What does a dentist surgeon do, what problems does he solve?

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For dental diseases, when conservative treatment does not bring positive results or is impossible, removal is resorted to. This procedure can only be performed by a dental surgeon.

His specialization includes not only tooth extraction, but also any surgical interventions on the maxillofacial apparatus.

What should this specialist know?

A highly qualified dental surgeon must be able to correctly make diagnoses, focusing not only on external signs, but also on diagnostic examination data. He must be able to quickly make important decisions regarding the extraction or preservation of a tooth, since the general health of the patient often depends on this.

For a surgeon, knowledge from other areas of dentistry is also important: therapy, orthodontics, implantology, since his work is often closely related to them.

A modern doctor should understand all the nuances and subtleties of modern surgical methods. Knowledge of psychology and the ability to find a common language with people are of primary importance, since surgical intervention is psychologically difficult for patients to perceive. This is especially important when working with children.

In addition, the dental surgeon must have therapeutic knowledge in order to promptly stop or prevent the development of postoperative complications.

Dental surgeon diagnostic methods

In surgical dentistry, instrumental and laboratory diagnostic methods are used. These include:

taking anamnesis;
visual and manual inspection;
temperature diagnostics;
X-ray examination (x-ray and orthopantomogram);
electroodontic diagnostics;
general blood test, etc.

If oncological processes are suspected, the patient is prescribed a biopsy and a series of cytological studies. With their help, you can determine the type of neoplasm, as well as confirm or refute its benignity.

If there are concomitant diseases that are not within the competence of the dental surgeon, the patient may need the help of other specialists. In particular:

orthodontist;
orthopedist;
gastroenterologist;
oncologist;
infectious disease specialist;
allergist, etc.

Tasks

The main objective of surgical treatment is the safe complete or partial removal of a tooth using properly selected anesthesia and aseptic preparations.

In addition, the surgeon’s specialization involves solving problems with abnormal development of the jaw, defects of the frenulum of the tongue or lip, and implantation.

What manipulations does it perform?

The surgeon's specialization involves performing a variety of manipulations, ranging from simple tooth extraction to plastic surgery of the maxillofacial apparatus. Each procedure has its own characteristics and requires special attention and full control from the specialist.

Implantation

One of the most common methods for restoring an entire tooth. Implantation is carried out by implanting a titanium root into the jawbone, in place of the extracted tooth . If the clinic does not have a doctor with a specialization as an implantologist, the implantation is carried out by a surgeon.

In addition to the implant installation procedure, the surgeon may be required to perform additional manipulations aimed at restoring bone tissue in the area of implantation. Most often, it is necessary to first carry out a sinus lift - bone augmentation in the upper jaw in the area of the maxillary sinuses.

Also, a dental surgeon can work to remove the old implant or put an artificial crown on it.

Some of the nuances of this procedure are described in the following video:

Tooth extraction

Extraction is the most popular procedure performed by surgeons in dental clinics. To remove teeth, the doctor can use two methods:

Simple . Mainly used when removing anterior units or premolars. The procedure involves extraction by breaking the periodontal ligaments and removing the tooth.
Complex .
In demand on the last molars when they are incomplete or abnormal eruption. Removal is carried out after cutting the gum tissue to gain access to the roots. After this, the crown part is cut off, and the roots are separated using a dental bur and extractor. Then, each root is extracted one by one. In case of extensive periodontal lesions, or difficult removal, the gums are sutured.

Regardless of the method, extraction is carried out with preliminary local or general anesthesia.

Cystectomy

This procedure is a partial removal of the root of a tooth on multi-rooted teeth, and is used when a cyst is detected . Cystectomy allows you to remove a small cyst while preserving the main root part of the tooth.

The procedure begins with anesthesia, after which the doctor creates access to the tooth through the gum and periodontal tissue. In the opened bed, the dentist enucleates the cyst and removes it along with the tip of the affected root.

The root canal is cleaned and filled with a special material that promotes bone tissue restoration. Despite the fact that cystectomy is a radical technique, it allows you to save the tooth and the neurovascular bundle that feeds it.

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Gumplasty

One of the common dental defects is incorrect placement of the gum contour. It can be congenital or acquired, due to periodontal inflammation. Such a defect leads to gum recession, gum disease, and the development of caries.

Gum grafting can help correct this problem . The surgeon, with simple manipulations, will increase the contour of the gums, lower them, or evenly distribute them over the entire periodontal part of the visible area.

This technique is especially actively used in cases of severe periodontal disease, when periodontal tissues are not able to recover on their own.

Gum grafting can be performed during flap surgery or as a stand-alone procedure with delayed surgery. If there is excessive formation of periodontal tissue, it is excised.

Insufficient volume or high position is compensated by dissection of the gums of the problem area or transplantation of a mucosal flap from another part of the oral cavity.

Restoring jaw proportions

An abnormal change in the proportions of the jaw is primarily corrected by an orthodontist, but if conservative treatment is ineffective, the help of a surgeon is resorted to.

To restore the correct proportions of the maxillofacial apparatus, various types of osteoplastic surgeries are used in the horizontal and vertical directions:

by lengthening the jaw arch . During surgery, the doctor cuts soft tissue to gain access to the problem area of the jaw bone. Then, this area is perforated, expansion plates are installed and a bone-replenishing substance is introduced, which will fill the resulting gap;
by shortening the jaw arch . To do this, a small area is excised in the bone of the alveolar ridge and a tightening structure is fixed. During the treatment process, it requires regular activation.

The correction procedure can last from 1 to 3 months, during which the surgeon constantly monitors the treatment.

Flap operations

Patch-type operations are one of the most effective methods for restoring gums in case of periodontitis, thinning gums, and destruction of the jaw bone. The procedure eliminates enlarged gum pockets and overgrown periodontal tissue .

The operation involves removing tissue until the bone of the alveolar ridge is exposed. After this, the pathological epithelium and granulation are removed and the roots of the teeth are polished. If necessary, material is implanted to restore the bone.

A gum is formed from the remaining flap and fixed with sutures. A periodontal bandage is applied to the operated area. Despite the traumatic nature of the operation, healing occurs after 7–10 days.

Curettage

Inflammation of the gums is often provoked by plaque settling in periodontal pockets. To eliminate it, they resort to the help of a surgeon who removes subgingival deposits using special instruments - curettes.

They are able to penetrate under the gum to a depth of 5 mm and remove plaque, granulation tissue, and also deliver drugs with a soothing, anti-inflammatory and regenerating effect to the bottom of the pocket. In case of extensive exposure, a periodontal bandage is applied at the end of the procedure.

This procedure is presented schematically in the following video:

Bone grafting

Insufficiency of bone tissue in the area of implantation often requires the intervention of a dental surgeon, who restores the required volume using special materials.

They can be a synthetic bone-forming substance, material obtained from animal bone, or a small fragment of the patient’s own bone. The grafting procedure involves detachment of the mucous membrane and perforation of the bone, into which a restorative substance or fragment is injected.

Indications for surgical treatment

If pain or other signs of a pathological process appear, the patient initially turns to a dentist-therapist. If conservative treatment fails, the patient is referred for consultation to a dental surgeon. Most often, the need for such treatment arises in the following cases:

advanced carious process of wisdom teeth;
the need to remove baby teeth for normal growth of permanent molars or incisors;
rapidly progressing disease of the oral cavity with the formation of pus;
third degree of periodontitis with mobility of incisors and molars;
impossibility of restoring a molar or incisor damaged by caries;
the presence of molars or incisors on the jaw fracture line;
the need for implantation of prostheses.

The complexity of surgical treatment depends on the diagnosis and the degree of neglect of the disease. The position of a dental surgeon involves both simple and complex interventions. With a simple tooth extraction, the operation takes no more than 10 minutes and is performed in a dental office. Surgeries for complex diseases are performed in a hospital setting under general anesthesia. After such an intervention, the patient should remain under medical supervision for several more days.

Features of working with children

Working with children requires from the surgeon not only high professionalism, but also psychological preparation, as well as perseverance. It is a rare child who comes to see the dentist without fear.

Regardless of the upcoming manipulations, all children experience increased anxiety at the sight of dental equipment and many of them react violently with reluctance to listen to the doctor. To avoid this, the surgeon must be able to find an approach to every child of any age .

The process of establishing anesthesia is considered in a special way. The situation is greatly facilitated by topical anesthesia, used before the main anesthetic injection.

Children's age limits the volume of the drug administered and the time for the doctor's manipulations, so his actions must be quick and clear.

Reviews

No. 1. Becoming a dentist requires a certain amount of persistence and determination. It took me a total of about 8 years to study, and I didn’t even count how many times I attended various seminars and conferences after receiving my diploma (well, there were already courses twice). I didn’t immediately understand what direction I wanted to work in, and only after the internship I came to the conclusion that I would be a pediatric dentist. Working with such patients is not easy, but there are more positive emotions. After the appointment, I always give my patients some kind of souvenir - soap bubbles or balls with the symbols of our clinic, and on my own behalf - certificates for bravery, I simply print them out on a printer. I work in a private clinic, the salary is 80-90 thousand rubles per month. Our team is good, overall I’m happy with everything.
No. 2. I myself work as a dental surgeon, and my wife is a dental therapist. When we had the opportunity, we opened our own office. It wasn’t easy, and it wasn’t even a matter of finding clients; we literally lured many away when we left our previous place of work. It’s just that organizing an office is an expensive pleasure, considering all the standards. We try not to raise the markup too much in order to retain customers - the competition is still quite strong, and we set aside part of the money for upgrading equipment, so my monthly salary is 77-80 thousand rubles, my wife gets about the same (75 on average ).

Cosmetic surgeries

In addition to operations performed for therapeutic purposes, the surgeon performs interventions for cosmetic restoration of the maxillofacial apparatus.

Gingivoplasty

This technique is aimed at eliminating defects in periodontal tissue associated with its uneven position. Gingivoplasty is necessary for high, uneven or low gum lines.

For correction, periodontal tissue from the problem area is used, separated into flaps, or a flap is transferred from the palate. The periodontal tissue is given the required shape using surgical sutures, which are removed after 10 days.

Vestibuloplasty

It is a technique designed to expand the vestibule of the oral cavity by moving facial muscles deeper into it. The procedure is carried out by cutting the mucous tissue that regulates the tension of the gums.

After weakening the muscles of the vestibule, the likelihood of developing periodontal diseases decreases, and speech therapy problems are eliminated.

The vestibuloplasty procedure is presented in the following video:

We will tell you what to do if your gums hurt for a long time after tooth extraction.

We talk here about complications after removal and treatment.

We will discuss the resection of the apex of the tooth root at the link https://www.vash-dentist.ru/hirurgiya/rezektsiya/verhushki-kornya-zuba-zachem-nuzhna-operatsiya-i-kak-ona-provoditsya.html.

Frenuloplasty

The main indication for frenuloplasty is shortening of the frenulum of the tongue or lips , exposing the neck of the teeth, or the formation of a speech therapy defect. The incision is made under local anesthesia, using a scalpel to excise the frenulum in the transverse direction.

Elimination of gum recession

When the volume of the gums decreases (recession), accompanied by exposure of the roots of the teeth, flap surgery is resorted to. A section of mucous membrane taken from the palate or another area of the oral cavity is applied to the gum, after which the tissue is secured with sutures.

After a week, the mucous membrane takes root and the sutures are removed.

Pros and cons of the profession

pros

A respected and socially important profession.
Interesting job.
Competitive salary.
There are always vacancies; the profession has no territorial reference.
Social guarantees, full protection of rights and interests.
Business trips and trips to foreign conferences are possible.
A constant circle of patients who prefer to see one doctor in whom they are confident.

Minuses

Long-term training and the enormous responsibility that a doctor bears for the life and health of each of his patients.
People are afraid of dentists, so they often put off visiting a doctor, ending up in a specialist’s office in critical condition.
Floating schedule, frequent delays at work due to emergency situations.
Insensitive patients who call and write to the doctor at any time of the day or night, wanting to get advice or consultation.
In the first few years of work, a medical school graduate performs only simple operations, because he has no work experience.

Interaction with other specialties

The specialty of a dental surgeon involves close interaction with doctors from all areas of dentistry. The surgeon can remove teeth only after the therapist confirms the impossibility of saving them .

Extraction cannot be carried out without the testimony of an orthodontist, who monitors the correct development of the bite and dentition. The work of an orthopedist also cannot do without the participation of a surgeon, since in order to install dentures, it is necessary to remove all roots and bad teeth.

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Tags: implantation, tooth removal

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How is tooth extraction performed?

Patients may delay removal for a long time because they are afraid that it will hurt. But modern dentistry allows this procedure to be performed absolutely painlessly.

The surgeon at the SDent clinic individually selects the dose and type of anesthetic. This allows you to achieve complete pain relief in each specific case. Only after the patient feels numbness in the desired area of the jaw, the surgeon begins the operation: the doctor pushes back the gum and carefully removes the tooth from the bone. Atraumatic removal promotes rapid tissue healing. In addition, the postoperative period will be as comfortable as possible for the patient.

After removal, the surgeon gives recommendations and, if necessary, prescribes medications and painkillers.