Galenoralsurgery

Oral & Maxillofacial Surgery

PROCEDURES

Oral and Maxillofacial Surgery requires four to six additional years of hospital based surgical and anesthesia training. Dr. Galen practices a full scope of Oral and Maxillofacial Surgery. Dr. Galen manages a variety of problems relating to the mouth, teeth and face. He can also diagnose and treat facial pain, facial injuries and TMJ disorders, and perform a full range of general oral surgical procedures. Dr. Galen has taken a special interest in advanced surgical procedures from implants to removal of teeth to bone preservation and augmentation.

Dr. Galen's staff is trained in assisting with IV Anesthesia within our state of the art office setting. Patients are continuously monitored during and after surgery. These monitors evaluate the patient’s blood pressure, pulse, oxygen saturation and EKG. In addition, General Anesthesia provided by a board certified Anesthesiologist is also available within our surgical facility.

WISDOM TEETH REMOVAL

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Third molars, also called wisdom teeth, are the last teeth in the mouth to form.  The jaws are usually not large enough to accommodate these teeth and one or more fail to erupt into proper alignment, or are unable to erupt fully into the mouth and remain impacted.  Serious problems can develop from impacted wisdom teeth such as pain, swelling, infection and possible crowding of and damage to adjacent teeth.  Tissue that surrounds a developing impacted tooth can enlarge to form a cyst, causing destruction of the surrounding bone and adjacent teeth. 

EXTRACTION OF TEETH

Many simple extractions can be performed by a general dentist.  However since an oral surgeon has special training, dentists will usually refer patients for the removal of damaged, impacted, or severely decayed teeth, including wisdom teeth.  Patients who are considering dental implants are also referred to an oral surgeon so that the teeth can be removed with techniques that preserve the bone, which creates a better site for implant placement.  In addition, patients who would be more comfortable receiving sedation or general anesthesia during surgical procedures are usually referred to an oral surgeon.  

PATHOLOGY & INFECTION

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Dr. Galen treats infections of the mouth, jaw and neck.  Cancer screening and biopsy of questionable tissue is also a routine part of the practice.  A biopsy is performed by removing a piece of the lesion and sending it to an oral pathologist for a microscopic examination and diagnosis.  In most cases, the damage to the jaws and soft tissues caused by oral cancer can be repaired or reconstructed surgically. 

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DENTAL IMPLANTS

Dental implants represent the “state-of-the-art” in dental technology, making it possible to restore the mouth as closely as possible to its natural state with replacement teeth that look, feel and function like natural teeth.  Implants have enhanced the quality of life for thousands of people throughout the world, improving overall health and well-being and restoring the confidence that comes from a natural smile and appearance.

Dental implants are substitute, or replacement, tooth roots that preserve the integrity of facial structures by preventing the deterioration of the jawbone that occurs when teeth are missing. In addition, implant treatment does not compromise the long term health of the adjacent teeth.

Dr. Galen is able to offer his patients the option of a 3D diagnostic dental implant treatment planning tool that visualizes the patient’s anatomy with unparalleled precision in 3D. With this precise information, he can take into account complex anatomical considerations to obtain the ideal treatment plan. Dr. Galen can virtually prepare and perform your treatment to the greatist detail.

FREQUENTLY ASKED QUESTIONS ABOUT DENTAL IMPLANTS

How long do implants last?
Dental implants are considered to be the preferred method of tooth replacement by many dentists. Replacement teeth supported by dental implants are a permanent solution and have over 90% success rates in long-term function.

Will I be able to eat normally during the healing process?
Yes. In most situations, you may eat what you like. You may be asked to avoid chewing in the area where the implants are placed for a short period after surgery, but once that time has passed, you can chew your food as usual.

Can I get a temporary tooth to fill the gap during healing?
Yes. In most instances, you can be provided with a temporary tooth to fill the area of the missing crown while the implant is healing. Your dentist and Dr. Galen will recommend the option for a temporary that is best suited for your situation.

Is dental implantation a common surgical procedure?
Yes. This procedure has been performed for decades on millions of patients and Dr. Galen has extensive experience.
 

Is the procedure relatively pain-free?
Yes. Many patients report that having a tooth extracted is much more traumatic than having an implant placed. The procedure is usually performed in the dental office under local anesthesia or intravenous sedation.

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BONE GRAFTING

Many times due to periodontal disease, infection or trauma, bone and soft tissues are lost in areas around the teeth.  This process is accelerated when teeth are removed and nothing is done to replace the stimulation that tooth roots provide to preserve the jawbone.  This is especially problematic in the front of the mouth where bone loss and shrinking gum tissue can be seen when we smile.

Placement of dental implants prevents the defect that would normally develop when teeth are missing.  In addition, there are techniques to replace bone and gum tissue in areas where it has already been lost. 

Traditionaly bone grafting with harvesting bone from the upper or lower jaw bone, bone graft harvesting from the pelvic bone and utilizing outside materials like bovine mineral and cadaveric bone, have been used for this purpose. However, in many cases bone quality and quantity often remained an issue.

Recently, a genetically produced protein, recombinant human bone morphogenic protein-2 (rhBMP-2), has the ability to stimulate patient’s own cells to make more bone. The FDA has approved its use for the preservation of extraction sockets and augmentation of maxillary sinuses. Being on the forefront of innovations in oral surgery and implant dentistry, our office is offering the INFUSE BMP bone grafting material for sinus augmentation and other cases of jawbone deficiency to aid insertion of dental implants.

SURGICAL TECHNOLOGY

Cone Beam Computerized Tomography
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e Beam Computerized Tomography is a high-tech, in office scanner capable of providing immediate three-dimensional digital reconstruction of the patients jaw anatomy. It is a safer, faster and more convenient technolgy that provides more acccurate three-dimensional information of the jaws and sinuses than conventional CT scanning.

3-D Surgical Technology
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r. Galen is able to offer his patients the option of a 3D diagnostic dental implant treatment planning tool that visualizes the patient’s anatomy with unparalleled precision in 3D. With this precise information, Dr. Galen can take into account complex anatomical considerations to obtain the ideal treatment plan. Dr. Galen can virtually prepare your treatment to the greatist detail.

Advances in Bone Grafting
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Traditionaly bone grafting with harvesting bone from the upper or lower jaw bone, bone graft harvesting from the pelvic bone and utilizing outside materials like bovine mineral and cadaveric bone, have been used for this purpose. However, in many cases bone quality and quantity often remained an issue.

Recently, scientists and spinal surgeons have demonstrated that a genetically produced protein, recombinant human bone morphogenic protein-2 (rhBMP-2), has the ability to stimulate patient’s own cells to make more bone.

Based on the clinical studies that showed a remarkable effect on bone formation for the placement of dental implants, the FDA has approved the use of INFUSE® bone graft for preservation of extraction sockets and augmentation of maxillary sinuses. The results were superior in bone quality and quantity in comparison with standard jawbone preservation techniques (bovine, cadaveric, ceramic, etc.).

Being on the forefront of innovations in oral surgery and implant dentistry, our office is offering the INFUSE BMP bone grafting material for sinus augmentation and other cases of jawbone deficiency to aid insertion of dental implants.

JAW SURGERY / TMJ

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ORTHOGNATHIC JAW SURGERY
Orthodontics can straighten the teeth and correct many bite problems.  However, if the upper and lower jaws do not grow properly, orthognathic surgery may be required to reposition the jaws to correct problems with chewing function, speech, jaw and muscle pain and long-term oral heath. 

The teeth are straightened with orthodontics and then corrective jaw surgery is performed to reposition the misaligned jaws.  This not only improves facial appearance, but also ensures that teeth meet correctly and function properly.

Dr. Galen has extensive experience in the correction of skeletal facial deformities and functional and cosmetic jaw and bite abnormalities.

TEMPOROMANDIBULAR JOINT (TMJ)
The temporomandibular joint (TMJ) is a small joint located in front of the ear where the skull and lower jaw meet. It permits the lower jaw to move. Individuals with a TMJ disorder may experience symptoms, such as earaches, headaches and limited ability to open their mouth. Diagnosing TMJ disorders can be complex, Special imaging studies of the joints may be ordered and appropriate referral to other dental or medical specialists or a physical therapist may be made.Treatment may range from conservative dental and medical care to complex surgery. Treatment may include non-steroidal anti-inflammatory drugs for pain and muscle relaxation, bite splint therapy, and even stress management therapy. Conservative surgical treatment such a arthrocentesis (TMJ lavage) may be indicated. In more severe cases extensive surgical repair of damaged tissue by a direct surgical approach may be necessary.
 

SOFT TISSUE SURGERY

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It is not uncommon for teeth other than wisdom teeth to be impacted, or blocked from entering the mouth. Fortunately, your orthodontist and oral and facial surgeon can bring the impacted tooth through the gum and into the correct position – giving you a beautiful healthy smile.

Frenectomy
Frenum are small folds of tissue located in the mouth: under the tongue, inside the upper lip, inside the lower lip, and connecting the cheeks to the gums.
A frenectomy is a simple procedure to loosen the frenum’s connection and extend the range of motion in that part of the mouth. The frenum under the tongue is known as the lingual frenum. When the lingual frenum is too large (tongue tie) it may restrict the movement of the tongue, it can affect the ability for a newborn to breastfeed, may impair speech, cause adverse tooth position and may even affect jaw development. the labial frenum is located between the upper two front teeth and connects the upper tip to the upper jaw when it is too large it may affect the position of the upper teeth and may even affect the bone and gums between the teeth. The prime outcome of a frenectomy procedure is creating a balanced soft tissue environment for the developing teeth and jaws.
Tissue Grafting
Soft-tissue grafts in the mouth can be important to maintaining oral health. Soft tissue grafts are used to add more tissue in a certain area and may be used to:
- Prevent further gum recession
- Cover an exposed root
- Stop sensitivity in the affected area
- Improve the look of the tooth
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Prevent problems in the future.smile.

ANESTHESIA

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For your comfort, surgery can be performed under local anesthesia, fully awake; under general anesthesia, fully asleep; or with light sedation combined with local anesthesia.  item7Our staff is highly trained and certified in outpatient anesthesia and our offices have modern operating rooms with state of the art monitoring equipment to allow for safe anesthesia delivery.
Our office adheres to the California Dental Anesthesia guidlines and the facility, equipment and staff are examined by the state certified examiners per the Califonia state requirements.