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 319 Facial Trauma reviews

Patient Review from Erin H

Third family member here. Thanks for everything.

- Erin H

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Patient Review from Dan K

Dr. Wagner and entire staff are extraordinary. Everyone was friendly and made me as comfortable as possible. Dr. Wagner is very thorough and explained very clearly what needed to be done. Procedure went well and there was little discomfort following the procedure. Because it was a last minute appointment, we brought our baby granddaughter. The staff was very helpful to my wife. I cannot say enough positive comments about Dr. Wagner and staff.

- Dan K

5 out of 5 stars on

Patient Review from Mary Ann S

There are no more good things to say. It's a well run office with an excellent staff.

- Mary Ann S

5 out of 5 stars on

Patient Review from Chris J

The entire staff are wonderful, I feel like they really care about me!

- Chris J

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Patient Review from linda r

Excellent experience

- linda r

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Patient Review from Melissa C


- Melissa C

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Patient Review from Susan K

I will definitely recommend you to anyone who is in need of your particular services. I can not express how very happy I was with my overall experience. I was very apprehensive due to upper right location and infection of both tooth and sinuses. I am amazed at how little discomfort I have had since my surgery. I was having some serious pain on the right side of my face, that is now almost gone. Expected my cheek and mouth to be swollen and really sore, but swelling was barely noticeable. I am so happy to feeling better again. Thank you so much Dr. Wagner and your wonderful staff.

- Susan K

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Patient Review from John J

Dr. Wagner and staff excel in all aspects of the procedures done; before during and after.

- John J

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Patient Review from Doris C

The young ladies in the office are extra sweet and nice!

- Doris C

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Patient Review from Doris G

The young ladies in the office are extra sweet and nice!

- Doris G

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Patient Review from Margaret M


- Margaret M

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Patient Review from Aaron S

Very nice, respectful, and very knowledgeable!! Excited to have him remove my teeth!

- Aaron S

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Patient Review from Carol S

Good job!!! Dentist and staff took very good care of me and family that were with. Highly recommend, very professional. They made me/family feel very comfortable; I do appreciate. Keep up the good work, would definitely recommend.

- Carol S

5 out of 5 stars on

Patient Review from Kira S

Dr. Wagner and his staff were AMAZING!! Would definitely recommend them. Thank you!

- Kira S

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Patient Review from Clayton S

All personnel were very friendly and professional. Dr. Wagner did an excellent job removing two of my teeth and putting me at ease while doing so. I liked the brochure in the waiting area that tells about his family and some staff members that go on mission trips to other countries doing dental work. Dr. Wagner mentioned he also is a member of a group of dentists that do dental work in different areas in Wisconsin for those that financially cannot afford proper dental care.

- Clayton S

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Patient Review from Muriel S

Great care!

- Muriel S

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Patient Review from D E


- D E

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Patient Review from Emily P

Dr Wagner and staff did a great job keeping me at ease. During the exam prior the nurses made sure I no questions and I knew what to expect. During the procedure the nurse was very considerate and comforted me and made sure my request to not see the needles or anything was honored Since I have a large fear of needles. I was extremely nervous but the staff was very efficient and I had very little waiting time in the front room or in procedure room to even let myself get worked up. The nurse talked to me about other stuff and my mind was never even allowed go down a panic road. I felt the alcohol swab more than the IV administered and next then I knew I was awake and done! I was in and out within an hour. Thanks Dr Wagner and Staff!

- Emily P

5 out of 5 stars on

Patient Review from Patty Sue P

You let me see our Father, in man. You and your staff let me peep at the Father on earth. I love and thank you all. You calmed me and made me feel safe and loved by you all. I pray you will always be in the Lord's presence. Yours in Christ, P. S. P.

- Patty Sue P

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