Oral Surgery

In cases of broken teeth, fractured teeth, affected by deep caries that have affected the nerve and can not be treated with a root canal cleaning technique.

Cases of advanced periodontitis, cysts or complicated sinusitis.
Sometimes we are forced to make extractions of poorly positioned teeth when even with orthodontic techniques they can not correct and in the bad position they can affect the periodontium.

Impacted teeth.

Dental extractions with an orthodontic objective.

There are different causes that can turn a simple extraction into a complex one. Among them we highlight:

For patient’s diseases: these are diseases that have a high rate of complication and require special preparation and operative care. Some of these diseases are: arrhythmias, ischemic heart disease, allergy to local anesthetics, disorders in hemostasis.

Lack of patient cooperation: the lack of cooperation on the part of the patient often requires taking special measures. Some of the alterations that can complicate the treatment can be mental alterations, dentophobic patients, exaggerated gag reflex or involuntary movements such as in choreatetosis or patients with Parkinson’s.

Multiple extractions: in the case of multiple extractions, they are usually done per quadrant. In all cases of extractions a small alveoloplasty is performed, which is why it is usually recommended to place an immediate prosthesis.

Local alterations: by malformed roots, geminated, dilacerated, broken teeth, ankylosed or strongly anchored.

There are also situations in which the bone is weakened, whether they are physiological (osteoporosis, osteomalacia) or pathological (cysts, tumors) which complicate the extraction.
Other situations are: radicular remains, dental crowding or inflammatory pathology added.

We must be prepared before any extraction before the possibility that it can be complicated and transformed into a surgical extraction. The most frequent indications that usually indicate that it is a surgical extraction is:

Retained teeth: because the adjacent teeth have been displaced.

Teeth included: because they are ankylosed in sub mucosa or bone.

Devitalized teeth or endodontics: as they are more fragile and may be weakened.

Teeth with bifurcated or dilacerated roots: when the roots of the pieces present a very pronounced curvature, there is a high probability that the roots will fracture during extraction.

Teeth that have been reabsorbed internally.

Teeth with decay at the level of the neck that we know that when doing strength at the cervical level it is very likely to fracture.

Wisdom teeth also known as wisdom teeth are located at the tip of the mouth. They usually appear between 17 and 25 years old. The dentist will be the one that indicates if it is necessary or not to perform the extraction of these teeth.

In general terms, extraction of wisdom teeth is usually recommended in the following cases:

The wheel is in an incorrect position or angle that can affect the crown or root of the adjacent tooth.

If the wheel is infected or the bone is damaged.

If there is crowding caused by the eruption of the wisdom tooth.

To start an orthodontic treatment and need space.

When the wisdom tooth does not fully erupt causing the gum to grow over and generate infection.

The jaw is small and the molars do not have enough space to erupt.

The included teeth are those that have not erupted in the indicated stage and remain in bone partially or totally. In these cases the protocol to follow is to perform a panoramic radiograph to find out what is the cause of the rash’s delay.

The possibilities of treatment in cases of teeth included are: therapeutic abstention (doing nothing, this option is not the most advisable), surgical removal or relocation of the tooth included in the dental arch (either surgical technique or surgical ortho).

It is a surgical intervention in which the infection that affects the root and the tissues that surround it is eliminated. This technique is done when other treatments have been tried, such as endodontics, and the infection has not been resolved.

Apicectomy consists of opening the gum in the area closest to the infection, in order to extract the tip of the root, which is where the infection is located. Once this is done, the duct is sealed with a substance called MTA and the incision is sutured.

It is not always possible to perform this technique, even sometimes it is contraindicated, as for example: in acute periods especially since it would bleed excessively, if the surrounding bone, in case much of the root has been destroyed or if the area of ​​infection is close to the breast.

The braces are mucosal folds that join the upper lip, lower lip and tongue. In certain situations, when the frenulum is inserted too low, it can cause certain alterations such as orthodontic, periodontal, phonetic and prosthetic problems. The most frequent problems that can generate us are:

In the case of the upper labial frenum, it can cause large separations in the upper central incisors. If this separation is very pronounced, it can even cause whistling when speaking.

The lower labial frenulum causes gingival retractions and gingivitis due to the patient’s inability to carry out proper oral hygiene.

The excessively short lingual frenulum can affect the level of language and speech alterations, difficulties in breastfeeding and swallowing or alterations in the relation with the prosthesis.

The way to correct this anomaly in the braces is through a surgical intervention in which either the entire frenum is removed (frenectomy) or relocating the frenulum placement in its normal position (frenotomy). If, after performing the upper lip frenulum surgery, the diastema that has been created is not corrected, it will be necessary to carry out an orthodontic treatment.

Currently, at the Loscos Dental Clinic, we perform this type of surgery with a surgical laser, on an outpatient basis and without the need for suturing.

The torus are enlarged benign bone, which appear on the palate or on the inside of the jaw. This enlargement may be unique or several may appear grouped. The removal of these bone calluses is usually not indicated unless a prosthesis is placed and interferes with placement and stability. On rare occasions, the torus grow and increase in size, to the point of interfering with speech and causing ulcerations of the mucosa. In the latter case, the removal of the torus would also be indicated.

The odontogenic cyst may be formed by liquid or semi-solid material that can lead to bone destruction and as a result there is tooth movement or it becomes a non-benign lesion.

The dental cyst can appear at any age and at the beginning they usually do not cause pain, although some can reach expansion of the cortical bone and it is when the tooth movement occurs.

The treatment of these cysts is preferably surgery to eliminate it. This should be done by a dentist specialized in surgery, because if it is not removed with the correct technique, it may appear again.

If you have any type of lump or pain in your teeth or notice any type of dental movement, go to our clinic and we will analyze the origin.

Fibroids are the most common benign tumors of the oral cavity. They are fibrous enlargements that can appear in any part of the oral cavity as tongue, cheeks or gums. They have a bright and tirso appearance and are well defined in their extension. They appear in areas of friction, such as that caused by removable prostheses.