Procedures


Dental Implants


Dental Implants

Dental implants are used to replace tooth roots. Implants provide a strong foundation for fixed or removable replacement teeth. Dental implants are small anchors made of biocompatible metal, called titanium, placed in the jawbone. The anchors begin to fuse with the bone over a few months. After the fusing process, known as osseointegration, abutment posts are inserted into the anchors to allow for the attachment of the replacement teeth. To fabricate the replacement teeth, an impression is taken and a model of the bite is created. The replacement teeth are based on this model. Replacement teeth can either be crowns, bridges or dentures.


Wisdom Tooth Removal (3rd Molars)


Wisdom Tooth Removal (3rd Molars)

A wisdom tooth that is deemed problematic is normally extracted to avoid any oral complications. To have a wisdom tooth removed, a small incision is made to open up the gum tissue over the tooth and remove any bone that is covering the tooth. Once the tooth is in view, it is grasped with a dental instrument, known as a forcep, and gently rocked back and forth to loosen it from the jaw bone and surrounding ligaments. Sometimes the tooth may need to be cut into smaller pieces to make it easier for removal. Stitches may be necessary after the removal of a wisdom tooth.


Impacted Tooth & Tooth Exposure


Impacted Tooth & Tooth Exposure

An impacted tooth is a tooth that fails to fully pass through the gums.

Impacted wisdom and cuspid (or canine) teeth are fairly common. To correct impacted teeth, there are a few treatment options. For impacted wisdom teeth, the most common procedure is extraction. For impacted canine teeth, several treatment modalities are available. Orthodontics (braces) can be used to open space for proper eruption. Primary (baby) teeth can either be extracted or surgically exposed to allow for the placement of an orthodontic bracket to help align the teeth.


Bone Grafting


Labial or Lingual Frenectomies

Bone grafting is the replacement or enhancement of bone around teeth. When a tooth is lost, the surrounding bone collapses. Bone grafting is performed to reverse bone loss or enhance existing bone. The grafting material can be taken from parts of the body or from synthetic material. Bone grafting allows for proper support of dental implants or prostheses.


Orthognathic Surgery


Orthognathic Surgery

Orthognathic surgery is done to correct misalignments or other abnormalities in the upper and/or lower jaw.

Orthognathic surgery can involve procedures such as an osteotomy (bone cutting), bone grafts, or distraction osteogenesis (stretching of the bone) and orthodontic (braces) care. Orthognathic correction is conducted in stages, and the course of treatment can last from a few months to a year or more.

In order to perform the procedure successfully, the jawbones will be repositioned in accordance with one’s specific needs. Inconspicuous incisions are usually made inside, and if needed, outside the mouth to allow for surgical plates, screws, wires and rubber bands to be used to hold your jaws in their new positions.


TMJ Disorders


Bone Grafting

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.


Sinus Lift


Sinus Lift

A sinus lift is a surgery that adds bone to your upper jaw in the premolar and molar areas of your mouth.


Additional Procedures


Facial trauma involves injuries to the bone, teeth, skin, gums or other soft tissues.
Oral and maxillofacial pathology refers to diseases of the mouth and the jaw. Treatment options vary based on the patient’s specific needs.
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 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.
Sleep apnea is a disorder in which one experiences one or more pauses in breathing or shallow breaths while you sleep.

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.

For mild sleep apnea, a custom fitted mouthpiece or some lifestyle changes (weight loss, smoking cessation, clearing nasal passages) may be helpful.

For moderate to severe sleep apnea, a breathing device called CPAP (continuous positive airway pressure) or surgery to widen the breathing passages by shrinking, stiffening, or removing excess tissue in the mouth and throat or resetting the lower jaw may be helpful. A CPAP machine uses a mask that fits over your mouth and/or nose and gently blows air into your throat. This air pressure helps keep your airway open while you sleep. Surgery to shrink the tissue involves a small shot into the breathing passages. Surgery to stiffen excess tissue requires a small incision in the tissue and the insertion of a piece of stiff plastic.

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Nerve repositioning may be an option for patients whose inferior alveolar nerves, located near the lower molars, are in the path of a potential implant. Nerve repositioning is most frequently needed when there is insufficient bone height at the desired implant site. This procedure moves the nerve out of the way of the potential implant, allowing for optimal positioning of the implant.
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 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 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.
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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.
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BOTOX® Cosmetic is a prescription medicine that is injected into muscles and used to improve the look of moderate to severe frown lines between the eyebrows (glabellar lines) and around the side of the eyes ( crow’s feet lines) in adults for a short period of time (temporary).

BOTOX® is used for a number of medical conditions. Ask your doctor for more details to find out if treatment with BOTOX® may be right for you.


Specialized Techniques


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.
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.