400 Midway Park Dr.
Middletown, NY 10940

Hours:
Mon., Wed. and Fri.:
8:00 a.m. – 5:30 p.m.
Tues.:
9:00 a.m. – 6:30 p.m.
Thurs.:
9:00 a.m. – 5:30 p.m.
Sat.:
8:30 a.m. – 2:00 p.m.

Oral Surgery

Our doctors have completed extensive training in all aspects of oral surgery. They have also completed training in anesthesia to ensure our patients utmost comfort and safety throughout their treatment. Some of the oral surgery procedures we provide include:

We are committed to providing our patients with the highest standard of oral surgery care available. We proudly provide oral care for everyone, from children to senior citizens.

Wisdom Teeth

Your third molars are more commonly called “wisdom teeth.” Usually appearing in the late teens or early twenties, third molars often lack the proper space in the jaw to erupt fully or even at all. This common condition is called impaction. When any tooth lacks the space to come through or simply develops in the wrong place of your jaw and becomes impacted, problems can arise. Primarily, damage to adjacent teeth and crowding occur.

In certain cases, the wisdom tooth that cannot come through becomes inflamed under the gums and in the jawbone, causing a sac to develop around the root of the tooth that then fills with liquid. This can cause a cyst or an abscess if it becomes infected. If either of these situations goes untreated, serious damage to the underlying bone and surrounding teeth and tissues can result.

If you have been referred to our office to have your wisdom teeth removed, we will first conduct an oral examination to develop a personalized treatment plan. You will be given pre-operative instructions to follow prior to your surgery.

What can I expect during the procedure?

The surgery will be performed under the appropriate type of anesthesia to ensure your comfort. Following the procedure, gauze will be used to help control the bleeding. You will need someone to drive you home. We will provide you with post-operative instructions, as well as a prescription for pain medications and antibiotics. A follow-up appointment will also be made to remove the sutures and monitor the healing of the surgical site(s).

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Dental Implants

Dental implants have provided an ideal solution for replacing missing teeth. Whether you are missing one, several or all your natural teeth, dental implants are designed to feel and function like you very own.

There are three main types of dental implants:

  • The root implant
  • The plate form implant
  • The subperiosteal implant

The root implant—by far, the most popular—is the most effective because it mirrors the size and shape of a patient’s natural tooth. This implant is often as strong as the patient’s original tooth.

The plate form implant is ideal in situations where the jawbone is not wide enough to properly support a root implant.

The subperiosteal implant is used when the jawbone has receded to the point where it can no longer support a permanent implant.

Surgical Procedure

Generally, the placement of dental implants requires two separate surgical procedures. The implant or artificial root is placed into the jawbone under local anesthesia, then allowed to heal and integrate with the bone. Once the healing process is completed and the jawbone is attached to the implant, the patient returns to the dental office where the implant is fitted with the new tooth. This process generally takes anywhere from three to eight months.

Post Implant Care

Although proper oral hygiene is always recommended for maintaining good dental health, it is especially important when a patient has received a dental implant. Bacteria can attack sensitive areas in the mouth when teeth and gums are not properly cleaned, thus causing gums to swell and jaw bones to gradually recede. Recession of the jawbone will weaken implants and eventually make it necessary for the implant to be removed. Patients are advised to visit their dentists at least twice a year to ensure the health of their teeth and implants. Dental implants can last for decades when given proper care.

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Orthognathic Surgery

Corrective jaw surgery (orthognathic surgery) treats and corrects abnormalities of the facial bones, specifically the jaws and the teeth. Often, these abnormalities cause difficulty associated with chewing, talking, sleeping and other routine activities. Orthognathic surgery corrects these problems and, in conjunction with orthodontic treatment, will improve the overall appearance of the facial profile.

Using the latest in digital imaging technology, we will demonstrate the overall functional and aesthetic benefits of orthognathic surgery. Computerized treatment planning minimizes treatment times, recovery periods and the overall efficacy of your surgery. State-of-the-art materials such as titanium plates and miniature screws provide stability, strength and predictability to your treatment. These advances in technology, procedures and equipment reduce post-surgical recovery time, thus allowing patients to return to their normal routines soon after the surgery.

Orthognathic surgery may be unnecessary if orthodontic treatment can correct the problem. With the latest advances in orthodontics, this is sometimes the case. We will determine if orthognathic surgery is the correct treatment option for you.

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TMJ/TMD

The “Temporomandibular Joint,” more commonly referred to as the “jaw joint,” assists in the basic opening and closing movements of the jaw. Unfortunately, this joint is a common area for recurring pain. Although conventional wisdom suggests that “popping” sounds in the jaw indicates a TMJ dysfunction, this is not always true. Many times, your jaw is functioning properly even if a “popping” sound is present when chewing or talking.

We offer a TMJ exam that evaluates the joint tissue in the “hinge” of the jaw. Possible problems include swelling, deterioration of the joint tissue or damaged joint tissue, which cushions the jaw bones during the opening and closing movement of the mouth. Common pain relievers and cold compresses can provide temporary relief for most cases of TMJ.

Treatment

Depending on the severity of the TMJ/TMD symptoms, treatment options will vary. After a thorough examination, your doctor will determine the best treatment option for you. Treatments can range from practicing certain exercises with your jaw, eating a special diet and applying hot and cold compresses to practicing stress management techniques, using a splint or night guard to promote muscle relaxation or bite correction surgery.

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Bone Grafting

A bone graft may be needed in areas where bone is missing. A surgical procedure, bone grafting replaces missing bone and aids in the re-growth of new bone by placing material from the patient’s own body or an artificial, synthetic or natural substitute into the area where bone existed. The new bone growth strengthens the grafted area by forming a bridge between the existing bone and the graft material. Over time, new bone growth will replace much of the grafted material.

Bone grafts are most commonly used to restore or regenerate bone as needed prior to the placement of bridges or implants.

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400 Midway Park Dr. | Middletown, NY 10940 | Phone: 845-344-4336 | Fax: 845-344-4347