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 Thomas W

no surprises,

- Thomas W

5 out of 5 stars on

Patient Review from Robert P

I felt quite comfortable with Dr. Wagner.

- Robert P

4 out of 5 stars on

Patient Review from RICHARD A

PROCEDURE AND AFTER PAINLESS TO ME. DR CALLED THE NEXT NIGHT TO LEARN HOW I WAS DOING. GREAT CARE AND SHOWS CONCERN.

- RICHARD A

5 out of 5 stars on

Patient Review from Mark O

Really appreciated the quality of care and attention by Dr. Pamula and the entire staff!

- Mark O

5 out of 5 stars on

Patient Review from Loretta P

Professional, caring staff. Explained procedure thoroughly.

- Loretta P

5 out of 5 stars on

Patient Review from Laurene Z

The best care I have had in a long time.

- Laurene Z

5 out of 5 stars on

Patient Review from Barry K

-very happy with all treatment and follow ups.

- Barry K

5 out of 5 stars on

Patient Review from Melissa H

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- Melissa H

5 out of 5 stars on

Patient Review from PAT S

Doctor and staff were all very friendly and helpful. Answered all questions. Would definitely recommend facility to others

- PAT S

5 out of 5 stars on

Patient Review from EILEEN S

ORAL SURGERY

- EILEEN S

5 out of 5 stars on

Patient Review from Makenzie S

Everyone at the Kenosha office is absolutely lovely! Helped me through my anxiety at both my consultation and procedure appointments. I highly recommend this office!

- Makenzie S

5 out of 5 stars on

Patient Review from John R

Couldn’t ask for a better combination of highly skilled staff and very nice people. Not having dental insurance I found the clinic prices were very reasonable for the quality of care.

- John R

5 out of 5 stars on

Patient Review from Harvey E

If you are looking for the perfect dental surgeon.....look no more. You're at the best place around. Dr Paul and the whole staff are awesome. Talk about making sure that you are comfortable. Oh my gosh. I was and am treated with kindness, respect along with the utmost gentleness. Rest assure ,when you are in this office the work will be done right. Up front pricing, up front expectations from you and the Dr and staff. Enjoying my new smile.

- Harvey E

5 out of 5 stars on

Patient Review from Brody A

We wouldn’t go anywhere else!

- Brody A

5 out of 5 stars on

Patient Review from August S

Excellent doctor (Pamula) and staff! Friendly, caring, professional and thorough. Excellent service from everyone.

- August S

5 out of 5 stars on

Patient Review from JOHN V

Top notch and very accommodating. Will absolutely recommend Dr. Pamula & staff

- JOHN V

5 out of 5 stars on

Patient Review from JOHN K

DOCTOR & STAFF WAS PROFESSIONAL, COURTEOUS, JUST A GREAT BUNCH OF PEOPLE TO PUT YOUR MIND AT EASE

- JOHN K

5 out of 5 stars on

Patient Review from Molly K

So thankful and appreciative that a doctor was willing to help people without insurance. Was kind and caring throughout the entire process

- Molly K

5 out of 5 stars on

Patient Review from Mark S

Dr. and staff very friendly and efficient. Dressed casually which is a comfortable setting. Explained everything and gave freely of their time for questions. Very painless process.

- Mark S

5 out of 5 stars on

Patient Review from Adrienne R

Very professional staff!

- Adrienne R

5 out of 5 stars on