Maxillofacial surgery

Our clinic’s maxillofacial surgeons are trained and experienced in carrying out all surgical procedures in the face and jaws region.

    Removal of wisdom teeth

    Wisdom teeth can be removed using local anaesthetics, but the removal of all four wisdom teeth or in the case of retained wisdom teeth, using general anaesthetic may prove to be a better option. During the operation, bone is removed from around the tooth and the tooth may be cut into smaller pieces with a drill if needed. The wound will be closed with stitches. Surgical removal of wisdom teeth might be a simple procedure, but also could be difficult and traumatic for the patient.

    Tongue and lip tie division operations

    The necessity to correct a tongue or lip tie often becomes apparent during a dentist, orthodontist or speech therapist appointment. Our specialists perform tongue and lip tie correction procedures in difficult cases, when the tie hinders the patient’s speech and everyday life. The operations can be carried out using either local or general anaesthetic. General anaesthesia is preferred for smaller and more restless children.

    Removal of jaw cyst

    Jaw cysts or benign tumours can form around the roots of your teeth or around buried teeth. The contaminated bone is removed with a drill, infectious tissue is cleaned or cyst removed. The wound is closed with stitches that can be removed within a week. General anaesthetic might be used for larger operations to achieve the best result.

    Plastic surgery of the bone and soft tissue

    It might be necessary to graft additional bone tissue into the jaw before or after the installation of implants. Our clinic uses the patient’s own bone tissue for grafting, which is generally preferred over artificial substitutes that most Estonian clinics use. The operations are carried out under general anaesthetic. Congenital or acquired jaw anomalies also cause a serious developmental defect of the bite and skull, which severely influences the patient’s health in addition to appearance. In that case, correcting the position of one or both of the jawbones is a very effective treatment.

    Orthognathic surgery combines orthodontic and surgical treatment

    Orthognathic surgery is a surgical treatment method that straightens or realigns your jaw, and corrects related skeletal deformities. In some cases, orthodontic treatment alone is not sufficient to correct the patient’s teeth and jaws, therefore surgical treatment becomes necessary. The operation can enlarge, contract or better position the upper or lower jaw, or both. The surgery is carried out in the operating theatre under general anaesthetic and the patient requires post-surgery supervision.

    Surgical treatment needs careful planning by the surgeon and orthodontist, in collaboration with a periodontist and denture specialist if necessary.

    Collaboration with the patient is very important starting from the very first appointment. The specialist examines the patient’s condition and evaluates whether orthognathic surgery could help.

    When planning this type of large surgeries, the patient must be motivated and knowledgeable about the treatment, since while orthodontic treatment leads to slow gradual changes, surgical treatment changes the patient’s appearance rapidly. The operation improves the patient’s smile and facial appearance. In some cases, other surgical procedures are recommended, such as rhinoplasty or plastic surgery of the chin. Prosthetic treatment is often needed to secure the final result.

    Even surgical realignment of jaw bones has its limits and the patient’s expectations might be too high in some cases. Without understanding the patient’s problem and explaining the changes that will occur to their appearance, the patient’s reaction after a successful surgery might be negative. there have been cases when patients have required psychological counselling after surgery due to their largely improved appearance.

    The following are needed to plan treatment:

    photos of the patient’s face from the front and side
    photos of the inside of the mouth
    plaster dental models
    fixed denture
    skull x-rays from the front and side