Dental surgery at Zahnarztpraxis Freienstein is guided by one principle: every surgical procedure should be as gentle, precise, and biologically sound as possible. Whether you require implants, wisdom tooth removal, or treatment of silent jawbone inflammation, our team combines modern surgical techniques with a holistic approach to support lasting healing and whole-body wellbeing.
Biological Dental Surgery — Our Surgical Philosophy
Conventional dental surgery often focuses solely on the local site of intervention. At our practice in Freienstein, we take a broader view. Every surgical measure is evaluated in the context of your overall health, immune system, and oral microbiome. We favour minimally invasive techniques, avoid synthetic materials wherever possible, and routinely use PRF (Platelet-Rich Fibrin) for natural regeneration to accelerate healing after surgery using your body’s own growth factors.
Our surgical treatments are always supported by accurate pre-operative diagnostics. Where needed, we use 3D CBCT imaging for precise jaw diagnostics to obtain a three-dimensional picture of bone structure, nerve pathways, and tissue quality before any intervention takes place.
Our Dental Surgery Services
Implantology — Ceramic & Metal-Free Implants
Missing teeth can have a significant impact on chewing function, speech, and self-confidence. Implants are the most natural-looking and functionally stable solution for replacing missing teeth. At Zahnarztpraxis Freienstein, we specialise in ceramic implants made from zirconium oxide — a metal-free, highly biocompatible material that integrates naturally with the jawbone and does not trigger inflammatory reactions or metallic taste.
We offer both immediate and delayed implant placement depending on bone quality and the clinical situation. Learn more about our approach to immediate and delayed ceramic implants and how we determine the right timing for your case. For patients seeking a deeper overview of material choices, our ceramic implants page provides comprehensive information on durability and biocompatibility.
Wisdom Tooth Removal — Gentle & Atraumatic
Wisdom teeth that are impacted, misaligned, or chronically inflamed often need to be removed. Our practice uses an atraumatic surgical protocol that minimises trauma to the surrounding bone and soft tissue. This approach reduces post-operative swelling, shortens recovery time, and lowers the risk of complications such as dry socket or nerve irritation.
We follow a biological wisdom tooth removal protocol that includes thorough socket cleaning, ozone disinfection, and PRF membrane application to promote inflammation-free healing. Patients with dental anxiety are treated with particular sensitivity, and sedation options are available on request.
Gum Grafting — Receding Gum Treatment
Receding gums expose the sensitive tooth necks, increasing the risk of root caries, sensitivity, and eventual tooth loss. Gum grafting (connective tissue grafting) is a proven microsurgical technique that restores natural gum levels and protects exposed roots. At our practice, connective tissue is typically taken from the patient’s own palate, ensuring excellent biocompatibility and natural integration.
Our gum grafting treatment is performed using microsurgical instruments and magnification to ensure precision and minimal discomfort during the procedure and recovery.
Jawbone Treatments — FDOK & NICO
Silent jawbone inflammations — known as FDOK (fatty-degenerative osteonecrosis of the jaw) or NICO (neuralgia-inducing cavitational osteonecrosis) — are areas of poorly perfused, chronically inflamed bone that often go undetected by conventional X-ray. These lesions can act as interference fields in the body and have been associated with chronic pain, fatigue, and systemic symptoms.
Using 3D CBCT diagnostics and clinical assessment, we identify and surgically treat these lesions, removing necrotic tissue and supporting regeneration with PRF. Read more about FDOK & NICO: silent jawbone inflammation diagnosis and treatment.
Surgical Support Therapies
All surgical procedures at our practice are supported by a range of biological adjunct therapies designed to optimise healing and reduce the need for antibiotics or synthetic anti-inflammatory medication:
- PRF (Platelet-Rich Fibrin): Centrifuged from the patient’s own blood, PRF membranes and gel are applied directly to the surgical site to accelerate soft tissue and bone regeneration.
- Ozone therapy: Gaseous ozone is used to disinfect the surgical site prior to closure, eliminating bacteria, viruses, and fungi without chemical agents.
- Neural therapy: Targeted procaine injections can be used peri-operatively to reduce pain, support circulation, and regulate the autonomic nervous system response to surgical trauma.
What to Expect: Your Surgical Appointment
We begin every surgical consultation with a thorough review of your dental and medical history, current medications, and any biological sensitivities. Where indicated, 3D imaging is performed to plan the procedure in detail. On the day of surgery, local anaesthesia is administered gently and effectively. Post-operative instructions, PRF application, and a follow-up appointment are all included as standard.
Patients who experience dental anxiety are warmly encouraged to discuss sedation options with our team. We are committed to making every visit as calm and comfortable as possible.
Frequently Asked Questions About Dental Surgery
Are ceramic implants as stable as titanium implants?
Yes. Modern one-piece and two-piece zirconium oxide implants have been shown in long-term clinical studies to achieve osseointegration rates comparable to titanium. They are particularly recommended for patients with metal sensitivities or those following a holistic approach to health.
How long does recovery take after wisdom tooth removal?
Most patients recover within five to seven days following atraumatic removal. The use of PRF membranes and ozone disinfection at our practice typically reduces swelling and speeds up soft tissue healing compared to conventional methods.
Is gum grafting painful?
The procedure is performed under local anaesthesia and is generally well tolerated. Post-operative discomfort is usually mild to moderate and manageable with standard pain relief for the first two to three days. Microsurgical techniques further minimise tissue trauma.
How do you detect silent jawbone inflammations (FDOK/NICO)?
Conventional dental X-rays often miss FDOK and NICO lesions. At Zahnarztpraxis Freienstein, we use 3D CBCT imaging combined with clinical examination and, where appropriate, kinesiological testing to identify these areas with high accuracy before planning surgical intervention.