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).
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 […]
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 […]
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 […]
Re-Infection Concern I stopped using drains for severe odontogenic infections about 15 years ago. I am concerned that drains may actually act as a path for re-infection. (J Oral Maxillofac Surg 71:42-46, 2013). Perhaps, with an under-educated or less cooperative patient population it may be appropriate, but I think that the population I serve tends […]
With the use of better and better sensors for our radiographic scans, we are now able to take a 3D Cone Beam Scan with less radiation exposure than we used to use for a panoramic film. Certainly, all radiation exposure is a concern and we continue to strive to provide the best care with a […]
Third molar or wisdom tooth impaction is a common clinical issue for us as oral surgeons to deal with. We are experts in it and we are able to assess, plan, and appropriately treat these concerns. In the past several years, the cone beam scan has been a part of our assessment and examination for […]
When we perform tooth extraction in patients who may have an immune compromised state such as diabetes (IDDM) or patients on chemotherapy, there is an increased risk of poor healing, poor bone fill, and infection.
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