There are a number of reasons that dentists or oral surgeons recommend surgery, but facial injuries are probably the most unexpected and alarming cause. Maxillofacial injury, or facial trauma, refers to any injury to the mouth, jaw, and face. Most of these injuries result from sports, car accidents, job accidents, violence, or an accident at home. Let’s learn about oral surgery resulting from facial trauma.
Broken bones are a common type of serious facial injury. Fractures can occur in the upper or lower jaw, cheekbones, palate, and eye sockets. Injuries in these locations may affect vision and the ability to eat, talk, and breathe. Hospitalization is often required for treatment, which is similar to that for fractures in other parts of the body. The bones must be lined up and held in place to allow time to heal them in the correct position. Because casts are not possible in facial injuries, the surgeon may use wires, screws, or plates to treat fractures. Sometimes healing takes as long as six weeks or more.
Even though some facial injuries are worse than others, all of them should be taken seriously. They affect an important area of the body, so it is recommended to seek treatment from an oral surgeon to make sure you receive optimum care. Even if stitches are all that’s required, it’s best to have them performed by an oral surgeon who can place them exactly as needed to produce the best results.
It’s no surprise that the best solution for facial injuries is to prevent them in the first place. Oral surgeons suggest consistent use of mouth guards, seat belts, and masks and helmets as required. Improvements have been made to safety gear to make these items more comfortable and efficient, so there should be no excuses for not using them to protect yourself and avoid injuries that can lead to oral surgery.
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It is vital for parents to understand not to wait until an oral health problem arises to begin dental treatment for their kids. Parents should be aware that in order for children to have the best chance for healthy teeth and gums throughout life, preventive dentistry is one of the keys.
Good oral care should begin when your child is an infant. As soon as babies start drinking milk, sugars can attack the gums even though there aren’t any teeth yet. To avoid damage, clean your child’s gums by gently rubbing them with a damp soft cloth. Around age one, schedule your child’s first appointment with the dentist. The examination will include looking for any issues, teaching home care, and allowing your child to become accustomed to a dentist setting.
As you child grows, dentists and parents can partner together to teach preventive dentistry habits to children. Dentists can show parents the ideal ways to guide children in proper brushing and flossing, and parents can ensure that the methods are carried out consistently at home. You and your dentist may decide together as your child grows whether to opt for dental sealants to help protect your child’s teeth from potential decay and cavities.
Another aspect of good oral health that parents should be involved in is providing nutritious foods for their children. Your dentist can educate your family on the best foods for your teeth and gums, as well as the foods and drinks to avoid. Some items are known to contribute to tooth decay, gum disease, and staining. Teaching your child to make healthy diet choices will promote a healthy mouth.
Preventative dentistry both at home and in your dentist’s office will make your child feel confident about oral care and become comfortable with the dentist. If the time comes for more extensive services, your child will likely trust the dentist and have less apprehension about the dental visit. Good preventive care, however, helps avoid problems and your child will be less likely to encounter major problems requiring painful procedures and lots of time in the dental chair.
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Your family, general, or pediatric dentist or orthodontist may refer you to an oral and maxillofacial surgeon for some dental treatments that require oral surgery. An oral surgeon is a specialist who has graduated from an accredited dental school and also completed additional education and residency related to surgical procedures needed to treat various oral diseases and conditions. An oral surgeon is trained in treating the following conditions:
Removal of diseased or impacted teeth
Placement of dental implants
Treatment of facial trauma involving gums, jaws, nasal cavities, cheekbones, eye sockets, and forehead
Evaluation of pathologic conditions such as cysts and tumors of the mouth and face or acute infections of the oral cavity, salivary glands, neck, and jaws
Treatment of facial pain including those caused by temporomandibular (TMJ) problems
Cosmetic or reconstructive surgery to correct jaw, facial bone, and facial soft tissue problems
Corrective jaw surgery
Cleft lip and cleft palate repair
Surgical treatment for sleep apnea
There are many different techniques that oral surgeons use to accomplish your treatment goals. The choice of techniques may vary between surgeons and should be discussed between you and your surgeon prior to the procedure.
Many oral surgery procedures can be completed in an outpatient setting. Often you are only in the office for a few hours and can return to your regular routine in a matter of days. A good oral surgeon will be able to perform these procedures with little chance of complications, and will be able to provide you with the information you need to understand the recovery process. Your oral surgeon will often collaborate with other specialists, such as an orthodontist or cosmetic dentist, to achieve your ultimate treatment goals.
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Your “third molars”, which are the molars in the very back that are the last to erupt, usually start to appear during the late teen years. They may not emerge for everyone, but when they do show up they are often problematic. Most people’s jaws don’t have room for them, and sometimes they are impacted and unable to erupt at all. Here are some common symptoms that you can watch for so you’ll know when your wisdom teeth might be the culprit.
The main thing many people notice is pain as their wisdom teeth develop. These teeth in the far back of your mouth, often two upper and two lower teeth, are very unpredictable. Sometimes they erupt sideways or crooked, causing your other teeth to become misaligned or overcrowded. If your wisdom teeth erupt, you might see them poking through your gums and creating an area of tenderness, inflammation, and redness. It can be painful to eat and brush your teeth. When wisdom teeth pain is very bothersome, dentists usually recommend removing them.
You may be one of the lucky people who don’t experience wisdom tooth pain. However, there are a host of other symptoms associated with these teeth. Some of these include:
Sore throat
Fever
Difficulty swallowing
Facial swelling
Nausea
Pus
Lymph gland swelling
Inflamed gums
Bad breath
Problems chewing and brushing
Cysts around impacted wisdom teeth
Any of the above symptoms warrant a visit to your dentist. Even if wisdom teeth aren’t the cause, you should find out what’s behind these problems. If your dentist determines that your wisdom teeth are impacted, you will be advised to have them surgically removed usually by an experienced oral surgeon. Wisdom teeth extraction is a common procedure, so you shouldn’t hesitate to follow your dentist’s recommendation to take care of any problems with these teeth. Once you have recovered from this surgery, you will be glad the symptoms are gone and you no longer have to worry about your wisdom teeth.
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Restorative dentistry has made incredible advancements in the technology of restorative dental materials, and there are more options than ever today for your dental crown or dental bridge. Zirconium and porcelain have proven to provide lasting strength and durability, exhibiting the most natural cosmetic dental restorations available today. Each tooth in each mouth is different, however, and in some cases, resin composite or metal alloy might be the choice recommended for you.
Metals are a common choice for dental crowns and dental bridges. Gold or palladium alloys, as well as chromium or nickel (base-metal) alloys can be excellent choices. Metal alloy crowns show the least “wear down” over years of use. They almost never chip, break or wear down opposing teeth. The primary complaint about metal alloy materials is that their color is metallic and thereby unnatural. They will not blend with the surrounding teeth, and as such, they are chosen more for back molars where they won’t draw attention.
Dental composite/resin materials are a popular choice that can be made to blend with the surrounding teeth, but they’ve been shown to wear down over time and are more prone to fractures and breaking than other materials.
Porcelain can be fused to metal to form a natural-appearing crown or bridge, and because of their appearance, are a good choice for front or back teeth. Over time, however, discoloration can appear along the gum line as the porcelain wears away, leaving a dark, unsightly line. The porcelain can be fused to zirconium, however, which eliminates the dark line and is a good cosmetic choice for front teeth.
Crowns and bridges can also be made from all-porcelain or all-ceramic materials. These materials are the best choice for natural-looking teeth of the types of dental crown and dental bridge materials available in restorative dentistry today. Because they contain no metal, they are excellent choices for patients with metal allergies. They tend to be weaker and less durable than materials containing metals, however.
Talk to your cosmetic dentist today with any questions you have regarding what type of dental crown or bridge material is best for your smile needs.
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If you have damaged or decayed teeth you may be considering options to restore both the look and function of your smile. Crowns and veneers are both utilized by cosmetic dentists to accomplish these goals. Which should you choose? Both crowns and veneers have pros and cons, and some distinct differences.
A crown is a cap that is placed over the tooth to reinforce the tooth and restore its original size and shape. Crowns are bonded into place and cover the entire tooth that is visible above the gum line. Crowns are most often used when the tooth has serious problems with structural integrity, often caused by decay. Cracked, broken, or worn down teeth also get crowns. Crowns modify how the tooth looks, and can help restore a more perfect smile. Crowns can be made of stainless steel, resin, porcelain, ceramic and other metals.
Veneers are similar to crowns in that they are used to restore the appearance of a tooth. Veneers utilize a thin shell of either porcelain or composite material that is placed over the tooth to protect it from damage and correct its appearance. Veneers require the structure of the tooth surface to be altered to bond it to the tooth.
Veneers are most commonly used to restore the outward appearance of a tooth, while crowns are typically used for structural repair. If your goal is simply to change the appearance of your teeth, veneers may be the best option. If you have extensive tooth decay or trauma, a crown might be the best choice. Consult with your dental professional to find out if a crown or veneers would be most appropriate for your specific dental issues.
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