Oral Surgery Leicester

Oral surgery, also known as oral and maxillofacial surgery, is a specialised branch of dentistry that focuses on the diagnosis, treatment, and management of various conditions, injuries, and defects affecting the mouth, jaws, face, and neck regions.

Types of Oral Surgery Procedures

Oral surgery encompasses a wide range of procedures, including but not limited to:

Tooth Extractions

This involves the removal of damaged, impacted, or wisdom teeth that cannot be restored or pose a risk to the patient’s overall oral health.

Dental Implant Surgery

Oral surgeons place dental implants, which are artificial tooth roots, into the jawbone to support dental prosthetics like crowns, bridges, or dentures.

Corrective Jaw Surgery

Also known as orthognathic surgery, this procedure corrects irregularities in the jaw structure and bite alignment, often addressing conditions like underbites, overbites, or jaw joint disorders.

Facial Trauma and Reconstructive Surgery

Oral surgeons treat facial injuries, such as fractures or lacerations, and perform reconstructive procedures to address congenital or acquired defects in the facial region.

Cleft Lip and Palate Surgery

This procedure involves correcting cleft lip and/or cleft palate birth defects, which can affect breathing, feeding, and speech development.

Oral Pathology

Oral surgeons diagnose and treat various oral diseases and pathological conditions, including cysts, tumours, and lesions in the mouth, jaws, and surrounding structures.

Qualifications and Training

Oral surgeons in the UK undergo extensive training and education beyond dental school. They complete a dedicated postgraduate programme in oral and maxillofacial surgery, which includes rigorous clinical and surgical training. This specialised training equips them with the skills and expertise necessary to perform complex surgical procedures within the oral and maxillofacial region.

Oral surgery plays a crucial role in maintaining and improving oral health, restoring function, and enhancing the overall quality of life for patients. By addressing a wide range of conditions and performing intricate surgical procedures, oral surgeons contribute significantly to the field of dentistry and the well-being of their patients.

At our dental practice, we offer a comprehensive range of oral surgery procedures to address various dental and facial conditions. Our highly skilled and experienced oral surgeons are dedicated to providing the highest quality of care tailored to each patient’s unique needs.

Common Oral Surgery Procedures

Tooth Extractions

We perform simple and surgical extractions of teeth that are severely damaged, impacted, or wisdom teeth that cannot be preserved.

Dental Implant Surgery

Our oral surgeons place dental implants, which are artificial tooth roots, into the jawbone to replace missing teeth and provide a stable foundation for dental prosthetics like crowns, bridges, or dentures.

Bone Grafting

For patients who have experienced bone loss in the jaw, we offer bone grafting procedures to augment and regenerate the jawbone, ensuring a sturdy foundation for dental implants or other restorative treatments.

Corrective Jaw Surgery

We specialise in orthognathic surgery, which involves repositioning and realigning the jaws to correct functional and aesthetic issues, such as underbites, overbites, or jaw joint disorders.

Facial Trauma and Reconstructive Surgery

Our oral surgeons are experienced in treating facial injuries, including fractures and lacerations, as well as performing reconstructive procedures to address congenital or acquired defects in the facial region.

Oral Pathology

We diagnose and treat various oral diseases and pathological conditions, such as cysts, tumours, and lesions in the mouth, jaws, and surrounding structures.

State-of-the-Art Facilities and Technology

Our practice is equipped with the latest technology and state-of-the-art surgical facilities to ensure the highest standards of care and patient comfort. We utilise advanced imaging techniques, such as cone-beam computed tomography (CBCT), to accurately diagnose and plan for complex surgical procedures.

Our team of oral surgeons stays up-to-date with the latest advancements in the field, and we are committed to providing personalised treatment plans tailored to each patient’s unique needs and preferences.

Oral surgery may be recommended in various situations to address dental and facial conditions that cannot be treated through more conservative methods. Some common scenarios where oral surgery becomes necessary include:

Tooth Extractions

Impacted Teeth

When teeth, particularly wisdom teeth, fail to emerge properly and become trapped (impacted) in the jawbone, oral surgery is required to remove them safely and prevent potential complications.

Severely Damaged or Decayed Teeth

If a tooth is severely damaged due to trauma, decay, or other reasons, and it cannot be restored through root canal treatment or other restorative procedures, extraction by an oral surgeon may be the best option.

Dental Implant Placement

Oral surgery is necessary for the placement of dental implants, which are artificial tooth roots designed to replace missing teeth. The oral surgeon surgically inserts the implant into the jawbone, providing a secure foundation for the subsequent restoration (crown, bridge, or denture).

Corrective Jaw Surgery

Individuals with severe jaw misalignments, such as underbites, overbites, or jaw joint disorders (TMJ), may require orthognathic surgery, also known as corrective jaw surgery. This complex procedure repositions and realigns the jaws to improve function, aesthetics, and overall oral health.

Facial Trauma and Reconstruction

Oral surgery is essential for treating facial injuries, such as fractures or lacerations, as well as addressing congenital or acquired defects in the facial region. Reconstructive procedures help restore function and aesthetic appearance.

Oral Pathology

If a patient is diagnosed with oral pathological conditions, such as cysts, tumours, or lesions in the mouth, jaws, or surrounding structures, oral surgery may be required for their removal or treatment, depending on the severity and nature of the condition.

It’s important to note that the decision to undergo oral surgery is based on a comprehensive evaluation by a qualified oral surgeon, who will assess the patient’s unique situation and recommend the most appropriate course of action.

Like any surgical procedure, oral surgery carries potential risks and complications. However, it’s important to note that these risks are generally low when the surgery is performed by a skilled and experienced oral surgeon in a professional setting. Some of the possible risks and complications associated with oral surgery include:

General Surgical Risks

Bleeding

Some bleeding is expected after oral surgery, but excessive or prolonged bleeding can occur in rare cases, especially in patients with underlying medical conditions or those taking certain medications.

Infection

Proper sterilisation techniques and adherence to post-operative instructions can minimise the risk of infection, but infections can still occur in some cases.

Swelling and Bruising

Temporary swelling and bruising around the surgical site are common and usually subside within a few days to a week.

Procedure-Specific Risks

Tooth Extractions

Potential complications include dry socket (a painful condition where the blood clot is dislodged from the extraction site), damage to adjacent teeth or jaw fractures in complex cases.

Dental Implants

Risks may include implant failure, nerve injury, sinus problems (if implants are placed in the upper jaw near the sinus cavities), or allergic reactions to the implant material.

Corrective Jaw Surgery

Risks can include issues with bite alignment, temporary or permanent numbness or tingling in the lips or chin due to nerve injury, jaw joint problems, or relapse of the condition over time.

Post-Operative Complications

Numbness or Tingling

Temporary numbness or tingling in the lips, tongue, or chin may occur due to nerve bruising or swelling, but it typically resolves within a few weeks to months.

Jaw Stiffness or Difficulty Opening the Mouth

Some temporary jaw stiffness or limited mouth opening may be experienced after certain oral surgeries, but it usually improves with time and proper post-operative care.

It’s crucial to discuss all potential risks and complications with your oral surgeon prior to the procedure. Following their pre-operative and post-operative instructions carefully can help minimise the chances of complications and ensure a smooth recovery.

Proper preparation is essential for a successful oral surgery experience and a smooth recovery process. Here are some important steps you can take to prepare for your upcoming oral surgery procedure:

Pre-Surgical Consultation

Medical History Review

During your initial consultation, provide your oral surgeon with a comprehensive medical history, including any existing conditions, medications you’re taking, allergies, and previous surgeries or hospitalizations. This information will help the surgeon assess potential risks and plan the procedure accordingly.

Discuss Concerns and Ask Questions

Don’t hesitate to voice any concerns or ask questions about the procedure, recovery process, potential risks, and post-operative care instructions. A clear understanding of what to expect can help alleviate anxiety and ensure you’re well-prepared.

Pre-Operative Instructions

Fasting Guidelines

You may be instructed to avoid eating or drinking for a specific period before the surgery, especially if you’ll be receiving general anaesthesia or intravenous sedation. Follow these instructions carefully to prevent complications during the procedure.

Medication Adjustments

Inform your oral surgeon about any medications you’re taking, including over-the-counter drugs, supplements, or herbal remedies. They may advise you to adjust or temporarily discontinue certain medications before the surgery to minimise risks.

Oral Hygiene

Maintaining good oral hygiene before the surgery can help prevent infections and promote faster healing. Your oral surgeon may recommend specific oral hygiene practices, such as using an antimicrobial mouthwash or undergoing a professional dental cleaning.

Logistical Arrangements

Transportation

Arrange for a responsible adult to drive you home after the surgery, as the effects of anaesthesia or sedation can impair your ability to operate a vehicle safely.

Post-Operative Care Assistance

Plan to have someone available to assist you with daily activities and care during the initial recovery period, as you may experience some discomfort, swelling, or temporary limitations.

Prepare for Recovery

Stock up on soft, nutritious foods, ice packs, and any recommended medications or supplies you may need during the recovery process.

By following your oral surgeon’s pre-operative instructions and making the necessary arrangements, you can help ensure a successful procedure and a more comfortable recovery experience.

The type of anesthesia used during an oral surgery procedure depends on several factors, including the complexity and duration of the surgery, as well as the patient’s overall health and preferences. Your oral surgeon will recommend the most appropriate anesthesia option based on your specific needs and the nature of the procedure. Common types of anesthesia used for oral surgery include:

Local Anesthesia

Numbing Injections

Local anesthesia involves injecting a numbing agent, such as lidocaine or novocaine, into the area around the surgical site. This type of anesthesia is typically used for minor procedures like tooth extractions or certain types of dental implant surgeries.

Advantages

Local anesthesia allows you to remain fully conscious during the procedure, eliminating the need for general anesthesia or sedation. It also minimizes post-operative side effects and typically has a shorter recovery time.

Intravenous (IV) Sedation

Conscious Sedation

With IV sedation, you will receive medications through an intravenous line to induce a state of relaxation and reduced anxiety, while still allowing you to respond to verbal commands. This method is often combined with local anesthesia for more complex or lengthy procedures.

Advantages

IV sedation helps you remain calm and comfortable during the surgery, and you may have little to no memory of the procedure itself. It is a safe and effective option for patients who experience anxiety or have difficulty tolerating prolonged surgical procedures.

General Anesthesia

Deep Unconsciousness

General anesthesia is administered intravenously or through inhalation, causing you to lose consciousness entirely throughout the procedure. This option is typically reserved for more invasive or extensive oral surgeries, such as corrective jaw surgery or complicated facial reconstructions.

Advantages

With general anesthesia, you will be completely unaware of the surgical process, and your oral surgeon can work more efficiently without disruptions. However, it does require a longer recovery period, and you’ll need someone to drive you home and monitor you for the first 24 hours after the surgery.

Your oral surgeon will discuss the various anesthesia options with you in detail, taking into account your medical history, the nature of the procedure, and your personal preferences. They will ensure that you are well-informed and comfortable with the chosen method before proceeding with the surgery.

It is common to experience some degree of pain or discomfort following oral surgery procedures. However, the extent and duration of post-operative discomfort can vary depending on the type of surgery performed and individual healing responses. Your oral surgeon will provide you with appropriate pain management strategies to help minimise any discomfort and ensure a smooth recovery process.

Mild to Moderate Discomfort

Simple Extractions

After routine tooth extractions, you may experience mild to moderate discomfort, swelling, and tenderness in the treated area for a few days. This is usually manageable with over-the-counter pain medications and cold compresses.

Dental Implant Surgery

Dental implant placement is typically associated with mild to moderate discomfort, swelling, and bruising in the initial few days following the procedure. Your oral surgeon may prescribe stronger pain medication to help manage any discomfort during the early stages of healing.

Moderate to Severe Discomfort

Wisdom Teeth Removal

Extracting impacted wisdom teeth, particularly those that are fully or partially embedded in the jawbone, can lead to moderate to severe discomfort, swelling, and potential bruising in the days following the procedure. Your oral surgeon will likely prescribe stronger pain medication and provide specific aftercare instructions to aid in the healing process.

Corrective Jaw Surgery

Orthognathic or jaw repositioning surgery is considered a more invasive procedure, and you can expect to experience moderate to severe discomfort, swelling, and potential bruising in the weeks following the surgery. Your oral surgeon will provide appropriate pain medication and specific instructions for managing discomfort and promoting healing.

Pain Management Strategies

Medication

Your oral surgeon may prescribe pain medications, ranging from over-the-counter options like ibuprofen or acetaminophen to stronger prescription painkillers, depending on the extent of the procedure and your individual needs.

Cold Therapy

Applying ice packs or cold compresses to the treated area can help reduce swelling and numb discomfort, especially in the first 24 to 48 hours after surgery.

Rest and Recovery

Allowing adequate time for rest and healing is crucial for managing post-operative discomfort. Follow your oral surgeon’s aftercare instructions carefully, including any dietary restrictions or activity limitations, to promote a smooth recovery process.

It’s essential to communicate any persistent or worsening pain or discomfort to your oral surgeon, as this may indicate a complication or a need for adjustments to your pain management plan.

Following your oral surgeon’s post-operative instructions carefully is crucial for a successful recovery and to minimize the risk of complications. While specific instructions may vary depending on the type of oral surgery you undergo, here are some common guidelines you can expect:

Activity Restrictions

Rest

Plan to rest and avoid strenuous activities for the first 24 to 48 hours after the surgery. This allows your body to recover and helps prevent excessive bleeding or swelling.

Limit Physical Activity

Refrain from exercise, heavy lifting, or other physically demanding activities for a period specified by your oral surgeon, typically ranging from a few days to a week or more, depending on the extent of the procedure.

Dietary Guidelines

Soft Foods

Stick to a soft or liquid diet for the initial few days after the surgery to avoid irritating the surgical site. Your oral surgeon may recommend options like yogurt, smoothies, soups, or mashed potatoes.

Avoid Hot or Crunchy Foods

Steer clear of hot beverages, crunchy, or hard foods that could dislodge the blood clot or cause further trauma to the surgical area during the initial healing phase.

Oral Hygiene

Gentle Brushing and Rinsing

Continue to brush and floss your teeth as directed, but be gentle around the surgical site. Your oral surgeon may recommend using an antimicrobial mouthwash or saltwater rinses to promote healing and prevent infection.

Avoid Smoking and Alcohol

Refrain from smoking and consuming alcohol for a specified period, as these can impede the healing process and increase the risk of complications.

Pain and Swelling Management

Medication

Take any prescribed pain medication or over-the-counter pain relievers as directed to manage discomfort and inflammation.

Cold Therapy

Apply ice packs or cold compresses to the affected area periodically during the first 24 to 48 hours to reduce swelling and discomfort.

Follow-up Appointments

Attend all scheduled follow-up appointments with your oral surgeon. These visits allow them to monitor your healing progress, address any concerns, and provide additional instructions or treatment as needed.

By adhering to your oral surgeon’s post-operative instructions diligently, you can promote proper healing, minimize complications, and ensure a successful recovery after your oral surgery procedure.

The recovery time after oral surgery can vary significantly depending on the type of procedure performed, the extent of the surgery, and individual healing factors. Some procedures may require a relatively short recovery period, while others may involve a more extensive healing process. Here’s an overview of typical recovery timelines for common oral surgery procedures:

Simple Tooth Extractions

Recovery Time

For simple tooth extractions, such as the removal of a single tooth or wisdom teeth that are not impacted, the recovery period is usually between 3 to 7 days. Most patients can return to their normal activities within a week, with some residual swelling and discomfort subsiding gradually.

Surgical Tooth Extractions (Impacted Wisdom Teeth)

Recovery Time

The removal of impacted wisdom teeth, which requires more extensive surgical procedures, typically involves a longer recovery period of 7 to 10 days. During this time, patients may experience significant swelling, bruising, and discomfort, which should gradually subside with proper care and pain management.

Dental Implant Surgery

Recovery Time

The recovery process after dental implant surgery can be divided into two phases: initial healing and osseointegration (fusion of the implant with the jawbone). The initial healing phase, which involves managing swelling and discomfort, typically takes 5 to 7 days. However, the osseointegration process can take several months, with most patients able to receive their final restoration (crown, bridge, or denture) after 3 to 6 months.

Corrective Jaw Surgery (Orthognathic Surgery)

Recovery Time

Corrective jaw surgery, which involves repositioning and realigning the jaws, is a more complex procedure with a longer recovery period. Patients can expect significant swelling, bruising, and discomfort for the first 2 to 4 weeks, with gradual improvement over the following 6 to 8 weeks. Complete healing and recovery may take up to 12 weeks or longer, depending on the extent of the surgery and individual healing factors.

Factors Affecting Recovery Time

Individual Healing Ability

Each patient’s healing ability can vary based on factors such as age, overall health, and lifestyle habits (e.g., smoking).

Adherence to Post-Operative Instructions

Carefully following your oral surgeon’s post-operative instructions regarding diet, oral hygiene, activity restrictions, and medication can significantly impact the recovery process and healing time.

It’s essential to communicate closely with your oral surgeon and attend all follow-up appointments to monitor your recovery progress and address any concerns or complications that may arise.

Local Anesthesia

Minor Procedures

For minor oral surgery procedures involving only local anesthesia (numbing injections), you may be able to drive yourself home, provided you feel alert and capable of operating a vehicle safely. However, it’s generally advisable to have someone accompany you or arrange for alternative transportation, as the lingering effects of the anesthesia can vary from person to person.

Intravenous (IV) Sedation or General Anesthesia

Impaired Coordination and Reaction Time

If you received IV sedation or general anesthesia during your oral surgery, you will not be allowed to drive yourself home. These types of anesthesia can cause drowsiness, impaired coordination, and delayed reaction times, making it unsafe for you to operate a vehicle.

Designated Driver Required

Your oral surgeon will require you to have a responsible adult accompany you to drive you home and provide assistance after the procedure. This designated driver should be prepared to stay with you for the first 24 hours or until the effects of the anesthesia or sedation have fully worn off.

Pain Medication

Potential Side Effects

Even if you did not receive anesthesia or sedation, you may be prescribed pain medication after your oral surgery. These medications can cause drowsiness, dizziness, or impaired reflexes, making it unsafe to drive.

Alternative Transportation Recommended

If you will be taking pain medication after your oral surgery, it is strongly recommended to arrange for alternative transportation, such as a ride from a friend or family member, or a taxi or rideshare service.

Post-Operative Instructions

Your oral surgeon will provide you with specific post-operative instructions, including guidelines on when it is safe to resume driving. It’s crucial to follow these instructions carefully to ensure your safety and the safety of others on the road.

Remember, your well-being is the top priority after undergoing oral surgery. Taking the necessary precautions and arranging for safe transportation home can help prevent potential accidents and ensure a smooth recovery process.