Oral Surgery Procedures

Precision Oral Surgical Procedures for Correcting Dental Conditions and Restoring Your Dental and Oral Health

Oral Surgery is  is required to correct many dental conditions, some of which are discussed here on this page. A brief list of reasons for performing Oral Surgery are 

  -- to repair fractured jaws or broken bones.

  -- to perform oral biopsy that are not covered under medical procedures.

  -- to extract impacted teeth, usually the wisdom teeth in order to prevent damage to surrounding teeth and gums.

  -- to remove soft tissue during the treatment of Sleep Apnea.

  -- to provide better conditions for Cosmetic Dentistry procedures to give natural results.

Oral surgery is one of the main areas of dentistry that can help restore functionality, aesthetics, and general oral and dental health. Dr. Pallavi Sinha at i2m Dental leverages her own technical expertise and dental techniques to offer high-quality and precise oral surgical treatments.

While Dr. Pallavi’s focuses on trying to resolve dental issues first with non-invasive treatment wherever possible, there are some oral health concerns that require surgical treatment. In fact, in some cases where dental damage is too severe, oral surgery might be the only solution for restoring the function and aesthetics of your teeth and overall oral cavity.

Dr. Sinha has created a team of licensed and board certified dentists at i2m Dental, making them capable of performing a wide range of oral surgical procedures. We understand that even the idea of going under the knife can be quite overwhelming. That is why our out-patient oral surgery procedures are designed and carried out by professionals with extensive experience in performing complex oral surgical procedures. From anesthetics to pain management and other oral care methods, we make sure that we help minimize your discomfort as much as we can before, during, and after the procedure.

With a focus on keeping your oral environment in the best shape for the long-term, Dr. Pallavi offers oral surgery and other custom dental treatments in Hyattsville, Maryland. From the initial dental checkup to diagnostics and the actual oral surgery procedures, we offer a comprehensive range of services that are tailored to meet your individual oral needs.

For more details, please visit your nearest Oral Surgeon at i2m dental.

 

Extraction

Tooth extractions are one of the basic types of oral surgery offered at i2M Dental. While we don’t recommend extraction as a frontline treatment, there are exceptions and severe dental concerns that can only be repaired with tooth extraction.

In the following situations, the removal of a tooth is necessary to preserve the structure and functionality of the oral cavity.

Crowded Mouth/Teeth

Orthodontia is another dental procedure that involves aligning the teeth. Sometimes, a person might have teeth that are too big, which then crowd the mouth. Crowded teeth can cause trouble chewing, cause toothache, and prevent wisdom from erupting properly due to lack of space. In these situations, the dentist will recommend extraction to make room for better alignment.

Tooth Infection

Severe tooth decay or damage that extends to the center of the tooth leads bacteria to enter the pulp and caused infection. Since the pulp of the tooth contains the nerves and blood vessels, removal of the infected tooth is necessary.

Besides this, advanced periodontitis and traumatic maxillofacial injuries can also warrant an extraction.

What is Oral Surgery and When Do You Need It?

Oral or maxillofacial surgery is a specialty of dentistry that involves surgical treatment of injuries, decay, and other diseases around your jaw and teeth. Unlike general dentistry, the treatments and techniques used in oral surgery are more invasive. They are recommended when other non-invasive treatment options and techniques are not applicable or when the disease has become more severe.

Oral surgery is recommended to help you in situations such as:

Impacted Teeth

Impacted teeth include those teeth that for some reason are unable to crown and breakthrough the gum tissue. The tooth might be only partially impacted where only a small section of the tooth manages to break through.

In either case, they can cause pain and need to be removed with oral surgery. The doctor has to cut through the gum tissue to remove the tooth and then suturing it close.

Overbite or Underbite

When the upper and lower jaw or your teeth don’t align properly, the dentist may recommend surgery to correct the alignment. However, surgery is not recommended if the misalignment is slight. Excessive under or overbites, on the other hand, can impair dental function.

If an under or overbite caused by your jaw leads to trouble chewing, swallowing, sleep apnea or other issues, oral surgery might be necessary.

Dental Implants

Loss of teeth due to decay, damage or injury can be fixed with dental implants. However, before the crowns are placed, an oral surgeon needs to embed an implant in your jaw for the crown to be attached to.

Minor bone grafting is a dental surgical procedure that is performed in anticipation of these dental implants.

In addition to these, oral surgery is also recommended to treat more serious dental damage and oral concerns, such as oral cancer, nerve damage, cleft lips, cleft palates, removal of lesions, and others.

If you have been having pain or any other problems in your gums, teeth or jaw, seek dental attention. If you live in Silver Spring or Hyattsville, Maryland, you can call i2mDental to book an appointment with Dr. Pallavi.

During the dental checkup, we’ll perform a meticulous oral examination and run necessary tests to create a personalized dental treatment plan just for you.

A Range of Oral Surgery for your Dental Needs

Depending on your prognosis from the dental checkup and diagnostic procedures, you might be recommended one or more of the following oral surgery procedures:

 

Dry Socket

Dry socket or alveolar osteitis is a serious dental condition that mostly occurs after you have a permanent tooth extraction. In normal cases, a blood clot forms over the surgical site after an extraction. This closes the open area, preventing bacteria from entering the underlying bone matter, nerves, and surrounding gingival tissue.

Dry socket is formed when this fails to happen and the blood clot is either:

  • Physically dislodged

  • Fails to form at the beginning due to an insufficient blood supply

  • Dissolves before the wound is completely healed

  • Bacterial infection

 

These can leave the jaw bone and nerves susceptible to further damage and infection. It can also lead to severe pain, inflammation, and get filled with debris from food.

The non-invasive treatment plan for dry socket includes NSAIDs to reduce the pain while the clot forms naturally and a course of antibiotics to remove any signs of infection. In addition to that, a minimally invasive procedure might also be recommended.

This involves the dentists flushing out the surgical site to remove any food debris that has lodged in the socket. The dentist will then dress the site with gauze and use a medicated gel to help numb the area and encourage healing. Since the gauze will need to be changed, further appointments will be necessary.

Bone Graft

Bone Graft is a surgical procedure done to arrest the resorption of the alvellar bone of the lost tooth. Bone graft is a type of oral surgery where a dentist will use a special bone grafting material to graft into your jaw bone. This procedure is often performed before a dentist places a dental implant. Your dentist will recommend a bone graft if they think your jaw bone under the affected tooth is too thin or soft to support the implant.

 

The recommended measurement from the top of the gumline to the point where the gum attaches to the tooth is no more than 1-3 mm. Due to severe and chronic periodontal disease or at time due to less than acceptable oral hygiene, bacterial plaque and tartar accumulates around the gums while slowly making inroads to under the gum. This affects the health of the gum and leads to periodontal disease that may cause deeper pockets to from.

 

Bone Graft is a surgical procedure done to arrest the resorption of the alvellar bone of the lost tooth. Bone graft is a t

Bone grafting is a relatively painless and routine procedure and your nearest dentist at i2m Dental will  perform this procedure in one pain free visit. We perform this procedure to graft new bone

 -- after tooth extraction to minimize bone and gum tissue resorption.

 -- to prepare the site for dental implants 

 -- to increase the bone dentisty at the graft site, which increases stability of implants.

 -- graft new bone as part of Cosmetic Dentistry to match gingival contours in preparation for naturally looking  bride and crown placements. 

 

There are mainly three kinds of bone grafting procedures:

Minor Bone Graft

Minor bone grafts are placed in anticipation of a dental implant. Once the graft is placed, you will have to wait, mostly for several months, to let the graft develop strong enough bone to provide a strong and stable supporting structure for the implant.

Major Bone Graft

Major bone grafts are performed to treat oral conditions that require more extensive reconstruction, such as infections, cysts, and tumors that cause bone erosion; congenital defects in the jaw bone; severe injury to the jaw bone, etc. Major bone grafts are performed similarly to minor procedures. The difference is in the material used for the graft.

For major grafting, the bone matter is sourced from the patient themselves, usually from the hip, chin or other areas of the jaw. The bone graft is then screwed into the surgical site and covered with bone matter to facilitate bonding. After 4 to 6 months, the site will be structurally strong enough to receive an implant.

For more details, please visit your nearest bone graft dentist at i2m dental.

 

Abcess

A dental or tooth abscess forms in your gums caused by bacterial infections. Pus collects in the tissue, creating a pocket that protrudes outwards. These abscesses can occur in various regions of the tooth for various reasons.

A periapical abscess form at the tip of the tooth, while a periodontal abscess forms on the gingival tissue at the side of the tooth’s root. Untreated cavities, poor oral health, an injury can lead to these abscesses.

If the abscess is not treated and drained immediately, the symptoms can get worse. The affected area will progressively start swelling and there will be an increase in pain along with other symptoms such as fever, nausea, and others.

The surgical treatment for abscesses involves the surgeon identifying a drainable abscess and then making a small incision to drain the pus out. Once the pus is cleared out, the dentist will prescribe a course of antibiotics. However, if the infection had progressed excessively, the tooth may need to be extracted out.

Leaving an abscess untreated can lead to serious and sometimes even life-threatening complications. If you experience any of the symptoms associated with abscess or tooth infection, see a dentist right away.

 

Blood Thinners

Risks related to any surgical procedure are possible despite the best of care.  The most common risk associated with the use of blood thinners and dental treatment is bleeding.  When taking blood thinners, it is very important to be aware of this risk, especially following dental treatment.


What are Blood Thinners?
Blood thinners are medicines that make it harder for blood clot(s) to form.  They are used to either keep harmful blood clots from forming in the body or prevent existing blood clots from getting bigger.  The two most common types of blood thinners are anticoagulants (e.g. Warfarin, Heparin, Lovenox, etc.) and antiplatelets (e.g. Aspirin, Plavix, etc.).


Dental Treatment and Blood Thinners
Blood thinners can interact with medicines and treatment provided by your doctor.  Prior to your dental treatment, your doctor may request you provide him/her with up-to-date laboratory results and a list of all of the medications you are currently taking to help provide guidance on how best to proceed with your recommended treatment.  Having additional health problems (e.g. liver/kidney problems) can also affect your bleeding potential, so those should be shared with your doctor as well.  During the procedure, your doctor will ensure he/she takes necessary measures to achieve hemostasis (“stopping bleeding”) prior to you leaving the office.  To ensure your doctor is able to provide you the best and safest care, it is important you keep your doctor up-to-date with any changes made to your blood thinner regiment, including changes in dose(s) and/or discontinuation of the medication(s).


After the Dental Treatment
Bleeding after invasive dental treatment is not uncommon. However, because you are on blood thinners it is very important that you closely monitor any post-operative bleeding you may experience. Your doctor will not be with you after you leave the office, so you should inform him/her immediately of any bleeding that does not stop, is very heavy or abnormal for you.  Call Us, but if you are unable to reach anyone, call 911 and go to the nearest emergency room.  


It is our hope that this addresses some of the concerns or questions you may have about dental treatment and blood thinners.  If you have any additional questions or concerns at all, please feel free to ask your nearest dentist, Dr. Pallavi Sinha at i2m Dental.  

 

Hyattsville, MD

Hyattsville, MD 20782 

Ph: 240-696-7842

Toll-Free Number : 1-844-i2m-DENT

[1-844-426-3368]  Press 1 for Hyattsville

Monday: 9:00 AM - 5:00 PM

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Silver Spring, MD

             Ste B Silver Spring, MD 20901 

Ph: 301-789-7938

Toll-Free Number : 1-844-i2m-DENT

[1-844-426-3368Press 2 for FourCorners

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