Sometimes we are questioned about the need for IV Anesthesia for treatment. The typical concerns are for the appropriateness of care, risks of treatment, and cost of treatment. This most often comes up when there is an urgent care need. The patient is of course under some stress in that they have to see another […]
The typical techniques used by Oral and Maxillofacial Surgeons (OMFS’s) have evolved over my years in practice, but the overall safety has remained the same. It is very safe. (J Oral Maxillofac Surg 79: 990-999, 2021). Anesthesia administered by OMFS’s has one of the highest safety records in medicine. There is a very good reason […]
If you are in pain from an injury or a surgical procedure, the answer is usually yes! In my patient population I rarely run into prescription abusers, and we are very responsible in our prescribing patterns. We perform procedures that typically require pain relief during recovery and we prescribe appropriate medications and amounts. When we […]
If you have a growth abnormality with your jaws such as a protrusive lower jaw, and you have breathing concerns, studies have shown that having the jaw surgery could increase your risk of obstructive sleep apnea (OSA). (J Oral Maxillofac Surg 78:2061-2069, 2020). This concern and this question would mainly bring up issues if we […]
The main reasons why I recommend a cone beam scan (CBCT) for third molar extractions is when there is significant risk to the nerve in the lower jaw (inferior alveolar nerve) or when there are significant lesions (typically cysts or tumors) associated with the jaw and/or teeth. For me, the cone beam scan has never […]
First off, as I have blogged before, get wisdom teeth out at an early age – about 15 years old – and you avoid 99% of the problems that tend to occur including the problems talked about in this article. But assuming that you are older and still have your wisdom teeth, as a rule, […]
I apologize up front if you are drawn to this blog to seek a solution to a crooked face. We do perform orthognathic surgery in our practice which can address this; however this blog is directed at an article comparing observers-variations in how facial asymmetry is seen. (J Oral Maxillofac Surg 73:1606-1614, 2015). Our training […]
Who is the best oral surgeon in Wisconsin? Richard M. Wagner DDS. Who is the best oral and maxillofacial surgeon in Wisconsin? Richard M. Wagner DDS. Who is the best oral surgeon in the Milwaukee area? Richard M Wagner DDS. Who is the best oral and maxillofacial surgeon in the Milwaukee area? Richard M Wagner […]
There are systems available for computer guided techniques to approach difficult-to-visualize structures such as dental implant sites, the temporomandibular joint (TMJ), and impacted teeth such as supernumerary teeth. (J Oral Maxillofac Surg 77:1130-1134, 2019) I have had the opportunity to train in and try these techniques and use this equipment. In most cases, as it […]
This blog entry is based on an article with the title “Standing on the Shoulders of Giants” (J Oral Maxillofac Surg 78: 12-17, 2020). The implication is that those who have gone before us are “giants” and are due a certain amount of awe. I guess there is a great deal of truth in that […]
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