Dentistry focuses on diagnosing, preventing, and treating conditions of the teeth, gums, and oral structures, supporting oral health and overall well-being.

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Treatment and Care

image 10 253 LIV Hospital

The treatment of an impacted tooth at Liv Hospital is a sophisticated process that prioritizes patient comfort, safety, and rapid recovery. While the most common solution is surgical extraction, we also use advanced regenerative techniques to ensure optimal healing of bone and soft tissue. Our approach to tooth impaction is grounded in the principles of minimally invasive surgery, using the latest technology to reduce trauma to the surrounding tissues. Whether the case involves a simple soft tissue impaction or a complex complete bony impaction, our team provides comprehensive care from the initial consultation to final healing.

Surgical Extraction Modalities

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Minimally Invasive Surgical Techniques The goal of modern extraction is to remove the tooth with as little disruption to the surrounding bone as possible. The Use of Piezosurgery and Specialized Tools Piezosurgery uses ultrasonic vibrations to cut bone while leaving soft tissues and nerves unharmed, significantly reducing post-operative swelling. Local Anesthesia: Ensuring the area is completely numb so the patient feels no pain during the procedure. Sedation Options: For patients with dental anxiety, we offer various levels of sedation to ensure a calm and comfortable experience. Tooth Sectioning: Breaking the impacted tooth into smaller pieces to allow for removal through a smaller opening in the bone. Bone Preservation: Carefully removing only the necessary amount of bone to access the tooth, which supports faster healing. Suturing Techniques: Using high-quality, often dissolvable sutures to close the surgical site and promote proper tissue adaptation. Hemostasis Management: Ensuring bleeding is effectively controlled before the patient leaves the clinic.

Regenerative Medicine in Extraction Sites

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At Liv Hospital, we don’t just remove the tooth; we focus on regenerating the site. One of the most advanced techniques we use is Platelet-Rich Fibrin (PRF) therapy. This involves taking a small sample of the patient’s own blood, processing it to concentrate the platelets and growth factors, and placing this fibrin clot into the extraction socket. PRF significantly accelerates the healing of both bone and gum tissue, reduces the risk of “dry socket,” and minimizes post-operative pain. This biological approach to care is a hallmark of the specialized services at Liv Hospital.

Management of Post Operative Recovery

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The care provided after the surgery is just as critical as the procedure itself. We provide every patient with a detailed recovery plan that includes pain management, nutritional guidance, and activity restrictions.

  • Pain Management: Utilizing a combination of anti-inflammatory medications to keep the patient comfortable during the first few days.
  • Swelling Control: Instructions on using cold compresses to minimize the body’s inflammatory response in the first 48 hours.
  • Oral Rinse Protocols: Guidance on when and how to use gentle salt water or antimicrobial rinses to keep the site clean.
  • Activity Restrictions: Advising patients to avoid strenuous exercise for a few days to prevent bleeding and support the initial clot formation.
  • Follow up Appointments: Scheduling visits to monitor healing and ensure no complications are developing.

Addressing Potential Complications

While complications are rare at Liv Hospital due to our advanced techniques, we are fully prepared to manage them if they occur. The most common issue is dry socket (alveolar osteitis), which occurs when the blood clot is lost prematurely. We treat this by placing a medicated dressing in the socket to soothe the nerves and promote new healing. We also monitor for signs of infection or prolonged numbness and provide immediate care to resolve them. Our comprehensive approach ensures that every patient has a safe and predictable path to recovery.

Coronectomy: An Alternative for High-Risk Cases

In situations where an impacted wisdom tooth is exceptionally close to the inferior alveolar nerve, a complete extraction may pose a high risk of permanent numbness. In these cases, Liv Hospital surgeons may perform a coronectomy. This procedure involves removing only the crown of the tooth while leaving the roots untouched in the bone. Over time, the roots often move away from the nerve or remain safely encased in bone without causing further problems. This specialized technique is a vital option for protecting the patient’s neurological health while still resolving the symptoms of impaction.

Orthodontic Exposure and Bonding

For impacted teeth that are necessary for a functional bite, such as canines, the treatment is not extraction but guided eruption. This involves a surgical procedure to expose the crown of the impacted tooth, followed by the bonding of an orthodontic bracket. The orthodontist then uses gentle tension to pull the tooth into its correct position over several months. At Liv Hospital, we coordinate closely between our surgical and orthodontic teams to ensure that these valuable teeth are saved and integrated into a healthy, beautiful smile.

Nutritional Support for Tissue Repair

The body requires specific nutrients to rebuild bone and soft tissue after a surgical procedure. At Liv Hospital, we provide nutritional counseling as part of our post-operative care. We emphasize the importance of high-quality protein, Vitamin C, and Vitamin D3 to support the collagen matrix and bone mineralization. We also advise on a soft-food diet during the initial healing phase to prevent trauma to the surgical site. This holistic view of recovery ensures that the patient’s body has the resources it needs to heal as quickly and effectively as possible.

Long Term Monitoring of Retained Impactions

For patients who choose not to remove an asymptomatic impacted tooth, Liv Hospital provides a long-term monitoring program. This involves annual clinical exams and periodic radiographic updates to ensure the tooth remains stable and that no cystic changes or damage to adjacent teeth occur. If any changes are detected, we can intervene early before the situation becomes complex. This proactive approach to care ensures that even “silent” impactions do not compromise the patient’s long-term oral health.

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Assoc. Prof. MD. Elif Dilara Arslan Assoc. Prof. MD. Elif Dilara Arslan Dentistry
Group 346 LIV Hospital

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FREQUENTLY ASKED QUESTIONS

Is the surgery to remove an impacted tooth painful?

No, we use adequate local anesthesia and sedation to ensure you are comfortable and pain-free during the procedure.

PRF is a concentration of your own growth factors that helps the bone and gums heal faster and reduces pain after surgery.

Most patients feel much better within 3 to 5 days, though complete bone healing takes several months.

We recommend soft foods like yogurt, smoothies, and lukewarm soups for the first few days to protect the healing site.

A dry socket occurs when the blood clot is lost too early; you can avoid it by not smoking and not using straws after surgery.

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