Oral Surgery Services
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)
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.
Oral Biopsy & Pathology
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.
The results of the biopsy will provide important information about the pathology of the area in question and will assist in developing an effective treatment plan.
Facial trauma involves injuries to the bone, teeth, skin, gums or other soft tissues.
Depending on the type of facial trauma sustained, there are many different treatment options available. The primary goals of treatment are to stop any bleeding from occurring, create a clear airway, repair any broken or fractured bone, and or suture any damaged soft tissue. Treatment is immediate, as long as there are no neck fractures or life-threatening injuries.
Bone Morphogenetic Protein
Bone Morphogenetic Protein stimulates tissue regeneration, minimizing healing time while maximizing healing potential following procedures. A resorbing sponge is soaked in BMP and then placed in the treated area to improve healing and positively influence tissue regeneration. Using BMP eliminates the need for harvesting tissue from other sites in the body, and once healing is complete, both the sponge and the BMP will dissolve, resulting in a gentle and effortless healing process.
Platelet-rich plasma (PRP) is 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.
Dental implant placement can help alleviate the sunken look that can occur with bone loss in the jaw by stimulating bone growth in the area around the implant. This process is called osseointegration and can also help prevent future bone loss.
With the All-On-4® solution, there is no plate covering the roof of the mouth, so speaking and eating are more natural and comfortable than with a traditional denture.
Easy to care for, this type of restoration can simulate the look and feel of natural teeth and stay fixed in place with the implants acting as anchors. Patients will not experience the typical rocking and movement or gum irritation associated with dentures. The All-On-4® implant procedure can often be placed in one office visit, reducing both overall cost and healing time for the patient.
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, or stabilization splints). In severe cases surgical treatments (jaw joint replacements) may be necessary.
TMJ conditions fall into three main categories:
- Myofascial pain – discomfort or pain in the muscles that control jaw function.
- Internal derangement of the joint – a possible indicator of a displaced disc, dislocated jaw, or injury to the condyle.
- Arthritis – a degenerative inflammatory disorder.
Please note: Coastal Oral Surgery diagnoses TMJ disorders, but after reviewing your treatment options, we will refer you to the proper professional for care.