Facial Trauma

An oral and maxillofacial specialist is thoroughly qualified to repair facial injuries. These professionals are well versed in emergency care, acute treatment, and long-term reconstruction and rehabilitation – not just for physical reasons, but for emotional ones as well. Injuries to the face, by their very nature, impart a high degree of emotional as well as physical trauma to patients. The science and art of treating these injuries requires special training involving a “hands on” experience and an understanding of how the treatment provided will influence the patient’s long-term function and appearance.

Dr. Pamula and Dr. Wagner meet and exceed these modern standards. They are trained, skilled, and uniquely qualified to manage and treat facial trauma. They are on staff at local hospitals and deliver emergency room coverage for facial injuries, which include the following conditions:

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The Nature of Maxillofacial Trauma

There are a number of possible causes of facial trauma, such as motor vehicle accidents, accidental falls, sports injuries, interpersonal violence, and work-related injuries. Types of facial injuries can range from injuries to teeth to extremely severe injuries to the skin and bones of the face. Typically, facial injuries are classified as either soft tissue injuries (skin and gums), bone injuries (fractures), or injuries to special regions (such as the eyes, facial nerves, or the salivary glands).

Soft Tissue Injuries of the Maxillofacial Region

When soft tissue injuries, such as lacerations, occur on the face they are repaired by suturing. In addition to the obvious concern of providing a repair that yields the best cosmetic result possible, care is taken to inspect for and treat injuries to structures such as facial nerves, salivary glands, and salivary ducts (or outflow channels). Drs. Pamula and Wagner are well-trained oral and maxillofacial surgeons and are proficient at diagnosing and treating all types of facial lacerations.

Bone Injuries of the Maxillofacial Region

Fractures to the bones in the face are treated in a similar manner to fractures in other parts of the body. The specific form of treatment is determined by various factors, which include the location of the fracture, the severity of the fracture, and the age and general health of the patient. When an arm or leg is fractured a cast is often applied to stabilize the bone to allow for proper healing. Since a cast cannot be placed on the face, other means have been developed to stabilize facial fractures.

One of these options involves wiring the jaws together for certain fractures of the upper and/or lower jaw. Certain other types of fractures of the jaw are best treated and stabilized by the surgical placement of small plates and screws at the involved site. This technique of treatment can often allow for healing and eliminates the necessity of having the jaws wired together. This technique is called “rigid fixation” of a fracture. The relatively recent development and use of rigid fixation has profoundly improved the recovery period for many patients, allowing them to return to normal function more quickly.

The treatment of facial fractures should be accomplished in a thorough and predictable manner. More importantly, the patient’s facial appearance should be minimally affected. An attempt at accessing the facial bones through the fewest incisions necessary is always made. At the same time, the incisions that become necessary are designed to be small and, whenever possible, are placed so that the resultant scar is hidden.

Injuries to the Teeth & Surrounding Dental Structures

Isolated injuries to teeth are quite common and may require the expertise of various dental specialists. Oral surgeons usually are involved in treating fractures in the supporting bone, or in replanting teeth that have been displaced or knocked out. These types of injuries are treated by one of a number of forms of splinting (stabilizing by wiring or bonding teeth together). If a tooth is knocked out it should be placed in salt water or milk. The sooner the tooth is re-inserted into the dental socket the better chance it will survive. Therefore, the patient should see a dentist or oral surgeon as soon as possible. Never attempt to wipe the tooth off, since remnants of the ligament that hold the tooth in the jaw are attached and are vital to the success of replanting the tooth. Other dental specialists may be called upon, such as endodontists, who may be asked to perform root canal therapy, and/or restorative dentists, who may need to repair or rebuild fractured teeth. In the event that injured teeth cannot be saved or repaired, dental implants are often now utilized as replacements for missing teeth.

The proper treatment of facial injuries is now the realm of specialists who are well versed in emergency care, acute treatment, long-term reconstruction, and rehabilitation of the patient.

Lakeside Oral Surgery & Implant Solutions

5 out of 5 stars based on 317 Facial Trauma reviews

Patient Review from Amy Joy D

From the moment we walked in we were greeted with warm and friendly smiles. All staff members were very kind and professional. They explained things very well so we understood how my procedure would go. Dr. Wagner was absolutely wonderful with his professional, kind demeanor and care. My multiple tooth extraction and bone grafting was a breeze. I was put under aesthetic for the procedure. Instructions for after care were easy to follow. I had no issues at all. I highly suggest Lakeside Oral Surgery & Implant Solutions. They give great service with top notch care!

- Amy Joy D

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Patient Review from Denise E

Every aspect went much easier than I expected. Pain was not a problem-well under control.

- Denise E

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Patient Review from Inge S

5 Stars!

- Inge S

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Patient Review from Peggy S


- Peggy S

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Patient Review from Constance D

A "scary" time for me turned out to be a "pleasant" one. No need for any pain pills!

- Constance D

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Patient Review from Jeff C

Dr. Pamula explained the procedure to remove an impacted wisdom tooth with cyst in detail. Received a follow up call the next day from Dr Pamula checking on how I was doing and asking if I had any more questions. Highly recommend.

- Jeff C

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Patient Review from Brian O

Dental appointments make me very nervous. The staff and Dr. Wagner made me very comfortable while there. I felt very confident that I would receive great service. He even called me the next day to check on me. I can't say enough!

- Brian O

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Patient Review from ANN B

I experienced no nausea. The bleeding had stopped right after I got home. Eight hours later I am pain free and I didn't have to use any pain medication. Thank you all.


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Patient Review from Ted G

Every thing went well, very professional. I would definitely recommend

- Ted G

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- charlene k

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Patient Review from Debbie S

I love the staff. They are so very welcoming. Dr. Pamula is wonderful. He explained everything he was doing so I wasn’t surprised. I felt so comfortable through my whole procedure.

- Debbie S

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Patient Review from Geraldine L

Dr. Pamula and all his staff were very compassionate and made sure I understood everything that was to happen during my implant procedures. Dr. Pamula was very informative and helped to ease my anxiety by making sure I would be comfortable. Thank you to everyone for being so understanding to my questions and being so thoughtful to my situations. I am thankful all went well.

- Geraldine L

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Patient Review from Dee Ann P

Not that I want to do it again, it was a VERY good experience! Love all of you! Everyone was great and put up with me! Thanks to all!

- Dee Ann P

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Patient Review from Ruth V

Dr. Pamula has calming powers like no other. I was so nervous before the procedure, and never felt pain, only calm.

- Ruth V

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Patient Review from CRAIG H



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Patient Review from Jacqueline S

Dr. Wagner and his staff deserves a 5 plus star by far!! Thank you again Dr. Wagner for being there for me when I really needed!!! .. I was SO scared and Dr. Wagner and his staff were just amazingly sincere and patient with me!! So thankful to all you!! (Teeth pulling / also bone graphing).

- Jacqueline S

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