Oral Surgery
We offer a range of oral surgery procedures by our specialist team. These include:
- Simple and complex dental extractions
- Removal of simple and complex wisdom teeth
- Removal of retained roots
- Orthodontic extractions
- Exposure and bonding of unerupted teeth for orthodontics
- Simple and complex dental implants
- Surgical management of failed endodontic treatment (Apicectomy)
- Cyst enucleation associated with teeth
- Pre-prosthetic surgery
- Labial and lingual frenectomies
- Bone grafting and sinus lifts
Management of wisdom teeth
Wisdom teeth are normally the last molar teeth on the upper and lower jaw to erupt. They normally erupt when you are 18-24 but there are lots of incidences when they erupt earlier or much later. Impacted wisdom teeth are those, which cannot erupt into the mouth, mostly because they are impacted against the adjacent teeth or the bone.
The gum tissue partially covering the wisdom teeth will lodge food debris and cause inflammation of the tissues around as well as infection. This is mostly seen with the lower wisdom teeth and could be an extremely painful condition. Fully erupted wisdom teeth seldom cause problems. An experienced dentist or a Specialist Oral surgeon should treat symptomatic complicated wisdom teeth.
Surgical endodontics (apicectomy)
Teeth that have failed following root canal treatment (endodontics) are salvaged by surgical endodontics (Apicectomy). The aim of this treatment is to remove the infected tissue from the root tip and seal this area by a non-tissue irritating restoration. This treatment is more successful in single-rooted teeth (upper and lower anterior teeth). However, the failure rates go up with multirooted teeth.
There is strong evidence to show that periapical pathology is best treated endodontically even if a crown or a bridge is in place.
Symptomatic persistent infection is best managed by repeat endodontic therapy and if necessary by a specialist endodontist.
An apicectomy can be considered when:
- There are persistent signs and symptoms after repeated, root canal treatment.
- Enlarging or persistent cysts (visible on x-rays)
- Root canal is not possible.
Essentials before considering apicectomy:
- No periodontal disease and good oral hygiene.
- Good bone support for the tooth.
- Adequate root canal with a well-fitting restoration. If necessary a repeat root filling may be required first.
Lingual (lower) or labial (upper) frenectomy
A lingual frenectomy is surgical procedure that removes a (fibrous) band of tissue that connects the underside of the tongue with the bottom of the mouth. It is often performed if the fibrous attachment is short, thick and fleshy and interferes with eating or speaking. These patients experience a restriction in tongue movement and are often referred to as being tongue-tied.
A labial frenectomy removes the (fibrous) band of tissue that attaches between the upper front teeth and the upper lip. Patients undergoing orthodontic treatment often have this procedure to assist with closing gaps between the front teeth. Sometimes this attachment can cause gum recession and gum problems.
Send us a message
The team at Cedar Dental & Implant Clinic welcome the opportunity of discussing your dental requirements. Our practice provides private care for adults and children. Please feel free to call us on 01842 818 188, or complete the form below and one of our team will be in touch shortly. If you are looking for NHS dentistry, please visit the NHS website for further information.
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