Tissue Guidance Operations
Graft Application is the process of completion of tissue loss with tissue taken from various sources.
Soft Tissue Grafts are mostly applied for:
- Removing sensibility and restoring the appearance of the tooth when the root surface of the tooth is visible due to receded gums,
- Preventing progress of gum disease due to insufficiency or lack of bonded gum,
- Preventing possible problems especially those that occur in implant applications for thin phenotype patients.
Bone Grafting:
- For the treatment of bone loss around the teeth,
- When sufficient bone volume needs to be created for implant placement,
is a commonly used treatment method.
Hemisection (Tooth Devision)
Hemisection is a procedure which divides a multi-rooted tooth to be able to evaluate the tooth in two independent parts.
In the situation, that one of the roots can not be treated, it is possible to divide the tooth and therefore the sickly part can be extracted. Another situation where hemisection can be implemented is when there is a problem resulting from the furcation (connection of roots). In that case the molar tooth can be divided and then be evaluated and treated as two seperate teeth.
Hemisection is a treatment, which can be resorted to for saving teeth.
Embedded Tooth Operations
Embedded teeth can cause cysts around themselves and/or can threaten the health of other teeth around them. In this case they are extracted from under the tissue through surgery. Embedded teeth are considered similar to embedded wisdom teeth.
Wisdom Teeth
Third molars, commonly known as wisdom teeth, are also referred to as “third molars” because they usually erupt during the period of maturity and adulthood. They most commonly erupt between the ages of 17 and 25.
Today, it is common to see wisdom teeth that are unable to take their proper place within the dental arch, erupt while crowding other teeth, develop in an incorrect position, or remain impacted within the jawbone.
When a wisdom tooth causes crowding of the other teeth, the teeth do not automatically realign after the wisdom tooth is removed. Therefore, it is important to remove the tooth at the appropriate time, sometimes before it erupts. Incorrect positioning can make cleaning the area difficult or, in some cases, impossible. This may lead to decay of both the wisdom tooth and the adjacent tooth, making timely extraction necessary.
Impacted wisdom teeth, however, are removed only in certain situations. Impacted wisdom teeth detected at a young age are often removed because of the possibility that they may cause future problems such as cysts or infections. At younger ages, the surgical site generally heals completely over time and the extraction area becomes fully filled with bone.
Following the removal of impacted teeth at an older age, the surgical site may appear to fill with bone, but the overall bone level may decrease. In addition, the difficulty of the surgical procedure and the postoperative discomfort associated with removing wisdom teeth that have remained problem-free for many years should also be taken into consideration. For this reason, impacted wisdom teeth in older patients are generally removed only if they cause a problem or interfere with a planned treatment.
In other words, not every impacted wisdom tooth needs to be removed. In some cases, it may remain impacted for a lifetime. Impacted wisdom teeth that are left in place should be monitored through routine examinations to ensure that they do not form cysts or damage the roots of adjacent teeth.
Impacted teeth are not considered precancerous lesions.
In recent years, as implant-related complications have become more apparent, autotransplantation has gained renewed consideration as a treatment option. Although the use of wisdom teeth for this purpose is limited, it should not be overlooked.