Oral and maxillofacial surgery

• If teeth damaged due to decay or fracture cannot be treated with filling, root canal treatment, crown, or any other treatment method.
  
  
• If the bone tissue supporting the tooth has been lost due to gum disease where the tooth has started to loosen, and the tooth cannot be saved with gingival treatment.
  
  
• If there are milk teeth that do not fall out when they are supposed to.
  
  
• To gain the necessary space for the correct arrangement of the teeth in people who will undergo orthodontic treatment.
  
  
• If there are impacted teeth, especially third molars, where they need to be removed if they cause tightness, bruising or pain in the jaws.

• There is usually no discomfort after straightforward extractions, but the use of painkillers may be required.
  
  
• Surgical extractions, on the other hand, may cause pain as they are more complicated. Depending on the difficulty of the extraction, the symptoms and duration of the discomfort to be experienced afterward vary. The pain disappears a few days after the surgical extraction.
  
  
• It is important that you use the medicines your doctor will give you as prescribed.
  
  
• After the extraction, pressure is applied to the area with gauze for at least 30 minutes to coagulate the blood. In the next 24 hours, bleeding may occur in the form of leakage at the extraction site.
  
  
• Ice compress should be applied to the operation area over the face to prevent swelling after the operation. Swelling subsides in the first few days after surgery.
  
  
• Do not eat until the numbness is gone, you may bite the cheek-lip in the numb area without realizing it.
  
  
• Do not take hot baths and do not consume hot food and beverages for the first 24 hours.
  
  
• You should eat only soft foods for the first few days after shooting.
  
  
• Gargling with warm salt water (half a teaspoon of salt to a glass of water) will also help keep the area clean.

 
Recovery takes one to two weeks to complete:

• If the area was closed with stitches after extraction, these stitches may need to be removed one week after the procedure.
  
  
• The clot formed in the wound should not deteriorate. Therefore, you should not rinse with water and spit, you should not use a straw and you should not smoke. These increase bleeding and cause the blood clot formed after the operation to break down in the hole where the tooth was previously. Thus, dry bone inflammation called alveolitis, which is likely to occur in 5% of all extractions, may occur.
  
  
• People who smoke have a higher risk of developing alveolitis. For this reason, smoking should not be used for 2-3 days after the shooting.

• If you do not have a healthy immune system, there is a risk of developing an infection after tooth extraction. The most common complication is dry bone inflammation, which occurs when a blood clot does not form in the socket where the tooth was removed, or when the blood clot has broken down too soon. In dry osteitis, the underlying bone is exposed in such a way that it can come into contact with air and food residues. This is a very painful condition that can leave a bad taste and odor in the mouth. When dry osteitis occurs, the physician can dress the socket at certain intervals to stop the pain and heal the area.

Wisdom teeth are usually impacted due to their position in the jawbone and their being covered with gingival or bone. In cases where a part of the tooth is covered with the gingiva, infection and related swelling of the face and difficulty in opening the jaw often occur. As a result of recurrent infections, the bone around the wisdom teeth begins to reduce and inflamed tissue forms in this area.

In addition, wisdom teeth can sometimes put pressure on the molars in front of them due to their position in the jawbone. In this case, pain and crowding of the anterior teeth may occur.

Extraction of wisdom teeth is usually performed surgically. Swelling and pain may occur in this area after extraction. This condition occurs in the presence of bone tissue around the wisdom tooth. When hard tissue laser (ER-YAG) is used instead of traditional methods to remove the bone around the tooth, swelling and pain are reduced by 80% and tissue healing is accelerated. In addition, with the low-level laser application (LLLT) after the extraction, the recovery period and the jaw locking due to the muscle spasm that may occur after the shooting will be reduced.

In some people, wisdom teeth may not be inherited at all. If the formed wisdom teeth can find a place in the jawbone, they can come erupt just like other teeth. In this case, if it does not cause problems in terms of general oral health, wisdom teeth do not need to be extracted. Wisdom teeth that have erupted into a mouth with inadequate space may remain in the impacted or semi-impacted position.

Surgical extraction is a technique used in the extraction of teeth that cannot be seen easily in the mouth, or those that are broken down or impacted at the gingival margin. In some cases, bone may cover the tooth. In surgical procedures, the tooth is often divided into sections before it is extracted. As in normal extractions, the procedure can be performed with local anesthesia.

In order to reach the tooth, the bone removal process and the partitioning of the tooth can be performed with the Er:YAG laser. In wisdom tooth extractions where the bone is removed by laser, pain and swelling after extraction is 80% less. This is very important for the comfort of the patient.