Oral Surgery

Oral and maxillofacial surgeons are the only 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 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 functional and aesthetic issues in this part of the body.

Your oral and maxillofacial surgeon has many years of education and hands-on training to provide treatment for a wide range of conditions.

Wisdom Teeth

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 appear 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 a patient is a young adult in order to prevent future problems and to ensure optimal healing.

Oral Cancer

Oral and maxillofacial surgeons recommend that everyone perform an oral cancer self-exam each month. If you notice white or red patches, an abnormal lump, chronic sore throat or hoarseness, or difficulty chewing or swallowing, you should contact your oral and maxillofacial surgeon. He or she will remove a section of tissue to perform a biopsy and diagnose the problem.

Implants

Dental implants are long-term replacements for missing teeth that an oral and maxillofacial surgeon surgically places in the jawbone. Composed of titanium metal that fuses with the jawbone through a process called osseointegration, dental implants do not slip or decay. Because dental implants fuse with the jawbone, bone loss is generally not a problem.

Outpatient Anesthesia

Oral and maxillofacial surgeons possess the ability to provide patients with safe, effective outpatient anesthesia, including local anesthesia, nitrous oxide, IV sedation, and general anesthesia. During their surgical residency, residents must complete a rotation on the medical anesthesiology service, where they become competent in evaluating patients for anesthesia, delivering the anesthetic, and monitoring post-anesthetic patients.

Also called regenerative surgery, a bone graft is used to recreate bone and soft supporting tissues lost due to periodontitis. If you have periodontitis, you may be losing bone support around your teeth, and in order to avoid extractions, your periodontist may recommend regrowing the lost bone with a graft.

The goal of bone grafting is to encourage the body to rebuild the bone and other structures that attach a tooth to the jaw. First, your periodontist will separate the gums from your teeth in order to gain access to the roots and bone. The roots will be thoroughly cleaned, and the holes in the bone will be filled with a graft material that usually consists of your own bone. After this process is completed, your periodontist will put the gums back in place and stitch them together. Over the next few months, the grafted material will be encouraged to grow, which will fill in for lost bone and soft tissue.

Ridge Augmentation

A common use of bone grafting is for ridge augmentation. Ridge augmentation can recapture the natural contour of your gums and jaw after the loss of a tooth as a result of trauma, congenital anomalies, infection, or periodontal disease. Achieving an ideal amount of gum and bone as a support to surrounding restorations or implants may require hard and soft tissue reconstruction. After the loss of one or more teeth, your gums and jawbone may become indented where the tooth or teeth used to be. This occurs because the jawbone recedes when it no longer is holding a tooth in place. Not only is this indentation unnatural looking, it also causes the replacement tooth to look too long compared to the adjacent teeth, and this can create an area that is difficult to keep clean.

Ridge augmentation uses bone and tissue-grafting procedures to fill in the indented area of the jaw and gums, leaving you with a smooth gum line that coexists with your restoration or dental implant.