Offer

Surgical procedures

Connective tissue graft CTG – under local anesthesia, we harvest the connective tissue from the hard palate of the donor and place it in a prepared recipient bed, cover with the gingival graft, and secure into position with sutures.

Free gingival graft FGG – a full thickness gingival transplant containing connective tissue and mechanically resistant stratified epithelium. Hard palate mucous membrane graft is transplanted around a tooth affected by recession (lowered gums that expose the root surfaces of teeth) if the loss of stratified epithelium precludes proper gingival attachment and periodontal tissues resistance to mechanical injuries, such as those occurring during chewing or brushing teeth. Moreover, FGG is used during implant treatment if there is a lack of keratinized gingiva in the place of a planned implant. In such cases, FGG ensures firm attachment of the gingiva with an implant, providing more esthetic and durable treatment effect.

Guided bone regeneration GBR – a procedure performed if the quantity and quality of the patient’s bone does not allow for implantation or when bone atrophy leads to tooth instability. The treatment involves transplanting biomaterial particles to replace the missing bone. The material is covered with a membrane, which keeps the material in place and provides proper bone restoration.

Tooth or root extraction – it is a surgical procedure performed under local anesthesia which  involves removing the tooth from the alveolus with a special dental instrument. After the removal, the alveolus is cleaned, covered with a dressing and, if necessary, sutured. The extraction is performed if other methods of treatment have failed.

Hemisection – a procedure in which a multi-rooted tooth is sectioned and the unrestorable root removed. The aim of the hemisection is to save the healthy fragment of a tooth and the tooth crown. Before hemisection, we make sure that the remaining roots are healthy and will not cause inflammatory reactions or other future complications. Hemisection should be considered if one of the roots cannot be treated and it is necessary to save the tooth as an abutment for the prosthetic reasons. Hemisection is sometimes a last resort procedure if a tooth is impossible to repair. Patients feel as comfortable as possible during the whole procedure thanks to modern techniques and local anesthesia. The most common way to reconstruct a hemisected tooth is a crown-root inlay which strengthens the preserved crown tissues and protects against fractures.

3D Bone – we perform a CT scan of the jaw or mandible which lack bone tissue. Based on CT image, a tissue bank prepares an individual bone block. Under local anesthesia, we harvest the gingival tissue and attach the bone block with restorable pins to the patient’s bone, cover it with Bio-Gide or Advanced Platelet Rich Fibrin (patient’s centrifuged plasma) and suture soft tissues. Two weeks after the procedure we remove the stitches and about 2-3 months later we perform a CT scan.

Root resection – a surgical procedure performed after ineffective root canal treatment. The procedure is performed under local anesthesia. The surgeon cuts the mucous membrane by the apex and cuts a small bone window through which damaged root apexes with the surrounding inflammation are removed with a drill. Then, the surgeon fills the bone deficiency with biomaterial and stitches it. In most cases, this procedure saves the tooth from being extracted.

Dental implant  – the procedure is performed under local anesthesia, in which a titanium implant is inserted into a maxillary or mandibular bone bed, which is prepared with a special drill and then sutured so that the implant is not visible in the oral cavity. After 3-6 months, depending on the location of the implant, the implant becomes visible and prosthetic work can be completed.

Lifting of the sinus floor (sinus lift) –  a procedure is performed to rebuild the bone so that implants can be inserted. There are two basic techniques of maxillary sinus lift:

• closed technique – performed simultaneously with dental implant insertion. The indication for this technique is a necessary bone reconstruction of max. 3-5 mm. During the procedure, special tools, so called osteotomies, are used. After completing the procedure, the sinus is filled with biomaterials or blood platelet.
• open technique – by lateral approach. Enables much larger bone reconstruction (crestal bone height can be increased by 5-10 mm). Therefore, it is used in cases of significant expansion of the maxillary sinus. Dental implant can be simultaneously inserted (when own bone is at least 3-mm high). The sinus mucous membrane is raised through the access window, and then the space is filled with biomaterial or autogenous bone and covered with a special membrane. The healing period lasts up to 6 months.

Both techniques are performed under local anesthesia.

Corticotomy – a surgical facilitation of orthodontic treatment. Corticotomy involves making several incisions in the outer layer of the cortical bone next to the teeth undergoing orthodontic treatment. The aim of corticotomy is to accelerate the rate of bone metabolism, aiding bone’s intensive rebuilding. The treatment is painless and (to provide its minimal invasiveness and quick healing) performed with a piezo surgery device, which makes this procedure safe and significantly reducing the orthodontic treatment time.

Teeth processing – the procedure involves grinding the removed tooth which is subjected to cleaning and buffering, and then used to supplement bone defects. Stem cells from the tooth guarantee better bone regeneration than other replacement materials used in this type of treatment.