Tooth extraction – the basic and oldest method for treating diseases of the teeth and periodontium. It can be very easily performed under local anesthesia with full respect for the integrity of the surrounding healthy tissues and anatomical spaces.
Surgical tooth extraction – performed under local anesthesia with the aim of safely and minimally invasively removing tooth roots that cannot be extracted using an ambulance approach.
Surgical extraction of unerupted teeth – performed to eliminate the harmful effect of an unerupted tooth on erupted teeth. It’s recommended and most often done for young people with orthodontic anomalies, as well as part of preparation for orthodontic treatment.
Surgical-orthodontic treatment combines surgical and orthodontic methods to solve the problems of unerupted teeth. These teeth can remain trapped in the bone, grow in an incorrect direction, or not erupt at all, which can lead to complications such as bite irregularities or pressure on adjacent teeth.
Orthodontic therapy is applied when gradual movement of teeth into the correct position is necessary, while surgical intervention is used to expose the teeth and place them in a functional position. This combined approach allows for the proper growth and arrangement of teeth, which improves the aesthetics and function of the smile.
Inflammation of the tooth root tip is a common disease of the tooth’s supporting tissues, which is efficiently treated under local anesthesia. The causes that most often lead to the development of this condition are cavities, pulp diseases, irritation from large composite fillings, trauma, or inadequate tooth treatment.
Inflammatory and developmental cysts of the stomatognathic system are discovered based on anamnesis data, clinical examination, and X-ray analyses. They are also treated surgically, most often under local anesthesia.
Preprosthetic surgery—a set of surgical interventions on soft and bone tissues whose goal is creating better conditions for the fabrication of a definitive prosthetic appliance.
Oral-surgical procedures are minor interventions performed in the oral cavity, mainly under local anesthesia. Oral surgery is considered necessary for tooth extractions, the occurance of cysts, periodontal diseases, and other conditions. Some of the risks of oral-surgical intervention in patients are:
Cardiovascular diseases: ischemic heart disease (Angina pectoris), myocardial infarction, arrhythmias, bacterial endocarditis, heart failure (congestive heart disease), essential hypertension
Patients on anticoagulant, antiplatelet, or combined therapy.
Pulmonary diseases: asthma, chronic obstructive pulmonary disease.
Kidney diseases: chronic renal insufficiency and renal dialysis.
Endocrine disorders: diabetes mellitus, hyperthyroidism, adrenal gland insufficiency.
Hematological diseases
Neurological diseases
Periodontal diseases are a widespread health problem that, in addition to tooth loss, often has a negative impact on the entire organism. It’s necessary to detect the disease in time and educate the patient on the importance of proper oral and dental hygiene. This is the first step in treating this disease. The doctor can apply the following methods for further treatment:
Benign tumors of the oral cavity can develop on soft tissues (mucosa, tongue, gums) or on the bony structures of the jaws. Although they are not malignant, they can cause functional difficulties, discomfort, or aesthetic problems, and it is therefore often necessary to remove them.
Surgical treatment of benign tumors of the soft and bone tissues of the oral cavity includes several different techniques that are used depending on the type of tumor, as well as its size, characteristics, and location.
This procedure is performed under local anesthesia, with maximum preservation of healthy tissues and the achievement of optimal aesthetic and functional results. After the intervention, patients receive clear guidelines for recovery and preventive measures to reduce the risk of recurrence.
These are benign tumors that do not spread to other parts of the body. The treatment of this type of tumor requires surgical removal and mandatory pathohistological analysis, which definitively confirms the clinical diagnosis of a benign tumor. Although it is a benign tumor, it is desirable to remove it in time to prevent complications.
Guided bone regeneration (GBR) is a procedure that enables the restoration of lost bone tissue in the jaw, which is important for the successful placement of dental implants and the preservation of stability of the remaining teeth.
Using the most advanced methods and biocompatible materials, this treatment provides optimal conditions for the regeneration and growth of natural bone. The procedure is performed under local anesthesia, and the postoperative recovery is fast with proper care and adherence to the dentist’s recommendations.
This procedure uses barrier membranes and graft materials (the patient’s own bone, synthetic, or biological materials) in order to prevent soft tissue from penetrating the space where new bone needs to form.
The regeneration process itself depends on the osteoconductive, osteoinductive, and osteogenic properties of the materials used, but the final result depends on the organism’s natural capacity to build new bone.

Prof. dr Asen Džolev

Dr Ratko Džolev