#Surgical foundation of fixed teeth on implants
Dental Surgery in Sector 3, București
From extraction with bone preservation to implants and bone reconstruction, in one team
Behind every successful implant rehabilitation is a well-done surgery. The quality of the implant insertion, the way the bone was protected during extraction and, where needed, the bone reconstruction together decide how stable and durable the end result will be. At Atelierul de Zâmbete of Sector 3, București, dental surgery is coordinated by Dr. Mihaela Garabagiu, specialist in dento-alveolar surgery and implantology, and covers the entire surgical pathway: from bone-conserving extractions, to bone addition, sinus lift and insertion dental implants for fixed dentition.
What to expect
Digitally planned implant surgery, from an implant to the full arch
Bone reconstruction: bone addition and sinus lift, in the same clinic
Bone-preserving extractions, designed for the future implant
Minimally Invasive Er:YAG Laser Soft Tissue Surgery
#what is it
What is dental surgery and why does it matter to your fixed dentition?
Dental surgery, also called dento-alveolar surgery or oral surgery, is the branch of dentistry that deals with interventions on the teeth, jawbone and soft tissues in the oral cavity. Many patients only associate it with extractions, but the field is much wider: the insertion of dental implants is itself an oral surgery intervention, just like the reconstruction of lost bone, the apical resection that saves a tooth with a root infection or interventions on the gums.
For patients who want fixed dentures on implants, surgery is the foundation of the entire treatment. The jawbone is the ground on which it is built: if it has been protected during extraction and, where needed, restored by bone addition, the implant has the necessary stability for decades. That's why, at Atelierul de Zâmbete, we think every surgical intervention in perspective: we don't just solve today's problem, we also prepare tomorrow's solution.
However, one principle remains unchanged in everything we do: surgery does not replace the natural tooth that can still be saved. Our philosophy is conservative, and apical resection is the perfect example: instead of extracting a tooth with a persistent infection at the root tip, we surgically remove only the affected area and preserve the tooth. Extraction and implant come into question only when the tooth cannot be recovered by any treatment.
What dental surgery interventions do we perform?
We cover the entire surgical spectrum, from interventions that make fixed teeth on implants possible to classic dento-alveolar surgery. Here are the main procedures.
Implantology surgery: from an implant to the complete arch
The insertion of dental implants is the central surgical intervention of our clinic. Each implant is digitally planned, based on radiography and scanning, so that its position in the bone is established before the intervention. The insertion is performed under local anesthesia, with precision surgical instruments. The same surgical protocol is the basis of the All-on-4, All-on-6 and All-on-8 full arch solutions, in which a few strategic implants support an entire fixed dentition. You can find the complete details about the types of implants and prosthetic stages on the page dedicated to the dental implant.
Bone reconstruction: bone addition and sinus lift
The jawbone gradually resorbs where a tooth has been missing for a long time and the remaining volume may be insufficient for an implant. The good news is that bone can be rebuilt. Bone addition restores lost volume with augmentation material, and the sinus lift creates the height needed for implants in the lateral area of the upper jaw where the sinus drops too low. Both procedures are performed in our clinic, digitally planned and coordinated with the implantation stage, so that insufficient bone is no longer a reason for refusing fixed teeth.
Extraction with bone preservation
When a tooth really cannot be saved, how it is extracted matters for everything that follows. We use atraumatic techniques that protect the bony walls of the socket, and where indicated, we apply procedures to preserve the alveolar ridge immediately after extraction. In suitable cases, the implant can be inserted during the extraction session itself. Thus, extraction is no longer the end of a tooth, but the correct first step towards its replacement.
Extraction of wisdom teeth
Wisdom teeth, the last teeth to erupt, usually between the ages of 17 and 25, frequently cause problems: they get stuck in the bone, partially erupt and favor repeated infections, cavities on neighboring teeth or crowding of front teeth. Not all wisdom teeth need to be extracted: if they have erupted properly and can be sanitized, they stay in place. The decision is always made on the basis of X-ray and clinical examination.
Apical resection
Apical resection is the intervention by which we save a tooth with a persistent infection at the tip of the root, when root canal treatment has failed to eliminate it completely. We surgically remove the tip of the affected root and the surrounding infected tissue, and the tooth remains functional on the arch. It is the direct expression of our conservative approach: we preserve the natural tooth whenever possible.
Minimally invasive surgery with Er:YAG laser
For interventions on soft tissues, we use the Er:YAG laser instead of the classic scalpel: frenectomies, gingivectomies, excision of benign formations and lengthening of the dental crown. The advantages are documented: precise incisions, minimal bleeding due to the coagulation effect, reduced risk of infection and, in many cases, healing without sutures. For anxious patients, the difference in comfort compared to classic surgery is significant.
#steps
How does a dental surgery proceed?
Whether it's an extraction, bone addition or implant insertion, the process follows the same clear steps so you know exactly what to expect.
1. Consultation and digital radiography
It all starts with a clinical examination and a digital X-ray taken directly in the office. The doctor assesses the condition of the tooth, the volume and quality of the bone and the relationship with important anatomical structures such as nerves and sinuses. If your goal is fixed dentures on implants, the entire context is also evaluated now: which teeth can be saved, what needs to be extracted, and whether the bone requires reconstruction.
2. Treatment plan and estimate
You receive a complete, step-by-step plan: the necessary interventions, their order, healing times and a detailed estimate. The quote price becomes our commitment, with no costs incurred along the way. If you take medicines regularly, for example anticoagulants, or have chronic conditions, these are discussed now, to prepare the intervention safely, in coordination with your doctor if necessary.
3. The actual intervention
The intervention is performed under local anesthesia, so you don't feel pain, but at most pressure. A simple extraction usually takes 20-30 minutes, the insertion of an implant about the same, and complex interventions, such as impacted wisdom teeth or bone reconstructions, can take longer. Where soft tissue intervention allows, we use the Er:YAG laser for minimal trauma.
4. Postoperative indications and control
At the end, you receive clear, written instructions: how to protect the operated area, what to eat, how to do hygiene and what signs to look out for. We schedule a check-up to check the healing, and if any problem occurs in the meantime, call us directly at +40 755 242 121. For interventions in the implantology route, the calendar of the next stage is also now being established.
#why us
Why choose Atelierul de Zâmbete for dental surgery in Sector 3, București?
In surgery, the doctor's specialization matters more than anywhere else. At Atelierul de Zâmbete of Sector 3, București, dental surgery is coordinated by Dr. Mihaela Garabagiu, specialist in dento-alveolar surgery and implantology. This double specialization is exactly the combination you need when the goal is fixed teeth: the same specialist who performs your extraction with bone preservation is already thinking about the position of the future implant.
The second differentiator is the complete route under one roof. From extraction to bone reconstruction, implantation and the final crown, all stages are performed in the same clinic, by an interdisciplinary team working on the same treatment plan. You are not sent between offices, no information is lost on the way, and the calendar of stages is coordinated from the beginning. Digital in-office radiography and digital implant planning support every surgical decision.
And where the intervention allows, the Er:YAG laser helps us operate minimally invasively on soft tissues, without a scalpel, with less bleeding and faster healing. We have been your family clinic since 2008: we explain to you clearly what we are going to do and why, and the price on the estimate becomes our commitment. If you are in Sector 3, București or the Vitan, Dristor, Titan and Baba Novac areas, we are waiting for you for a surgical evaluation.
Call +40 755 242 121 or write us on WhatsApp for an appointment.
frequently asked questions
Frequently asked questions about dental surgery
Does dental surgery hurt?
No, dental surgery interventions are performed under local anesthesia, so you do not feel pain, but at most a sensation of pressure. This applies to extractions, implant insertion and bone reconstructions alike. The discomfort appears after the anesthesia wears off, reaches a maximum in the first hours and decreases significantly in 48-72 hours, being manageable with medication recommended by the doctor.
Can an implant be placed immediately after extraction?
Yes, in suitable cases, the implant can be inserted right at the extraction session, a procedure called immediate implantation. The conditions are that the alveolus is not infected and that the bone provides sufficient stability to the implant. When these conditions are not met, bone preservation procedures are applied to the extraction, and the implant is inserted after healing. The doctor determines the right option based on the X-ray and the clinical situation.
What is bone grafting and when is it needed?
Bone augmentation is the surgical procedure that restores lost bone volume using bone augmentation material. It is needed when the bone has resorbed, usually because the tooth has been missing for a long time and the remaining volume cannot stably support an implant. After the integration of the material, the implant is inserted in good conditions. At Atelierul de Zâmbete, bone addition is performed in the same clinic, coordinated with the implantation stage.
What is sine lift?
The sinus lift is the surgical procedure by which the maxillary sinus membrane is gently lifted and bone material is added to create the necessary height for the implants in the lateral area of the upper jaw. It is indicated when the sinus descends too close to the bone ridge, a common situation after the loss of upper molars. The procedure makes possible fixed dentures on implants where bone would otherwise be insufficient.
When should the mind table be removed?
Wisdom teeth should be extracted when they cause problems: repeated pain or infection, partial eruption that favors the accumulation of bacteria, decay on the neighboring tooth, pressure crowding other teeth, or malposition visible on X-ray. Not all wisdom teeth need to be removed: if they have erupted properly and can be sanitized, they stay in place. The decision is made on the basis of radiography and clinical examination.
What is alveolitis and how can I prevent it?
Alveolitis is the most common complication after extraction and occurs when the blood clot in the socket dissolves or detaches prematurely, leaving the bone exposed. It is manifested by intense, throbbing pain that occurs 2-3 days after extraction and does not respond to common pain relievers. You prevent it by protecting the clot: don't rinse your mouth vigorously for the first 24-48 hours, don't use a straw, don't smoke and avoid intense physical exertion. If you suspect alveolitis, contact the office.
Can I smoke after dental surgery?
No, smoking is one of the main causes of complications after oral surgery. Substances in the smoke slow healing, increase the risk of alveolitis after extractions, and reduce the chances of integration of implants and bone grafting material. The minimum recommendation is to avoid smoking for at least 72 hours after the intervention, and in the implantology route, the longer, the better for the result.
What is apical resection and when is it necessary?
Apical resection is the surgical intervention to remove the tip of the root of a tooth along with the surrounding infected tissue when an infection persists after root canal treatment. Its purpose is to save the natural tooth, which remains functionally on the arch, instead of being extracted. At Atelierul de Zâmbete, apical resection is part of our conservative approach: extraction is always the last option.
What is minimally invasive laser surgery?
Minimally invasive surgery with the Er:YAG laser replaces the scalpel in interventions on soft tissues: frenectomies, gingivectomies, excision of benign formations and lengthening of the dental crown. The laser makes precise incisions with minimal bleeding due to the coagulation effect, reduced risk of infection and, in many cases, without the need for sutures. Healing is faster and postoperative discomfort less than in classical surgery.
What do I put in place of the extracted tooth?
After extraction, the bone in that area begins to gradually resorb, and the neighboring teeth can migrate towards the free space. Therefore, replacing the extracted tooth is recommended, ideally with a dental implant, which stops bone loss and does not affect neighboring teeth. At Atelierul de Zâmbete, the replacement plan is established even before extraction: from bone preservation on the day of extraction to immediate implantation where possible.
services
Complete dental care for your smile
"Excellent experience at the dentist! The team is super attentive and the treatment was painless."
"Excellent experience at the dentist! The team is super attentive and the treatment was painless."
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