Oral and Maxillo Facial Surgery

Sometimes surgery is required to repair severely damaged teeth, correct misaligned bites, or prepare the mouth for dental implants. Dr. Schepis strives to provide the best care possible for your oral surgery needs. Below is a list of some of the procedures that Dr. Schepis preforms:

Bone Augmentation

If you are a candidate for a dental implant, Dr. Schepis must evaluate the amount of available bone space above the implant site. The recommend measurements of bone are 5 mm wide and 7 mm deep. If more bone is needed, an augmentation is used to create more solid bone for the implant to anchor. It is common to use processed bone or bone grafts to build up the area near the implant site. The extra bone can be safely taken from various sites within the jaw or mouth. It usually takes six to nine months for the the new bone to harden enough to support the implant.

Sinus Lifts

Sometimes, in order to provide the correct amount of space for a bone graft to properly anchor the implant, a sinus lift and bone augmentation is needed. Dr. Schepis uses anesthesia to numb the area above the implant, then surgically lifts the sinus membrane to create the space needed to plant the bone graft. After planting the bone graft material, the incision is stitched up and is left to heal and fuse for approximately six months.

Full Face Reconstruction

Many people do not realize the full impact your bite has on your other facial features. If your bite is misaligned you could be causing damage to your surrounding muscle and bone structures. As people age, the lower arch collapses inward and teeth wear down. When this happens patients jaws shorten creating deep lines and wrinkles. Over bites and misaligned bites can create square jaw lines and wrinkles.

Traditionally, patients needing a full facial reconstruction experience other painful symptoms such as grinding, clicking jaws, or severe discomfort. Dr. Schepis has fixed these issues on a number of patients by analyzing the entire facial structure and realigning any incorrect teeth or misplaced jaw joints (TMJ). Full facial reconstructions can reverse the aging process, making your face look and feel younger by creating a harmony between your bite and jaw structure. Correcting this balance can give increased support to your cheeks, face, and lips as well as correct painful TMJ issues.

Wisdom Teeth Removal

The most common oral surgery patients have is wisdom teeth removal. The third molars, commonly known as “wisdom teeth,” are the last teeth to erupt. They typically appear between the ages of  17 and 26. They are located in the back of the mouth on the top and bottom.  In most cases, there is not enough space in the mouth for these teeth to come in properly. This results in the wisdom teeth becoming impacted, or stuck in an incorrect position. If left untreated, impacted wisdom teeth can cause discomfort, infections, cysts, or damage to other teeth. Wisdom teeth can also cause crowding and push your other teeth out of position.

During your regular dental checkup, Dr. Schepis will evaluate if your wisdom teeth need to be removed by a panoramic x-ray. Using this x-ray, he will see if your wisdom teeth are impacted or damaging the nearby teeth. Should they need to be removed Dr. Schepis can preform a basic surgery to extract them. It is recommended that patients get their wisdom teeth removed while they are young, before the roots have fully formed or grow near the nerves. Typically, wisdom teeth removal is done under local anesthesia, intravenous (IV) sedation, or general anesthesia. If necessary, any gum tissue covering the wisdom teeth will be removed to expose the teeth. The teeth will be removed and the tissue will be stitched back up. Since healing time varies from case to case, Dr. Schepis can give you a more accurate expectation for healing time after your procedure.