"Indeed, it is something scary but sometimes it is needed," says the specialist in oral surgery
Dr Stoyan Kazakov, DMD, is one of the professionals who you should have at your side when your oral healthcare is concerned. A young and ambitious oral surgeon, he masterfully offers top-quality treatment, a constant strive to improve and update his skills, and astonishing results. He is a member of the International Team for Implantology (ITI), the largest international academic organisation in implant dentistry and related issue regeneration in the world, and of the European Association for Cranio Maxillofacial Surgery (EACMFS). He has attended several training courses and was given a prize by Bulgarian President Rosen Plevneliev (2012-2017).
Dr Kazakov's professional interests are focused on medication related osteonecrosis of the jaws where he successfully implemented fluorescence guided bone resection, implantology, growth factors and their application in oral surgery and recovery of nerves after surgical and non-surgical trauma. He offers all of these, and a lot more.
In his free time Dr Kazakov is interested in playing billiard and gaming. He has also trained for more than 15 years in full contact martial sports.
Why did you decide to specialise oral surgery?
For me it was an easy choice. I have always been attracted to surgery as it is an incredibly multidisciplinary field. It includes not only routine procedures that most people are aware of, such as teeth extraction, placing dental implants, periodontal surgery, and bone augmentation procedures in both jaws, but a lot more, like severe abscesses, traumatology and pathology of the soft and hard tissues that is sometimes hard to diagnose.
Tell us more about the diploma that you received from the Bulgarian president?
As a post-graduate, I was invited along with some other colleagues at a convention of young graduates in Veliko Tarnovo. During the meetings each of us presented their vision about the problems we face in our career development and how they can be solved. This was why I got awarded by the President. The official letter that I penned is featured on the President's website and anyone who is interested in it can read it.
What are the most common health issues that you deal with in your practice?
The most common problems are two. The first one is when a tooth or teeth cannot be saved anymore and need to be pulled out. The second one is how to restore them. Most often this involves implants.
What are the capabilities of digital technologies in oral surgery and implantology, and how do you apply them in your practice?
Guided surgery that aims to achieve an easier and more precise operation process has been developed for quite a long time now. It is used to plan dental implants procedures, harvesting bone from donor places and in orthognathic surgeries which aim to correct facial skeletal deformities. Guided surgery has become so advanced that it is now used for easier and faster interventions with minimal risk of human mistake. Yet, it still is far from perfect. One of the challenges that it presents is in cases when we have to place implants in the distal area on the jaws, where the molars are located. Some patients are just unable to open their mouth wide enough, making guided surgery implantation extremely hard and even sometimes impossible. This is why I have developed, and I am currently testing, together with my colleagues, a modified sleeve for drill guiding that will make the procedure easier.
How can tooth extraction damage the nerves and how can you help?
Tooth extraction is one of the most common procedures performed by dentists and oral surgeons. The extraction of a lower jaw wisdom tooth, however, hides the risk of a particular complication. One of the three nerves in this area might get damaged during the surgery, resulting in tingling or other sensations in the tongue (lingual nerve), the cheek (buccal nerve) and the teeth and the lips (alveolar nerve). My colleagues and I are currently researching microsurgical recovery of these nerves. Our goal is to improve the patients' condition.
What are growth factors and what is their application in oral surgery?
Growth factors are a naturally occurring substance that can stimulate cell proliferation, wound healing, and even cellular differentiation. They are used in all medical fields and applying them in oral surgery was a logical step. One of the easiest ways to obtain growth factors are to get these from the patient's blood plasma. When the patient's blood is being centrifugated the plasma containing the cells and the growth factors is being separated and used. It has a wide application in cases when we want to speed up wound healing and in bone augmentation procedures.
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