جراحی دندان یکی از مهم‌ترین و دقیق‌ترین درمان‌های تخصصی دندانپزشکی است و زمانی انجام می‌شود که روش‌های معمول مانند ترمیم، عصب‌کشی یا کشیدن ساده دیگر پاسخگو نباشند. Dental surgeries may be performed to remove impacted wisdom teeth, treat root infections, remove broken teeth, or even cosmetic aspects of the mouth and jaw. Many patients are worried when they hear the word surgery, but the fact is that with the advancement of new technologies and the use of experienced surgeons and modern equipment, this operation is performed completely safely, painlessly and in a sterile environment. In the following, we will talk comprehensively about surgery for teeth.

Types of dental surgery

There are different types of surgical treatments related to the mouth and teeth depending on the type of problem and the location of the conflict, and each one has its own purpose and method. In the following, we will learn about the most common types of dental surgery:

Wisdom tooth surgery

Wisdom teeth usually grow between the ages of 17 and 25, and in many cases, due to lack of space in the jaw or abnormal growth, they cannot come out properly, which can cause pain, inflammation of the gums, or pressure on the side teeth; This is when brain surgery becomes necessary. In this way, dental surgery is mostly performed to remove hidden or semi-hidden wisdom teeth

Root surgery (epicoctomy)

When nerve removal treatment (root canal) alone cannot remove the tooth root infection, root end surgery or epicocectomy is used to eliminate the infection. In this dental surgery, the tip of the infected root is removed along with the infected tissues around it, and then the surgical site is sutured. In addition, this method, which preserves the tooth and prevents its extraction, is performed under local anesthesia.

Surgery for a broken or severely decayed tooth

Surgery for a broken or severely decayed tooth is performed in cases where the tooth has a deep fracture or advanced decay and it is not possible to repair it with usual methods.

Hidden tooth surgery

Hidden tooth surgery is a method in which the tooth could not come out of the gum for any reason, including crooked growth path, dental crowding or dense jaw bone; This problem is often seen in canines and wisdom teeth. In this surgery, the specialist removes the tooth by making a small incision in the gum or, if possible, opens the way for its natural growth.

Surgery to increase the length of the dental crown

Crown length surgery is performed when the visible part of the tooth (crown) is short and we need to increase its length to install a veneer or repair. In this way, by removing a small amount of surrounding gum tissue or bone, the crown of the tooth becomes more visible. In addition to therapeutic purposes, this type of surgery is also used in the field of beauty.

Steps of dental surgery in the office + video

Dental surgery is one of the precise and sensitive dental treatments that are performed in an equipped office or specialized clinic. In this process, the dentist treats or removes the tooth using special tools and in completely sterile conditions. Familiarity with the surgical procedures helps the patient to be less stressed and more prepared for the treatment process.
1. Examination and preparation of OPG or CBCT photo: The first step before any type of surgery is a detailed examination of the condition of the teeth and jaw bone. The dentist first examines the mouth and gums and then observes the exact position of the tooth, nerves and bone using panoramic radiographic images (OPG) or CBCT.

These 3D images help the dentist to:

• Plan the surgical path safely.
• Prevent damage to nerves or surrounding tissues.
• Minimize the duration of surgery.

Care after dental surgery and key points before surgery

In order for the procedure to go smoothly and with a quick recovery, it is necessary to observe some simple but important points before and in the days after the dental surgery. In the following, we briefly review the most important care after dental surgery.
• What should we do before surgery? Be sure to eat a light meal the night before surgery and avoid fasting for a long time. Take your medicines only as prescribed by your dentist and avoid smoking and it is also better not to consume alcohol or energy drinks 24 hours before.
• Important recommendations for the first 24 hours after surgery: do not eat anything for a few hours after surgery until the anesthesia is completely gone. One of the most important points is to keep the blood clot stable, control swelling and prevent bleeding. Maintain sterile gauze for the recommended duration and avoid sucking, forcefully spitting, or drinking through a straw. Place an ice pack on the cheek every 15 minutes to reduce the swelling. Also, avoid sleeping towards the surgical site.
• Proper nutrition and essential medicines: In the first days, use soft, cool and liquid foods such as soup, puree and yogurt. Drinking plenty of fluids will help you heal faster. Take painkillers and antibiotics exactly as prescribed to prevent pain, inflammation and infection.
• Things to avoid until full recovery: Avoid smoking, using straws to drink, and strenuous activities for at least three days. Also, avoid touching the surgical site with your tongue or finger so that the wound does not open and the healing process is not disturbed.

What are the characteristics of the best dental surgery specialist?

When it comes to choosing the best dental surgeon in Tehran, the first criterion is his experience in complex dental surgery and the ability to manage special conditions such as impacted teeth, severe fractures or irregular roots. Along with experience, the use of modern equipment such as accurate imaging devices, delicate surgical instruments and a completely sterile environment plays an important role in reducing complications and increasing the quality of dental surgery. A specialist who can control the patient's pain well and reduce his stress during the surgery with soothing explanations and professional behavior creates more trust. Also, having valid professional qualifications and a history of high client satisfaction shows that the doctor is not only scientifically capable, but also has successful results in practice, and this set of factors determines the difference between an ordinary surgeon and an experienced surgeon.

What is the cost of dental surgery in 1404?

The amount of payment for performing dental operations is different depending on the type of treatment, the complexity of the surgery and the conditions of each person. Among the most important factors that affect the final price, we can mention the location of the tooth, the degree of embedment or infection, the type of anesthesia used, and the expertise of the attending physician. Normally, impacted wisdom teeth are more expensive than simple surgeries due to the difficulty of the work and the need to cut the gum or bone. In some dental surgeries that are performed along with bone grafting or specialized sutures, the final amount increases. The question that most patients ask is, does health insurance cover the cost of dental surgery for these types of operations? In response, it should be said that basic insurances usually cover only a limited part of the costs, but in supplementary insurances - if there is a contract with the clinic - it is possible to compensate a significant part of the costs.

Complications of dental surgery

Although dental surgery is usually performed without problems by following specialized principles and in a sterile environment, like any other surgery, it may be accompanied by temporary complications or, in rare cases, more serious problems. The most common complications include pain, swelling, and bleeding after surgery, which is usually considered normal during the first two to three days. Using cold compresses, prescribed medications and adequate rest can control these symptoms and speed up the healing process. In very rare cases, more serious complications may occur, such as nerve damage, infection, or inflammation of the jawbone; Especially when the wisdom tooth is located near the mandibular nerve. Full compliance with the principles of surgery, use of accurate equipment and CBCT before the operation minimizes the possibility of these complications.
In order to prevent any complications, it is very important to pay attention to the dentist's recommendations: compliance with oral hygiene, regular use of antibiotics, avoiding smoking and visiting on time to remove stitches are the most important prevention factors. By observing these things, the healing process proceeds naturally and the patient can return to his daily activities in a short period of time.

Summary of everything you need to know about dental surgery!

In general, dental surgery is one of the specialized and necessary methods for treating complex problems of the mouth and jaw, which is performed with the aim of relieving pain, infection and maintaining the natural structure of the teeth. This surgery has different types; From wisdom tooth extraction and root surgery to correcting the length of the crown or treating broken teeth. This operation should be performed by the best surgeon in Tehran or the city where you live to minimize possible complications by using modern equipment, effective anesthesia and a sterile environment.
Strict adherence to pre- and post-operative care, following medication prescription and avoiding harmful habits play a big role in quick recovery and prevention of infection. Also, knowing the cost and insurance coverage will help you make a realistic decision. Finally, if the surgery is performed by a specialist and under standard conditions, it will have a completely safe, painless result with a healthy and beautiful smile.

Answering patients' questions about dental surgery

Does dental surgery hurt?

No, because local anesthesia or sedation (light anesthesia) is used. After the operation, there may be some pain or swelling, which can be controlled with prescribed drugs.

Do all teeth need surgery?

No, surgery is required only in special circumstances such as impaction, fracture, infection or preparation for an implant. Most of the teeth can be treated with common treatments such as nerve extraction or restoration.

How many days after surgery can you go back to work?

Usually, patients can return to daily activities after 24 to 48 hours. But in more complex surgeries such as wisdom teeth, up to three days of rest may be needed.

Swelling and bruising after surgery is normal?

Yes, a small amount of swelling or bruising is normal for up to two days after surgery. It will be reduced quickly by using ice compresses and enough rest.

Is there a possibility of infection after dental surgery?

If you follow oral hygiene, take medicines and avoid smoking, the probability of infection is very low. But if you see swelling, fever or severe pain, you should see a dentist.

When are dental surgery sutures removed?

If the suture is of the usual type, it should be removed usually 7 to 10 days after the surgery. In some clinics, absorbable sutures are used, which disappear by themselves.