MEDIKUSS
OMFS & surgery
Precision when it counts.
MEDIKUSS is a practice for oral and maxillofacial surgery (OMFS): specialists with medical and dental training plan procedures with medical safety, anatomical precision, and clear outpatient support — from wisdom teeth through implantology to facial surgery. The spectrum goes beyond purely dental oral surgery.
Which treatment is appropriate is decided not by a trend, but by examination, diagnosis, and your personal goals.
Medically reviewed by DR. MED. DR. MED. DENT. HANS KREHN · last professionally reviewed on 26.09.2026
With indications of a skeletal cause, the specialist assessment at MEDIKUSS is carried out by DR. MED. DR. MED. DENT. HANS KREHN, specialist in oral and maxillofacial surgery as well as physician and dentist. Orthognathic jaw-repositioning operations are not performed at our practice; after an external operation, aftercare at the practice is possible.
Treatment spectrum
01 · Oral & jaw surgery
Oral & jaw surgery
As OMFS specialists we combine human medicine and dentistry in multi-year specialist training — beyond purely dental oral surgery. Besides oral procedures, we also assess and treat more complex situations of the jaw, soft tissue, and adjacent structures. Imaging, clinical findings, and overall planning decide indication and a gentle approach.
Wisdom teeth
Wisdom teeth do not always need removal. With inflammation, lack of space, damage to neighbours, or difficult position — for example close to a nerve — OMFS specialist assessment is decisive: anatomy, risk, and alternatives are clearly framed before surgery.
Gummy smile: gingival and skeletal causes
If excessive gum becomes visible when smiling, the cause can lie in the soft tissue, in the bone course at the front tooth, or in a vertical overgrowth of the upper jaw. As an OMFS specialist, Hans Krehn assesses these components and, where the findings fit, offers gingivectomy, surgical crown lengthening, and lip repositioning. The evidence on lip repositioning rests predominantly on case series with follow-up of up to twelve months. Orthognathic jaw-repositioning operations are not performed at our practice; aftercare after an external operation is possible.
Medical overview02 · Implantology & bone
Dental implants also in demanding bone situations
As a specialist in oral and maxillofacial surgery, Hans Krehn links implant planning with experience in bone and soft-tissue surgery — beyond purely dental oral surgery. Demanding anatomical baselines can thus be assessed differentially and, when medically sensible, treated with implantation, augmentation, or a less extensive alternative. Implantation in every conceivable situation still cannot be promised in blanket terms.
Medical overviewImmediate implantation
In immediate implantation, an implant is placed directly after tooth removal. Under OMFS specialist leadership, MEDIKUSS favours this tissue-sparing approach when infection status, socket, soft tissue, primary stability, and planned prosthetics are suitable. Immediate implantation does not automatically mean immediate loading or immediate definitive restoration; those decisions are made separately.
Medical overviewShort implants
Length is a feature of the planned restoration; different lengths can be available within one implant line. Systems and outcomes are not identical in blanket terms. Where conditions are suitable, a shorter version can avoid bone grafting or reduce its extent. Findings, bone supply, planned prosthetics, and individual risks remain decisive.
Implantation remains a surgical procedure. There is no promise of “always without grafting”, “risk-free”, or “painless”. The practice KUS orientation (short and simple) refers to implants of at most 6 mm; studies often use other length cut-offs (for example under 8 mm). Results for one length cannot be transferred to shorter variants. Decisive factors include bone quality, implant diameter and position, bite load, opposing dentition, cleanability, and planned prosthetics. The KIS principle (Keep it simple): as little surgical effort as possible, as much safety and substance as needed — framed within the overall OMFS concept.
Medical overviewBone grafting
Bone grafting creates volume when the existing jaw does not allow a stable implant restoration. Method and material follow defect size and location and the planned restoration — at MEDIKUSS under OMFS specialist assessment, not as an isolated oral-surgical step alone.
If the procedure worries you
Mention your concerns when you book. In the conversation you can clarify how treatment proceeds, which pauses are possible, and which form of anaesthesia may be appropriate — local anaesthesia, sedation or, after medical review, general anaesthesia. Whether bone grafting is needed or a less extensive restoration is possible can only be judged after examination. Marked dental anxiety is a care question in its own right; it is taken seriously in the conversation, without a blanket suitability for general anaesthesia and without a promised treatment result.
Medical overviewFrom implant to restoration
From implant to restoration
At MEDIKUSS in Hamburg we plan implantation and the dental restoration together. This overview shows a possible course with submerged healing.
Medical overviewProcedure sketch
The five steps at a glance
- 01Examination and planning
Clinical findings and the planned restoration determine the approach. Imaging follows the findings — this does not imply a general 3D or CBCT requirement.
- 02Implantation and healing
This overview shows submerged healing as an example, not every implant course. In the upper jaw we often plan about four months, in the lower jaw about three — planning examples, not a fixed promise.
- 03Uncovering
After healing the implant is uncovered for the prosthetic restoration, where the healing concept provides for that.
- 04Placing the restoration
Between uncovering and placing the restoration there is typically one week. That is the usual orientation here, not a fixed promise.
- 05Follow-up
After restoration, follow-up visits follow. Interval and extent depend on findings and the type of restoration.
The bars are alternative examples, not one shared to-scale timeline. Actual duration depends on findings and healing. With bone grafting, immediate implantation, or another healing concept the course may differ.
03 · Facial surgery
Eyelid and facial surgery
Functional and aesthetic procedures in the face belong to oral and maxillofacial surgery. Eyelid surgery is a distinct, anatomically demanding part of that spectrum: it requires precise knowledge of periorbital anatomy, lid mechanics, nerves, and soft tissue. The aim is a medically clear correction that respects visual function, lid closure, and individual facial features — not a standardised change.
Upper and lower lids are examined and, where indicated, operated separately or together. Excess skin and, when needed, deeper tissues are adjusted so the natural lid form is preserved. We also assess neighbouring regions such as brow and forehead, because they can influence lid position; not every finding needs a separate procedure there. A facelift, by contrast, repositions descended facial tissue and does not replace eyelid tightening.
The procedure is usually outpatient. For eyelid tightening and, where combined, facelift we expect social downtime of about five to seven days, during which sutures are usually removed. Swelling and bruising are common in that window and recede individually. Benefits, limits, risks, and alternatives are explained beforehand. The individual course may differ from this orientation.
04 · Sedation & anaesthesia
Sedation & anaesthesia
Depending on the procedure and personal situation, local anaesthesia, sedation, or general anaesthesia may be appropriate. Selection follows medical history, treatment extent, and individual safety needs.
This content is for general information. It does not replace a personal examination, diagnosis, or individual counselling on benefits, limits, risks, and alternatives.
Clear answers
Frequently asked questions
How does OMFS differ from purely dental oral surgery?+
As OMFS specialists we combine human medicine and dentistry in multi-year specialist training — beyond purely dental oral surgery. This also applies to implantology and bone grafting in demanding situations.
When are short implants an option?+
Short implants can, in selected situations, be an option to use existing bone. Whether and to what extent bone augmentation can be avoided depends on findings and the planned restoration. Studies use differing length definitions (e.g. <8 mm for overdentures versus other cut-offs elsewhere); the practice KUS orientation ≤6 mm is not a study definition.
Must wisdom teeth always be removed?+
No. With inflammation, lack of space, damage to neighbours, or difficult position — for example close to a nerve — OMFS specialist assessment is decisive before surgery.
Why does eyelid surgery belong to OMFS?+
Functional and aesthetic procedures on the lids and face require knowledge of anatomy, nerves, and soft tissue that forms part of oral and maxillofacial specialist training.
Do you operate on the upper and lower lid?+
Where the indication fits, yes — separately or together. The decision follows the examination, not a fixed package.
How long is downtime after eyelid tightening?+
Social downtime is typically about five to seven days; suture removal usually falls in that period. This is an orientation from the courses we usually see, not a fixed healing promise.
Clinical context
Where the findings fit, MEDIKUSS offers gingivectomy, surgical crown lengthening, and lip repositioning. If visible tooth length is to be increased also toward the lip at the gum margin, or the gum line evened, MEDIKUSS assesses gingivectomy or crown lengthening especially within veneer and full-mouth planning; this may concern individual teeth or several. The indication follows cause, bone level, and soft tissue; a purely soft-tissue correction is not biologically sensible in every situation.
Individual assessment