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Maxillofacial Surgery

cerrahi 1This is one of the domains of dentistry that requires the most sensitive operation covering the operations and treatment of cyst and similar abnormalities in and around the maxilla, pulling the embedded wisdom teeth or other embedded teeth, resection of the infections at the tip of the root that we call apical resection without need for pulling the teeth, implant applications and surgical operations for maxilla joint disorders.

What is Apical Resection?

This is the surgical operation in which the root end infections of those teeth that can not be treated with root canal treatment or other routine treatments are curated by forming a small opening from the gingiva or bone through the lip or cheek.


Wisdom Teeth

These are teeth that are generally seen in the mouth between the ages 17 and 22 located at the end of the line of teeth and that are either pulled or let to remain in the mouth depending on the position and to the fact whether they are damaging the tissues or not. It is recommended to pull those that remain under the gingiva completely or partially as well as those inside the bones.


The problems that might be caused by wisdom teeth;

  • Formation of cyst around or in the root of the crown of the tooth that remains embedded
  • Pain due to inflammation in surrounding gingiva, limitation in mouth opening or abscess in futurePain due to inflammation in surrounding gingiva, limitation in mouth opening or abscess in future
  • Crowding due to pressure on anterior teeth
  • Swelling inside and outside the mouth
  • Malodor inside the mouth

It gets difficult to brush and clean wisdom teeth even if the person is taking care of his/her oral health due to the position of wisdom teeth. As a result, such teeth decay very easily. This is completely related to the position of the teeth. Moreover, the caries in such teeth also get in contact with the microorganisms in the molar tooth causing it to decay very easily too.

When to pull wisdom teeth?

The wisdom teeth that haven’t reached the correct position in an individual with incomplete maxilla development should be pulled when realized. It is not proper to wait until they cause pain or problem. It is more difficult to pull rotten or broken teeth. It may not be possible to intervene in case of abscess or infection and it shall be possible to pull the tooth only after the infection has been suppressed by taking antibiotics. Moreover, the earlier the tooth is pulled, the faster the recovery will be.


Things to be considered after pulling out wisdom teeth:

  • You should keep the cushion on the operated section for at least 30 minutes. Thus, blood clot will be formed and bleeding will be under control.
  • If bleeding persists when you take out the cushion, place a new one and bite firmly. If there is too much bleeding, contact your dentist.
  • Do not drink or eat anything until anesthetic effect is over. Try to use the other part of your mouth during the first day.
  • Do not check the operated area with your tongue or do not pull your lips or cheek to see the sutures. Do not open your mouth too much. Such movements might start bleeding. There might be breaking in sutures or in the gingiva.
  • Do not smoke or drink alcohol for 2 days.
  • Do not rinse your mouth for 24 hours. This might cause removal of the blood clot resulting in delayed heling or pain.
  • There might be swelling on your face depending on the difficulty of operation. Apply cold cushion at short intervals for the first 24 hours.
  • Take the prescribed medicines regularly as instructed by your dentist. Please consult your dentist in case of an unexpected effect.