Most people are familiar with going to sleep for certain medical and surgical procedures. Many people discuss being put to sleep for their wisdom tooth removals. By and large it was oral and maxillofacial surgeons who brought this level of anesthetic comfort to the dental industry.
Oral and maxillofacial surgeons go through many months of extra, specialized training in order to learn the details of anesthesia management. In fact, the only doctors that receive more formal education in anesthesia than oral and maxillofacial surgeons are anesthesiologists themselves.
You can rest assured that anesthesia safety record of all of the surgeons at Bedford Associates in Oral and Maxillofacial Surgery is no exception.
When people have crooked or crowded teeth, or when their bite is off, they usually believe that braces will fix their problem. This is frequently true, and the orthodontist can align the teeth and bite without any surgery. There are more difficult cases, though, that cannot be properly corrected with braces alone. When these more difficult cases are treated with braces, only, and no surgery is done, the final bite and appearance is significantly less than ideal, is prone to relapse towards the original appearance, and is at high risk for a variety of dental problems in later years.
In these cases that cannot, or should not, be treated with braces alone, surgical repositioning of the jawbones is necessary. In addition to straightening the teeth and establishing a stable, proper bite, surgical repositioning of the jawbones creates positive changes to the appearance of the face and profile.
At Bedford Associates in Oral and Maxillofacial Surgery, we regularly treat the soft tissues of the face, mouth and gums in order to improve appearance, function and overall oral health.
Some are areas of expertise include:
There are several reasons for a tooth requiring extraction including tooth decay, orthodontic treatment, or even because of an injury. In the tooth extraction procedure, our surgeon will remove your tooth in the office using an appropriate anesthetic.
Generally speaking, an apicoectomy may be needed when when a root canal is not enough to correct the problem. In certain cases, a dead nerve inside a tooth can spread past the tooth root and into neighboring bone. If this happens, an apicoectomy may be necessary. In this procedure, the infected portion of the tooth root is removed in order to clean the infection. Finally, the root is filled to prevent further infection.
This is a simple procedure that removes or loosens a band of muscle tissue that is connected to the lip, cheek or floor of the mouth. Generally this procedure is performed under local anesthetic. In certain cases, people with large frenums beneath their tongues may prevent their tongue to move freely. This procedure corrects this problem.
Dental implants are rapidly becoming the treatment of choice to replace missing teeth. This is true whether a person has just a single missing tooth or is missing a whole mouthful of teeth.
Although once thought of as exotic or experimental treatment, the predictability, reliability, and hassle-free longevity of dental implants has rapidly thrust them into mainstream dentistry. This is as it should be, because when a clearly superior technique enters the market, and passes the test of time, it should be widely embraced.
In the majority of cases, implants are clearly superior and, overall, have passed the test of time with flying colors.
Many people do not think of the jaws and mouth as common areas to develop ulcers, tumors, cysts, and other abnormal growths. As a group, these abnormalities are referred to as pathology, and the mouth is a very common place for pathology to occur. In fact, in some cases, it is the mouth that can show the first signs of more extensive, farther reaching diseases.
The surgical procedure most closely related to pathology is called a biopsy. A biopsy is the removal of all or part of an abnormal appearing tissue. Not all abnormal appearing tissue needs a biopsy, though. Some cases can be treated with medicine(s) and / or careful observation. Frequently these cases revert to a normal state, all on their own, and may never need any surgery.
Frequently, though, areas that appear abnormal on x-ray or to the naked eye need a biopsy. Equal in importance to a good biopsy in these cases, is to have a well trained doctor inspect the tissue, under a microscope, to give the diagnosis of the abnormality. Doctors that specialize in this microscopic inspection are called pathologists. Within that specialty is the sub-specialty called oral pathology. Oral pathologists only deal with abnormal tissue in the mouth, jaw, and facial region and they have highly specialized training.
Being the last teeth to erupt, the wisdom teeth (a.k.a. third molars) frequently do not fit into the mouth and bite. This is because our other teeth have already nearly filled the available space. This causes the wisdom teeth to force themselves into strange positions in their quest to come in to the mouth.
Not uncommonly these strange positions leave the wisdom teeth trapped partially in the jaw and partially in the mouth. This situation ends up trapping food and bacteria around the wisdom teeth, while preventing proper brushing and flossing of the malpositioned teeth. This then leads to the development of cavities, gum disease, and bone loss in the region, as well as creating a nest around the wisdom teeth for the bacteria that cause this damage.