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Oral Surgery Procedures

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Dental Implants

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Wisdom Tooth Removal (3rd Molars)

Impacted Tooth & Tooth Exposure

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Bone Grafting

Orthognathic Surgery

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Labial or Lingual Frenectomies

Sinus Lift

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(301) 228-0386
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Additional Procedures

Facial Trauma

Facial trauma involves injuries to the bone, teeth, skin, gums, or other soft tissues.

Depending on the type of facial trauma sustained, there are many different treatment options available. The primary goals of treatment are to stop any bleeding from occurring, create a clear airway, repair any broken or fractured bone, and or suture any damaged soft tissue. Treatment is immediate, as long as there are no neck fractures or life-threatening injuries.

Oral Pathology

Oral and maxillofacial pathology refers to diseases of the mouth and the jaw. Treatment options vary based on the patient’s specific needs.

Biopsies

The smooth, pink skin lining the mouth is called mucosa. Abnormalities in the color or texture of this skin can sometimes indicate pathology. Any concerns with the skin in the mouth, a sore that is not healing properly or a lump on the inside of the cheeks, palate, gums or lips, may merit a biopsy so that the tissue sample can be tested for oral cancer. Please do not ignore these warning signs and be sure to mention any concerns you may have during your visit.

Cleft Lip & Cleft Palate

Cleft lip is an opening/split in the upper lip, and cleft palate is an opening/split in the roof of the mouth (palate). Cleft lip and cleft palate result when these developing facial structures in an unborn baby do not close completely.

A series of surgeries can restore normal function and achieve a more normal appearance with minimal scarring.

A cleft lip is usually repaired between the ages of 3 to 6 months. Some children require a lip adhesion or a device such as a molding plate to bring the parts closer together before the full lip repair. A child with a repaired cleft lip will have a scar on the lip under the nose.

A cleft palate is usually repaired between 9 and 12 months of age. To repair the palate, the soft palate muscles from each side are connected to each other and the normal barrier between the mouth and nose is created.

Additional surgeries are needed to improve the appearance of the lip and nose, close the opening between the mouth and nose, help breathing, and stabilize and realign the jaw. Once the permanent teeth grow in, braces are often needed to straighten the teeth.

Ridge Expansion

Adequate bone volume of the jawbone is necessary for the secure placement, stability, function, aesthetics, and longevity of implants. Because tooth loss can result in diminished bone volume in the jawbone, a bone expansion procedure may be necessary prior to implant placement. This procedure can increase the height and/or width of the jaw ridge through the use of mechanical manipulation combined with a bone graft. The Ridge Expansion takes several months to mature and be sufficiently strong for the placement of implants. Ridge Expansion not only improves the function of implants but is also a key contributor to the enhanced aesthetics, filling in the face around the gums and jaw and thus minimizing the appearance of aging.

TMJ Disorders

The temporomandibular joint (TMJ) is similar to a sliding hinge that connects your jawbone to your skull. TMJ disorders can cause pain in the jaw joint and in the muscles that control jaw movement.

To treat TMJ disorders, first the cause has to be identified. Improper alignment due to genetics or injury, arthritis affecting the cartilage in the joint, malocclusion, and trauma can all cause TMJ disorders.

Sleep Disorders

Obstructive sleep apnea is an ongoing condition that disrupts sleep. When breathing is paused or becomes shallow, one will often move out of deep sleep and into light sleep, making the quality of sleep poor.

Sleep apnea can be treated with lifestyle changes, mouthpieces, breathing devices, and/or surgery. Oral Appliance Therapy (OAT) is often an effective alternative to CPAP for patients suffering from obstructive sleep apnea. Many patients suffering from sleep apnea can find relief using a custom removable Oral Appliance Therapy appliance, which adjusts the position of the lower jaw and tongue to minimize airway obstruction.

Facial Cosmetic Surgery

Facial cosmetic surgery is performed to correct physical malformations of the face.

The following are some of the facial cosmetic surgeries performed:

  • Cheekbone Implants
  • Chin Surgery
  • Ear Surgery
  • Eyelid Surgery
  • Facelift
  • Facial and Neck
  • Liposuction
  • Forehead/Brow Lift
  • Lip Enhancement
  • Nasal Reconstruction

Socket Preservation

Socket preservation is a procedure performed after an extraction to reduce bone loss. Bone grafting material or bone growth enhancing elements are placed in the socket where the extracted tooth was to prevent resorption of bone.

Pre-prosthetic Surgery

Pre-prosthetic surgery is performed to prepare a mouth for a dental prosthesis. Surgical modification of the bone involves redesigning and smoothing edges so that a well-fitting, well-functioning dental prosthesis can be created.

Distraction Osteogenesis

Distraction osteogenesis is a procedure performed in reconstructive surgeries to correct skeletal deformities that could result in health problems. Distraction osteogenesis is the process by which bone is surgically cut and then slowly separated at a controlled rate over the course of several days. This slow separation combined with the bone healing process allows new bone to fill in the gap created by the cut.

Specialized Techniques

Facial Trauma

Platelet Rich Growth Factors and Platelet Rich Fibrin are new techniques used to assist with tissue regeneration using the patient’s own tissues and centrifugation to minimize healing time and maximize healing potential following procedures.

These growth factors are in the form of a mixed gel that can be applied directly into tooth sockets and other sites. Placing this material in tooth sockets after tooth extractions can improve soft tissue healing and positively influence bone regeneration.

These techniques offer a new approach to tissue regeneration. PRP derives from the centrifugation of a patient’s own blood and contains growth factors that influence wound healing. This is important in tissue repairing mechanisms. The use of PRP in surgical practice could have beneficial outcomes, reducing bleeding and enhancing soft tissue healing and bone regeneration.

Laser Surgery

Dental laser surgery uses a beam of intense light to correct dental problems. The energy produced by the laser cuts or vaporizes the tissue it is concentrated on. Laser surgery often means less discomfort, an easier and quicker recovery time and fewer, shorter appointments.

Lasers have several uses for dental surgery. Some common types of dental laser surgery include but are not limited to: dental cavities, root canals, gum surgery, dental abscess, biopsy, and treatment of lesions.

Bone Morphogenetic Protein (BMP)

BMP is a growth factor used to stimulate bone growth. It can be used to combat jaw bone resorption or supplement bone to accommodate an implant.

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