion is removed with as little bone removal as possible, and the site is cleaned.

  4. 04

    Closure and review

    The site is sutured, written aftercare instructions are given, and you are reviewed within about a week.

After the treatment

  • Swelling usually peaks on the second day and then settles; cold packs for the first 24 hours help considerably.
  • Do not rinse forcefully, use a straw or smoke in the first 24 hours — these disturb the clot and can cause a painful dry socket.
  • Take the prescribed medication as directed and contact the clinic if bleeding, swelling or pain increases after the third day.

Frequently asked questions

No. A wisdom tooth that is fully erupted, cleanable and not causing damage can be left and monitored. The decision is made from the radiograph and the clinical picture.

Most people are comfortable within three to five days. Sutures, if not self-dissolving, are removed after about a week.

For lower wisdom teeth close to the nerve canal there is a small risk of temporary altered sensation. This is exactly why a 3D scan is taken when the roots sit near the canal.

This page is general information, not a diagnosis. Treatment planning is only possible after a clinical examination and radiographs at the clinic.

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