Oral Surgery – Aplus Medical

Dental surgery

Pre-Prosthetic Surgery.

In cases where the patient cannot hold a fixed prosthesis in the mouth and seeks to make a removable prosthesis, the surgeon must assess the patient’s need to perform preparatory surgery so that the removable prosthesis has maximum stability in the mouth.

The main pre-prosthetic interventions are the removal of excess soft tissue, left over from bone retraction, due to the long absence of teeth and tori, which are bone neo-formations in the palate or inside the lower jaw, which may prevent the prosthesis from descending.

Root removals

Removals of remaining teeth and roots.

Oral surgery is that branch of dentistry, which deals with surgical interventions in the oral cavity. Below are some of the most common interventions performed by a dentist specializing in oral surgery: Tooth extraction is a routine intervention in oral surgery.

Which is the most common surgery?

The most common surgery is the removal of mature molars, the removal of worn teeth and also the removal of teeth to enable the straightening of teeth with orthodontic appliances and the placement of prosthesis. One of the most important interventions is also the removal of the remaining roots that can lead to bone infections and cysts.

Infections

Treatment of infections (abscesses).

In medical language it is called Drainage of Abscesses. Abscesses are infections that come from the decay of teeth in severe degrees or from their stripping and movement. They spread to the gums with variations in size (from a slight bulge in the area around the tooth to a bulge that appears on the outside), which can impede breathing.

When is this treatment performed?

This is accompanied by fever, constant pain, mobility of the teeth, and swelling of the lymph nodes in the neck. Surgical treatment is performed when the treatment of the tooth has not succeeded in eliminating the infection and consists of an intervention in the infected area and disinfection of the infected space, depending on the case, with antibiotics.

Everything You Need to Know

Frequently Asked Questions

Is pre-prosthetic surgery always necessary before getting dentures/prosthetics?

No, but many patients require some degree of oral preparation (like bone smoothing or tissue removal) for the best long-term fit, function, and comfort.

What does the surgery involve?

It can include procedures like alveoloplasty (bone smoothing/reshaping), removal of excess bone (tori or exostoses), removal of excess gum tissue, or ridge augmentation (bone grafting to build up a shrunken ridge).

How long is the recovery?

Recovery varies based on the procedure. Minor soft tissue work may heal in 1–2 weeks, while more complex bone grafting can take several weeks or months for complete maturation.

Can I wear my existing or new denture right after surgery?

Usually, a temporary denture can be worn, but it may require significant adjustments or a soft lining to accommodate the healing tissues.

Will the procedure be painful?

Local anesthesia and/or sedation are used during the procedure, so you won't feel pain. Post-operative pain, swelling, and discomfort are normal and managed with prescribed medication and care.

Why does the whole tooth need to be surgically removed instead of just pulled?

Surgical removal is needed for teeth that are broken off at the gum line, have curved or complex roots, or are impacted (like some wisdom teeth).

Will I feel pain during the extraction?

No, local anesthesia ensures the area is completely numb. You may feel pressure, but not pain.

What are the post-surgery instructions for recovery?

Common instructions include avoiding rinsing, spitting, or using a straw for 24 hours to protect the blood clot, managing pain and swelling with medication and ice, and avoiding smoking.

Will antibiotics alone get rid of my tooth infection?

No. Antibiotics help contain a spreading infection, but they cannot cure a dental abscess because they can't effectively penetrate the dead tissue inside the tooth or bone. The source of the infection (the bacteria and necrotic tissue) must be physically removed via a root canal, extraction, or drainage.

How long will it take for the pain/swelling to go away after starting treatment?

Patients often start feeling improvement in swelling and pain within 2-3 days of starting antibiotics and definitive dental treatment.

What kind of treatment will I need?

Treatment options usually include either Root Canal Treatment (to remove the infection and save the tooth) or Tooth Extraction (to remove the infected tooth).

What pain relief can I take?

Over-the-counter pain medications like Ibuprofen or Acetaminophen are typically effective, and your dentist may prescribe a stronger analgesic, which should be taken as directed.

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