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Clínica Ferreira Borges
Oral Surgery
Oral Surgery

Oral surgery with care throughout your recovery

Specialized surgical procedures with modern techniques and maximum comfort.

About This Treatment

Oral surgery encompasses various surgical procedures performed in the oral cavity by a specialized team. It includes simple and complex extractions, removal of impacted wisdom teeth (third molars), apicoectomies to treat root infections, bone grafts for implant preparation, frenectomies, and pre-prosthetic surgeries. We use minimally invasive techniques, 3D imaging technology for precise planning, and offer various sedation options - from local anesthesia to intravenous sedation - to ensure safe procedures with shorter recovery times and maximum comfort. Our team has advanced life support training and follows strict safety protocols.

We Understand Your Situation

The need for oral surgery can be a source of great anxiety. Whether it is a wisdom tooth causing pain and recurring infections, a tooth that cannot be saved by other treatments, or preparation for dental implants, we know these moments can be stressful. Many people postpone necessary procedures due to fear or discomfort from past experiences. At our clinic, we offer a calm environment, various sedation options, and an experienced team that accompanies you every step of the way, making the process much more comfortable than you might imagine.

What We Offer

Oral Surgery Solutions

  1. 01

    Wisdom Teeth Extraction

    Safe removal of impacted or problematic wisdom teeth using minimally invasive techniques

    • Complete 3D pre-surgical assessment
    • Conscious sedation available
    • Fast recovery with PRF protocol
  2. 02

    Dental Implant Surgery

    Precise surgical placement of implants for permanent tooth replacement

    • Computer-guided surgery
    • Immediate loading implants when possible
    • Long-term implant warranty
  3. 03

    Bone Grafting

    Bone regeneration to create solid foundation for implants or improve facial structure

    • Latest-generation biomaterials
    • Guided bone regeneration techniques
    • Optimal implant preparation
Surgical Excellence

Why Choose Our Oral Surgery?

  1. 01

    Minimally Invasive Techniques

    Surgeries with less tissue trauma, less post-operative pain and faster recovery for your comfort.

  2. 02

    Advanced 3D Planning

    Use of computed tomography to plan each procedure with maximum precision and safety.

  3. 03

    Sedation Available

    Various sedation options for anxious patients, making procedures calmer and more comfortable.

Advanced Technology

Minimally Invasive Surgery

We use digital technology for more precise, safer, and comfortable surgical procedures with faster recovery.

  • 3D CBCT Imaging

    Precise surgical planning with cone beam computed tomography for complete three-dimensional visualization

  • Guided Surgery

    Digitally created custom surgical guides for millimeter-precise implant placement

  • Piezoelectric Surgery

    Ultrasonic bone cutting that preserves soft tissues and reduces post-operative trauma, swelling, and pain

  • PRF/PRP Therapy

    Platelet concentrates from your own blood naturally accelerate healing and bone regeneration

What to Expect During Recovery

Everyone recovers differently, but this is a typical timeline for most oral surgeries.

  1. Day 1

    Surgery Day

    • Rest with head elevated
    • Apply ice (20 min on, 20 min off)
    • Take prescribed medication
    • Cold and liquid foods only
  2. Days 2-3

    Peak Swelling

    • Swelling peaks - this is normal
    • Continue applying ice if needed
    • Begin gentle salt water rinses
  3. Days 4-7

    Gradual Improvement

    • Swelling starts to decrease
    • Can resume light activities
    • Gradually introduce solid foods
  4. Week 2+

    Full Recovery

    • Most normal activities resumed
    • Soft tissues nearly healed
    • Follow-up appointment to check healing
Post-Operative Care

Tips for a Quick Recovery

Follow these guidelines to ensure a smooth and effective recovery.

Do

  • Rest for the first 24-48 hours
  • Apply ice to reduce swelling
  • Eat soft and cold foods
  • Take medication as prescribed
  • Sleep with head elevated
  • Stay hydrated

Don't

  • Do not smoke for at least 72 hours
  • Do not use straws (dry socket risk)
  • Do not rinse vigorously
  • Avoid hot or spicy foods
  • No intense exercise for 1 week
  • Do not touch the wound

When to Contact Us Immediately

  • Severe pain not controlled with medication
  • Excessive bleeding that does not stop
  • Fever above 38°C (100.4°F)
  • Difficulty swallowing or breathing
Your First Visit

What to Expect

Our comprehensive evaluation ensures you receive the most appropriate treatment plan for your specific needs.

  1. 01

    Complete Clinical Exam

    Detailed assessment of oral health, medical history, and treatment goals

  2. 02

    3D Imaging

    CBCT scan for precise visualization of bone anatomy and adjacent structures

  3. 03

    Personalized Treatment Plan

    Detailed presentation of surgical options, timelines, and costs involved

  4. 04

    Surgery Scheduling

    Convenient appointment booking and complete pre-operative instructions for optimal preparation

Why does this matter?

Untreated oral problems can have serious consequences for your overall health and quality of life.

  • Serious Infections

    Impacted teeth or untreated oral lesions can lead to infections that spread to other areas of the face and neck

  • Progressive Bone Loss

    Missing teeth or severe periodontal disease cause bone deterioration that can affect facial structure

  • Impact on Quality of Life

    Chronic pain, difficulty chewing, and aesthetic problems significantly affect daily well-being

  • Compromised Immune Response

    Chronic oral infections strain your immune system, making you more susceptible to other health conditions

  • Systemic Health Risks

    Untreated oral infections have been linked to cardiovascular disease, diabetes complications, and respiratory problems

  • More Complex Treatment Later

    Delaying necessary surgery often leads to more extensive procedures, longer recovery times, and higher costs

Ideal Candidates

Is Oral Surgery Right for You?

This is for you if…

  • You have impacted or problematic wisdom teeth causing pain or infections
  • You need dental implants to replace missing teeth
  • You have bone loss requiring grafting before implants
  • You have cysts, benign tumors, or oral lesions requiring removal
  • You have good overall health and are committed to post-operative care

May not be ideal if...

  • You have uncontrolled medical conditions that increase surgical risks
  • You smoke heavily and are unwilling to stop temporarily
  • You have unrealistic expectations about results or recovery

A Word from Our Clinical Director

“Modern oral surgery is minimally invasive and safe. At our clinic, we use CBCT 3D computed tomography for precise planning, piezoelectric surgery that preserves soft tissues, and PRF therapy with platelet concentrates from your own blood to accelerate healing. Whether for extraction of impacted wisdom teeth, placement of dental implants with guided surgery, or bone grafts for regeneration, each procedure is performed with this technology and maximum comfort. Conscious sedation is available for more anxious patients.”
Dr. Carlos Sousa

Dr. Carlos Sousa

Clinical Director

Oral Surgery Consultation

Ready to Restore Your Oral Health?

Book your assessment appointment and discover how oral surgery can solve your dental problems safely and effectively.

Prices

Prices, insurance and financing

A detailed quote for your case is given in writing after diagnosis. Our published price list, the insurers we work with and Cofidis Pay instalments are all on one page.

See prices, insurance and financing
FAQ

Frequently Asked Questions

Find answers to the most common questions about this treatment.

When is it necessary to extract wisdom teeth?

Wisdom teeth extraction is recommended when they are impacted (cannot erupt properly), cause pain or recurrent infections, press against adjacent teeth causing crowding, have extensive cavities or periodontal disease, or form cysts. Evaluation with panoramic X-ray or CT scan helps determine the need and complexity of extraction. Ideally, evaluation should be done between ages 16-25.

Does oral surgery hurt?

During surgery, you will not feel pain thanks to local anesthesia or sedation. We use modern anesthesia techniques for your comfort during the procedure. After surgery, some discomfort is normal and is well controlled with prescribed pain medication. Most patients describe the post-operative period as more comfortable than expected. We offer various sedation options for more anxious patients.

What types of anesthesia are available for oral surgery?

We offer several options: Local anesthesia - numbs only the treated area, patient stays awake; Conscious sedation with nitrous oxide (laughing gas) - relaxes the patient while keeping them conscious; Oral sedation - medication taken before the procedure to reduce anxiety. The choice depends on the procedure and your preferences.

How long does recovery take after wisdom tooth extraction?

Initial recovery takes about 3-5 days, during which there may be swelling and moderate discomfort. Swelling peaks 2-3 days after surgery and then decreases. Most people return to normal activities after one week. Complete healing of soft tissues takes 2-3 weeks, and bone healing takes several months. Following post-operative instructions is essential for quick recovery without complications.

What is dry socket and how can it be prevented?

Dry socket occurs when the blood clot that forms after extraction becomes dislodged or dissolves prematurely, exposing bone and nerves. It causes intense pain 3-4 days after surgery. To prevent: do not smoke for at least 72 hours (ideally 1 week); do not use straws; avoid vigorous spitting; do not rinse in the first 24 hours; follow a soft diet. If you suspect dry socket, contact us for treatment that quickly relieves pain.

What care should I take after oral surgery?

In the first 24 hours: bite on gauze for 30-45 minutes; apply ice externally (20 min on, 20 min off); rest with head elevated; do not rinse, spit, or use straws; avoid hot foods. In the following days: take prescribed medication; eat soft and cold foods; after 24h, gently rinse with warm salt water; avoid intense physical exercise for 3-5 days; do not smoke. Contact us if you have fever, severe pain not controlled with medication, or excessive bleeding.

What can I eat after oral surgery?

In the first 24-48 hours, choose cold and liquid/soft foods: ice cream, yogurt, smoothies, cold soups, mashed potatoes. Avoid hot, spicy, acidic, hard, or crunchy foods. Gradually introduce more solid foods as comfort allows. Avoid foods with small seeds (strawberry, kiwi) that can lodge in the wound. Stay hydrated but do not use straws. Foods rich in vitamins A and C (eggs, fish, sweet potato) help with healing.

What is an apicoectomy?

An apicoectomy is an endodontic surgery performed when conventional root canal treatment cannot eliminate an infection at the tooth root. The procedure surgically removes the root tip (apex) and infected tissue around it, then seals the canal. It is an alternative to tooth extraction, allowing the tooth to remain functional. Recovery is usually quick, with most patients returning to normal activities the next day.

What is a bone graft and when is it needed?

A bone graft is a procedure that adds bone volume where there is loss or insufficiency. It is mainly needed before dental implants when there is not enough bone to anchor them, after extractions to preserve the socket, in cases of bone loss from periodontal disease, or for reconstruction after trauma. Bone can come from various sources: from the patient, bone bank, or synthetic materials. Complete healing can take up to 12 months.

Is it possible to extract multiple wisdom teeth at once?

Yes, it is common and even advantageous to extract all four wisdom teeth in a single session. Advantages include: only one recovery period instead of several, lower total cost, a single dose of anesthesia/sedation. However, the decision depends on various factors such as the complexity of each extraction, the patient's overall health, and their preference. Some patients prefer to split into two sessions (upper and lower, or right and left side). We will discuss the best option with you.

Can I work or go to school after surgery?

We recommend rest on the day of surgery and at least 24-48 hours after. For simple procedures, many patients resume light activities 1-2 days later. For more complex surgeries (such as extraction of multiple impacted wisdom teeth), you may need 3-5 days of rest. If you receive sedation, you cannot drive or operate machinery for 24 hours. Intense physical work should be avoided for at least one week. We provide a statement to justify absence if needed.

What is a frenectomy?

A frenectomy is a minor surgery that removes or modifies the frenum - a thin membrane of tissue in the mouth. The two most common types are: lingual frenum (under the tongue) - when too short, it can cause "tongue tie" affecting speech and breastfeeding; labial frenum (between lips and gums) - can cause a gap between front teeth or gum recession. The procedure is quick (10-15 minutes), can be done with laser or scalpel, and recovery is very fast.

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