Surgical and parodontological department

Surgical department consists of surgical section, postoperative room, small surgery and room for anaesthetists.

This department is fully provided with all modern disinfection materials and disposable materials.

The distinctive feature of the surgical department is the fact that our surgeons conduct complex treatment of periodont diseases. On the initial stage the treatment includes traditional mechanical periodontological therapy that is/in other words removing of subgingival plaque (manually and with the help of special instruments, permanent tooth surfacing, and curettage (cleaning) of internal wall of periodontal pockets. Without such thorough therapy it is impossible to reckon on the further success of periodontal treatment. During the subsequent treatment the patient is included in a programme of periodic follow-up appointments. The patients are divided into groups according to the necessity of operative intervention or further conservative treatment. Since the basis of periodontal treatment is the fight against infection as well as removal of tissue defects that appear during the disease. The patients that do not have serious defects are subject to a general stomatological treatment, supporting periodontal therapy. For such purpose every patient passes full periodontic research (including all necessary radiological, laboratory and bacteriological tests). It allows not only for getting full information for the plan of treatment but also for diagnosing correctly.

Other patients who have anatomical defects subject to the operative treatment. If the defect is predicted regarding regeneration, the interventions directed to regeneration of periodontal tissue are made. Otherwise the methods of resection are used when it is possible to ablate part of gums, supporting bone, teeth, and roots of multi-rooted teeth. Though these procedures lead to the loss of tissues or even some permanent teeth, they allow for stopping the destruction of periodontal tissues and even to reconstruct them partially. This reconstruction allows for achieving good and stable results in future and to use the implantological method as well as to save the tissue around adjacent teeth.

In case of resection we use the methods of preservation or augmentation of the alveolar bone in the regions of sockets. Different osteoplastic materials and membranes are used for this purpose. The combination of them allows for getting rather high level of regeneration. Besides, our specialists manage the methods of usage of titanium membranes and titanic foil, methods of autotransplantation (transplantation of patient own bone). This methods help to get the best results of alveolar ridge reconstruction.

Rather often patients appeal for our aid to improve esthetics. In this case we can propose them the plastic surgery of periodont that includes different interventions for the closing of exposed roots, increasing of attached gingiva, plastic of frenulum, extension of crowns for providing esthetics, rational prosthesis and preventing of inflammation of surrounding tissue.

For the edentulous patients we can offer the implantation for the rational prosthesis, preserving of alveolar bone and reducing of overloading of the remaining teeth. After the detailed examination (radiological, including tomography of maxillofacial region; laboratory examination; consultation of interfacing specialists) of indications and contraindications for conducting of this procedure, stages and the necessity of the additional surgical intervention are determined.

We offer all kinds of dental implantation. We can place the dental implant immediately after extraction or 6-8 weeks after extraction and on the place of the teeth that were extracted a long time ago.

In auspicious conditions it is possible the immediate loading, in other words fixation of the crown on the just placed implant. Only after one visit into the clinic our patients leave it with "new temporal teeth" and the confident smile.

We can offer you one-stage and two-stage implants. One-stage implant allows for reducing reduce the number of operations as well as their cost. We use one-stage Q-implants manufactured by TRINON company (Germany), two-stage implants: Q2, manufactured by TRINON; ENTEGRA manufactured by INNOVA corporation (Canada), ENDOPORE (Canada). TBR (France) etc. The latest we recommend to the patients who have the pathology of the bite, with concomitant diseases and in case of bone tissue deficiency in the implantation area.

Also different kinds of operative interventions for bone and tissue reconstruction are made in our surgical department. These procedures are needed for the further implantation and prosthesis. When the narrowing of the alveolar ridge is observed, we suggest its splitting; widening it with the help of osteotomes; autotransplantation of bone blocks; placing of titanic membranes; grafting of osteoplastic materials of different origin: Bio-Gen (Italy), Dyna-Graft (USA), Fisiograft (Italy) along with placing of periodontal membranes Biocollаgen (Italy), Cytoplast (USA), TefGen (USA) or without them.

When the height of alveolar ridge is reduced, the placing of the special apparatus (distractor) is proposed. It allows for increasing of the height of the bone using the autologous bone. (In such situation it is also possible to set bone blocks, titanic membranes of Trinon Company. Also the bone blocks, titanic membranes of Trinon Company are used in this situation.) When high-grade atrophy is observed, the above mentioned methods are used stage-by-stage.

In case of insufficient conditions for the fixation of removable prosthesis we use mini-implants of TRINON company. This allows for obtaining good results in short terms and for tolerable cost.

In our deparment we make little traumatic teeth extraction with preserving of surrounding tissue. Also we perform all difficult extractions such as extraction of wisdom teeth, overcomplete teeth and teeth with malposition.

If it is possible to preserve one or two roots in multi-rooted teeth the resection methods are used such as hemisection (extraction of one root with a part of crown), amputation of a root (extraction of root with complete preserving of coronal part), coronaro-radicular separation (root separation by means of crown and root column splitting).
Operations on cyst excision on upper and lower jaws are also carried out in our clinic. If it is necessary the filling of canales is made during such operations. Surgeon cooperates closely with orthodontist for the treatment of periodontitis and forced eruption of retentional teeth.

According to indications or by request of the patient all the operative interventions can be made with general anesthesia.

During the post-surgery period the patients are closely fillowed up by our personnel, and are given all the necessary pharmaceuticals, can easily reach their surgeon by the phone and where necessary they may turn up for an additional examination.