Dental surgery | Teeth, Dentist, Stomatology | SCHILL dental clinic


Dental surgery

When you say Dental Surgery, it refers to any medical procedures in the oral cavity – that is surgical procedures related to the teeth, jaws and soft tissues of the mouth. This is not a reconstruction of the entire facial area. This is rather dedicated to jaw and facial surgeons - specialists.

The most frequent procedures in the dental surgery are:

  • removal of teeth (tooth extraction)
  • osteotomy (removal of displaced teeth or dental residues)
  • apicectomy
  • hemisection
  • amputation
  • replantation
  • pre-prosthetic surgery
  • surgical periodontal therapy
  • incision
  • excision / ectomy
  • incision


It is a surgical separation of bones or bone spurs. For example, in extracting the teeth lying in the bone or dental residues, such as roots. The most common osteotomy is usually the removal of wisdom teeth, which often lead to complications during the lifetime.


It is a release and removal of all tips of the tooth roots embedded in the bone. The procedure is used to remove inflammatory deposits, which moved into the root tip through tooth nerve and could not be removed by conventional root canal therapy. In some serious cases the bone in the root area may be infected, or jaw cysts can develop. Apicectomy gives 70% chance for patients to preserve the tooth lost.


Hemisection refers to cutting a tooth filled with root canal in order to maintain both or one half of the tooth. This procedure is performed only on certain teeth. Usually the lower large molars for specific indications are cut. The reason is usually inflammation, which lies in the cleavage of both the roots under the gum. If it is necessary to keep the tooth, hemisection is an attempt, which is worth a try. In this procedure, good oral hygiene is essential.


Amputation is the removal of tooth crowns and roots. This way, for example, the root of the rear molars in the upper jaw on the side of the palate can be removed, respectively front and rear molars root of the lower jaw while keeping the remaining tooth. Operative procedure takes place as in the case of removal of the tooth (extraction), but concerns only the roots, which can not be maintained. The dentist must in tactile way and by x-ray determine whether the remaining roots of the tooth can be preserved.


This is a re-insertion of the tooth extracted unintentionally (for example after accidents or injuries, for example for athletes). If the tooth is not broken, if the root canal therapy is possible and bone is not damaged, then the tooth can be reinsert again in its original position in the jaw. The younger the patient, the better the chances of success. Fresh, just lost tooth, is good to carry in saliva or milk (in a closed container), so it can be successfully replanted.

Pre-prosthetic surgery

These are all dental surgeries, enhancing the imposition of dentures. In this procedure, the dentist cooperates with the oral surgeon. This surgery is usually needed by an older, partially toothless patients. After losing a tooth, the jawbone changes. Bone can be permanently changed so that the imposition of the denture is already not technically possible to create. The aim of surgery is then to obtain without the bone surface without muscles, which can be weighted down; respectively transform from unloaded jaw sections to loaded ones. Various surgical procedures can be applied – for example removal off soft tissue, smoothing of sharp bone edges, overlapping bone spurs, transfer of soft tissue, treatment of oral vestibule before the jawbone (vestibule plastics), modeling of existing bones, construction surgery on the jaw bone (using the patient's own bone from other parts of his body or with using bone prosthesis).

Surgical periodontal therapy

Periodontal surgery is an adjunctive therapy by periodontopathy (parodontosis disease). In more serious forms of periodontopathy dentist may decide for "open curettage. An open curettage does not involve only the removal of periodontological disturbing factors, but also modeling of dental gum. Under local anesthesia, tooth gum is folded up, tooth root is cleaned, infected tissue is removed, dental gum is modeled optimally and everything is closed by stitching. The oral cavity is cleaned from the start with oral washings and gentle teeth cleaning.


Incision means cut. Incisions are used for example for inflammation or pus collection in the teeth and gums. Tissue is separated layer after layer in order to open swelling filled with liquids such as humour, pus or blood. To eliminate the inflammation, discharge must be allowed. It is always very important, because otherwise the abscess of the oral cavity may transfer to internal organs and cause serious health complications. Discharge of unwanted fluids is provided by "drainage" or "tamponade". Despite surgical support it is sometimes necessary to use antibiotics.


Excision involves cutting of pieces of mucous and tissue only after removing large tumors. The latter, however, belongs to the mouth, jaw and facial surgery. Dentist, under local anesthesia, removes for example excess tissue, wound edges, scars and also mucosal proliferation.

Even the best performed medical procedure may entail considerable swelling and pain. The dentist usually provides the pain mitigation on the first day after surgery. In connection with the use of other drugs, it is best to consult a doctor because some freely available painkillers cause bleeding, and are therefore not appropriate. Responsible behavior after surgery greatly supports the success of the procedure. It is appropriate to temporarily avoid alcohol, nicotine and caffeine. Area irritated surgery should be cooled down (from outside) by cold compress to relieve swelling.