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Oral Surgery in Antalya — Wisdom and Impacted Teeth

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Oral Surgery in Antalya — Wisdom and Impacted Teeth

Oral surgery in Muratpasa, Antalya: impacted wisdom teeth, surgical extractions and cyst removal. Open 24/7.

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Photos from treatments performed at our clinic

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Oral and maxillofacial surgery covers extractions, impacted teeth, cysts and bone grafting; the most common procedure is removal of impacted wisdom teeth.

Wisdom teeth erupt between about 17 and 25, and because the modern jaw is smaller there is often not enough room, so they erupt partially, tilt or remain fully impacted.

Not every impacted tooth must be removed; the decision depends on position, damage to the neighbouring tooth and symptoms — and cannot be made without a radiograph.

When Should a Wisdom Tooth Be Removed?

A symptom-free wisdom tooth that harms nothing can be monitored; extraction needs a reason.

Indications for extraction

  • Recurrent inflammation around the gum flap
  • Causing decay or root resorption in the neighbouring molar
  • Decay in the tooth or its surroundings
  • A cyst or other pathology around the tooth
  • Persistent trauma to the cheek or gum
  • As required by an orthodontic plan

Pericoronitis — the usual complaint

A gum flap over a partly erupted tooth cannot be cleaned and shelters bacteria, causing recurrent pain, swelling, difficulty opening the mouth and bad taste. Acute infection is controlled first and extraction planned afterwards.

When monitoring is appropriate

Fully impacted teeth with no contact, pathology or symptoms can be monitored radiographically. However, bone becomes denser with age and healing slower, so delaying an indicated extraction usually makes it harder.

How the Procedure Is Performed

The procedure follows a plan and is completed painlessly under local anaesthesia.

Imaging and planning

A panoramic radiograph shows position, root form and relation to nearby structures. Where the roots appear close to the nerve canal, a CT scan locates it precisely. In the upper jaw the relationship with the sinus is assessed.

Anaesthesia and surgery

Under local anaesthesia the area is fully numb; pressure is felt but not pain. An incision is made, overlying bone removed if needed, and the tooth sometimes sectioned — a technique that spares surrounding bone rather than a sign of difficulty.

Other surgical procedures

Oral surgery also covers surgical extraction of retained roots, exposure of impacted canines for orthodontics, cyst removal, apicectomy, and bone grafting and sinus lift before implants.

Aftercare — The Key to Healing

Healing depends on protecting the blood clot in the socket; the first 24 hours are critical.

The first 24 hours

Bite firmly on the gauze for 30 to 45 minutes; slight oozing on the first day is normal. Do not rinse, spit, use a straw or smoke — all displace the clot.

What is dry socket?

If the clot is lost the underlying bone is exposed, typically causing severe pain radiating to the ear two or three days later that responds poorly to painkillers. Smoking and straws are the main risks; treatment relieves it quickly.

Managing swelling and pain

Swelling peaks on the second or third day. Cold packs help in the first 24 hours and warmth afterwards; sleeping with the head raised also helps.

When to call us

  • Bright bleeding that does not stop despite pressure
  • Pain increasing or suddenly worsening after the third day
  • Swelling that affects swallowing or breathing
  • Fever and general malaise
  • Persistent numbness of the lip, chin or tongue
  • Discharge and a bad taste from the area

Oral Surgery Procedures Beyond Wisdom Teeth

Oral surgery covers a wide field, from exposing impacted teeth to removing jaw cysts and preparing the mouth for prosthetic treatment.

Exposing impacted teeth to support orthodontics

After wisdom teeth, upper canines are the most commonly impacted. Rather than extraction, the tooth is surgically exposed and an orthodontic attachment bonded so it can be guided into the arch — planning is shared between surgeon and orthodontist.

Assessment of jaw cysts and lesions

Cysts within the jaw often remain silent and are found incidentally on radiographs, but they can displace roots and thin the bone. Management depends on type and size, and excised tissue is sent for pathological examination.

Preparatory surgery before dentures and implants

  • Smoothing sharp bone ridges left after extractions
  • Removing excess soft tissue that prevents denture seating
  • Releasing a restrictive lip or tongue frenulum
  • Removing retained root fragments
  • Procedures that preserve bone volume in the extraction socket
  • Imaging bone and nerve position before implant planning
  • Adjusting gum level to suit the prosthetic margin

Possible Complications and How They Are Managed

Deviations from expected healing are uncommon, but they are much easier to manage when recognised early.

Dry socket (alveolar osteitis)

Loss of the blood clot exposes bone and causes throbbing pain radiating to the ear a few days after extraction, often with a bad taste. Smoking, rinsing early, straws and suction are common causes; treatment involves gentle irrigation and a medicated dressing.

Bleeding, swelling and limited mouth opening

Slight oozing in the first hours is expected; biting firmly on clean gauze for about half an hour usually stops it. Swelling peaks around the second or third day, and limited mouth opening after impacted tooth surgery normally resolves within days.

Signs that call for prompt assessment

  • Bleeding that fills the mouth despite gauze pressure
  • Swelling and pain that increase after the third day
  • High fever, malaise or chills
  • Difficulty swallowing or breathing — go to a hospital emergency department
  • Swelling spreading towards the eye or neck
  • Numbness of the lip, tongue or chin lasting beyond a week
  • Air escaping through the nose or fluid from the extraction site
✦ SSS

Frequently Asked Questions 30

01

Does an impacted tooth always have to be removed?

No. An impacted tooth that causes no symptoms, does not damage its neighbour and has no cyst or inflammation around it can be monitored with radiographs. Removal needs a reason: recurrent inflammation, resorption of the neighbouring root, cyst formation or an orthodontic requirement. The decision cannot be made without a panoramic radiograph.
02

How is surgery planned when the tooth is near the nerve?

Where the root tips lie close to the inferior alveolar nerve, three-dimensional imaging is requested; a panoramic radiograph does not show the relationship fully. In cases very close to the nerve, a coronectomy that leaves part of the root in place may be considered. The risks and options are explained to you before the procedure.
03

How long does swelling last after surgical extraction?

Swelling peaks on the second or third day, then subsides and has usually receded markedly within a week. Applying cold at intervals on the first day limits it. Swelling that increases when it should be settling, or is accompanied by fever or difficulty swallowing, needs assessment.
04

Do stitches need to be removed?

It depends on the type used. Resorbable sutures are not removed; non-resorbable ones are usually taken out within a week, which is a short and painless procedure. You are told which type was used and the review appointment is arranged accordingly.
05

How is a jaw cyst detected?

Most cysts cause no symptoms for a long time and are found incidentally on a radiograph taken for another reason. As they grow they can cause swelling of the jaw, displacement of teeth or numbness. This is one reason a routine panoramic radiograph matters not only for decay but for the whole structure of the jaws.
06

What if mouth opening is reduced after surgery?

A few days of restriction is normal, particularly after removal of a lower wisdom tooth, caused by oedema and reflex spasm of the chewing muscle. It improves with gentle mouth-opening exercises and the medication advised. If it lasts more than a week or is accompanied by fever, assessment is needed.
07

What is a sinus perforation?

In the upper back region the root tips can lie very close to the sinus, and the thin layer of bone can open during extraction. Small openings usually close on their own, and what matters is not blowing the nose forcefully. Larger openings need surgical closure, and you are told at the time if this applies.
08

How long does a bone graft take to consolidate?

A graft usually takes four to six months to mature, and the amount and the site affect that. During this period the area must not be loaded. The time may seem long but cannot be skipped: an implant placed early will not hold in bone that has not yet matured.
09

Are antibiotics needed before surgery?

Not for every procedure. A single dose before surgery is advised for certain prosthetic heart valves, previous infective endocarditis and some congenital heart conditions. It is also considered where there is widespread infection or immunosuppression. Bring documents relating to your heart condition.
10

I take medication for bone density — can I have surgery?

These medicines can affect the jawbone's capacity to heal and must always be reported. How long they have been taken, which drug it is and whether it is given orally or intravenously all matter. Surgery is possible in most patients, but the plan and follow-up are built accordingly; operating without this information carries serious risk.
11

Is wisdom tooth extraction painful?

The procedure itself is painless under local anaesthesia; pressure is felt but not pain. Some pain and swelling for a few days afterwards is expected.
12

Should every wisdom tooth be removed?

No. A wisdom tooth that causes no symptoms, does no damage to its neighbour and shows no pathology around it can simply be monitored with periodic radiographs. Extraction needs a reason, and that reason cannot be established without a panoramic radiograph in the first place.
13

How long does healing take?

Swelling usually peaks on the second or third day and then subsides. The soft tissue closes over within a few weeks, while the bone underneath takes months to mature fully. Healing after a surgical extraction takes longer than after a simple one, which is expected rather than a problem.
14

Can I smoke after an extraction?

No, it should be avoided. The suction of drawing on a cigarette can displace the clot from the socket, and the substances in the smoke impair healing in the tissue trying to close — together they markedly increase the risk of dry socket. Leave it as long as you can, and at minimum for the first few days.
15

Can numbness be permanent?

Lower roots can lie close to the nerve, which is why imaging is used to plan the approach. Temporary altered sensation can occur; permanent change is rare.
16

What can I eat afterwards?

Keep to warm, soft food on the first day and avoid anything hot, hard, spicy or full of small seeds and grains that can lodge in the socket. Do not use a straw, because the suction can pull the clot out. Chew on the untreated side and drink plenty of fluids.
17

I take blood thinners — can a tooth be extracted?

In most cases the procedure can be planned without stopping the medication, using additional local haemostatic measures. Never discontinue it on your own; any change must be agreed with the prescribing physician. Bring the drug name, dose and recent blood results.
18

Do the stitches need to be removed?

It depends on the material used. Resorbable sutures usually dissolve within one to two weeks, while non-resorbable ones are removed at a short, painless follow-up visit. An early lost suture is not itself a problem, but the review appointment should still be kept.
19

When can I exercise after an extraction?

Avoid strenuous exercise, heavy lifting and bending on the first day, since raised blood pressure can disturb the clot. Light walking is usually fine; after more extensive surgery the restriction may extend to a few days.
20

When can I start rinsing after an extraction?

Do not rinse for the first twenty-four hours, as this can dislodge the clot and lead to dry socket. From the next day, warm salt water can be held gently in the mouth rather than swished, and the area kept clean with a soft brush as advised.
21

How long do implants last? Are they permanent once placed?

Implants are designed as long-term solutions, though no treatment can be promised for life. What matters most is the health of the surrounding gum and bone. Daily brushing, interdental cleaning and regular check-ups with professional cleaning support longevity. Smoking, uncontrolled diabetes, clenching and neglected maintenance raise the risk, and the crown itself may need renewal.
22

Do I brush an implant like a normal tooth, or is extra care needed?

Yes, brush it twice daily with a soft brush and paste, but do not stop there. Implants cannot decay, yet the gum around them is more sensitive to inflammation, so cleaning between teeth matters. Use floss, interdental brushes or a water flosser daily, avoid scraping with hard tools, and keep regular check-up and cleaning appointments.
23

The gum around my implant bleeds and is swollen. Is that dangerous?

These signs can mean the tissues around the implant are inflamed and should be checked promptly. At an early, gum-only stage it is often reversible with professional cleaning and better home care. If it reaches the bone it becomes peri-implantitis, bone is lost and treatment is harder. Bleeding, swelling, odour or any mobility deserves an early appointment.
24

I smoke. Does that stop me from having implants?

Smoking is not an absolute barrier, but it is a known risk factor. Nicotine and smoke reduce blood flow, slowing healing and increasing the chance of inflammation around the implant. Stopping, or at least clearly reducing, before and during healing supports success. If you continue, we plan more frequent check-ups and a stricter maintenance routine.
25

I am diabetic and on blood pressure medication. Can I have implants?

Usually yes; what matters is how well the condition is controlled rather than the diagnosis itself. With stable blood sugar, healing generally goes smoothly, while poor control raises infection and delayed-healing risk. Bring recent test results and a full list of medicines, especially blood thinners and bone drugs, so we can plan with your physician if needed.
26

One tooth is missing. Should I choose an implant or a bridge?

Both replace the gap; the difference is their effect on neighbouring teeth. An implant stands alone, leaves healthy neighbours untouched and keeps the bone stimulated. A bridge requires reshaping both adjacent teeth, which can make sense if they already need crowns, and it finishes faster. Where surgery is unsuitable, a bridge is often preferred.
27

Food gets under my bridge. How do I clean underneath it?

The pontic rests on the gum and ordinary floss cannot pass beneath it, so you need special tools. Use superfloss or a floss threader to slide floss horizontally under the bridge and work it back and forth. Interdental brushes and a water flosser help too. Without this, decay and gum inflammation can develop on the supporting teeth.
28

I have three missing teeth in a row. Can a bridge cover that?

A bridge can only span a limited gap, decided by the number, root shape and bone support of the abutment teeth. Long spans flex under chewing and can overload the supports, causing loosening or fracture. For wider gaps, implant-supported solutions or partial dentures are usually considered, based on the span, the opposing teeth and radiographs.
29

Can a crowned tooth decay? A dark line appeared at its edge.

The crown itself cannot decay, but the natural tooth beneath it can. Decay typically starts at the margin where the crown meets the gum, if plaque is left there. A dark line may simply be a metal substructure showing or exposed root after gum recession, or it may be active decay. Examination and radiographs tell them apart.
30

My gum has receded around a crown. Must the crown be replaced?

Not always; first we look at the cause. Aggressive brushing, gum disease, clenching or a poorly fitting margin can all be responsible, and replacing the crown without fixing the cause invites a repeat. Replacement is considered when the exposed root decays, stays sensitive or the margin looks unacceptable. Sometimes gum treatment alone suffices.

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