Oral Surgery
Oral surgery involves the prevention, diagnosis and surgical treatment of pathologies of the mouth, teeth, jaws and surrounding tissues.
Dental extractions, treatment of tumours and cysts of the jaws and mouth, implant surgery, pre-implant surgery (bone grafts) and peri-implant surgery, mucogingival surgery are an integral part of oral surgery.
Tooth extraction consists of removing one or more teeth. At the office, we pay special attention to avoid damaging the surrounding bone, and we close up the extraction socket with stitches to improve healing.
Avulsion (extraction) of wisdom teeth consists of removing the third molar teeth from the upper and/or lower jaw.
This procedure is performed for example when:
– Wisdom teeth are in a bad position (impacted or not) and have caused or are likely to cause pain, inflammation or even infection.
– There’s not enough space on the dental arch…
– Wisdom teeth are decayed and can no longer receive conventional care.
Depending on the layout and on the number of teeth to be extracted, and according to the patient’s preference, extractions are done in one or two sessions. Local anaesthesia is the most indicated solution. General anaesthesia, involving outpatient hospitalization in a private hospital, is recommended in cases of severe anxiety.
After the extraction of one or more wisdom teeth, it is common for a small bleeding to persist for a few hours. If the bleeding becomes uncomfortable, simply bend one or two of the compresses that were given to you during the appointment on the extraction area and bite them until the bleeding stops.
Oedema (swelling) may occur after the procedure. In order to reduce its development, it is advisable to apply ice to the cheek on the extraction side for 2 days after the operation. In case of post-operative pain, analgesics will have been prescribed by your practitioner. You should scrupulously follow their recommendations.
An impacted tooth is a tooth that has not erupted on the dental arch and has become trapped inside the bone, below the gum.
They can be normal teeth (premolar or molar canine incisors) that can’t come out, or extra teeth (teeth that grow in addition to the “normal” teeth and interfere with their development).
The oral surgeon will decide in agreement with the orthodontist to keep or extract these teeth. When the decision is made to keep these teeth, it is sometimes necessary to help these teeth come out, by attaching a bracket to them. The orthodontist will then gradually pull the tooth out in its place.
Cysts sometimes develop in the jaw bones.
They are often related to dental infection and must be removed to prevent the spread of infection and further lysis of the bone. The treatment of the tooth in the affected area (or its removal) must be done in parallel.
Cysts can also develop independently: they must also be removed so that they can be diagnosed with certainty and to prevent them from growing further.
Intraosseous lesions (cysts) as well as soft tissue lesions (cheek, lips, tongue) are removed in the clinic after an initial preoperative consultation.
When a tooth can no longer be preserved and extraction is indicated, preservation of the site is paramount. A tooth extraction is not a benign act, as it will ultimately lead to resorption (bone loss) to a greater or lesser extent, depending on the case.
It is important to ensure the preservation of this bone during extraction so that you can then be in the best conditions to replace the missing tooth. This is particularly important for the restoration of aesthetic areas.
Most of the resorption occurs within 6 months after extraction and results in a deformation of the bone and the gum (cavity). The replacement of lost teeth is then more difficult, especially when a dental implant is desired.
Preservation techniques include:
– a careful extraction that preserves the bone walls as well as possible.
– filling the extraction site with bone filling material.
However, it is not always possible to achieve alveolar ridge preservation. For instance, in some situations with an all too active infection, or when the bone surrounding and supporting the teeth has been too much damaged by the infection. The oral surgeon will give you the best advice.
Gum grafting is used to bring the gums back to the right level when they have retracted, or to increase the volume of the gum to strengthen it.
Thickening and root covering surgeries involve removing gum from the palate or behind the last upper molar and placing it on exposed, bare roots.
Other techniques involve repositioning the gum on the exposed roots by pulling it.
Periodontal plastic surgery procedures can be performed using dental implants or conventional prosthetic restorations. The rim of the peri-implant tissue can be improved with gum grafts that increase the thickness of the tissue.
Orthodontic miniscrews are an aid to orthodontic treatment. They reduce the duration of treatment and reduce the forces applied to the teeth.
They are easily inserted at the dental clinic with a small local anaesthetic. There is no post-operative pain except for the discomfort caused by the head of the miniscrew protruding slightly from the gum.
The screw is removed when the orthodontist no longer needs it.
Strict hygiene must be observed around the miniscrew to avoid the development of gum inflammation and bacterial colonisation around the miniscrew.
Opening hours
| Monday – Thursday | 9:30 – 19:00 |
| Friday | 9:30 – 18:30 |
| Some Saturdays | 9:00 – 15:00 |
01 40 53 98 82
HOW TO FIND US ?
100, Avenue de Villiers
75017 Paris
