Most people will need restorative dentistry at some point in their lives. Severe dental problems, such as missing teeth, advanced periodontitis, and significant bone deterioration to name a few, may require oral surgery. For this reason, Dr. Gary Orentlicher and Dr. Andrew Horowitz offer a wide-variety of surgical procedures here at New York Oral, Maxillofacial, and Implant Surgery designed to improve the health and appearance of your teeth and gums.
When your teeth are damaged or decayed, the ideal solution is to treat them. Treatments generally include fillings or crowns. However, if the damage is too severe, saving a damaged tooth may not be possible, and may even put your mouth at greater risk for complications. In the event of severe damage, the best solution may be to extract the teeth and then replace them. Tooth extractions, and wisdom tooth removal, are some of the most common oral surgeries we provide.
Oral pathology deals with diagnosing and treating a wide variety of different diseases that affect your mouth, including oral cancer. In many cases, oral pathology involves a soft tissue biopsy. This procedure involves removing a portion of an abnormality in your mouth for closer examination under a microscope. The microscope allows us to see the cells in the tissue, and determine if they are precancerous, cancerous, or benign. Once we have diagnosed the issue, proper treatment can be provided.
Periodontal Reconstructive Surgery
Your periodontal tissues are vital to the structure and esthetics of your smile. An accident or blow to the face can cause substantial damage to your gums and threaten the life of a tooth. As a result, severe facial injury or trauma may require periodontal reconstructive surgery.
Periodontal reconstructive surgery is an umbrella term that refers to several different procedures, including: dental implants, pathological disease treatment, dentoalveolar surgery, and general trauma treatments. The kind of surgery we suggest depends on the type, location, and severity of your injury. Advanced periodontal disease may also establish a need for periodontal reconstructive surgery.
Bone Morphogenic Protein
Bone morphogenic proteins, or BMPs, are a family of osteoinductive proteins that help regenerate new bone tissue. We typically utilize bone morphogenic proteins during a grafting procedure designed to strengthen weak areas of your jawbone. This synthetic graft material stimulates the growth of bone-forming cells in a natural and effective manner.
We may recommend a bone graft with BMPs to help you qualify for dental implants or maintain a more youthful facial appearance. After your graft, we may need to wait several months before moving forward with additional treatments. However, BMPs are less invasive than traditional grafting methods and expedite your recovery time.
Platelet-Rich Plasma (PRP)
Much like bone morphogenic proteins, platelet-rich plasma (PRP) is a substance we use during tissue regeneration procedures. PRP takes advantage of your blood’s natural wound-healing properties in a safe, effective, and comfortable way. Simply put, PRP can improve your results after a variety of surgical procedures.
We produce PRP using a small sample of your own blood, eliminating the risk of rejection. During a minor procedure, we place your blood in a centrifuge that spins at high speeds, separating the platelet-rich growth factors from the rest of your plasma. Once your PRP is isolated, we can move forward with your actual surgery.
A sinus augmentation is a type of bone graft that can help you qualify for implant treatment. Missing teeth in the upper posterior (back) region are among the hardest to restore due to a natural lack of bone. A sinus augmentation can produce bone dense enough and strong enough to support an implant in the maxilla.
During your sinus augmentation, Dr. Gary Orentlicher will pull back the gum tissue to expose the underlying bone. Next, we gently lift up the sinus membrane to make space for the graft material. Once your graft is complete, we should be able to place an implant in the following months.
Most people are born with two frenulum: lingual and labial. The lingual frenulum is a band of tissue that connects the bottom of the tongue to the floor of your mouth. The labial frenulum can be found above your two front teeth, in between the gums and inner lip.
Some people are born with a frenulum that is too big or too tight, which can cause issues with speaking, eating, and moving teeth (before orthodontia). During a frenectomy, we make an incision or snip the frenulum to alleviate tension and free up movement.
A beautiful smile should strike an esthetically-pleasing balance between the teeth and gums. People with excess periodontal tissue are known as having a “gummy smile.” If you think you have a gummy smile, you could benefit from an elective surgery known as crown lengthening.
During crown lengthening, we remove excess gum tissue to expose more of the tooth and improve cosmetics. We may also suggest a crown lengthening if a tooth breaks off at the gum line and a dental crown is necessary.
Even if only one tooth needs to be addressed, we typically crown lengthen the surrounding areas as well, which provides a more even appearance. In some cases, we may also need to remove a small amount of the underlying bone.
A dental implant is a titanium or ceramic post that we surgically embed deep into the jawbone. Thanks to a process known as osseointegration, the implant post will fuse to the bone and form a bond strong enough to support a restoration. Thanks to improved technology, techniques, and restorative materials, implants can be used to support a single crown, fixed partial bridge, or a full-arch appliance.
Because the implant mimics the root function of a prosthesis, your new restoration should look, feel, and function just like your natural teeth. Thanks to their many benefits, dental implants are usually considered the ideal solution for missing teeth.
Guided Tissue Regeneration
Guided tissue regeneration (GTR) is a general term that refers to a number of minor surgical procedures. We may recommend guided tissue regeneration to regrow bone, supportive ligaments, and other connective soft tissues. The most common reason for GTR is advanced periodontal disease.
When left untreated, periodontal disease can cause significant damage to the tissues that support your teeth. Guided tissue regeneration may be the best way to repair these tissues and prevent tooth loss or an extraction. GTR can also be a preliminary step for larger, more extensive restorative treatments.
Schedule Your Consultation Appointment
If your general dentist has recently referred you to our practice, we are here to help! To learn more about our Scarsdale oral surgical services, call New York Oral, Maxillofacial, and Implant Surgery at (914) 768-8220 and schedule a consultation. The path to a healthier, more beautiful smile is just a phone call away!