What Is Oral Surgery?
Oral surgery is the general term for surgical procedures performed in the mouth. This may include a wide variety of oral surgeries including frenectomies (to relieve tongue or lip tie), tooth extraction, periodontal surgery, jaw surgery, sleep apnea surgery, and any other procedure involving tissue displacement.
Benefits of Oral Surgery
Oral surgery offers a wide variety of benefits:
- Correct bite alignment. Jaw surgery can reshape the jaw to help the upper and lower teeth meet together properly.
- Improve eating and speech. Oral surgery may improve eating and promote proper speech development.
- Treat and prevent gum disease. Severe cases of gum disease may need to be treated with surgery to eliminate the source of the infection and repair damaged tissue.
- Relieve sleep apnea symptoms. Surgery on the soft tissues of the mouth and throat and sometimes jaw surgery can relieve sleep apnea symptoms, helping you get better quality sleep.
- Improve dental and oral health. Oral surgery can improve the health of your teeth as well as the soft tissues of your mouth, preventing decay and gum disease.
- Improve appearance. Many types of oral surgery can improve your appearance, making your smile and facial structure look more natural.
Types of Sedation Offered
Many oral surgeries will require the use of sedation. We provide the following sedation options for oral surgery procedures:
- Conscious oral sedation. An oral sedative can be prescribed in pill or liquid form. You will be instructed to take the sedative before arriving for your procedure. It should provide a calm, relaxed feeling. You may feel groggy or sleepy, but you will still be awake. You may not remember much about the procedure afterwards.
- IV sedation. IV sedation is administered intravenously and provides a deeper level of sedation than an oral sedative. You may feel as if you are asleep, but you are conscious enough to respond to questions and requests. It is common not to remember anything afterwards.
PRP/PRF to Accelerate Healing
Platelet Rich Plasma 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.
These growth factors are in the form of a mixed gel that can be applied directly into tooth sockets and other sites. Placing this material in tooth sockets after tooth extractions can improve soft tissue healing and positively influence bone regeneration.
These techniques offer a new approach to tissue regeneration. PRP derives from the centrifugation of a patient’s own blood and contains growth factors that influence wound healing. This is important in tissue repairing mechanisms. The use of PRP in surgical practice could have beneficial outcomes, reducing bleeding and enhancing soft tissue healing and bone regeneration.
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
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 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.
Labial or Lingual Frenectomies
A frenectomy is a simple surgical procedure performed to release the connection of the “frenum,” a connective muscle between two tissues. There are two types of oral frenectomies that are frequently performed on both adults and children for a variety of reasons.
A Labial Frenectomy is performed on the tissue that connects the lip to the gums. This may be performed on children or adults to aid with orthodontic treatment or even help with the proper fitting for a denture or appliance.
A Lingual Frenectomy may also be referred to as the release of tongue-ties (ankyloglossia). This procedure is performed on the connective tissue under the tongue. The procedure is often performed on neonatal patients to assist with nursing or on toddlers or older patients who need the surgery to help correct speech issues caused by limited movement due to the frenum.
A sinus lift is a surgery that adds bone to your upper jaw in the premolar and molar areas of your mouth. To add bone, an incision is made where the premolar and molar teeth were previously located. Once the bone is exposed, a small circular shape is made in the bone to access the sinus. Once the sinus is accessed, the sinus membrane is gently pushed up and away from the upper jaw. Once this is done, bone graft material is placed into the sinus space to change the shape and provide support. Once the bone is in place, the incision is closed and the healing process begins.
Facial trauma involves injuries to the bone, teeth, skin, gums, or other soft tissues. The primary goals of treatment are to stop any bleeding, create a clear airway, repair any broken or fractured bone, and or suture any damaged soft tissue. As long as there are no neck fractures or life-threatening injuries, immediate treatment is often ideal. Treatment of facial trauma often requires a hospital environment although some procedures can be performed in an office setting.
To learn more, call 915-585-2020 or contact us today to schedule an appointment.