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Wisdom Tooth Extractions

Your wisdom teeth, or third molars, typically come in between the ages of 17 and 25. However, most people do not have enough room to accommodate these teeth. As a result, the wisdom teeth can cause crowding, and they may even become impacted. Drs. Allan Libunao and Richard Kim perform all types of wisdom tooth extractions, including complex surgical extractions. We will use advanced panorex x-rays, along with our surgical expertise, to develop your individual treatment plan. If you are anxious about your procedure, we offer nitrous oxide and intravenous (IV) sedation.

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Anesthesia

Oral and maxillofacial surgeons (OMSs) are trained in all aspects of anesthesia administration. Following dental school, they complete at least four years of training in a hospital-based surgical residency program alongside medical residents in general surgery, anesthesia and other specialties. During this time, OMS residents serve on the medical anesthesiology service, where they evaluate patients for anesthesia, deliver the anesthetic and monitor post-anesthetic patients. As a result of their extensive training, every Oral and Maxillofacial Surgeon is well-prepared to appropriately administer local anesthesia, all forms of sedation and general anesthesia. They are experienced in airway management, endotracheal intubation, establishing and maintaining intravenous lines, and managing complications and emergencies that may arise during the administration of anesthesia.

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Corrective Jaw Surgery

If you have suffered a jaw injury, such as a broken jaw, or you have a congenital jaw defect, you may benefit from corrective jaw surgery. We will conduct a thorough examination of your jaw and surrounding structures using panorex x-rays, impressions, and other tools. Your treatment plan can then be customized to your needs, and will take into account your natural jaw structure and goals for surgery. In most cases, we will realign your jaw, using wires to hold it in its new position. 

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Bone Grafting

Jaw bone degeneration is one of the most common side effects of tooth loss. Normally, the teeth and their roots stimulate the jaw bone; in response, the body continues to send nutrients to the area. If a tooth is lost or extracted, the surrounding bone quickly demineralizes and loses volume. If you are preparing to receive dental implants to replace your missing teeth, it is essential that you have enough bone to support the implant posts. A bone grafting procedure can enhance your jaw structure in preparation for the dental implant procedure.

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Apioectomy

Each tooth has at least one root canal, which contains nerves, blood vessels, and connective tissue. If the root canals become infected, it can cause severe inflammation and discomfort, and eventually result in tooth loss. Typically, root canal therapy is the best way to treat an infected root canal. However, if root canal therapy does not eradicate all signs of infection, we may recommend an apioectomy. During this procedure, we will carefully lift your gums to expose the root tip, or apex. Then we will use gentle, precise ultrasonic instruments to eliminate the tip and surrounding tissues.

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Sinus Lift

We most frequently perform sinus lifts in preparation for dental implant surgery. During this procedure, we will add bone or a bone substitute to the upper jaw in the molar and pre-molar area. The bone material is grafted in between your jaw and sinuses on either side of your nose. Our surgeons can also reposition your sinus membrane to make room for the implant posts.

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Expose and Bond

If you or your teen has an impacted tooth, we may recommend this specialized treatment. In the expose and bond procedure, we will expose the tooth by opening the gum tissue. Next, we will place a bracket, which is connected to a small chain, on the impacted tooth. The chain is then attached to a bracket that is placed on an adjacent tooth. Increased tension on the chain will slowly pull the tooth out of the surrounding tissues.

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TMJ Treatment

Temporomandibular joint dysfunction (TMJ) can cause headaches, bruxism, and stress, and can even contribute to sleep apnea. We provide TMJ treatment according to each patient's unique needs. Using X-rays and jaw and bite evaluation, we can determine whether a patient is best-suited for a bite guard, tooth reshaping to correct an uneven bite, stress relief, or other treatment.

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Soft Tissue Surgery

Oral lesions, cysts, and tumors can be signs of cancer and other serious illnesses. In most cases, however, these abnormalities are harmless. If you have any soft tissue abnormalities, our doctors will perform a biopsy and send the tissue sample to a dental lab. Once we receive your oral pathology report, we can develop a plan of action. We may monitor your condition during routine follow-up exams or recommend treatment. Our surgeons can treat non-cancerous abnormalities with medications or quick, minimal discomfort surgery. If you have oral cancer, we will refer you to a specialist for treatment.

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Frequently Asked Questions

If you think you may be in need of oral surgery, you likely have many questions. We can help you better understand what's involved in this type of surgery, what types of anesthesia and sedation are available to you, what to expect in terms of recovery, and more. Drs. Libunao and Kim will listen to any and all of your concerns and do everything possible to make you comfortable with your surgery.

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