Oral Surgery bascially involves any dental surgerical treatments. Dental consultation, proper diagnoses and treatment plan with our dental specialists will first be required before oral surgery takes place.

Surgical removal of impacted wisdom teeth Tooth extraction Pre-prosthetic surgery such as crown-lengthening and gingivetomy Orthognatic surgery Tooth Extraction There are a number of reasons why a tooth extraction is needed:

• the tooth is severely decayed
• advanced periodontal disease ("gum disease")
• the tooth may be broken such that it cannot be repaired
• other teeth may need removal because they are poorly positioned in the mouth (such as impacted wisdom teeth)
• preparation for orthodontic treatment ("braces")
  
  

Wisdom Tooth Extraction

The Wisdom Tooth

Wisdom teeth are third molars. Normally people have three permanent molars that develop in each quadrant of the mouth. The third molars usually will try to grow in at around age 18 to 20 years. Wisdom teeth are actually no different than any other tooth except that they are the last teeth to erupt. They are just as useful as any other tooth if they grow in properly, have a proper bite relationship, and have healthy gum tissue around them. Unfortunately, this does not always happen. When wisdom teeth are prevented from erupting into the mouth properly, they are referred to as impacted. A dentist must examine a patient's mouth and corresponding x-rays to determine if the teeth are impacted or will not grow in properly. Impacted teeth may cause problems. Here are several common problems that occurs when the impacted wisdom teeth are not removed:

• bacteria and plaque build-up
• decay of adjacent teeth
• formation of cysts (a fluid- filled sac) or tumors from follicle
• tumor development
• infection
• jaw and gum disease

Erupted wisdom teeth may need to be removed. The dentist may recommend wisdom tooth removal if wisdom tooth:

• interferes with the bite
• non-functional
• badly decayed
• involved with or at risk for periodontal disease
• interferes with restoration of an adjacent tooth

Every case is different and only your dentist can determine if there is a reason for you to have a tooth removed.

Symptons of Wisdom Tooth Eruption

The following symptoms may indicate that the wisdom teeth have erupted and surfaced. However, each individual may experience symptoms differently. Symptoms may include:

• pain
• infection in the mouth
• facial swelling
• swelling of the gumline in the back of the mouth

Many oral health specialists will recommend removal of the wisdom teeth, (when the roots are approximately formed, or three-fourths developed, usually in the adolescent years),as early removal will help to eliminate problems, such as an impacted tooth that destroys the second molar. Third molar impaction is the most prevalent medical developmental disorder.

Orthognatic Surgery

Orthognathic surgery is surgery performed on the bones of the jaws to change their positions. Orthognathic surgery is corrective facial surgery where deformities of the jaw exist. It may be indicated for functional, cosmetic, or health reasons. It is surgery commonly done on the jaws in conjunction with orthodontic treatment, which straightens the teeth. Pre-operative planning is crucial to the success of the procedure and evaluates the surgical and orthodontic options. The surgeon chooses the type of mandibular surgery based on his experience, evaluation of the photographic and cephalometric analysis, and model surgery. Orthognathic surgery is often delayed until after all of the permanent teeth have erupted unless medical conditions necessitate that the surgery be performed earlier. In adult patients, orthognathic surgery can be combined with soft tissue contouring to improve the aesthetic results.