Surgery

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Surgery

Your new look

SURGEON – MD, PHD
KONRAD WALERZAK

Disorders of the oral cavity and face are quite common. Every year we treat several hundred diverse cases, from simple dental treatment to complex surgeries. We provide treatment of the oral cavity, dental surgery (tooth extraction, wisdom tooth chiseling and resections), as well as implantology procedures and restoration of dentition. In addition, we offer maxillofacial surgery to treat facial disorders, all types of deformations and malocclusion.

 

DENTAL SURGERY

Dental surgery procedures are most often performed under local anesthesia in order to minimize pain. Patients who find the procedure particularly stressful may receive general anesthesia.

All the procedures are performed in a state-of-the-art operating room under the supervision of an anesthesiologist. Most often such procedures do not require an overnight hospital stay.

PROCEDURES

Surgical extraction of impacted wisdom teeth

We perform the procedure of wisdom tooth extraction under local anesthesia. It takes only half an hour and the stitches are removed after seven days. During the procedure the patient feels no pain. This is one of the most common procedures related to dental health. The extraction of the wisdom tooth is most often required due to inflammation in the local area and pain.

 

The procedure is safe and complications are very rare. A small percentage of patients may be affected by the dry tooth socket, a condition causing pain in the extraction area. It is relieved by administering anti-inflammatory drugs and tooth socket irrigation. This condition may last from seven days to two weeks.

 

An extremely rare complication, the unilateral sensory paralysis of the lingual nerve or of the lower alveolar nerve, is treated by administering vitamin B1 which supports the regeneration of the nervous system. Recovery is facilitated by laser biostimulation which effectively accelerates tissue regeneration.

Fully impacted wisdom tooth

Partially impacted wisdom tooth

Root apex resection (apicoectomy)

We perform this procedure in case of incurable periapical lesions or dental root cysts, or in case of trauma-related root apex fracture. It is performed under local anesthesia and involves making an incision in the mucous membrane in order to uncover the bone. Next, the inflammatory lesion is removed, or the root cyst is extirpated. In many cases, the root apex is also removed in order to prevent inflammation returns.

 

Maxillofacial surgery

We offer excellent conditions for orthodontic-surgical treatment on our premises.

We have created a team of experienced doctors specializing in maxillofacial surgery. This is one of the main fields of our work, and we focus on the corrective surgery of the jaws, or orthognathic surgery.

 

We offer excellent conditions for orthodontic-surgical treatment on our premises. We treat complicated malocclusions and deformities, and perform complex procedures like upper jaw osteotomy, lower jaw osteotomy and genioplasty. Unlike dental surgery, these procedures are much more complex and require general anesthesia, patient preparation and recovery room stay.

 

PROCEDURES

Upper jaw osteotomy

Before this procedure the patients undergo orthodontic treatment. After such preparation, under the eye of the orthodontist, we perform the procedure. Most often, it is performed on patients with open bite or gummy smile. Maxillary osteotomy is used for treating maxillary bone defects that result in malocclusion and facial deformity. It is performed under general anesthesia. The surgeon makes an incision in the maxillary bone, moves the bone to the proper position and fixes it with titanium screws and plates. The whole procedure is performed within the oral cavity, so no scars are left on the face.

 

Upper jaw osteotomy

with advancement

Segmental osteotomy

Lower jaw osteotomy

It is a similar corrective procedure, but performed on the mandible. Like in the upper jaw osteotomy, proper orthodontic preparation and good general health of the patient are required to perform it. The procedure is administered to treat bone defects that result in malocclusion and often also in facial deformity. The surgeon makes an incision in the jawbone on both sides, moves it to proper position and fixes it with titanium screws and plates. The procedure is used to advance or retract the lower jaw, or to correct its symmetry. The procedure is performed under general anesthesia. The incisions are made inside the oral cavity, so no scars are left on the face.

 

Mandibular osteotomy is most often performed in cases of distal occlusion with deep overbite or laterognathia, or as an element of double-jaw surgery in the treatment of patients with skeletal class III malocclusion (most often, progeny).

 

Lower jaw osteotomy
with advancement

Lower jaw osteotomy
with retraction

Double-jaw osteotomy

Surgeons at Face-Clinic perform this procedure in case of patients with craniofacial disorders, mostly complex ones, when both upper and lower jaws are affected by deformities. The procedure involves two popular procedures – maxillary osteotomy and mandibular osteotomy.

Maxillary advancement, mandibular retraction

Maxillary posterior impaction, mandibular advancement

Genioplasty

This is a chin correction procedure. It is performed inside the oral cavity, so it leaves no scars on the face. Its goals include advancement, retraction or correction of the symmetry of the chin.

Genioplasty, chin advancement

Genioplasty, chin retraction

Surgically-assisted maxillary expansion – re-opening of the palatal suture

This procedure is applied to treat narrow upper jaw. In minor patients, an orthodontic appliance may be sufficient for achieving upper jaw expansion. The appliance is most often fixed on premolars and molars. The jaw bones, which are flexible at this age, are slowly moved apart by turning the screw located in the middle of the appliance. However, such a procedure is not viable for patients with mature bones, as it may cause complications, such as middle teeth tilting, which may lead to local gum recession. Also, the appliance may fail to overcome the resistance of the bones. The problem is solved by surgical incision of the bone at the points of highest resistance. The appliance, fixed before the surgery, will then expand the palate to desired size. The procedure is performed under general anesthesia.

 

Surgically assisted
maxillary expansion

Surgical-orthodontic-prosthetic treatment

Combined surgical-orthodontic-prosthetic treatment of patients with gnathic defects and gaps in dentition with the use of CAD/CAM dental restoration system

 

Multidisciplinary treatment of gnathic defects is a process divided into stages. The diagnosis is followed by orthodontic treatment involving moving the teeth to correct positions (decompensation). This is related to the fact that if the upper and lower jaws are positioned incorrectly, over time the teeth tend to compensate for this, changing their position so that biting and chewing is possible. The orthodontist aims to move the teeth back to their correct position in the upper or lower jaw. As a result, when the surgeon moves the jaw during surgery, they will be able to align upper and lower teeth into correct relationship.

 

Patients with gaps in dentition lack supporting structures to retain the results of treatment, and there is a risk of bone deformation caused by muscles. With the use of CAD/CAM technology, proper prosthetic restoration is provided. A digital scan of dental arches is made, which forms the basis of digitally designed restorations. This ensures much higher precision that traditional methods. At the CAD/CAM laboratory, the machine mills the designed restorations. Visualization of the patient's face results in a precisely planned surgical treatment using intraoral scans of dental arches and an orthodontic appliance. A single platform hosts the impressions of the patient's face, the bones of the face and skull, and very precise data on teeth position and shape. The data is used for diagnostics, patient interviews and production of the plate used to achieve the planned position of the jaws during surgery. The plate is also produced in CAD/CAM technology and milled with exceptional precision.

PROCEDURES UNDER GENERAL ANESTHESIA

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ANESTHESIOLOGIST – MD, PHD

Marcin Kołacz

Most dentistry procedures may be performed under local anesthesia. The patient remains conscious but they do not feel the pain during or after the procedure. Some surgeries of the face, however, require general anesthesia, in order to ensure patient comfort.

 

Following the latest recommendations of medical societies and extensive experience gained at a range of clinics, we have developed an approach that combines the advantages of both methods. The patient receives both local and general anesthesia. The medications and state-of-the-art equipment used in the course of treatment greatly reduce the risk of any problems or complications in post-operative period, and help shorten the hospital stay.

TREATMENT OF SLEEP APNEA

 

Problems with sleep should not be neglected. Snoring and apnea that lasts longer than 10 seconds may be treated by Face-Clinic specialists. This disorder is caused by the collapsing soft tissue in the oral cavity and throat, which obstructs the airways. As a result, patients suffering from this condition are constantly tired and tend to fall asleep at work or while driving. Most often, sleep apnea requires a treatment that combines dentistry, jaw surgery and laryngology. At Face-Clinic, we treat this disorder with the correction of the nasal septum and the palate, and advancement of the lower jaw or both jaws.

 

Surgical-prosthetic treatment

Combined surgical-prosthetic treatment of patients with breathing problems during sleep caused by gnathic disorders. A multidisciplinary approach based on knowledge, experience and specialist equipment helps permanently eliminate gnathic defects that lead to airway obstruction.

 

In our clinic, we use 3D tomography in diagnostics, which shows whether and how the airways are obstructed. In patients from the risk group, a preliminary sleep examination is carried out using Watch PAT, a device collecting data on patient's sleep, such as body position, amount of oxygen in the blood, micro-awakenings and snoring. If the problem is caused by a gnathic defect, we plan and deliver prosthetic restoration based on CAD/CAM technology (digital design and production of dental restorations). A digital scan of dental arches is made and used for digital design of restorations (such as crowns, bridges, veneers, inlays) which are produced from a wide range of materials such as zirconium, composites or metals. These restorations are much more precise that in the traditional method. The machine mills them from blocs of material in the CAD/CAM laboratory. The next step involves visualization of the patient's face, showing bone segments combined with dental scans (this helps precisely plan the procedure), 2D photographs of the patient's face and a 3D profile of the patient's soft tissues. The software calculates the width of the patient's airways and takes into account facial harmony while planning the procedure. The required repositioning is digitally planned, and a digital plate is produced to transfer planning results from the computer to the operating room. The plate is produced in CAD/CAM technology and milled with exceptional precision. The entire process of diagnostics and planning influences the precision and the lasting character of the results of treatment. Owing to airway expansion, the patient has no breathing problems (snoring) during sleep, which helps avoid systemic diseases that might occur without treatment, such as hypertension and circulatory or endocrine disorders.