Oral and Maxillofacial Surgery

Impacted Tooth Extraction
Does every impacted tooth require extraction?
Not every impacted tooth requires extraction, however, if a pathological formation (e.g. cyst) is detected around the tooth, if the impacted tooth is damaging the neighboring tooth, if the patient needs orthodontic treatment, if there is a major surgical procedure planned, if there is a clinical symptom in the relevant area, the impacted teeth must be extracted.

Is having an impacted tooth extracted very painful, what kind of process can I expect after the procedure?
Since impacted tooth extraction will be performed under local/general anesthesia, patients do not feel pain during the procedure. The process after impacted tooth extraction depends on the difficulty of the case. It is quite normal for pain to be experienced in the area where the procedure is performed for a few days, which can be controlled with painkillers, and for swelling to occur in the area.
What should I pay attention to after impacted tooth extraction?
After impacted tooth extraction:
The tampon placed in the wound area should be bitten for 30 minutes.

Eating and drinking should not be done until the effect of the anesthesia wears off.

Hot foods and drinks should be avoided for 3 days after the procedure, and nutrition should be lukewarm and close to cold.

The wound area should not be touched, but the wound area should be cleaned with a soft toothbrush.

Strong spitting and gargling should not be done for 3 days after the procedure, and beverages should not be consumed through a straw.

Smoking should not be done and alcohol should not be consumed for 3 days after the procedure.

It is quite normal for bleeding to leak from the extraction area for 1-2 days, but if there is prolonged, unstoppable and/or excessive bleeding, definitely contact your doctor.

It is quite normal for pain to last up to 1 week after the extraction, but if there is very severe and/or pain that lasts longer than 1 week, definitely contact your doctor.

Swelling may start within 24 hours after the extraction and the swelling that occurs will regress on its own within 1-2 weeks. It is useful to apply cold to the operation area for the first 24 hours for any swelling that may occur.

Genioplasty
Jaw tip operations performed under general anesthesia on patients who do not have a skeletal disharmony in their jaw bones but are bothered by the fact that the jaw tip is not prominent or is too prominent are called genioplasty.
Orthognathic Surgery
Orthognathic surgery is a surgical procedure performed under general anesthesia in which orthodontists work together to ensure that the jaw bones are not skeletal in harmony and to restore the necessary function and aesthetics to the patient. If deemed necessary during this operation, genioplasty can also be performed.
Why Are Teeth Extracted?
In general, teeth;
Due to excessive material loss that cannot be restored

Due to excessive bone loss

Due to root tip infections that cannot be treated with root canal treatment

Due to the tooth fracture line extending to the root

If it is associated with a cyst or tumor around it, it is extracted

What Should I Pay Attention to After Tooth Extraction?
In general, teeth;
The tampon placed in the wound area should be bitten for 30 minutes.

Eating and drinking should not be done until the anesthesia wears off.

Hot food and drinks should be avoided for 3 days after the procedure, and nutrition should be lukewarm and close to cold.

The wound area should not be touched, but the wound area should be cleaned with a soft toothbrush.

Strong spitting and gargling should not be done for 3 days after the procedure, and beverages should not be consumed through a straw.

Smoking and alcohol should not be consumed for 3 days after the procedure.

It is quite normal for bleeding to leak from the extraction area for 1-2 days, but if there is prolonged, unstoppable and/or excessive bleeding, definitely contact your doctor.

It is quite normal for pain to last up to 1 week after the extraction, but if there is very severe and/or pain that lasts more than 1 week, definitely contact your doctor.

Jaw Cysts
Various cysts can be seen in the mouth due to the epithelial residues of the teeth developing in the jawbone (odontogenic) and the anatomical structures found in the jawbone (developmental), and the vast majority of these cysts are benign. Cysts found in the jawbone can be diagnosed in routine radiographic checks, as well as symptoms such as;

Pain

Numbness

Swelling

Bitter taste similar to salt water coming to the mouth

Mobility in the teeth and opening between the teeth.

Cysts found in the jaw usually start small and have the potential to grow, and since they can turn into a malignant structure if left in the mouth, they should be removed surgically under local/general anesthesia.
Biopsy
Cysts removed from the jawbone and suspicious lesions found in the soft tissues in the mouth should be sent for biopsy for a definitive diagnosis.
Root Tip Surgery/Apical Resection
In the root canal system, in the apical 1/3 of the root (the tip) there may be a large number of side canals and filling these side canals may not be possible in every treatment. Due to this, teeth may be symptomatic despite a successful root canal treatment. The root tips of these symptomatic teeth, which have a successful root canal treatment radiographically, have healthy surrounding bone tissue except for the apical 1/3 and are in an accessible area, are surgically cut and removed and the exposed root tip is closed with appropriate biomaterials.
Fracture Treatment
When choosing the treatment method to be applied in fractures that occur in the jaw bone:
The patient's age

The patient's health status

The type of fracture that occurs

The location of the fracture

The number and locations of the fracture fragments

The time elapsed since the fracture occurs

Many different factors such as are taken into consideration. After these factors are evaluated, there are 2 different methods for the treatment of the fracture that occurs:
1) Open Surgery:
The fracture line that occurs under local/general anesthesia is surgically reached and the fracture line becomes visible. The visible fracture line is fixed with plates and screws made of biocompatible materials and closed back up.
2) Closed Surgery:
This is a type of treatment applied under local/general anesthesia using the patient's natural teeth, brackets (orthodontic wires) if any, or by placing 4 screws into the jawbone, keeping the jaw closed with the help of wires or elastics.