Dental Treatments - Surgical Dentistry

Surgical dentistry is involved with the surgical management and treatment of teeth and the surrounding jaw bones.

The surgical procedures that are most commonly carried out in our clinic are as follows:

  • Extraction of failing or broken down teeth
  • Removal of retained roots
  • Surgical removal of symptomatic 3rd molars (wisdom teeth), including the complex and impacted ones
  • Surgical root surgery (apicectomy)
  • Implant placement and the associated bone grafting and soft tissue management
Surgical removal of the teeth carefully and meticulously will result in bone preservation which is needed for simultaneous or future implant placements.

Surgical procedures carried out by our experienced dental surgeons are done quickly and efficiently to make the procedure as easy for patients as possible. The surgeon’s experience coupled with the use of special microsurgical instruments means that even complex situations can be handled using minimally invasive techniques in order to minimise post-operative discomfort for patients. These procedures help to optimise healing and to preserve bone volume if future implant placement is planned to replace teeth.

Re-implant reconstruction prior to removal of impacted tooth and roots, to be followed by sinus grafting

Many dentists are not comfortable with removal of complex and broken down teeth and they sometimes need to refer these cases to NHS hospitals where, unfortunately, there can be long waiting lists. At Hospital Lane we can prioritise patients in pain and remove the offending teeth in a matter of a few days.

Patients can be understandably very nervous about having their teeth removed and in some cases intravenous sedation is a good option. Sedation relieves anxiety and often there is no recollection of the procedure thus making the surgery a less traumatic experience and it is the ideal choice if you feel nervous.

Autogenous bone graft procedure

This procedure involves using the patient's own bone. This bone is considered to be the 'gold standard' in grafting procedures because the patient's own bone will have better healing properties and acceptance by the body.

In many instances, bone can be harvested and collected prior to or during implant bed preparation and re-used to repair any bone defect around the implant. This technique is particularly useful in managing some challenging cases which can otherwise be very difficult to treat and is much less traumatic for the patients.

On other occasions, if more bone volume is required, it involves using bone from another part of the patient's mouth, mostly from back of the lower jaw. This harvested bone block will be fixed to the site of the defect and it needs to be left to heal up for at least four months before placing the implant. The implant will take three further months to integrate to the new bone. As a general rule, the augmented site using patient's own bone will have a shorter healing period compared to a graft using biomaterials.

Grafting is a highly skilled surgical procedure and several techniques have been developed in this field of surgical dentistry. Your surgeon will advise you as to the relative merits and risks associated with this procedure in your particular situation.

Tooth loss and bony defect prior to implant treatment
Preoperative, site needs grafting for implant
Post-operative image three months after autogeneous bone graft and implant placement
Bone volume recreated with bone graft
Post-operative image three months after autogeneous bone graft and implant placement
X ray of implant in grafted site
Post-operative image three months after autogeneous bone graft and implant placement
Final crown to restore missing tooth on implant