In our practice in Zurich, we have the expertise to conduct most dental surgeries. These include:
- removing wisdom teeth (even in difficult cases)
- maxillary sinus floor augmentation: sinus lift (internal and external), Bennex method
- tooth implants (also in complex cases)
- bracing of impacted and displaced teeth for orthodontic procedures
- soft tissue grafting
- recession coverage of exposed roots
- bone reconstruction using membrane-techniques or autolgous bone
- root extraction as part of a treatment of the gums: root amputation
- using dental surgery to turn a tooth with multiple roots into multiple teeth – hemisection
- bone grafting for dental implants
As always when skilled craftsmanship is required, the expertise of the dental surgeon is key for the success of the procedure. The competence of our surgeons, their additional specialised qualifications and the large number of successfully completed procedures speak for themselves. At Heller Kübler Truninger Zahnärzte, you can be sure to receive honest advice, information you can trust and the best possible treatment administered by outstanding dental experts. Most of our surgeries are conducted under local anaesthesia and are completely pain-free. At our practice, you can expect a safe and stress-free surgery.
On request, patients can also be put under . This is, however, usually not necessary in most cases, as the procedures are absolutely pain-free.
Extensive expertise in dental surgery Maxillary sinus floor augmentation: sinus lift (internal and external), Bennex method
A sinus lift is a surgical procedure whereby a bone graft is added between the jaw and the membrane of the maxillary sinuses (situated on either side of your nose) so that more bone is available to support dental implants.
Sinus lifts are safe and well documented procedures. We have been successfully conducting these treatments for the past number of years.
Removing wisdom teeth even in difficult cases
It is not always necessary to remove wisdom teeth. There are, however, a number of scenarios in which the extraction of one or multiple wisdom teeth is unavoidable.
We recommend that wisdom teeth be removed if they are in a position where they cannot be cleaned easily, when they are partly buried and may cause an abscess or when an x-ray has revealed an infection or a cyst in the area of the jawbone. An early diagnosis can avoid a situation where swelling, fever, abscess or trismus could result in an emergency procedure.
Depending on the shape, number and the location of its roots, the removal of a wisdom tooth can be a simple or complex affair. In simple cases, the procedure can be conducted without opening the gum tissue. In more complex cases, some of the gum tissue has to be peeled back so that the tooth can be sectioned (cut into smaller parts) and the roots can then be removed individually. This procedure is called surgical removal of wisdom teeth. It is gentle on the nerves and helps to minimise the risk of complications.
In very complex cases, we use to determine the location of the roots in relation to potentially problematic anatomic structures and then assess the situation on a computer. This allows us to plan the procedure in detail in advance, thus reducing any potential risks.
Pulling wisdom teeth – completely pain-free with local anaesthetic
Our dental surgeons main aim is to keep the surgery time as short as possible. On request, patients can be put under general anaesthesia. However, this increases the cost, as the anaesthesia has to be administered by a specialised team of anaesthetists we provide for the procedure.
Bracing of impacted and displaced teeth for orthodontic procedures
An impacted tooth is a tooth that gets blocked as it is pushing through the gum into your mouth, because there is not enough room (e.g. top canines) or because it is trying to come in at an incorrect angle. Such a tooth can remain encased in the jaw bone and lead to displacement. Following an assessment by an orthodontist, it can be surgically exposed and braced with a wire. The orthodontist can then pull it towards its correct position.
Gum grafts / soft tissue grafts
There are several reasons why you may consider tissue graft surgery. Soft tissue grafting may be recommended prior to or following certain types of restorations, such as implants, or to protect supporting teeth around dental bridges. During the grafting surgery, tissue is harvested from one part of the mouth, then transplanted and built up in another area.
Gum tissue graft may be recommended for aesthetic reasons or in order to increase the long-term stability of the gums. It may also be recommended in the case of root exposure related problems, as it can be used to cover and protect the surface of the exposed roots. In this case, connective tissue is harvested from a pocket at the roof of the mouth (palate) and transplanted to the affected gum-line using a special suture technique. If there is a limited amount of donor tissue available, biomaterial may be used as an alternative, but it does not perform as well as native donor material.
Dental bone grafting using membrane-techniques or autologous bone
In some cases, there is not enough bone left to support dental implants, because a large amount of the original bone may have been resorbed following tooth loss or long-term gum disease. In these cases, dental bone grafting is used to restore the bone to its previous form.
Depending on how much bone was lost, absorbable or non-absorbable membranes as well as bone substitutes may be used. In severe cases, however, the use of autologous bone may be necessary. Autologous bone is harvested from another part of the patient's body and transplanted to the desired site. In dental bone grafting, block grafts are typically harvested from the chin area or the anterior mandibular ramus using local anaesthetics. In recent years, implant manufacturers have started to produce increasingly thin but robust implants which may render bone graft increasingly unnecessary in certain cases in the future.
Apicoectomy (WSR, apical surgery)
In an apicoectomy, the root tip of a tooth is removed along with infected tissue. A filling is then placed to seal the end of the root. Such a procedure may be necessary if, despite best practices, an infection won’t go away with conventional root canal therapy or when a re-treatment is not possible.
Root extraction as part of a treatment of the gums: root amputation
Dental root amputation treats a tooth with multiple roots where one root has been damaged by gum disease and the jawbone has receded too far to be repaired. The amputation involves removing the diseased or damaged root while preserving the rest of the natural tooth. Following a root amputation, a root canal treatment is necessary.
Using dental surgery to turn a tooth with multiple roots into multiple teeth – hemisection
Hemisection is a procedure in which a tooth with two roots is cut in half. This procedure may be needed in cases when there is dental decay between the roots due to gum disease and separating the teeth might make it easier for the patient to clean them. Before undergoing hemisection, a root canal treatment is necessary to remove the nerves out of the tooth root.
If a change in the mucosa of the mouth is observed, we document it with photographs, measure it and monitor it for two weeks. If there is no improvement, we decide on a case by case basis, whether a biopsy should be performed. If so, the tissue samples are sent to the Institute for Pathology, where they are microscopically examined. In some cases, we refer our patients to the University Hospital Zurich. We consider regular examinations of the mucous membrane of the mouth crucial for the early detection of cancers.