Oral, Dental and Jaw Surgery


Wisdom Teeth


Wisdom Tooth Pain and Treatment Process
Wisdom teeth are the third molars that should erupt between the ages of 17-26.

In Which Cases and When Should Wisdom Teeth Be Extracted?


  • Wisdom teeth are the teeth located at the very back of the mouth. Since they are in an area that is hard to reach and see, they can be more difficult to brush and maintain than other teeth. Due to inadequate brushing, wisdom teeth can easily decay, causing pain and bad breath. In some cases, wisdom teeth cannot emerge due to the lack of space in the jaw. They can remain completely impacted (underneath both the gum and jawbone, completely invisible in the mouth) or they can remain half-impacted under the gum and become associated with the oral environment. In this case, they cause food to get stuck and accumulate in the area where they emerge from the gum, causing infection. This condition, which causes swelling and redness in the gum around the wisdom tooth, severe pain spreading to the neck and ear, swelling of the lymph nodes, and pain when opening the mouth and swallowing, is called pericoronitis.
  • Fully impacted wisdom teeth can squeeze the teeth in front of them, causing crookedness (crookedness) in the teeth. They can also put pressure on neighboring teeth, causing them to decay. Impacted wisdom teeth that go unnoticed for many years can cause serious problems by causing cysts that reach large sizes in the jaw.
  • Even if it does not cause any problems, wisdom teeth may need to be extracted for orthodontic treatment in order for the other teeth to line up properly. For these reasons, wisdom teeth need to be extracted with local anesthesia by numbing only the area where they are located.
  • The extraction of wisdom teeth should be performed by oral surgeons.
     

Do Wisdom Teeth Have to Be Extracted?
There is no need to extract a healthy wisdom tooth that is in the correct position.


Is There Much Pain After Wisdom Tooth Extraction? Following a quick and adequate surgery, there is not much pain and the pain that occurs can be easily controlled with mild painkillers.


Will My Face Swell After Extraction?
Edema in the cheek varies greatly depending on the condition of the tooth and from person to person. In order to prevent swelling, a cold compress (ice compress) should be applied to the cheek area for the first 24 hours. Mild swelling is normal and is a stage of the healing process.

Impacted Teeth

What is an Impacted Tooth?

Teeth that have not erupted but are under the gum or bone are called impacted teeth.

In Which Cases and When Should Impacted Teeth Be Extracted?
Wisdom teeth are the teeth located at the very end of the mouth. Since they are in an area that is difficult to reach and see, brushing and maintenance can be more difficult than other teeth. Due to insufficient brushing, wisdom teeth can easily decay, causing toothaches and bad breath. In some cases, wisdom teeth cannot emerge due to the lack of space in the jaw. They can remain completely impacted (under both the gum and jawbone, completely invisible in the mouth) or they can remain semi-impacted under the gum and become associated with the oral environment. In this case, they cause food to get stuck and accumulate in the area where they come out of the gums, causing infection. This condition, which causes swelling and redness in the gums around the wisdom tooth, severe pain spreading to the neck and ear, swelling of the lymph nodes, pain when opening the mouth and swallowing, is called pericoronitis. Completely impacted wisdom teeth can squeeze the teeth in front of them, creating crookedness (crookedness) in the teeth. They can also put pressure on the neighboring tooth, causing this tooth to decay. Impacted wisdom teeth that go unnoticed for many years can cause serious problems by causing cysts that reach large sizes in the jaw. Even if they do not cause any problems, wisdom teeth may need to be extracted for orthodontic treatment in order for the other teeth to line up properly. For such reasons, wisdom teeth should be extracted by numbing only the area where they are with local anesthesia.

Is There Much Pain After Impacted Tooth Extraction?
There is no much pain following the surgery that is performed quickly and adequately, and the pain that occurs is easily controlled with mild painkillers.

Will My Face Swell After Impacted Tooth Surgery?
Edema in the cheek varies greatly depending on the condition of the tooth and from person to person. In order to prevent swelling, a cold compress (ice compress) should be applied to the cheek area for the first 24 hours. Mild swelling is normal and necessary for healing.


What is Jaw Cyst Surgery?
Jaw cysts are odontogenic (tooth-related) cysts that occur anywhere in the mouth. They are noticed by the patient by causing pain or swelling, or they can reach quite large sizes without being noticed at all. Although treatment methods vary depending on the location and size of the jaw cyst, they should be removed by oral and dental surgeons.

What Kind of Problems Do Jaw Cysts Cause? Can They Be Left Unremoved?
Odontogenic cysts are generally benign and slow-growing formations, but if not treated in time, they can reach very large sizes and damage normal anatomical cavities such as the sinus, nasal cavity, nerves, or show signs of malignancy (transformation into malignant tumors may be observed).

How is Jaw Cyst Surgery? Can't It Be Done While Anesthetized?
Root canal treatment is first performed on teeth that are determined to be associated with the cyst during the examination. The cyst is anesthetized. The gum is lifted from the easiest place to reach the cyst and the cyst is reached by removing the least amount of bone possible. It is cleaned from all borders and closed with stitches, and the remaining healthy bone is left to heal. The removed part must be examined in the pathology laboratory. Jaw cysts that are determined to be very large must be removed under general anesthesia. During the examination, your doctor decides how the procedure will be performed.

Is Jaw Cyst Surgery a Painful Procedure?
Cyst surgery is no different from procedures such as tooth extraction or implants. As in other surgical procedures, antibiotics, painkillers and antiseptic mouthwashes deemed appropriate by the dentist can be used.

Oral Cancer Diagnosis
Oral cancers constitute 5% of all cancers seen in our body. Malignant cancers in the mouth area are important because they are close to vital areas (brain, etc.) and have the possibility of spreading to other parts of the body more easily due to their anatomical location.

Why is Early Diagnosis Important?
Abnormalities in the mouth area are much simpler to treat before they turn into cancer or even if they have turned into cancer, when they are in the early stages, and the person's risk of death decreases with early diagnosis. Cancer can be treated before it spreads to other parts of the body. As the cancer stage progresses and spreads, the person's risk of death increases and more tissue loss occurs in the removal of the spreading cancer.


Who is at Risk for Oral Cancer?


  • Those who smoke and consume alcohol
  • Those with a family history of cancer
  • Poor oral hygiene
  • Unsuitable dentures (dentures that constantly dent)
  • Those with abnormal formations in their mouth (white, red abnormalities, bleeding foci, non-healing wounds)
     

What is the Risk of Abnormal Formations in the Mouth Turning into Cancer?
It would not be right to say that every abnormal formation observed in the mouth will cause cancer. However, such abnormalities should be determined first and monitored periodically as they may have the risk of turning into cancer in the future. In case of any progress or suspicious situation, the patient is referred to an Ear, Nose and Throat doctor.

Temporomandibular Joint Disease Treatment


What is Temporomandibular Joint Disorder? Temporomandibular
joint disorders are disorders seen in the bony and soft tissues of the jaw joint that connects the lower jaw to the upper jaw. In this disorder, simple symptoms such as a clicking sound can be observed, as well as serious symptoms such as the jaw locking. It can occur for many reasons (accident, incorrect treatments, stress, habits, etc.). Temporomandibular joint disorder continues to increase over time. Therefore, the earlier the treatment is started, the more successful the treatment is.

What are the Problems / Diseases Caused by Temporomandibular Joint Disorder?


  • Sound coming from the jaw while eating
  • Jaw Locking or Stuck
  • Pain
  • Limitation of mouth opening
     

What are the causes of jaw joint disorders?


We can divide the reasons into three main groups:


1) Depending on the dentist's treatments:


  • Mouth remaining open for a long time, like a 20-year-old shoot
  • After orthodontic treatment
  • Improperly made crowns and fillings
     

2) Habits of the person:


  • Biting lips
  • Lying face down
  • Put your hand on your chin
  • Chewing gum for a long time
  • Prolonged exposure to wind (especially for motorcyclists)
  • Don't slouch
     

3) The person is under stress:


It causes more jaw joint complaints than other factors. Since a person under intense stress constantly contracts their facial muscles, more load is put on the jaw joint than normal.

What is the Treatment for Teeth Grinding or Clenching?
Soft or hard night plates prepared for you by taking the measurements of your teeth are recommended. These plates need to be renewed at certain intervals. In addition, reducing the stress in the person's daily life is important for the success of the treatment.

Frenectomy (Removal of Lip/Tongue Tie)

What is Frenulum (Tongue, Lip, Cheek Tie)?

Frenulum is the soft mucosal tissue located between the gum tissue and the tongue, lips and cheeks, which connects these tissues to each other and limits their movements.

In What Situations Do Frenulums Pose a Risk to Oral Health?
Especially when frenulums are larger and thicker than normal and are attached very close to the edge of the tooth, they can pull the gum down, causing gum recession and gum disease. Larger and thicker frenulums under the tongue can cause speech problems, especially in young children.

Do Frenulums Cause Aesthetic Problems?
Yes, especially when there is a thicker and larger frenulum than normal between the lower and upper middle teeth, it causes the teeth not to come together and leaves gaps called diastema between the teeth, causing aesthetic problems.

What can be done when frenulums cause functional or aesthetic problems?
When frenulums are located close to the gum edge, which can cause gum recession and gum disease, they should be removed from that area. Especially when they are located between the upper and lower incisors and cause diastema, the frenulum should be removed first, and then orthodontic treatment is applied to bring the teeth together.

How is Frenulum Removed?
Frenulum is removed within minutes with a procedure called frenectomy.


How is Frenectomy Performed?
Thanks to developing technology, frenectomy is now mostly performed with laser assistance, which makes the procedure both short and bloodless. However, in cases where the ligament is very large or deep, it must be surgically removed and stitched.


Will I Feel Pain During the Procedure?
Frenectomy is performed under local anesthesia, so there is no pain during the procedure. It is comfortable with regular care and medication after surgery.


How Long Do Stitches Stay?
Stitches are removed one week after the procedure.


Are There Any Scars After Frenectomy?
There are no scars after frenectomy.