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Oral Surgery

Q : What is an oral surgeon?

Q : What is oral/maxillofacial surgery?

Q : Who needs to have their wisdom teeth extracted?

Q : Do oral surgeons treat TMJ?

Q : Are there any professional organizations for oral surgeons?

Q : Where can I find an oral surgeon?

Q : What is an oral surgeon?

A : An oral surgeon is a dentist who specializes in different aspects of surgery in and around the mouth. He / she performs simple extractions and difficult, complex extractions, including the removal of wisdom teeth. Most oral surgeons are qualified to install dental implants and perform jaw realignment procedures. They usually have about four years of advanced education after finishing dental school.

Q : What is oral/ maxillofacial surgery?
A : Oral and maxillofacial surgery is the branch of dentistry that deals with the diagnosis and treatment of defects, injuries, and diseases involving the head, mouth, teeth, gums, jaws, and neck.

Q : Who needs to have their wisdom teeth extracted?

A : Anyone who is in danger of developing impacted wisdom teeth (third molars that only partially erupt or get trapped or stuck in the jaw) should have them removed so that they do not damage adjacent molars and cause other oral problems. In addition, anyone who is getting dentures should have their wisdom teeth removed.

Q : Do oral surgeons treat TMJ?

A : Yes. Oral surgeons treat TemperoMandibular Joint disorder.

Q : Are there any professional organizations for oral surgeons?

A : Yes. The American Association of Oral and Maxillofacial Surgeons is a professional organization of oral surgeons.

Sinus Lifting

What is a Sinus Lift?

A sinus lift is a bone-grafting procedure that's sometimes required in instances where the quantity of bone found in a patient's upper jaw (in the region originally occupied by their bicuspid or molar teeth) is inadequate to accommodate the length of a dental implant.

A dental implant cannot be placed in the area of the maxillary sinus.

An example of when sinus-lift surgery is needed.

There can be several reasons why the amount of bone found in a patient's upper jawbone might be insufficient to accommodate a dental implant.

One naturally occurring problem simply involves the situation where the size and shape of their maxillary sinus is relatively large in comparison to the size of their upper jawbone.

When this combination exists, there may not be enough bone thickness in which to embed a dental implant. (As shown in our graphic to the left.)

How does having a sinus lift change things?

During the sinus-lift procedure, a portion of the maxillary sinus is filled in with bone (grafting material). The result is a thicker sinus floor into which a tooth implant can then be placed. (As shown in our graphic below.)

A sinus lift in preparation for a dental implant.

How is the sinus lift procedure performed?

The sinus lift is a surgical procedure. The specific technique that the dentist utilizes can vary but traditionally the procedure has been performed as follows:

The dentist will make an incision in the patient's gum tissue on the cheek side of their upper jaw in the area where the placement of the dental implant is planned (in the region originally occupied by their bicuspid or molar tooth).

This incision allows the dentist to flap back the patient's gum tissue and expose the jawbone that lies underneath.

The exposed bone is cut in a fashion where a "trap door" of bone (hinged at the top) is created. This movable section of bone is then pushed gently inward and upward into the sinus cavity.

This bone movement caries the sinus membrane (attached to it) along with it, thus "lifting" the membrane (and hence the sinus floor) to a new, higher level.

The empty space underneath the lifted sinus membrane is then packed with bone-graft material, thus providing the new bone into which a tooth implant can be placed.

Once the bone-graft material has been positioned the gum tissue is stitched closed.

In some instances, it can be possible that the dentist will place the dental implant at the same time that the sinus lift is performed.

In most cases, however, a dentist will allow a healing period of six to nine months before the dental implant is placed. The specific time frame allowed for healing is dependent upon the type of bone-graft material that has been utilized.