Surgery in dentistry

Implantation is the implantation of a titanium post into the bone of the jaw, which fulfils the function of the tooth root.
Subsequently, prosthetics are carried out either with single crowns or all-ceramic prostheses, which are fixed to the implants with screws
I work with several systems, the choice depends on the wishes of the patient, the conditions of implant placement and financial possibilities.

Adentia is a serious problem, accounting for 15% of all dental pathology. 40% of people over 60 years of age have missing teeth. This is most often the case in the chewing group.
Implant prosthetics is the most complete restoration of the masticatory function of the entire maxillofacial system, speech function and the possibility of achieving high aesthetics.
Full and partial removable prostheses can be used in the temporary prosthetic phase.
In the case of single or short-term defects, an implant is placed in place of the missing tooth and a crown is subsequently fabricated on the abutment.
In the case of complete adentia, the ALL ON 4 or ‘all on four’ protocol is ideal. 2 implants are placed in the anterior region and 2 in the premolars.
The concept of this method is that the patient comes to the clinic without teeth and leaves with teeth. For approximately 3 to 6 months, the patient uses a removable denture, which replenishes the aesthetic and chewing function. Then comes the stage of permanent prosthetics.
I favour zirconium arches, as they are highly aesthetic and durable.

In cases where the tooth cannot be saved, it will be extracted.
Indications for extraction:
-Multiple caries with damage to the root tissues
-Periapical infection in the case of difficult or impossible passage of the root canal for its sanitation
-Diseases of periodontal tissues, when there is a significant loss of dental ligament, high tooth mobility
-High degree of jaw atrophy and, as a consequence, exposure of tooth roots.
-Orthodontic treatment for severe crowding of teeth
-Historical and retentive wisdom teeth
-Teeth on the fracture line of the jaw

Alveolar bone volume deficiency is quite common. Not every person after tooth extraction comes to the dentist with the desire to place an implant. Years pass and atrophy builds up.
Bone grafting surgeries are performed only when a full implant is not possible, and consist of increasing the height or width of the bone.
I most often perform bone grafting operations using my own bone blocks, as this gives the most predictable results

Periodontal disease is a complex and widespread pathology that has a rather negative impact on the whole organism.
Periodontitis is an inflammation in which there is a progressive destruction of periodontal tissues and alveolar outgrowth.
Clinically, it is manifested by the appearance of pathological tooth-gum pockets of varying depth, periodontopathogenic microorganisms contribute to the spread of the process to neighbouring areas.
Flap surgery - the essence of the method is to peel off the mucosal periosteal flap to the depth of the pathological pocket, remove all altered tissues, clean the roots of the teeth and suture.