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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.

dental implants

Dental Implants: A Great Alternative to Dentures and Bridges

Maintaining a terrific smile as you age can be difficult and if teeth are not properly taken care of, they become compromised and have to be extracted. As the American College of Prosthodontics notes, approximately 178 million Americans are currently missing at least one tooth.

Historically, several civilizations have come up with some unique approaches to missing teeth including ancient Egypt, where archaeologists have discovered several examples of teeth that had dental bridges or “prosthetic appliances.”

More recently, our nation’s first President, George Washington, suffered frequent toothache and had several missing teeth and eventually had to have a partial denture fabricated from ivory and wired in place to the remaining teeth. A full set of the President’s denture is on display at Mount Vernon, the historic home of George and Martha Washington.

More recently, the dental implant has evolved to be the first choice for replacement of a missing tooth/teeth. First placed in the 1960’s the implant has developed various solutions capable of providing permanent solution to a compromised tooth or teeth. If you have lost one or more teeth, you need to understand why dental implants are the go-to option.

 

What Are Dental Implants?

Unlike other tooth replacement methods, implants are a more natural and permanent solution. Dental implants include an anchor, usually ceramic or titanium, placed into the jawbone. After a period of 4-6 months the implant fuses, or technically, osseointegrates with the surrounding bone, creating a solid foundation for placement of a crown or fabricated tooth.

The implant also serves as an anchor in the jaw bone. Bone loss is often associated with a missing tooth, which in turn leads to a hollow look in the cheeks since the bone tissue is no longer present and can be viewed as premature ageing. Unlike a bridge, a dental implant is able to anchor surrounding bone and avoid the bone loss that often accompanies missing teeth.

Dental implants have few if any side effects and are the nearest thing to having your real teeth back. Keep in mind that an implant can support more than one tooth. For instance, four implants can be used to support a replacement upper or lower arch or both, depending on the extent of tooth loss.. Unlike a denture, the teeth are not removable and having much greater biting power of natural teeth up to 90% according to some studies. Dentures have 20-30% biting power.

 

Who Should Get Dental Implants?

Dental implants are appropriate for most adults, even those of advanced age. In fact, implants can benefit the health of older patients because they eliminate the discomfort of sliding dentures and allow the patient to eat the foods they enjoy, and also make sure they get the nutrition that they need. Your oral surgeon will evaluate your medical history to determine if implants are a good choice for you. You may be a suitable implant candidate if the following are true:

  • You have enough healthy bone to hold the implants.
  • Your gums and other oral tissues are healthy.
  • You do not smoke.
  • Your jawbone has reached full growth.

 

What Are the Advantages of Dental Implants?

For a good reason, dental implants have become the best solution compared to other tooth replacement options.

  • Implants have a look and feel more like natural teeth, including a functional capacity of 90% of natural teeth, unlike dentures that provide 10-30% function.
  • Implants have proven that with proper care, they can last a lifetime.
  • Third, the lifetime costs of an implant contrasted to a denture are very competitive as one has to consider the expenses of denture adjustments, chair-time fees to the patient for increased dental visits, and replacement costs as most dental appliances have a 5-7 year lifetime.
  • A dental implants does not need special daily care, simply floss and brush as you would natural teeth. In contrast, dentures must be removed and cleaned daily to maintain their appearance and to keep your mouth and gums healthy.
  • Finally, implants give you more confidence since they are a permanent solution that means no one will see you, night or day, without a bright and beautiful smile.

 

What Should You Expect from the Dental Implant Procedure?

A tooth implant is an outpatient procedure done under general anesthesia. Your surgeon may complete the implant process in several phases. After you’ve had a regular dental exam and medical assessment, your oral surgeon may need to do the following:

  • Remove a damaged tooth
  • Graft bone onto your jaw if necessary
  • Place the dental implant
  • Allow for healing
  • Place an abutment (an attachment that holds the artificial tooth in place)
  • Attach the artificial tooth

The process may require several months for your oral surgeon to complete, particularly if you need a bone graft, but an implant that is properly taken care of can last a lifetime.

Sometimes, your surgeon can complete an immediate load procedure that allows them to attach the artificial tooth immediately after placing the implant.

 

What Happens After the Procedure?

Most people only have minor after-effects from their implant surgery. You may experience facial and gum swelling, some bruising, pain at the surgical site, or minor bleeding. You might need to stick to soft food for a few days and take pain relievers and antibiotics.

Most dental implant surgeries are successful, with issues or infections being very rare.

 

How Woodview Oral Surgery Can Help

Missing and severely decayed teeth are a painful and often embarrassing problem that can affect your overall health and self-esteem. You may not want to try traditional options such as dentures, which can be uncomfortable and look unnatural. Fortunately, a skilled oral surgeon can correct your dental issues.

In the DC area, Woodview Oral Surgery offers you the latest and safest oral surgery techniques. You can regain your oral health and your confidence by booking an appointment. If you are interested in dental implants, contact us today for more information.

 

Image credits: Photo by Bogdan Condr on Unsplash.