Oral Surgery

Dr George Paolinelis

 

TUN_6798Our specialist Oral Surgeon is experienced in and used to working closely with other dental colleagues and specialists to achieve the best possible results for his patients. He accepts referrals from colleague dentists and doctors as well as self referred patients.

 

He is a specialist and Consultant Oral Surgeon who splits his time between private practice and Guy’s Hospital who qualified from King’s College London Dental Institute having intercalated a BSc in Medical Sciences with Pharmacology.

 

After working at Guy’s hospital in Maxillofacial Surgery as well as Restorative Dentistry as a junior trainee, he undertook a PhD study into clinical application of biomaterials while at the same time continuing to work both privately and at Guy’s hospital.

 

Following an Academic Clinical Lecturer appointment and specialist training in Oral Surgery between Guy’s and King’s College Hospitals, Dr George Paolinelis was appointed Consultant and was responsible for the Oral Surgery undergraduate teaching and examination for King’s College London.

 

Although he carries out the full range of Oral Surgery procedures, he has a specific interest in minimal surgery, monitoring and improving surgical techniques based on clinical outcome and dental implant based restoration of oral function and health, many following trauma, cancer or hypodontia. In addition to the teaching and supervision of specialist trainees in Oral Surgery, he is responsible for dental implant clinic teaching for postgraduate dentists, training to specialise in Prosthetic Dentistry.

 

Dr George Paolinelis has established working relationships with a number of highly regarded specialist colleagues and is used to carrying out or contributing to complex treatment plans.

 

As a patient these are the types of treatment you would see him for;

 

  • The assessment and removal of wisdom teeth
  • The assessment and removal of retained roots or difficult / buried teeth
  • The exposure and bonding of buried teeth prior to orthodontic treatment
  • Dental Implant placement
  • Sinus lift prior to implant placement
  • Bone grafting prior to implant placement
  • Removal of failed implants
  • Apicectomy and apical surgery on teeth
  • The assessment and surgical management of cysts in the jaws
  • The assessment and removal of odontomes or supernumerary teeth
  • Biopsy and management of lesions
  • Simple surgery, for nervous patients, carried out under sedation

 

On your first appointment you will undergo a clinically examination, radiographs (x-rays) or a 3D scan will be taken to inform his assessment and recommend treatment discussing the aims of treatment and possible risks as well as the normal consequences of surgery.

 

Dr Paolinelis is used to treating apprehensive and nervous patients. He books ample time for the appointments and strives to deliver quick and pain free surgery. Discussion on the options of anaesthesia with you taking into account the complexity of the surgery, how nervous you are about receiving treatment and your medical history.

 

You can have treatment carried out at 30a Wimpole Street under Local Anaesthetic or Intra-Venous Sedation or be admitted to a hospital under Dr George Paolinelis for General Anaesthetic.

We have built a worldwide reputation for our dental implant services and we welcome the Dr George Paolinelis who works alongside Mr Vladimir Nikitin to help us with the demand of our clients.

 

Commonly referred to as the ‘third set’ of teeth after first two; baby and adult teeth, have been lost, dental implants can replace any number of teeth, from a single tooth to a complete set.

 

Bridges and dentures serve many of our patients satisfactorily, however, many have preferred implants because they provide better support and usually result in more comfortable and stable replacement for teeth, with better chewing efficiency.

 

Implants allow you to have permanent fixed teeth without trimming your natural teeth for support, or having to remove the teeth every day. Implants also slow down the shrinkage of your jawbone, which occurs when we lose teeth.

 

How long does treatment take? For routine cases, from the time of implant placement to the time of placing the first teeth, treatment times can vary between 6 weeks and 6 months. The availability of better bone can be used to decrease treatment time, whilst more time and care must be taken with poorer bone, sometimes extending treatment times beyond six months.

 

If you would like more information or to arrange a consultation then please contact Michelle O’Malley by following this link or calling her on 0207 436 2077 so she can discuss your requirements and arrange an appointment.

Wisdom teeth are the last tooth to develop in our mouths. Although they may erupt in the mouth in a position where they can function well and are easy to keep clean, this is frequently not the case. They may be altogether missing or fail to fully erupt fully in the mouth. If they get stuck behind a neighbouring tooth we call them impacted wisdom teeth. You may be asked to see Dr Paolinelis for the assessment of your wisdom teeth if they have caused pain or if they are likely to cause problems in the future. Wisdom teeth may cause pain either because they have dental decay, leading to pulpitis or apical infection, or because they are impacted and partially covered by gum, leading to what is called pericoronitis. Pericoronitis is a gum inflammation / infection caused by the presence of bacteria under the flap of gum that surrounds the impacted wisdom teeth. As it is impossible for you to clean that area, these bacteria are kept under control by your immune system. Any lowering of your immune defences caused by another infection or disease or stress may result in the symptoms of pain, swelling and occasionally bad taste and reduced mouth opening.

 

When Dr Paolinelis assesses your wisdom teeth, in addition to the clinical examination, he will require a radiograph (x-ray) which will show the position and thus the level of complexity involved in removing your wisdom teeth. The radiograph will also show the position of a large nerve which supplies sensation to your lower lip, chin, gums and teeth on that side. If the nerve and tooth is close Dr Paolinelis might request a CBCT 3D scan which helps evaluation of the risk of change of sensation in the areas supplied by the nerve. For high-risk non-carious teeth Dr Paolinelis might recommend the coronectomy of the tooth. This is the removal of the crown of the tooth, deliberately leaving the roots of the tooth in situ.

 

Dr Paolinelis performs careful, minimaly invasive surgery, taking into account the long term gum and tooth care of the adjacent teeth.

A dental extraction is the removal of a tooth. You may be asked to see Dr Paolinelis for the extraction of a tooth for a variety of reasons, including when tooth decay has destroyed enough of the tooth structure to render the tooth non-restorable, if a tooth is cracked, impacted, for orthodontic reasons, or if it is causing decay to other teeth.

 

Irrespective of the complexity of the extraction, Dr Paolinelis will use the least invasive procedure as this usually speeds up the healing process and maintain the normal gum and bone architecture. Increasing level of complexity during an extraction are:

  • Lifting the tooth out of the gum and surrounding tooth with instruments.
  • Separating the tooth into smaller parts, usually one per root for the specific tooth, thus “imploding” the tooth removing it atraumatically.

Remove some bone to free the tooth, after lifting the gum. This will also require the placement of stitches after the surgery.