Oral & Maxillofacial Services
Dental implants are the replacement of tooth roots in the mouth. Implants provide a strong foundation for fixed or removable replacement teeth. Dental implants are small anchors made of biocompatible metal called titanium, which are 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 permanent 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 or dentures.
Wisdom Teeth 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 gently 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 or removal. Stitches may be necessary after the removal of a wisdom tooth.
An impacted tooth is a tooth that fails to fully pass through the gums for various reasons. Impacted wisdom and cuspid (or canine) teeth are fairly common. To correct impacted teeth, there are a few treatment options. For impacted wisdom, the most common procedure is extraction. For impacted canine teeth, several treatment modalities are available. Treatment can involve orthodontics (braces) to allow open spaces for proper eruption, a visit to the oral surgeon to remove over retained primary (baby) teeth or to surgically expose the tooth and place an orthodontic bracket to help bring it down into proper alignment.
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 bone. The bone can be taken from parts of the body or from synthetic material. Bone grafting allows for proper support of dental implants or prostheses.
A sinus lift is a surgery that adds bone to your upper jaw in the premolar and molar areas of your mouth. An incision is made to add bone where the premolar and molar teeth were previously. A small circular shape is made in the bone to access the sinus and the sinus membrane is gently pushed up and away from the upper jaw. Once this is completed, bone graft material is filled into the space where the sinus was previously, the incision is closed and the healing process begins.
Oral and maxillofacial pathology refers to the diseases of the mouth and the jaw. Treatment options vary based on the patient’s specific needs.
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. In less severe cases, TMJ disorders can be treated with self-managed care (eating soft foods, using ice packs, avoiding extreme jaw movement) or nonsurgical treatments (anti-inflammatory medications, Botox injections, stabilization splints). In severe cases, surgical treatments (jaw joint replacements) may be necessary.
TMJ conditions fall into three main categories:
- Myofascial pain which involves discomfort or pain in the muscles that control jaw function.
- Internal derangement of the joint that can mean a displaced disc, dislocated jaw, or injury to the condyle.
- Arthritis which is degenerative inflammatory disorder.
Orthognathic Surgery (Jaw Surgery)
Orthognathic surgery is done to correct misalignments or other abnormalities in the upper jaw and lower jaws.
Orthognathic surgery can involve surgical 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 a few months up to one 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.
Platelet Rich Fibrin
Platelet Rich Fibrin (PRF), contains leukocytes, platelets and fibrin and promotes healing in both hard and soft tissues while decreasing discomfort and swelling.