ORAL SURGERY is the branch of dentistry that mainly deals with:
Tooth extractions, more or less complex:
wisdom teeth responsible of infective-inflammatory symptoms, or potentially damaging for adjacent teeth
canines or supernumerary elements that prevent the replacement of missing elements through implant surgery
Removal of maxillary cists or epulids
Surgical lengthening of the clinical dental crown with aesthetic purposes, or due to the recovery of conservative/prosthetic elements seriously damaged
Bone restoration operations or gingival implants to correct volume deficits (width and/or height) in relation to areas in which natural teeth were extracted.
PERIODONTOLOGY consists in the prevention and therapy (both surgical and non-surgical) of diseases that affect the supporting tissues in natural dentition.
The preservation of the natural dentition through periodontal therapies requires professional skills and specialized organization, but it certainly represents, when indicated, the treatment option to prefer, as it allows the conservation of natural dentition.
IMPLANT SURGERY deals with the replacement of missing teeth (or the ones excessively compromised) with titanium bone implants which support dental prosthesis of various types and extension.
These two different treatment options, the one conservative (periodontics) and the replacement one (implantology), are not mutually opposite, but they represent different therapy choices that have different indications.
Sometimes it is possible to use periodontal therapies that allow the recovery of the natural tooth. In other situations it is necessary to extract the tooth and to replace it with an implant, avoiding to follow treatments that can sometimes become aggressive therapy.
The positioning of bone implants can occur through traditional modalities or through minimally invasive techniques combined with post-operative courses without discomfort. In fact through specific softwares, it is possible to plan the implant surgery operations by using a computer. The actual insertion of implants is done, through extreme precision guides, without incisions, detachment or suturing of the gingival tissues. The method offers the possibility to insert fixed prosthesis just after the operation, and this is possible in patients partially or completely lacking of teeth, if it is not necessary to increase the quantity of the present bone.
In the cases in which there is a bone deficiency, sometimes even very marked, it is possible nowadays to perform advanced bone regeneration operations with minimally invasive techniques that do not require the use of donor sites, like the chin or the pelvis. These techniques are extremely reliable and effective, that require obviously a certain level of clinic experience.
More and more often there is the possibility to use provisionals supported by implants positioned immediately after the extractions of the compromised teeth. In this way there is a double advantage: the whole surgical prosthetic procedure is done in a single session, and the patient will avoid the inconvenience of exiting the clinic without one or more teeth.