Oral Surgery in Oradea

An included tooth refers to one that remains partially or completely in the jawbone, failing to erupt into the dental arch, even though it is fully or largely formed.

Typically, teeth that erupt later in the dental arch are more likely to become included, with the third molars (wisdom teeth) being the most frequently included, either fully or partially.

There are several considerations in this regard. Generally, an included tooth that has caused or is likely to cause medical issues is indicated for extraction (odontectomy) from the jawbone. Instead, if an included tooth has a minimal chances of causing complications, several studies suggest that it may be more indicated to leave the tooth in the dental arch, either intact or following an odontectomy to remove the coronal portion. At Maxilomed Clinic, we customize the recommendations for the removal of impacted teeth based on the criteria mentioned earlier, and we do not generalize that all included teeth must be extracted or vice versa.

Odontectomy is a surgical procedure that involves the removal of included teeth from the jawbone. This procedure is most commonly applied to wisdom teeth, while for canines (another type of tooth that is frequently partially or fully impacted), we aim for recovery through a collaborative effort between the oral surgeon and the orthodontist.

Odontectomy involves removing a portion of the bone that covers the tooth to facilitate its extraction. Typically, the oral surgeon will need to lift the gum, remove the surrounding bone (and sometimes section the tooth), and then extract the tooth itself. Finally, a few sutures are applied to close the postoperative wound.

In general, wisdom teeth are indicated for odontectomy when they are unlikely to erupt in the dental arch and may interfere with the results of orthodontic treatment. From a surgical perspective, germectomy (removal of a partially formed tooth) is recommended for wisdom teeth when approximately two-thirds of the root has developed. Germectomy can also be performed when about half of the dental root has formed.

Performing the germectomy too early can make the procedure more challenging; therefore, we do not recommend it in such situations unless there are exceptional circumstances.

Most infections at the root apex are caused by bacteria that have infected the tooth following a pulp necrosis (the nerve has died and decayed). Currently, endodontic specialists can often clean the interior of a tooth sufficiently to eliminate the bacterial infection. By removing the cause, we can usually resolve the issue.

However, if the symptoms persist, apical resection (the surgical procedure that removes the root apex and the surrounding inflamed tissue) is a viable option to consider, as it can help to extend  the life of the tooth on the dental arch.

The maxillary sinus is a cavity located within the zygomatic bones (cheekbones) that communicates with the nasal cavity. It is situated in close proximity to the roots of the upper dental arch, with the distance varying from person to person. There are situations in which it is almost certain that the maxillary sinus will be opened during an extraction, leading to a communication between the sinus and the oral cavity.

In such cases, the oral surgeon will perform a repair of the communication between the two cavities to prevent contamination of the maxillary sinus with contents from the oral cavity, thereby avoiding complications such as maxillary sinusitis. This is one of the many reasons why, at MaxiloMED Clinic, all surgical interventions, including dental extractions, are performed by specialists or primary doctors in oral and maxillofacial surgery.

The surgical guide is a benefit that has emerged with the advancement of digital technology. It allows us to create a digital model and subsequently develop a template that we use to optimally position dental implants, both in terms of location and angulation.