ORAL SURGERY
FIRST CONSULTATION
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• The first consultation is a time to listen to and inform the patient.• It allows a diagnosis to be made and the broad outlines of the treatment plan to be given.• No technical procedure is performed during the first consultation.
BILAN PERIODONTAL – Geneva
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· The periodontal assessment is an important moment in the periodontal treatment plan.
· It mainly takes place 6 weeks after the end of the surfacing
· It allows you to check whether the gums are healed, to make the right indications for periodontal surgery if necessary, and to define the frequency of periodontal maintenance.
ROOT PLANNING – Geneva
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• Root planing is the basic treatment in periodontics: it involves cleaning the dental surfaces above and below the gums.
• It can be carried out as initial treatment, but also during periodontal maintenance (long-term follow-up).
• Surfacing is carried out using ultrasound (scaler), curettes and mechanical polishers or air polishers
PERIODONTAL RECESSIONS – Geneva
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• Periodontal surgeries extend the sanitation achieved by surface cleaning when this is not sufficient, and eliminate periodontal pockets.
• Indications for periodontal surgery are made after planing, during the periodontal re-evaluation assessment. Compliance with this protocol guarantees a good prognosis.
• Periodontal surgery has seen many recent improvements: reduction in the extent of interventions (minimally invasive surgeries) and reduction in post-operative complications for patients.
GREFFES GINGIVALES – Geneva
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• Gum grafts only treat the consequences of receding gums but not the causes: they are therefore always preceded by treatment of the causes including oral hygiene education and resurfacing.
• The main objective of gum grafts is long-term gum stability: thickening of thin gums, creation or increase of keratinized tissue (more resistant horny layer).
• The aesthetic objective and the covering of the exposed root are not always possible: the surgeon will inform the patient about the prognosis before the operation in all cases.
ATRAUMATIC EXTRACTION – Geneva
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• Atraumatic tooth extraction involves preserving the periodontal tissues surrounding the tooth to be extracted (bone and gum).
• Atraumatic extraction requires a specific technical platform, an adapted operating technique, sutures and sometimes biomaterials.
• Atraumatic tooth extraction facilitates subsequent tooth replacement, especially if an implant is fitted.
BONE GRAFTS – Geneva
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• Bone grafts may be indicated to repair bone damaged by loosening, to compensate for bone loss during dental extraction, or for the placement of implants.
• The most common bone grafts in periodontics are xenografts: this means that they are powdered animal bone in which the patient's own bone cells can rebuild the patient's own bone.
IMPLANT SURGERY – Geneva
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• Dental implants allow missing teeth to be replaced without relying on adjacent teeth, and with an aesthetic result comparable to that of a natural tooth.
• Dental implants are very susceptible to loosening: periodontitis must be cured before implants are placed.
• Tobacco and dental implants are difficult to reconcile.
WISDOM TEETH EXTRACTION – GENEVA
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• Preventive care with a pre-intervention consultation for each case, in order to establish a preliminary clinical examination and plan the intervention.
• A doctrine based on the patient's interest, because the extraction of wisdom teeth is a surgical procedure; therefore, we only recommend undertaking it when the conditions for success are met and the benefit outweighs the risks.
• We defend an ethical, humane and transparent vision of oral surgery for the extraction of wisdom teeth. For the patient, this is an additional guarantee of confidence.
EXTRACTION WITH IMMEDIATE IMPLANTATION – GENEVA
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• Extraction with immediate implantation involves inserting an implant immediately after tooth extraction, during the same procedure. This modern technique reduces the number of surgical procedures and speeds up overall treatment. It also preserves the alveolar bone, provided it is not infected and sufficient bone structure remains.
• Precise planning using a 3D scanner is essential. The procedure is performed under local anesthesia, with atraumatic extraction, immediate implant placement, and possibly the addition of a biomaterial to promote healing. In some cases, a temporary crown can be placed immediately to maintain an aesthetic tooth during the healing phase.
• Postoperative monitoring is rigorous, with check-ups at 10 days, 1 month and 3 months. Oral hygiene plays a central role in long-term success. This protocol offers a result that is functional, rapid and aesthetic.
ALL-ON-X IMPLANTOLOGY – Geneva
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• All-on-X treatment allows for the rehabilitation of a complete jaw with fixed teeth in a single day, thanks to the placement of 4 to 6 strategically positioned implants. It is intended for edentulous patients or those with overall dental failure. Thanks to advanced digital planning, implants can be placed without bone grafting in the majority of cases, thus reducing postoperative delays and complications.
• The procedure is performed under local or general anesthesia in a sterile environment. A screw-on, aesthetic and functional temporary prosthesis is fixed the same day or within 24 hours. The patient immediately regains a natural smile, effective chewing and fluent speech. After a few months, a permanent prosthesis replaces the temporary one.
• Follow-up is essential, with check-ups every six months to assess implant stability, tissue health and the condition of the prosthesis. This solution offers comfort, aesthetics, long-term stability and personalized support.
