All of our doctors are well trained to perform the following procedures.
Dr. Mower and Dr. Colletta hold privileges at Providence Holy Cross Medical Center which allows us to treat complex and medically compromised patients that require a hospital setting for treatment.
You and your dentist may decide that a tooth or multiple teeth need to be removed for various reasons. These reasons may include extensive dental decay, infection or abscess, fractured teeth or roots, or severe periodontal decay. Oral surgeons have extensive training in removing teeth and administering general anesthesia, which allows you to have a more comfortable experience. After removal of one or several teeth, dental implants are the optimal choice in replacing the missing teeth.
The third molars or “wisdom teeth” are the last teeth in the mouth to erupt. For most people, however, the space for these teeth is inadequate and the teeth don’t erupt properly. They may remain impacted (under the bone and gums), or they may only erupt part of the way. This allows bacteria to become trapped under the gums and can cause infection, pain, and swelling. The pressure from the wisdom teeth may cause movement of other teeth out of alignment. Removal of the offending wisdom teeth often resolves these problems. It is recommended to remove the wisdom teeth early in order to prevent these problems and complications.
Dental implants are titanium posts that are inserted into the bone and as it heals, fuse to the bone to provide the support for a replacement tooth. Crowns or dentures can be attached to the implants using special parts called abutments. Dental implants are the optimal choice in replacement of missing teeth as they have a natural look, feel, and function.
Once a tooth is removed or has been missing for a while, the body tends to resorb the bone (makes it dissolve away). We have the ability to correct this defect and grow bone in these areas using various materials. Your own bone can be used, or more often, is obtained from a tissue bank where the materials have been processed and demineralized. Grafting can be done in various areas of the mouth in order to be able to place implants in the proper position or to restore functionality and aesthetics.
Changes in the appearance or color of the mucosa, gums, or tongue can be a warning sign for a pathological process.
Signs to look for include:
- white or red patches or any other changes in color
- a sore or ulcer that does not heal or bleeds easily
- a lump or thickening of the skin or mucosa
- chronic sore throat or hoarseness
- difficulty chewing or swallowing
After careful examination, it may be necessary to have a biopsy, in which a small piece of the lesion is removed and sent to pathologist who looks at the specimen under a microscope.
Oral and Maxillofacial surgeons work very closely with pediatric dentists and orthodontists and can monitor a patient’s growth. Occasionally, one may have an improper bite or inadequate jaw relationship size. If it is severe, it may not be able to be corrected with braces alone. In these cases, surgery in conjunction with braces is needed to reposition the jaws. This surgery is performed in the hospital operating room and usually requires a one to two day stay in the hospital.
In working closely with orthodontists and with careful planning, it is sometimes necessary to remove one or more teeth in order to get the best results with your braces. A lot of times this is necessary if there is crowding and not enough room for the teeth to be straightened.
Oral and maxillofacial surgeons are well trained and very skilled at managing and treating facial trauma. We treat all types of facial trauma which includes fractures to the facial bones and jaws, trauma to the gums and dental structures including avulsed (knocked out) teeth, and facial lacerations.
In order to be able to safely administer general anesthesia and IV sedation in the office, Oral and Maxillofacial Surgeons undergo extensive anesthesia training in a hospital setting. All of the same safety monitoring that you would find in an operating room are used here in our office. This special training and equipment allows us to safely administer the anesthesia so you can have an enjoyable surgical experience.
The "TMJ" or temporomandibular joint is a very complex joint in which problems can range from very mild to severe. Patients with TMJ dysfunction may experience headaches, muscle pain and spasms, popping or clicking, pain in the joint, or limited opening. Frequently, TMJ disorders can be managed conservatively, but occasionally, minimally invasive surgery is indicated.
wisdom teeth • implants • extractions • facial & reconstructive surgery
Robert W. Mower, DDS • Ryan J. Colletta, DDS
© 2015 Dr. Robert Mower, DDS, APC. All Rights Reserved.