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Reconstructive Surgery

Cosmetic and Reconstructive Surgery: What Can An Oral Surgeon Do to Help?

The structures of your face and jaw perform a variety of functions. Ideally, the arrangement of bones and soft tissues allows you to eat, breathe, and talk effortlessly. These structures also provide your face with its characteristic contours and appearance. Whether an injury or medical condition has harmed these structures and reduced their functionality, or you simply would like to give your face a new, preferred look, you may see substantial benefits from cosmetic or reconstructive oral surgery. Let’s examine these forms of surgery to discover what an oral surgeon might do to give you a better quality of life.

 

Reconstructive Oral Surgery vs. Cosmetic Oral Surgery

The difference between reconstructive oral surgery and cosmetic oral surgery lies mainly in the result you wish to achieve. Reconstructive oral surgery focuses on procedures that correct damage and functional abnormalities. When expertly performed, reconstructive oral surgery can help you speak more clearly, chew more effectively, experience less pain or stiffness from structural alignment errors, or restore tissue lost in an accident or previous surgery.

Cosmetic oral surgery focuses on improving the aesthetics of your oral and facial structures. For example, an oral surgeon can change the shape or size of your jaw, bringing the jawbone forward or making it recede for a more attractive facial balance. An oral surgeon has the expertise to perform a variety of procedures to improve both the looks and the function of your teeth.

 

Conditions and Challenges Treated by Cosmetic and Reconstructive Oral Surgery

Depending on your individual needs, you may schedule either or both forms of oral surgery to address different conditions and challenges. Common problems tackled by reconstructive oral surgeons include:

  • Malocclusion (abnormal bite) – This problem typically stems from an abnormal jaw position and/or uneven tooth wear.
  • Diseased or impacted teeth – A hopelessly decayed, infected, or impacted tooth may threaten your comfort and health.
  • Broken or weakened teeth – Root canal therapy or tooth fractures can leave the affected teeth in a fragile state while making them vulnerable to future infections.
  • Palate issues – Deformities such as a cleft palate may call for surgical reconstruction.
  • Jaw or facial trauma – Auto accidents and other crises can shatter bones in your jaw and face, making normal jaw function impossible.

Cosmetic surgeons can address some of the same issues, assuming that those issues affect your appearance as well as your oral and dental function. These specialists typically deal with:

  • Chipped or broken teeth – Even if such teeth don’t suffer from any deeper damage or hurt your chewing ability, they may make you self-conscious to smile or talk in public.
  • Overbites and underbites – A misaligned jaw may make you unhappy with your looks, even when it doesn’t seriously affect your ability to speak or eat.
  • An oversized or undersized lower jaw – Even a perfectly aligned jaw may appear too prominent, or not prominent enough, for your taste.
  • Soft tissue abnormalities – If you have noticeable facial scars or missing facial tissue, you can have these issues cosmetically repaired.

 

Types of Oral Surgery Procedures

Modern medical techniques and technologies have opened the door to many kinds of cosmetic and reconstructive oral surgery procedures. Your oral surgeon may recommend and administer:

  • Dental implants, which replace missing teeth while helping to stimulate jawbone regeneration.
  • Bone grafts to help dental implants root themselves securely in the jaw.
  • Extractions of wisdom teeth or other problematic teeth.
  • Craniofacial surgery to reassemble broken facial bones or correct abnormal facial formation.
  • Orthognathic surgery to alter your jawbone structure.
  • Soft tissue trauma repair to fix lacerations, mend severed nerves, and reconnect or reroute damaged blood vessels.

 

A Whole New You

Oral surgery can improve your life in a variety of ways. On a purely functional, physical level, procedures that improve your chewing ability can help your digestive system break down food more efficiently, giving your body more of the nutrients it needs for optimal wellness. Surgery that addresses sinus or airway issues (including jaw alignment problems that may affect your breathing) can help you avoid or overcome potentially serious health risks. Psychologically, reconstructive or cosmetic oral surgery can help you feel less stress and self-consciousness, boosting your confidence to live the life you want to live.

 

What to Expect from Oral Surgery

Oral surgery procedures can vary widely in the amount of preparation and recovery that they involve. As a general rule, you and your oral surgeon should discuss your medical history, current medication list, and lifestyle factors that can influence the procedure’s success. If you smoke, you’ll need to kick the habit as far ahead of your surgery as possible, since smoking can slow healing.

Some oral surgeries such as tooth extractions require only sedation and a local anesthetic, while more extensive surgeries that rebuild portions of the face require general anesthesia and a hospital stay. During your recuperation, you may need to adhere to a soft diet and/or small meals. If your procedure requires the jaw to remain wired shut for a time, your oral surgeon will prescribe a liquid diet until the surgeon removes the wires.

Contact Oral Surgery DC to schedule a consult appointment, which is an in-depth analysis of your medical history and dental x-rays and is an opportunity to discuss with the Surgeon the treatment approaches.

Impacted Teeth

Impacted Teeth: What You Need to Know for Successful Removal and Recovery

Impacted teeth are pretty common, and happen with a tooth that doesn’t grow out, or erupt, naturally continues growing under the gum instead. While the most common impacted teeth are wisdom teeth, other teeth can be blocked from erupting properly as well.

If you have an impacted tooth, your dentist will recommend that you see a specialist for removal or assisted eruption. You’ll need to consult an experienced oral surgeon to ensure the success of the procedure and full, quick recovery. Here are a few things you need to know about treating impacted teeth.

 

Impacted Teeth: How Common Are They?

Studies show that up to 35% of people experience an impacted tooth, with wisdom teeth being the most common by far. Usually, these teeth don’t fully emerge due to a lack of space in the jaw or because they grow in at the wrong angle. In many cases, impacted teeth don’t cause any symptoms for some time. Your dentist is likely to discover the problem during a routine x-ray.

Besides wisdom teeth, other teeth can be impacted as well. The second most common impacted teeth are maxillary (upper jaw) canines. About 2% of the population needs surgery to uncover these teeth.

 

Symptoms of Impacted Teeth: Can You Feel Them?

While many people don’t notice any symptoms for quite a while, once the impacted tooth starts causing problems, you could experience:

  • Swollen or red gums
  • Tender and bleeding gums
  • Bad breath
  • A bad taste in your mouth
  • Problems opening your mouth
  • Jaw pain when biting and chewing
  • Swollen lymph nodes in your neck

If the impacted tooth is erupting at an angle, it can also damage the nearby tooth, causing pain and inflammation.

An impacted wisdom tooth doesn’t affect your overall quality of life until it starts causing problems. Some people live with impacted wisdom teeth for decades without experiencing any discomfort.

If you have impacted or partially impacted maxillary canines, you may want to treat them to restore the aesthetic appeal of your mouth. Treating them requires a comprehensive approach by your dentist, oral surgeon, and orthodontist.

 

Impacted Wisdom Teeth Complications: Do You Need Treatment?

Besides physical discomfort, impacted and partially impacted wisdom teeth can cause a variety of problems if left untreated.

  • Pericoronitis — This is an inflammation of the gum tissue that surrounds the impacted tooth. Besides discomfort and a bad taste in your mouth, this condition can develop into more severe and painful symptoms.
  • Damage to nearby teeth — If an impacted wisdom tooth grows in at a wrong angle, it can push against the second molar. This could lead to damage or infection. Extensive pressure could also cause teeth crowding, which in turn would require orthodontic treatment.
  • Cysts — Wisdom teeth develop in a sac inside the jawbone. If a tooth doesn’t erupt, the sac can fill with fluid, which could result in a cyst. In rare cases, a benign tumor can develop. To deal with the problem, a surgeon may need to remove bone and tissue.
  • Caries — Partially impacted teeth are more likely to develop caries–or cavities–than fully erupted teeth. This is because tooth decay is more likely in areas of the mouth that are harder to clean.

All the above complications can be avoided with timely discovery and treatment of impacted teeth.

 

Treatments for Impacted Teeth

If your dentist discovers an impacted tooth during a routine x-ray, he or she will assess the severity and impact of the situation and either recommend waiting and monitoring the tooth, or seeing an oral surgeon whose treatments can include:

 

Surgical Removal

When an impacted wisdom tooth starts causing problems, you need to consult an oral surgeon. Surgical removal or extraction is a highly recommended solution for the problem of impacted wisdom teeth – for complicated extractions and for patient comfort, the procedure is usually done under general anesthesia – which means you can be asleep during the procedure.

Healing from an impacted tooth depends not only on the position of the tooth, but also on the age of the patient. As we age, our teeth ossify, or become, set into the jawbone, causing a longer healing time from an extraction procedure. Patients under the age of twenty-five usually heal more quickly from an extraction procedure as their teeth are not yet ossified. Keep in mind that everyone heals at a different pace, but typical healing times is 3-5 days of resting at home post-procedure. Pain management prescriptions may also be given depending on need and the patient’s medical profile.

 

Assisted Eruption

If it’s your maxillary canines that are impacted, the treatment usually requires a coordinated effort between your oral surgeon and orthodontist:

  • An oral surgeon cuts the gum to push it back and expose the impacted tooth. In some cases, the surgeon will also remove some of the bone surrounding the tooth’s crown.
  • An orthodontist attaches brackets and a chain to help move the tooth into its natural position.

The surgery is done under general or local anesthesia on an outpatient basis.

 

Working with an Experienced Oral Surgeon

If you think you have an impacted tooth, contact your dentist as soon as possible for a checkup and x-ray. Even if the tooth isn’t causing any discomfort, it needs regular monitoring.

If your dentist recommends surgical removal, you’ll need to consult an experienced oral surgeon. While common, both these procedures require extensive expertise in order to avoid complications and speed up the recovery process.
Contact us today for more information about surgical extraction or assisted eruption of impacted teeth.