Call us: 352-205-8355, 352-205-8478

109 North US HWY 27/441, Lady Lake, Florida-32159

Oral surgery

What are Impacted wisdom teeth ?

A wisdom tooth, in humans, is any of the usual four third molars. Wisdom teeth usually appear between the ages of 16 and 25.Most adults have four wisdom teeth, but it is possible to have fewer or more, in which case the extras are called supernumerary teeth. Wisdom teeth commonly affect other teeth as they develop, becoming impacted or “coming in sideways.” They are often extracted when this occurs.

Impacted wisdom teeth (i.e., those that have failed to erupt through the gum line) fall into one of several categories:

  • Mesioangular impaction is the most common form (44%), and means the tooth is angled forward, towards the front of the mouth.

  • Vertical impaction (38%) occurs when the formed tooth does not erupt fully through the gum line.

  • Distoangular impaction (6%) means the tooth is angled backward, towards the rear of the mouth.

  • Horizontal impaction (3%) is the least common form, which occurs when the tooth is angled fully 90 degrees sideways, growing into the roots of the second molar

What is Vestibuloplasty ?

Persons who wear dentures generally notice that, over time, the appliances becomes looser and looser, usually requiring relining of the denture plate or requiring the individual to undergo refitting for new dentures. Whether missing one tooth, the lower or upper teeth, or an entire mouthful of teeth, the gums and underlying bone typically deteriorate. After the loss of each tooth, the body reabsorbs the bone tissue causing shrinkage.

The membranes and tissues covering the bone also diminish.Vestibuloplasty refers to surgical modification of the oral cavity that might include enhancing the gingival-mucous membrane or bone density or extensive tissue rearrangement. The surgical procedures generally involve increasing the height and width of the gum region in preparation for dentures or oral implants. The extent of the surgery varies, depending on the amount of bone loss incurred and the size of the surface area requiring reconstruction. Surgery to repair the vestibular extension area extends anywhere from the outside of the teeth and gums to the inside of the cheeks.

What is Alveoplasty ?

When one or more permanent teeth are lost due to extraction, injury or accident, each absent tooth leaves a hole in the jawbone. Although the gums will heal over the hole, the underlying jaw bone will inevitably have high and low points.causing restorations such as dentures to rub against high points, create sore spots, and fit poorly. Furthermore, over time, the edentulous (toothless) area of the jaw will also lose a significant amount of bone, causing thinning of the top ridge and again making proper denture fit a nightmare. Finally, some people simply have a little extra bone jutting out from the main jawbone, preventing correct denture fitting as well.

In such situations, we use alveoplasty to smooth out uneven areas, flatten and taper overly thin ridges, and prepare the jaw to receive dentures successfully. Not only does alveoplasty ensure a better fit for dentures, but it helps control bleeding and improves healing time following multiple extractions, since we actually suture the tooth sockets closed rather than leaving them open to fill with a blood clot as with general single tooth extractions. Fast healing is especially helpful for cancer patients preparing to receive head or neck radiation. For such patients, decayed teeth must be removed and the sockets completely healed prior to commencing therapy.

We often perform alveoplasty during the same appointment with single or multiple extractions. In such cases, we’ll do the extractions first. Then, to begin the alveoplasty procedure, your surgeon will simply make a careful incision in the gum tissue, peel it back to expose the bone, remove excess bony areas with clippers and a rotary drill, then smooth the section with a file. After smoothing the bone, your surgeon will remove bone particles via irrigation, then suture the entire incision closed. Typically, we’ll use a locking-suture technique to minimize bleeding and seal the tissue efficiently.

Sometimes dentists will have taken an impression of your jaw and prepare a model (or stent) as a means of indicating precisely where bone must be removed. In such cases, the surgeon will replace the gum tissue over the smoothed bone, place the stent on top, and reshape the bone as needed to accommodate.
Your Procedure Preparation