ddr kotschy mikroskop chirurgie

The microscope is indispensable in dental surgery for precise treatments and perfect results, just as it is for diagnosis.

In my practice, I perform the following surgical procedures:

  • Resective gingivoplasty (surgical reduction of the gum tissue to reduce anaerobic bacterial colonization)
  • Socket preservation technique (bone-preserving tooth extraction combined with bone augmentation techniques)
  • Apicoectomy (surgical reduction of the root tip to two-thirds of its original size)
  • Hemisection (removal of one of the three roots of an upper molar tooth)
  • Wisdom tooth extraction (surgical removal of wisdom teeth—”eighth teeth”—that harm neighboring teeth or bone)
  • Gentle root fragment removal (extraction of root fragments left in the bone after previous operations)

Dental Surgery 1: Resective Gingivoplasty – Necessary for Advanced Periodontal Diseases

Moderate to severe periodontitis (gum inflammation) is always caused by an excess of anaerobic bacteria colonizing gum pockets and causing significant damage to both the gum tissue and bone. For gum pockets deeper than 3 mm, a surgical procedure like resective gingivoplasty is the key to preserving the tooth.

I use an electrotome to permanently reduce excess gum tissue to a healthy height of less than 2 mm, which stops inflammation and prevents bone loss. Despite potential side effects, such as exposed tooth roots and sensitivity to cold, resective gingivoplasty is, in my opinion, the best and only solution for lifelong oral health.

Dental Surgery 2: Socket Preservation Technique After Tooth Extraction

A tooth extraction is typically followed by an implant, which requires sufficient bone material for placement. Using the “Socket Preservation Technique,” we can generate this bone at the time of extraction.

  • Tooth extraction is performed with maximum preservation of bone. Instead of grinding away the bone around the root, the root is removed from the inside, leaving the surrounding bone almost entirely intact.
  • Bone substitute material (usually Bio-Oss) is placed into the resulting bone socket where the root was located.
  • A membrane (Bio-Gide) is applied over it.

Six months later, a well-integrated and aesthetically pleasing implant can be placed into the newly formed bone.

If teeth have large abscesses, the associated cyst is filled with bone substitute material during the procedure. After another six months, an implant can also be placed in this area.

Dental Surgery 3: Apicoectomy

In some cases, root canal treatments or revisions are unsuccessful. In such cases, a third of the root is surgically removed during an apicoectomy.

This procedure is rarely performed in my practice. On one hand, we are able to save almost all teeth through successful root canal treatments or revisions without residual inflammation. On the other hand, a root-treated tooth is already weakened, and removing another third of the root increases the likelihood that it will fracture within the next 10 years.

Dental Surgery 4: Hemisection

In a hemisection, one of the three roots of an upper molar is removed. The tooth remains in the mouth and does not need to be extracted.

kotschy mikroskop lupe

You can only treat properly what you can see. The microscope allows us to precisely examine and treat teeth and gums with up to 20x magnification. We therefore give our patients a 10-year guarantee on microscope-based treatments (except root canals).

ddrkotschy garantie logo