Oral and maxillofacial surgeons are unique among dentists because after finishing dental school training, we also complete an additional four years of hospital-based training alongside medical residents.  We receive extensive training in multiple types of advanced surgical procedures.  Oral and maxillofacial surgeons also receive training in various sedation techniques and the administration of general anesthesia.  If you have a diseased or impacted tooth that requires treatment or extraction, missing teeth needing to be replaced with dental implants, a suspicious soft or hard tissue tissue lesion that should be biopsied or removed, or any other oral health condition requiring a surgical diagosis or treatment, we can help. Learn more about Oral Surgery.

Our oral and maxillfacial surgery services include:

Extraction of Teeth

There are times when it is in your best interest to have a tooth extracted (removed). Teeth that are severely decayed or have extensive bone loss are generally extracted  Teeth that are impacted (still under the gums) can give rise to many problems and, depending upon your age, it is often best to remove them.  Sometimes teeth can be traumatized resulting in fractures or cracks in the crown or root(s).  In this situation it can be impossible to save the tooth and extraction is the only option.  Orthodontists will often recommend extraction of certain teeth to treat dental crowding. Learn more about Tooth Extractions.

Placement of Dental Implant Fixtures and Abutments

If you are missing one or more teeth, dental implants offer the comfort and security of a permanent replacement that looks and functions  like your natural teeth. Dental implants also help preserve the tooth-supporting bone in your jaw that deteriorates when even one tooth is lost. 

 

 About Dental Implants

Exposure and Ligation of Impacted Teeth

There are instances when a permanent tooth does not grow into the proper postion in the jaw.  This is most common in the anterior region of the upper jaw but can occur with any of the teeth.  An orthodontist will often request help in getting access to this type of tooth so it can be brought into it's proper postion in the mouth. 

Periapical Surgery/Apicoectomy

This procedure is accomplished to manage an infected tooth that has previously been endodontcally treated (had a root canal procedure).  The infected area of the surrounding jawbone is accessed, the diseased tissue excised and the end of the root is sealed with a special filling.

Facial Trauma & Reconstructive Surgery

Oral and maxillofacial surgeons are capable of treating the full scope of injuries to the structures of the face, mouth or jaws — including the teeth, the bones of the jaws and face, and the tissue of the skin and oral cavity. 

Bone Grafting

Bone grafting, a minor in-office surgical procedure, is commonly used to correct deficiencies in bone quantity or quality.  Bone grafting can be accomplished to reconstruct defects of the jaws that are associated with cysts and tumors.  Grafting can also be done at the time of tooth extraction (a socket graft) to prepare the site for a dental implant. Larger, more complex bone grafts are also placed to rebuild lost jaw bone to allow the placement of multiple dental implants.  This would include sinus or ridge grafting.  Learn more about Bone Grafting.

Corrective Jaw (Orthognathic) Surgery

When the relationship between the teeth and jaws is causing a serious orthodontic problem, surgery may be recommended.  Conditions treated surgically may include underbites, overbites, openbites and congenital abnormalities (birth defects) related to jaw development. This type of surgery is generally accomplished in conjunction with active orthodontic treatment.   Your orthodontist will generally recognize the need for this when orthodontic treatment is initiated.  Various surgical procedures might be perfomed on either the upper or lower jaw.  We generally perform this type of surgery in a hospital setting.

Intravenous Sedation and General Anesthesia

We want you to have the most comfortable oral surgical treatment experience possible. That's why we offer sedation to help you relax and/or anesthesia to block your sensations of pain. Learn more about Intravenous Sedation and General Anesthesia.

Oral Diagnosis & Biopsies

When it comes to detecting certain oral or systemic (whole-body) diseases, a thorough dental exam may be your first line of defense. Learn more about Oral Diagnosis & Biopsies.

 

Placement of TADs  

A TAD, or Temporary Anchorage Device, is a small titanium screw that is placed into the jawbone to facilitate the orthodontic movement of teeth.  Your orthodontist will request this type of treatment.  TADs are generally placed after a small amount of local anethesia has been administered in the area.  This is a relatively quick and simple procedure that causes very little if any post-operative discomfort.