Oral and Maxillofacial Surgery is surgery to correct a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. It is a recognized international surgical specialty, and it is one of the nine specialties of dentistry recognized by the American Dental Association.
Oral and maxillofacial surgeons are the only recognized dental specialists who, after completing dental school, are surgically trained in an American Dental Association-accredited hospital-based residency program for a minimum of four years. They train alongside medical residents in internal medicine, general surgery, and anesthesiology, and they also spend time in otolaryngology (ear, nose, and throat), plastic surgery, emergency medicine, and other specialty areas. Their training focuses almost exclusively on the hard and soft tissue of the face, mouth, and jaws, and their knowledge and surgical expertise uniquely qualify them to diagnose and treat the functional and esthetic conditions in this part of the body.
Corrective jaw or orthognathic surgery is performed in which the upper jaw, lower jaw, and chin may be repositioned to correct minor and major skeletal and dental irregularities, including the misalignment of jaws and teeth. Corrective surgery can improve chewing, speaking, and breathing. Difficulty chewing or biting food, excessive wear of teeth, a receding chin, a protruding jaw, or sleep apnea may indicate the need for corrective jaw surgery.
Wisdom teeth are the last set of teeth to develop. Sometimes they emerge from the gum line and the jaw is large enough to allow room for them, but more often than not, they fail to emerge and become impacted. When a wisdom tooth is impacted, it may need to be removed. Impacted wisdom teeth that are partially or fully erupted tend to be quite difficult to clean and are susceptible to tooth decay, recurring infections and even gum disease. The American Association of Oral and Maxillofacial Surgeons strongly recommends that wisdom teeth be removed by the time the patient is a young adult in order to prevent future problems and to ensure optimal healing.
We recognize that some of our patients may feel anxious or apprehensive about receiving dental care. Our doctors and staff work hard to make sure that you have a completely positive experience, and that’s why we are pleased to offer sedation dentistry for those patients needing a little extra comfort before receiving treatment. Feeling anxious about receiving dental care should never prevent you from having the beautiful, healthy smile you deserve.
About an hour before you begin your dental treatment, you will be given a small pill to help you relax. Due to the sedative nature of the pill, you will need someone to accompany you to your appointment because you will not be able to drive home. When you arrive at our practice, our staff will be waiting for you and will escort you to a private room where you’ll be treated.
There are different levels of sedation: Mild, Moderate, & Deep. For people with mild anxiety or those who are undergoing longer or more complex procedures, mild sedation will be administered orally through anxiolysis or “laughing gas.” For those with more intense anxiety or more involved procedures, light IV sedation will be administered. Your doctor will gently place an IV and administer medication to help you into a deeper state of relaxation. Once your treatment is complete, you will wake up with little or no memory of the appointment and a beautiful new smile. Using sedation dentistry, we may be able to complete many different procedures, including complex smile makeovers, in just one office visit.
In most cases, patients feel virtually no discomfort during treatment under sedation. You are still conscious while under sedation, just deeply relaxed. The time it takes for the sedatives to wear off depends on the dosage received, length of treatment time, and how quickly your body personally recovers. Sedation treatment is an option for both adults or treatment who experience dental anxiety or fear of visiting the dentist.
Gum disease, also known as periodontal disease, is an infection of the gums surrounding your teeth. Gum disease is one of the top reasons for tooth loss in adults, and because it is virtually pain-free, many patients do not know they have the disease. During each regular checkup, your dentist will check for signs of periodontal disease by measuring the space between your teeth and gums.
Gum disease is caused by a buildup of plaque (a sticky form of bacteria that forms on the teeth). If the plaque is not removed (by flossing, brushing, and regular dental checkups), it will continue to build up and create toxins that can damage the gums. Periodontal disease forms just below the gum line and creates small pockets that separate the gums from the teeth. Periodontal disease has two stages: gingivitis and periodontitis.
Gingivitis — This is the early stage of gum disease, when the gums become red and swollen, and bleed easily. At this stage, the disease is treatable and can usually be eliminated by daily brushing and flossing.
Periodontitis — If left untreated, gingivitis will advance into periodontitis, and the gums and bone that support the teeth will become seriously and irreversibly damaged. Gums infected with periodontitis can cause teeth to become loose, fall out, or need to be removed by a dentist.
Certain factors can increase a patient’s risk for developing periodontal disease, including:
While it is possible to have periodontal disease and not know it, some common symptoms to watch out for include:
Ideal options for treating periodontal disease are dependent upon the severity of each individual case. Common treatments include non-surgical treatments such as at-home periodontal trays, scaling, and root planing (deep cleaning). Surgical treatment options are typically periodontal surgery and/or laser gum surgery or dental implants.
To prevent periodontal disease from sneaking up on you, we recommend regular dental checkups and periodontal examinations. By practicing diligent oral hygiene at home, you can significantly reduce your chances of ever getting gum disease. Remember to brush regularly, clean between your teeth, eat a balanced diet, and schedule regular dental visits to keep your smile healthy.