Areas of oral surgery
Oral surgery covers all surgical procedures of the mouth and jaws. At Cabinet Côté Gare, we handle complex extractions (wisdom teeth impacted, fractured roots), apicectomies (apical resection after a failed root canal treatment), pre-implant surgery and the treatment of cysts or lesions of the jaws. Each procedure is planned precisely using 3D imaging (cone beam) to prepare every step.
Clinical cases
Cases by Dr Thierry Caro, published with the patients' written consent. Click on a case to see all its photos. Results vary from one person to another.
Complete implant rehabilitations: Fast & Fixed, All-on-4 and All-on-6
When an entire arch has lost its teeth, or the remaining teeth can no longer be kept, a complete implant rehabilitation makes it possible to regain fixed teeth, without a removable denture. We carry out the Fast & Fixed, All-on-4 and All-on-6 protocols: an arch is replaced by a fixed bridge, supported by four or six implants.
Who it is for
- Patients who no longer have teeth in one arch, or whose remaining teeth are beyond saving (advanced periodontitis, fractures, extensive cavities).
- Wearers of removable dentures who tolerate it poorly and want fixed teeth.
- Patients for whom a bone graft is difficult to consider : depending on the situation, tilting certain implants sometimes makes it possible to do without one.
How it works
- Consultation and 3D imaging (cone beam) to assess the bone and plan the number and position of the implants.
- Procedure : removal of the teeth that cannot be saved and placement of the implants, generally in the same session.
- Temporary prosthesis : depending on the clinical situation, a fixed temporary prosthesis is placed between 24 and 48 hours after the procedure.
- Final prosthesis : it replaces the temporary one after healing, generally three to six months later.
For a long procedure, general anaesthesia at the practice is an option: see the section below.
Your surgeon
These procedures are carried out by Dr Thierry Caro, oral surgeon at Cabinet Côté Gare. Get to know him on the page for our team.
Price
The price depends on the number of implants, the materials and the laboratory. A detailed treatment plan and a personalised quote are given to you at the first consultation, before any treatment begins.
Comfort, safety and personalised follow-up
All our surgical procedures are carried out in a sterile environment, under local anaesthetic. For anxious patients or complex procedures, sedation may be offered. We support you before, during and after the operation with clear instructions to help you recover well. A post-operative check-up is always scheduled to check healing.
General anaesthesia at the practice
Some situations are poorly suited to local anaesthetic. We therefore carry out treatment under general anaesthesia in our own clinic, in the presence of an anaesthetist, Dr Arnaud Potié, specialist in anaesthesiology and intensive care (anesthesie-potie.ch). The surgical room and the rest of the technical facilities are described on the page Dental clinic in Bussigny.
Who it is for
- Young children, when several treatments are needed and cooperation in the chair is not possible.
- Very anxious patients, for whom fear of the dentist has put off treatment for years.
- Long procedures, which can thus be grouped into a single session rather than spread over several appointments.
How it works
A first consultation makes it possible to examine the situation, draw up the treatment plan and check that general anaesthesia is the right route. The procedure itself takes place on a separate date, set with the anaesthetist.
To discuss it, call us on 021 218 92 18 or book an appointment for a first consultation.
Frequently asked questions
Is the surgical procedure painful?
Under local anaesthetic, you do not feel pain during the operation. Post-operative discomfort can be managed with standard painkillers.
How long is the recovery?
Initial recovery takes 3 to 7 days. Normal activities resume within 24-48 hours for most procedures.
Do I need to fast before the procedure?
No, except in the case of sedation. A light meal 2 hours beforehand is even recommended to avoid feeling unwell.
What should I do after the procedure?
You receive written instructions at the end of the appointment: what you can eat, how to clean the area, what to avoid in the first few days. Follow them as given and contact us if anything worries you.
Should I plan for time off work?
It depends on the procedure and your work. The question is discussed before the operation, so that you can make arrangements.
Can I come to the appointment alone?
For a procedure under local anaesthetic, yes. If sedation is planned, we tell you in advance and someone must accompany you for the journey home.
What should I do if there is bleeding at home?
Slight bleeding in the first few hours is expected. Bite on a clean gauze pad for twenty minutes without constantly changing it. If the bleeding persists, call us on 021 218 92 18.
How much does a procedure cost?
The price depends on the procedure and the time required. A detailed treatment plan and a personalised quote are given to you at the first consultation, before any treatment begins.
Is treatment under general anaesthesia done on site?
Yes. The procedure takes place in our clinic, with an anaesthetist. You are not referred elsewhere.
Can my child be treated under general anaesthesia?
Yes, it is one of the situations for which we offer it: when several treatments are needed in a young child and cooperation in the chair is not possible. The first consultation is used to assess this with you.
I am very anxious about the idea of treatment. Is this an option?
Yes. Anxiety is one of the reasons this option exists, in particular when it has put off treatment for a long time. Talk about it at the consultation, without embarrassment: the question is a common one.
Is everything done on the same day?
No. A consultation takes place first, to examine the situation and draw up the treatment plan. The procedure is then set for a separate date, with the anaesthetist.
What is an All-on-4 or All-on-6 rehabilitation?
A complete arch of teeth is replaced by a fixed bridge, supported by four implants (All-on-4) or six (All-on-6). The number depends on the quantity and quality of the bone, assessed at the consultation.
Do you offer Fast & Fixed, All-on-4 and All-on-6?
Yes. These complete rehabilitations are carried out by Dr Thierry Caro, oral surgeon, at Cabinet Côté Gare in Bussigny.
Will I have fixed teeth right after the procedure?
Depending on the clinical situation, a fixed temporary prosthesis is placed between 24 and 48 hours after the procedure. It is replaced by the final prosthesis after healing, which generally takes three to six months.
Am I a candidate for a complete implant rehabilitation?
The decision is made after an examination and 3D imaging: general health, the amount of bone and the condition of the gums are taken into account.
See also: Tooth extractions, Wisdom teeth extraction, Bone graft.
