WISDOM TOOTH EXTRACTION
Wisdom teeth, also known as third molars, are the last set of molars in the human mouth. They typically emerge in late adolescence or early adulthood, usually between the ages of 17 and 25. Wisdom teeth were useful for our distant ancestors who had a diet that included tougher foods, but in modern times, they often lack the necessary space to fully erupt and can become impacted or cause dental issues.
WHEN IT HAS TO BE REMOVED ?
01.
Impaction
Wisdom teeth often don't have enough space to fully emerge properly in the mouth. When they become impacted, meaning they are partially or completely blocked from coming in, they can cause pain, swelling, and infection.
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Infection or Gum Disease
Wisdom teeth are located at the back of the mouth, making them difficult to clean properly. This can lead to the development of gum disease or infections around the wisdom teeth, which may require removal.
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Cysts or Tumors
In some cases, cysts or tumors can form around impacted wisdom teeth, potentially causing damage to nearby teeth and bone. Removal may be required to address these growths.
02.
Pain and Discomfort
If your wisdom teeth are causing persistent pain, discomfort, or pressure in the back of your mouth, extraction may be recommended to alleviate these symptoms.
04.
Tooth Decay
Wisdom teeth are susceptible to cavities due to their location and difficulty in cleaning. If decay is extensive and cannot be effectively treated with a filling, extraction may be necessary.
06.
Orthodontic Considerations
Wisdom teeth can exert pressure on neighboring teeth, causing crowding or shifting of the teeth. In such cases, extraction may be recommended as part of orthodontic treatment.
WHAT TO EXPECT ?
We start by taking a comprehensive X-ray of your entire mouth, known as an OPG (Orthopantomogram). This allows us to assess the position of your teeth, their anatomy, and the surrounding structures. If wisdom tooth extraction is deemed necessary, our highly skilled and experienced oral and maxillofacial surgeon will explain the procedure and the treatment plan.
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Our collaborative team ensures an efficient and patient-centered care process, prioritizing your well-being and that of your family. If you or your teenager require wisdom tooth extraction, please don't hesitate to get in touch with us.
FRENECTOMY
A frenectomy is a surgical procedure that involves the removal or modification of a frenulum, which is a small fold of tissue that connects two parts within the mouth. There are two primary types of frenula in the oral cavity that can be the focus of a frenectomy:
1
Labial Frenectomy
This procedure involves the removal or modification of the labial frenulum, which is the tissue that connects the upper lip to the gums or the lower lip to the lower gum area. When the labial frenulum is excessively large or positioned too close to the front teeth, it can lead to issues like diastema (gap between teeth) or difficulty with speech and orthodontic treatment. A labial frenectomy can help correct these problems.
2
Lingual Frenectomy
This procedure targets the lingual frenulum, which is the tissue beneath the tongue connecting it to the floor of the mouth. When the lingual frenulum is too short or tight (a condition known as ankyloglossia or "tongue tie"), it can restrict the movement of the tongue. This can interfere with proper speech, breastfeeding (in infants), and oral hygiene. A lingual frenectomy can improve tongue mobility.
FOR WHOM FRENECTOMY IS DONE
01.
Infants with Difficulty Breastfeeding
Infants born with a tight or restrictive lingual frenulum (tongue tie) may have difficulty latching onto the breast during breastfeeding. In such cases, a lingual frenectomy can improve tongue mobility and facilitate breastfeeding.
02.
Children and Adults with Speech Difficulties
A restrictive lingual frenulum can interfere with speech development and clarity. People who have difficulty pronouncing certain sounds or have speech impediments due to a tongue tie may benefit from a lingual frenectomy.
03.
Individuals with Orthodontic Issues
In some cases, a large or improperly positioned labial frenulum can contribute to a diastema, which is a gap between the front teeth. Our Orthodontists may recommend a labial frenectomy to help with orthodontic treatment and the closure of the gap.
04.
Oral Hygiene Concerns
A tight or restrictive lingual frenulum can hinder proper tongue movement during oral hygiene practices like brushing and flossing. This may lead to oral hygiene issues, such as difficulty cleaning the back of the teeth and gums. A frenectomy can improve access for effective oral hygiene.
05.
Comfort and Function
Some individuals may experience discomfort or irritation caused by the labial or lingual frenulum. For example, a tight labial frenulum might cause gum recession or discomfort when the upper lip is stretched. A frenectomy can alleviate these issues.
WHAT TO EXPECT
1. Anesthesia: The patient receives local anesthesia to numb the area where the frenulum (the small fold of tissue) will be removed or modified. This ensures that the procedure is painless.
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2. Incision: Using special scissors or a laser, toral surgeon makes a small incision in the frenulum. The type of incision depends on the specific frenectomy being performed (labial or lingual).
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3. Frenulum Removal or Modification: The surgeon carefully removes or modifies the frenulum tissue to release any tightness or restriction. In the case of a lingual frenectomy, this allows for improved tongue movement.
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4. Sutures (if necessary: Depending on the method used and the patient's needs, the surgeon may use dissolvable sutures to close the incision. In some cases, no sutures are needed.
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5. Postoperative Care: After the procedure, the patient can expect some mild discomfort, swelling, and possibly a little bleeding at the surgical site. The surgeon will provide postoperative care instructions, which may include gentle rinsing with warm salt water and over-the-counter pain relievers. Patients should avoid certain foods and activities for a few days to aid in healing.
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6. Healing: The healing process usually takes about one to two weeks. During this time, the patient should follow the surgeon's instructions for proper care of the surgical site.
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7. Follow-up: Patients typically have a follow-up appointment with the oral surgeon to ensure the healing process is going well and to remove any sutures if they were used.
Symptoms
Gingivitis
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Redness and swelling of the gums.
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Gums that bleed when brushing or flossing.
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Bad breath (halitosis).
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Mild gum sensitivity or discomfort.
Periodontitis
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Persistent bad breath or a bad taste in the mouth.
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Gums that recede or pull away from the teeth.
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Pockets or gaps forming between teeth and gums.
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Tooth mobility or shifting.
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Changes in the way teeth fit together when biting.
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Pus between teeth and gums.
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Pain and discomfort when chewing.
At Corona Dental Care, we employ specialized instruments and diagnostic X-rays to precisely assess the health of the gum and bone tissue surrounding each tooth. This evaluation allows us to categorize your oral condition based on the extent of structural loss, placing you into one of the following categories: healthy gums, gingivitis, or various stages of periodontitis.
GINGIVITIS TREATMENT
It's an early stage of gum disease typically caused by plaque buildup. Gingivitis can often be reversed with improved oral hygiene and professional dental cleaning to eliminate plaque and tartar, followed by guidance on maintaining proper oral hygiene practices. In certain cases, antimicrobial mouthwash or antibiotics may be recommended.
PERIODONTITIS TREATMENT
In periodontitis, the inflammation and infection in the gums extend deeper into the supporting structures of the teeth, including the bone.
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Treatment typically involves more extensive scaling and root planing, sometimes with surgical procedures, to remove plaque and tartar deep below the gumline.
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Antibiotics or antimicrobial treatments may also be prescribed, and ongoing periodontal maintenance is crucial to manage the condition and prevent further damage.
FAQ
GUM DEPIGMENTATION
The natural color of gums typically falls within a range of pink to coral pink hues, contributing to a healthy and vibrant smile. However, some individuals may have naturally pigmented gums that appear darker, often presenting as shades of brown or even black. This variation can affect their self-confidence and desire for a brighter smile. To address this concern, Corona Dental Care offers a specialized procedure known as laser depigmentation, performed with the utmost skill and precision. This treatment effectively lightens the pigmented areas of the gums, ensuring not only an aesthetic transformation but also a boost in self-assurance by giving you the confident smile you've always desired.
WHAT TO EXPECT
During laser gum depigmentation, our skilled dentist employs a specialized dental laser to carefully remove excess pigmentation from the gum tissue. This procedure is virtually painless and minimally invasive, thanks to the precision of the laser technology. Patients can expect a comfortable experience with minimal discomfort and a quick recovery time.
The process typically involves:
01.
Anesthesia
Local anesthesia is administered to numb the area, ensuring the patient's comfort throughout the procedure.
02.
Laser Treatment
The dentist uses a laser to gently remove the pigmented layers of gum tissue. The laser precisely targets the melanin deposits responsible for the dark coloration.
03.
Recovery
After the procedure, patients may experience mild swelling and discomfort, which can be managed with over-the-counter pain relievers. It's essential to follow post-operative care instructions, including maintaining good oral hygiene and avoiding certain foods and habits that might irritate the treated area.
04.
Results
Over the following weeks, the gums gradually lighten to reveal a more uniform and aesthetically pleasing appearance. Patients can expect a brighter, confident smile.
CYST REMOVAL & ENUCLEATION
Intra-oral cyst removal, or enucleation, is a surgical procedure performed inside the mouth to extract cysts that develop within oral structures such as the jawbones, salivary glands, or soft tissues. The surgeon gains access through an oral incision, carefully separates the cyst from surrounding tissues, and removes it intact or in pieces, depending on the cyst's size and nature. The incision is usually sutured closed, and patients may experience mild discomfort and swelling post-surgery, with a relatively swift recovery. This procedure is often used for odontogenic cysts or other cystic lesions within the oral cavity.
SYMPTOMS
1. Painless Swelling: A painless lump or swelling in the mouth, jaw, or cheek area that gradually enlarges.
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2. Discomfort: Some cysts may cause discomfort or a feeling of pressure if they grow large enough or press against adjacent structures.
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3. Difficulty Chewing: Depending on the cyst's location, it can interfere with normal jaw movement and cause difficulty in chewing or biting.
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4. Gum or Mucosal Changes: Cysts near the gums or within the oral mucosa may lead to changes in the appearance of the surrounding tissues, such as redness, ulceration, or stretching.
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5. Tooth Mobility: Cysts associated with the jawbones can affect adjacent teeth, potentially leading to tooth mobility or displacement.
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7. Infection or Abscess Formation: In some cases, intra-oral cysts can become infected, causing pain, swelling, and possibly the formation of an abscess.
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8. Numbness or Tingling: Cysts pressing against nerves may result in numbness or tingling sensations in the affected area.
WHAT TO EXPECT
1. Initial Consultation: Patients usually start with an initial consultation with our skilled oral surgeon. During this visit, the surgeon will review the patient's medical and dental history, perform a thorough oral examination, and may order imaging studies (like X-rays or CT scans) to assess the cyst's size and location.
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2. Discussion of Procedure: The surgeon will explain the procedure, its risks, benefits, and alternative treatments. They will also discuss anesthesia options, including local anesthesia, conscious sedation, or general anesthesia, depending on the complexity of the case and the patient's preferences.
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3. Preoperative Instructions: Patients will receive specific preoperative instructions, which may include fasting for a certain period before the surgery, discontinuing certain medications, and arranging for transportation to and from the clinic, especially if they'll be under sedation.
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4. Informed Consent: Patients will be asked to provide informed consent, acknowledging that they understand the procedure and its potential risks.
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5. Scheduling the Procedure: Once the patient is fully prepared and the surgical plan is in place, a surgery date will be scheduled.
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6. The Day of the Procedure: On the day of the cyst enucleation procedure, patients should arrive at the clinic as instructed. The surgeon and their team will ensure that the patient is comfortable and ready for the surgery.
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7. Postoperative Care: After the procedure, patients will receive instructions on postoperative care, including pain management, dietary restrictions, and oral hygiene guidelines. They will also be given information about potential complications to watch for and contact information for the clinic in case of any concerns.
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8. Follow-up Appointments: Patients will typically have one or more follow-up appointments to monitor their healing progress and remove any sutures if necessary.
APICOECTOMY
An apicoectomy, also known as root-end resection, is a surgical dental procedure performed to treat certain types of tooth infections or persistent dental issues. It is typically done when a root canal treatment has not completely resolved the problem, and the infection or inflammation persists in the area near the tip of the tooth's root.
WHEN IS APICOECTOMY DONE
1. Persistent Infection: When a tooth that has undergone one or more root canal treatments continues to be infected or remains a source of chronic inflammation, an apicoectomy may be considered. This is usually done after conventional root canal therapy has been attempted.
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2. Root Canal Anatomy Complexity: Some teeth have complex root canal systems that are challenging to clean and seal completely during standard root canal treatment. In such cases, an apicoectomy can provide direct access to the root tip to ensure thorough cleaning and sealing.
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3. Dental Abscess: When a dental abscess forms at the tip of a tooth's root, causing localized swelling, pain, and discomfort, an apicoectomy may be performed to remove the source of the infection.
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4. Fractured or Damaged Roots: Teeth with fractured or damaged roots that cannot be effectively treated with conventional root canal therapy may require an apicoectomy to address the problem.
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5. Resolving Impacted Foreign Objects: In rare cases, foreign objects or materials (like broken dental instruments) may become lodged in the root canals during previous dental procedures. An apicoectomy can be performed to locate and remove these objects.
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6. Preservation of a Tooth: In some cases, a dentist may recommend an apicoectomy as an alternative to tooth extraction, especially if the tooth in question is important for maintaining proper oral function and aesthetics.
WHAT TO EXPECT
1. Anesthesia: The patient is given a local anesthetic to numb the affected tooth and the surrounding area, ensuring they don't feel any pain during the procedure.
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2. Exposure of the Affected Area: The oral surgeon or endodontist makes a small incision in the gum tissue near the affected tooth, providing access to the root tip and the surrounding bone.
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3. Removal of the Root Tip: The surgeon carefully removes the infected or damaged portion of the tooth's root, including any surrounding tissue if necessary.
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4. Cleaning and Sealing: The area where the root tip was removed is cleaned to eliminate any remaining infection or debris. A biocompatible filling material is then placed in the root canal to seal it and prevent future infection.
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5. Suture Closure: The gum tissue is sutured (stitched) back into place, and the incision is closed.
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6. Recovery: Patients are typically given postoperative care instructions, including pain management recommendations and guidelines for oral hygiene. There may be some mild discomfort and swelling following the procedure.
