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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 Woodview Oral Surgery 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.

When and Why Your Dentist Will Refer You to an Oral Surgeon

When it comes to the health of your mouth, it’s important to know which type of professional is best suited to handle the particular issues you are facing. Dentists focus on preventative care and also do cosmetic and restorative work like fillings, bridges, and even teeth whitening. On the other hand, oral surgeons are highly-trained specialists who concentrate on surgeries of the face and jaw. The two work together, and dentists will often refer patients to an oral surgeon if there is a problem that needs more advanced care.

In this article, we’ll explore a few of the most common reasons your dentist may refer you to the specialized care of an oral surgeon.

 

1. Removal of impacted teeth

Removing impacted wisdom teeth is a common procedure in most oral surgeons’ offices, but impaction can occur in other areas of the mouth as well. Impaction happens when a tooth doesn’t fully erupt from the gums. The most common causes of impaction are crowding or lack of space.

The third molars, often referred to as wisdom teeth, are the last to erupt and the easiest to become impacted. This can lead to adjacent tooth decay and gum disease, which is why dentists will often refer patients to an oral surgeon to take care of the problem.

 

2. Facial pain and jaw issues

Facial pain, popping sounds, and headaches are common symptoms of temporomandibular (TMJ) disorders. This joint connects the jaw to the skull. Research shows that about 5%-12% of the population suffers from it. Other jaw and joint disorders, either caused by accidents or present at birth, are common sources of oral surgeries.

Depending on the severity of the problem, there are different options for surgery — some ranging from minimally invasive (arthrocentesis) to full-on open joint surgery.

Because this is a focused area of the face, it’s important to have an oral surgeon evaluate and perform any procedures necessary. They have the advanced training and surgical knowledge to help alleviate pain and resolve jaw issues.

 

3. Dental implants

Dental implants are a surgical procedure that replaces the root with metal rods. Artificial teeth can also be added to aid in function and add a natural appearance. Because this is a surgery, it’s important to work with an oral surgeon in order to achieve the proper placement of the implants. Oral surgeons have experience dealing with the ins and outs of implant work and are also well versed to deal with any complications or issues that may arise.

Dental implant surgeries have increased in recent years because they are a solid alternative to dentures. Ill-fitting dentures can cause pain and various other dental issues, making implants a more desirable choice for many.

 

4. Snoring and Breathing Issues

Snoring is an uncomfortable and troubling sleep disorder that disrupts sleepers, or their partners. Snoring occurs when tissues in the throat relaxes enough and partially blocks the airway causing a vibrating sound, which can be soft or loud. Contrasted with sleep apnea, which is characterized by pauses in breathing or shallow breaths during sleep and may or may not be accompanied by snoring sound. Both conditions are potentially dangerous.

While the first step to eliminate the problem often comes in the form of weight loss, patients may also need to use a CPAP machine at night to help them breathe more easily.

For many people, snoring and sleep apnea may sound the same, but the two are different and it is sometimes possible to eliminate the snoring, yet have the characteristic stopping-and-starting of breathing during sleep of the sleep apnea persist. For this reason, a sleep analysis is recommended first.

Oral Surgeons get involved in severe forms of snoring. Usually after sleep analysis, the oral surgeon assesses the patient’s breathing obstruction and then if needed, perform surgery. Traditional surgery involves removing excess tissue near the throat. However, advances in the field of oral surgery now allow for excess tissue reduction to be done in office with the use of a laser. With no cutting or recovery period involved, snoring sufferers now have a much easier path to good sleep and health.

 

5. Cosmetic or reconstructive surgeries

Oral surgeons also work on correcting jaw and facial issues due to accidents, deformities, or traumas from pathology removal. These surgeries can often involve the restructuring of bones, tissues, and nerves. Extensive training, clinical practice, and years of study are needed to perform these complex procedures.

Some examples of these surgeries include cancer treatment and the removal of tumors, cysts, and lesions, along with cleft lip and cleft palate surgery.

 

6. Bone grafts

In order to support dental implants, a healthy jaw bone is necessary. Because of this, many oral surgeons recommend bone grafting before a patient receives their implants. This ensures there will be enough healthy bone in the mouth to secure the implants. Many patients looking to get dental implants do not have strong enough gums, so bone grafts are needed.

Bone grafts require the transplant of tissue, either from the patient or a donor, to initiate growth where bone is absent or limited. The procedure is a common one in oral surgeons’ offices, and they are able to leverage proven techniques to help encourage bone growth.

In addition to the procedures performed above, oral surgeons are also knowledgeable about general anesthesia, as many extensive surgical procedures may be better performed while the patient is asleep. Prescribing medications is another big job of oral surgeons. Depending on the extent of the surgery, surgeons will determine the level of pain management needed to ease patient discomfort while keeping them safe.

While your dentist is generally looking out for the health of your mouth and trying to prevent tooth and gum disease, there are some situations where an oral surgeon is needed. If you’re looking to get more information about Woodview Oral Surgery and the types of procedures we perform or how we can assist you, contact us today.

 

Image credits: Photo on Freepik.