Oral Surgery, Leeds

Sometimes teeth are difficult to extract – especially impacted wisdom teeth, retained roots and difficult buried teeth and these need to be removed with surgery.
With complicated extractions like these it is important to retain as much bone as possible (especially if you’re planning to have implants) so wherever possible Richard uses a bone preserving technique and the use of piezosurgery which uses vibration to accurately cut and remodel bone without damaging soft tissue.

Sometimes a normal root canal treatment cannot save a tooth and surgery will be required-the most common surgical procedure is called an apicoectomy which involves removing the tip of the root of the tooth along with any infected tissue and then filling the tip of the root to prevent the infection from reoccurring.

We can usually help with the assessment, diagnosis and management of facial pain which can sometimes be related to temporomandibular (TMJ) joint issues.
The TMJ is a very complicated joint which connects the upper and lower jaws and pain in this region can be related to dentition problems or TMJ abnormalities.

The success of any denture is always determined by the shape of the bone and soft tissue which the denture sits on and connects with.
Pre-prosthetic surgery is usually performed to modify the bone and soft tissue to make dentures more stable and retentive.

When natural teeth are lost the bone that supports them shrinks away and sometimes there isn’t enough bone to support an implant. This can sometimes be a big problem, especially in the upper jaw towards the back of the mouth where the depth of bone is already limited in the sinus region.
We can usually regenerate the bone with bone grafting and GBR (guided bone regeneration) and we can regenerate bone in the sinus area with a sinus lift (or elevation) – this procedure creates new bone inside the sinus).

We can assess diagnose and manage any intra-oral pathology including ulcers, lesions, white and red patches along with lesions on the lips and cysts in the jaws.

Zygomatic implants can be used in the upper jaw when there is severe bone loss and simply not enough bone in the palate for conventional implants.
These extra-long implants connect with the cheekbone and underneath the eye socket and are usually used for immediate full arch bridges like ‘all on 4’.
All these treatments are available (subject to patient assessment) under conscious sedation.