Other treatments

The procedure involves removing a fragment of gingiva that covers the crown of an erupting tooth. Usually, it is performed if complicated eruption of wisdom teeth is observed.

An abscess forms over the course of an infection, if infected pulp in the chamber and the root canal becomes necrotic. Then, pus forms and it has no exit. An abscess that does not burst or drain may lead to a systemic infection, which may be health- and life-threatening.

If the tooth cannot be treated endodontically, and there are pathological lesions within the bone that surrounds the root which cause pain, the only method of saving the tooth is to perform apicoectomy – i. e. removing the apex of the tooth and the inflammatory lesion. The procedure involved performing incision to mucosa around the apex, cutting a „window”in the bone, cutting off the apex, and tight seal obturation of the root canal and closure of the entrance using bone substitutes. Mucous membrane is sutured, and the sutures are removed 7 days after surgery. The patient should remain under dental care. After 3 months, bone regeneration is visible in x-rays. The effect of the procedure can be fully evaluated 1 year after surgery.

Lip and tongue frenulum are streaks of tissue that connect the lip and the tongue with alveolar ridge. In many cases, there are some disorders within these structure, e.g. the frenulum may be attached too close to the teeth, it may be too short or too thick, it may exert negative influence on the periodontium, smile aesthetics, tooth alignment or retention of removable dentures.

In children, plastic surgery of an e.g. tongue frenulum that is too short, makes it possible to regain full mobility of the tongue and prevents the child from developing speech disorders.

In most cases, the procedure is performed in canines. Eruption disorders caused by improper alignment of the tooth follicle, too narrow maxilla or trauma in childhood makes it necessary to perform a procedure in which the tooth is repositioned into the arch using orthodontic treatment. The procedure is performed in anaesthesia and involves diagnosing the position of the tooth using radiography, and then exposing (“finding it”) and putting orthodontic brace on the tooth. Thanks to orthodontic forces, the tooth can, within approximately 15-24 months, reach proper position within the dental arch.

However, it may not be possible to guide the tooth in each case. Anatomical conditions, unfavourable location of the tooth in relation to adjacent teeth, may lead to resorption (atrophy) of adjacent roots while attempting to guide it into the proper position. This makes orthodontic treatment involving aligning teeth into the arch is too risky for adjacent teeth, or if surgical-orthodontic measures have unsatisfactory results, such situations constitute an indication for extraction of the impacted tooth with appropriate bone regeneration (e.g. using Bio-Oss bone substitute) and implant placement later on.