Archive for May, 2015


We have been using Piezosurgery for our office-based surgeries for many years. This is an advanced technology which uses ultrasonic frequencies to perform bone surgery. We have found it to be a cleaner, easier, less painful, and lower-risk way to perform many of our procedures involving bone and soft tissue treatment such as grafting, bone […]


When we perform bone regenerative procedures such as grafting of extraction sockets or osteotomies to build up the bone for treatments such as dental implants, we use various materials to aid in guiding the body to grow more bone. The use of synthetic barrier grafts and PRGF are relatively painless methods that have resulted in […]


As an oral and maxillofacial surgeon, I am often asked by referring doctors what the protocol is for dealing with patients who are taking bisphosphonates and related medications. These drugs are associated with what has been termed medically-related osteonecrosis of the jaw (MRONJ), previously referred to as bisphosphonate osteonecrosis (BRONJ).

Orthognathic Surgery in Patients Over 40

Having gone through a residency training program which was strong in trauma, orthognathic, tempromandibular joint, dentoalveolar, and implant surgery I came into practice well versed and confident with these treatments. Over the years, we have progressed with the technologies. Adult orthodontics has become more and more popular which has brought some of these patients in […]

Advanced Physics Topics in Oral and Maxillofacial Surgery

I was recently introduced to two tissue analysis methods that are on the cutting edge and give us a glimpse of the future of oral and maxillofacial surgery and medicine. Optical Coherence Tomography OCT uses an optical signal to process three-dimensional images that can be taken from biological tissues. The light is from the infrared […]

Coated Titanium Implants Revisited

During the late 80s and during the 90s we were introduced to various ceramic coated dental implants. I embraced this technology because it made sense. We placed many of these and many of you have been functioning on them for years. In fact, I have been placing dental implants for over 30 years and failure […]