SERVICES / Implant & Oral Surgery

Implant & Oral Surgery

At Smilerite Dental Care, our oral surgery procedures are performed with precision and care, ensuring optimal outcomes for our patients.

SERVICES / ORAL SURGERY

Implant & Oral Surgery

At Smilerite Dental Care Abu Dhabi, our oral surgery procedures are performed with precision and care, ensuring optimal outcomes for our patients.

Extractions

A dental extraction is the removal of a tooth. There are a couple reasons why extractions might be needed. Extractions are performed for a wide variety of reasons, including tooth decay that has destroyed enough tooth structure to render the tooth non-restorable.

Dentist and Assistant Working Together
Dentist and Assistant Working Together

Extractions

A dental extraction is the removal of a tooth. There are a couple reasons why extractions might be needed. Extractions are performed for a wide variety of reasons, including tooth decay that has destroyed enough tooth structure to render the tooth non-restorable.

Illustration of a wisdom tooth extraction using dental tools

Wisdom Teeth Extractions

Third molars, commonly known as wisdom teeth, usually emerge as the last four of 32 teeth in the mouth, typically appearing between the ages of 17 and 25. They sit at the back of the mouth (top and bottom), near the entrance to the throat. The term “wisdom” arises from the idea that these molars emerge during a period often associated with increased maturity or “wisdom.”

In most cases, the mouth doesn’t have enough space for wisdom teeth to erupt properly and become fully functional. When this occurs, the tooth can become impacted (stuck) in an undesirable or potentially harmful position. If untreated, impacted wisdom teeth can lead to infection, damage to other teeth, and possibly the development of cysts or tumors.

Illustration of a wisdom tooth extraction using dental tools

Wisdom Teeth Extractions

Third molars, commonly known as wisdom teeth, usually emerge as the last four of 32 teeth in the mouth, typically appearing between the ages of 17 and 25. They sit at the back of the mouth (top and bottom), near the entrance to the throat. The term “wisdom” arises from the idea that these molars emerge during a period often associated with increased maturity or “wisdom.”

In most cases, the mouth doesn’t have enough space for wisdom teeth to erupt properly and become fully functional. When this occurs, the tooth can become impacted (stuck) in an undesirable or potentially harmful position. If untreated, impacted wisdom teeth can lead to infection, damage to other teeth, and possibly the development of cysts or tumors.

There are several types, or degrees, of impaction based on the actual depth of the teeth within the jaw:

Soft Tissue Impaction

The upper portion of the tooth (the crown) has penetrated through the bone, but the gingiva (gum) is covering part or all of the tooth’s crown and has not positioned properly around the tooth.

Partial Bony Impaction

The tooth has partially erupted, but a portion of the crown remains submerged below the gum and surrounding jawbone.

Complete Bony Impaction

The tooth is completely encased by jawbone. This will require more complex removal techniques.

Reasons to remove wisdom teeth

While not all wisdom teeth require removal, wisdom teeth extractions are most often performed because of an active problem such as pain, swelling, decay or infection, or as a preventative measure to avoid serious problems in the future. If impaction of one or more wisdom teeth is present, and left untreated, a number of potentially harmful outcomes can occur, including:

Reasons to remove wisdom teeth

While not all wisdom teeth require removal, wisdom teeth extractions are most often performed because of an active problem such as pain, swelling, decay or infection, or as a preventative measure to avoid serious problems in the future. If impaction of one or more wisdom teeth is present, and left untreated, a number of potentially harmful outcomes can occur, including:

Exposure of Impacted Canine

The canine, or eye tooth, normally erupts into the mouth between the ages of 11 and 13. Sometimes one or both canines develop in the wrong position, often lying across the roof of the mouth behind the front teeth. If not addressed, the tooth won’t erupt normally and may either damage the roots of the front teeth or push them out of position.

After exposing the canine, the orthodontist glues a small bracket to the tooth. They then attach a chain to the bracket, which the orthodontist uses to pull the tooth into the right position. The chain is usually stitched out of the way but remains delicate, so it’s important to be careful when eating during the first few weeks after surgery.

Teeth with ligated braces.
Teeth with ligated braces.

Exposure of Impacted Canine

The canine, or eye tooth, normally erupts into the mouth between the ages of 11 and 13. Sometimes one or both canines develop in the wrong position, often lying across the roof of the mouth behind the front teeth. If not addressed, the tooth won’t erupt normally and may either damage the roots of the front teeth or push them out of position.

After exposing the canine, the orthodontist glues a small bracket to the tooth. They then attach a chain to the bracket, which the orthodontist uses to pull the tooth into the right position. The chain is usually stitched out of the way but remains delicate, so it’s important to be careful when eating during the first few weeks after surgery.

Frenectomy

When frenum is attached high or between two upper front teeth, early removal can improve space closure of the front teeth. There is very little post-operative pain and swelling, and the patient can have normal function of the lips and tongue. Many patients hardly notice the effects of the surgery.

 

Frenectomy

When frenum is attached high or between two upper front teeth, early removal can improve space closure of the front teeth. There is very little post-operative pain and swelling, and the patient can have normal function of the lips and tongue. Many patients hardly notice the effects of the surgery.

 

Apicoectomy

Strong roots hold the teeth firmly in place, extending into the jawbone. Molars and premolars usually have several roots, while the front incisors have only a single root. The apex, or tip of each root, is where nerves and blood vessels enter the tooth, aiding in the delivery of blood to the crown (the visible part of the tooth in your mouth).

Root canal treatment involves cleaning the canals and removing infected and inflamed tissue within the root. If inflammation or infection persists after the treatment, an apicoectomy may become necessary. This procedure involves removing the apex (or root tip) and then filling the root to seal it from further infection. If left untreated, infected roots can damage other teeth, spread infection, and cause regression of the jawbone.

Illustration of Apicoectomy
Illustration of Apicoectomy

Apicoectomy

The teeth are held firmly in place by strong roots that extend into the jawbone. Molars and premolars tend to have several roots, whereas the front incisors only have a single root. The end or tip of each root is termed the apex. The apex is where the nerves and blood vessels enter the tooth, and aids in the delivery of blood to the crown (the part of the tooth you can see in your mouth).

A root canal treatment refers to the cleaning of the canals and the removal of infected and inflamed tissue within the root. When the inflammation or infection persists after the root canal treatment, an apicoectomy may be required. An apicoectomy is essentially the removal of the apex (or root tip), followed by a filling procedure to seal the root from further infection. When left untreated, infected roots can damage other teeth, spread infection, and cause regression of the jawbone.

Reasons for an apicoectomy

Infected and inflamed soft tissue around the root of a tooth can cause exceptional pain and debilitation for the patient. The purpose of an apicoectomy is to eliminate the infection in the tissue, preserve the tooth’s function, and ultimately save it from extraction. Dentists rarely consider an apicoectomy unless a prior root canal treatment has failed.

Several reasons may necessitate an apicoectomy:

  • Small Adjoining Root Branches – Roots are extremely complex and often contain many tiny branches. If the dentist cannot clean and seal these tiny branches during the root canal treatment, inflammation may persist.

  • Blocked Root Canal – In some cases, a fractured file left behind from prior root canal treatment may block the root canal, preventing the dentist from effectively cleaning it. Infection and debris can quickly affect adjacent teeth.

  • Narrow or Curved Root Canals – When the root canal is poorly shaped, the endodontic files cannot reach the root tip, leading to continuing infection or re-infection.

What does getting an apicoectomy involve?

Before the surgery, the dentist typically prescribes an antibiotic or anti-inflammatory medication to treat the underlying infection. The dentist will then take panoramic x-rays to plan the apicoectomy, which they will perform under local anesthesia.

The dentist will make a small incision in the gum and lift it away to expose the root. In some cases, they may remove a tiny fraction of the jawbone to properly expose the root. Using ultrasonic instruments, the dentist will remove the edge of the root tip and any infected connective tissue. They will seal the root with a retrofill (filling material) and suture the gum with several stitches.

This surgery does not require an overnight stay, and the dentist will provide full aftercare instructions and pain medications as needed. After several days, the dentist will remove the stitches, and the connective tissues will fully heal several months after the procedure.

 

Removal of Dental cysts

llustration of Cyst Extraction

A cyst lines with a kind of tissue called epithelium. This type of tissue normally appears in surface layers, such as the skin and the lining of the mouth. Cysts may form when epithelium cells move into deeper body layers and start to multiply.

You can find oral cysts in the jawbone or in soft tissues such as the salivary glands, skin, or inside the mouth.

A cyst is not cancerous but can damage your soft tissue. As the cyst develops, the bone structure around the tooth will experience extreme pressure. It could erode the bone and weaken it.

An oral surgeon usually performs this procedure under local anesthesia. If the cyst is infected, the surgeon may prescribe antibiotics.

 

What are dental implants?

Dental implants provide a highly efficient and enduring solution for replacing missing teeth, offering longevity unmatched by traditional options like bridges or dentures. Despite their effectiveness, implants generally come with a higher cost.

Understanding Implantology:

Implantology involves the process of placing teeth implants to improve aesthetics, functionality, and address the physiological challenges of tooth loss. At Smilerite Dental Care in Abu Dhabi, we use titanium structures similar to screws, carefully implanted into the mandible or maxilla. These implants offer robust support for crowns or prostheses.

Our dental implants not only enhance reliability but also increase durability with a patented design. The implant surface promotes osseointegration, allowing the bone to securely bond with the implant, integrating it into the natural bone structure.

For those seeking a permanent solution to tooth loss, dental implants offer unmatched stability and longevity, ensuring both aesthetic appeal and optimal oral functionality.

Bone Grafts

Bone grafting is a safe and highly successful procedure that involves the “building up” or adding bone to the jaw by using your own natural bone from another location and/or by using donor, processed or synthetic bone materials. Often the new bone can be obtained from inside the mouth. 

Sinus Lift (Sinus Augmentation or Sinus Elevation)

Missing upper back teeth are among the most difficult to restore.  When the back teeth in the upper jaw are missing the sinus cavity becomes larger as the natural bone deteriorates over time. A sinus lift, also called sinus augmentation or sinus elevation, is a bone-augmentation procedure for patients who have an insufficient natural bone in this area for dental implant placement. The procedure involves adding bone below the sinus so that one or more implants can be placed. The procedure does not affect speech, intonation or cause sinus problems.

Ridge Expansion (Ridge Modification)

If the jaw isn’t wide enough to support dental implants, bone graft material can be added to a small ridge, or space, that is created along the top of the jaw. In some situations, implants can be placed right after a ridge expansion. Other situations require approximately four to 12 months to ensure that the ridge has fully healed first.  Like all bone grafting techniques, ridge expansion helps ensure a strong foundation and long lifespan for your new teeth. It also can be used to correct an unattractive and difficult-to-clean indentation that can occur in the jawline near missing teeth.

Bone Grafts

Bone grafting is a safe and highly successful procedure that involves the “building up” or adding bone to the jaw by using your own natural bone from another location and/or by using donor, processed or synthetic bone materials. Often the new bone can be obtained from inside the mouth. 

Sinus Lift (Sinus Augmentation or Sinus Elevation)

If the jaw isn’t wide enough to support dental implants, we can add bone graft material to a small ridge or space created along the top of the jaw. In some cases, we can place implants right after expanding the ridge. Other cases may require about four to 12 months to ensure the ridge fully heals first. Like all bone grafting techniques, ridge expansion ensures a strong foundation and long lifespan for your new teeth. It also helps correct an unattractive and difficult-to-clean indentation that can develop in the jawline near missing teeth.

Ridge Expansion (Ridge Modification)

If the jaw isn’t wide enough to support dental implants, bone graft material can be added to a small ridge, or space, that is created along the top of the jaw. In some situations, implants can be placed right after a ridge expansion. Other situations require approximately four to 12 months to ensure that the ridge has fully healed first.  Like all bone grafting techniques, ridge expansion helps ensure a strong foundation and long lifespan for your new teeth. It also can be used to correct an unattractive and difficult-to-clean indentation that can occur in the jawline near missing teeth.

Doctors working together.

What are the Benefits of Getting Dental Implants?

Dr. Don Varghese

Oral Maxillofacial Surgeon & Implantologist

Dr. Don Varghese is an experienced oral maxillofacial surgeon and implantologist with over 10 years of expertise. He specializes in cleft lip and palate surgeries, maxillofacial trauma management, and dental implantology, with a keen interest in reconstructive facial surgeries and TMJ disorders.

With a strong background in advanced surgical techniques, Dr. Varghese is committed to providing high-quality care, ensuring patient comfort, and adopting the latest innovations in maxillofacial surgery. His excellent communication skills and compassionate approach make him a trusted surgeon among his patients.

Fluent in English and Hindi, Dr. Varghese strives to stay at the forefront of his field, continuously enhancing his skills and knowledge.

Dr. Ali Thaier Al Kourwe

General Dentist / Implantologist

With over 7 years of experience, Dr. Ali Al-Kourwe is dedicated to providing cutting-edge, science-based dental care. He holds a Diploma in Aesthetic Dentistry, Oral Rehabilitation, Endodontics, and Oral Implantology. As a member of the American Association of Implant Dentistry, Dr. Ali stays at the forefront of modern dental advancements.

Currently pursuing his MSc in Periodontics at Mohammed Bin Rashid University (MBRU), Dr. Ali is committed to continuous learning and delivering the highest standard of dental treatment.

He specializes in aesthetic, restorative, and implant dentistry, with a focus on achieving optimal, long-lasting, and healthy outcomes for all his patients.

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