Oral surgeries / Tooth Extraction

Tooth extraction

If your tooth needs to be extracted, consult with us, we perform painless extractions with the latest techniques. People usually say that having a tooth extracted is a dreadful and uncomfortable experience but with our extensive skill and care it can be easy and pain-free.

There are several reasons when a tooth can not be saved:

  • severe infection, diseased tooth
  • tooth bad damaged
  • extensive decay
  • broken tooth
  • abscessed teeth
  • fractured root
  • extremely overcrowded teeth
  • loss of bone, loose teeth
  • root canals are not accessible
  • baby tooth when it is in the way of permanent tooth
  • impacted tooth
  • supernumary teeth

These are the most common circumstances when a tooth needs to be taken out.

There are two ways of performing it: simple extraction and surgical extraction. During the check-up the dentist will take an X-ray to see the condition of the tooth and will find out which procedure is suitable for you.

Simple (non surgical) tooth extraction

requires only a local anesthetic to numb your mouth and it is performed on teeth that can be seen and easily accessed in the mouth. This is a relatively quick treatment

Sometimes it happens that during the removal of the tooth, the tooth breaks or can not be moved. In these cases a surgical extraction needs to be performed.

Surgical tooth extraction

A surgical extraction is a complex procedure but it can be done using local anesthetic or we can provide IV sedation (general anasthesia) for anxious patients to relieve pain.

Surgical extractions are performed on teeth that can not be easily accessed, have broken or become impacted off the gum line.

This procedure requires an incision. The oral surgeon cuts and pull back the gum and often a portion of bone also has to be removed to reveal the tooth. Sometimes the tooth needs to be cut into parts. After the extraction the dentist will close the gums together with stitches.

Batorfi Dental Clinic team experienced in both types of extractions. Our general dentists and oral surgeon (who specializes in surgeries, in complicated and risky procedures) can assure you to make the whole procedure as easy and smooth as possible.

If you need more information about tooth extraction, contact us.

Oral surgeries

Bone loss can due to various factors. It can result from tooth loss, trauma, periodontal disease, tooth extraction or removable dentures which did not fit well enough. Patients with these sympthoms might experience discomfort, difficulty in chewing or speaking, lacking of self-confidence. In this case, bone replacement taken from the patient's chin can be used to rebuild the lost bone to support the dental implants!

Please note, in our Dental Implant Clinic oral surgical procedures are only performed by master implantologists!

'My implant surgery and sinus lift by Dr Bela Batorfi and his superb assistants went fantastically well bearing in mind my nervousness !'

- Sefton Druce, UK -

During the oral surgery procedure (except sinus lift) the doctor opens the gum and after the preparation and cleaning of the bone the graft is placed in the opening. During the healing period, which is usually 6-8 months, the host bone will merge with the material of the bone block, filling the areas of bone loss and getting your bone ready for dental implant procedure or bridge placement!

Bone grafting materials used at our Dental Clinic
  • Bio-Oss (Switzerland)
  • Cerasorb (Germany)
  • Biogran (Germany)
  • Tutodent (USA)
Types of oral surgeries
  • dental implant placement
  • grafting with artificial bone
  • types of bone blocks
  • sinus lift
  • bone graft from hip bone

Please note the type of procedure personally matching the need of the patient is decided and advised by our specialists.

Dental Implant placement

Implant placement is a type of oral surgical procedure during which titanium dental implants are inserted into the bone after the gum had been opened. There should be no pain when the dental implants are placed, in most cases local anaesthetic or IV sedation is used. Ususally patients can leave and go to work the next day, unless any surgical circumstances arises. Temporary denture is usually given for the healing period for aesthetic reasons. The healing time for dental implantation (if no other intervention is needed) is usually 3-4 months (except in the case of other dental implant systems which heal quicker) after which the healing screws are inserted. 2 weeks after the insertion, the abutments are fitted and mould is taken to plan the crowns or bridges. Within 10 working days the permanent crowns or bridges are placed onto the dental implants.

There are various types of restorations used on dental implants, which usually depends on the treatment objectives. These are removable prostheses (dental implants are used for retention), totally dental implant supported porcelain fused to metal or metal-free crowns or bridges, removable or fixed dental implant bridges, single or multiple crown(s) on dental implant(s).

Grafting with artificial bone

Bone graft is an oral surgical procedure when we substitute your own bone with synthetic replacement materials (mainly with hydroxyapatite). These materials have many of the same bone forming properties as human bone and absolutely safe alternatives.

TYPES OF BONE BLOCKSBone block from the chin

Generally considered the best material for dental bone grafts, autogenous bone is the process whereby bone taken from adjacent sites of the patient such as the chin. Autogenous bone is the standard as often it has the most predictable results. It is considered the best type of dental bone grafting technique because the bone is live bone.

Artificial bone block

The procedure is the same as with the bone replacement of the chin except our specialists use only synthetic blocks to fill the areas of bone loss. Please note, this type of procedure usually has lower success rate then the one using bone from the patient's body.

Sinus lift

Sinus lift is a great solution for those who has bone loss in the upper jaw area or dental implantation cannot take place because the sinuses are too close to the jaw. It usually advised to have for those patients who has not got enough bone in the upper jaw, when teeth are missing for a long time or the maxillary sinus is too close to the jaw for dental implants to be placed. In these cases the aim is to increase bone quantity. During the procedure the doctor cuts the gum tissue near premolars or molars. A small, oval window is opened in the bone exposed. The sinus membrane is gently pushed up and away from the jaw. Bone graft material is placed into the space, this way several millimeters of bone is added above the jaw. The incision is stitched and closed. There are two possible treatment types, either performing the dental implantation together with sinus lift, in this case the healing time is 8 months or first the sinus lift is done and 6 months later the dental implantation will take place which again has to heal for another 4 months. The type of treatment is decided by the specialist after personal consultation.

Bone graft from hip

There are cases when implantologists use another part of the jaw for grafting (such as chin or back portions of the jaw, see above) but when there is not enough bone available, they have to turn to other parts of the body such as the hip bone (as the hip bone contains enough marrow, soft tissue within the bone). The autograft is a procedure where the specialist collects bone from the pelvis above the hip joint. A cut is made (usually a couple of inches long) and the required amount of bone is taken out. According to the amount of bone needed a small plastic tube may be placed into the wound before stitched. After the operation you are likely to feel some pain for at least a few days even if only a small amount of bone has been collected. In the case of a larger amount of bone collecting the area might hurt for even a couple of weeks. Dressing is put over the wound after surgery, this should be worn until the stitches have been removed. You should expect to stay in hospital for a couple of days but it depends on the treatment type involved at the same time. For more information on bone graft from the hip click here (Power Point presentation). See the prices of our oral surgery treatments.

Bone block

Dental implant bone grafting is a surgical procedure, replaces the bone that has been lost with material from the patient's own body (autogenous bone) or with a natural, artificial, or synthetic substitute. In most cases the goal of the implant dentist is to generate new healthy and natural bone in the area of the procedure. Some synthetic materials simply hold the space under the gums and the patient's body does not replace the material with natural bone. Dental implant bone grafting replaces missing bone lost from previous dental extractions, injuries, accidents, cysts, periodontal disease, infections along with many other causes. Although these procedures increase the cost of dental implants, they also help create more cosmetic and often more durable restorations.

Bone replacement

Autografts are bone grafts, which come from your own body. This type of graft is still considered the "gold standard" by many surgeons. It offers the best of both worlds; it has very good osteoconductivity and also great osteoinductivity due to its high content of resident growth factors. The disadvantage is the higher morbidity. It is always necessary to conduct a secondary surgical access in a remote location of the body in order to harvest the bone. Depending on the quantity of bone needed, this can be the hip (for larger quantities) all the way down to an intra-oral site, such as the chin or the back of the jaw. Autogenous bone grafts have shown to be some of the most predictable grafts in surgery.