Oral Surgery
Implant Surgery
Dental implants provide a permanent solution for missing teeth by surgically placing a titanium post into the jawbone, which supports a natural-looking crown. This treatment restores function, appearance, and stability, offering a durable alternative to traditional dentures or bridges.
Extractions
Tooth extractions are performed to remove damaged or problematic teeth to relieve pain and prevent further dental issues. This procedure is carefully managed to ensure minimal discomfort and promote optimal healing.
Wisdom Teeth
Wisdom teeth extractions are often needed to address issues like impaction, overcrowding, or infection caused by these late-emerging molars. Our team ensures a comfortable procedure and a quick recovery to maintain your oral health and prevent future complications.
Connective Tissue Grafting
Connective tissue grafting is a procedure used to enhance gum health by transplanting tissue from the roof of the mouth to areas with gum recession. This treatment helps increase thickness of the gum tissue to improve tooth stability.
Free Gingival Graft
Free gingival grafting involves taking a small amount of gum tissue from the palate and grafting it to areas with insufficient gum coverage. This procedure helps to improve gum health and prevent further recession by increasing the thickness of the gum tissue.
Bone Graft - Allograft
After tooth loss the bone can collapse and hinder implant placement. An allograft, made of freeze-dried bovine bone, can be inserted into the extraction socket to preserve the bone structure. This graft integrates with the jawbone over time, allowing for successful implant placement.
Crown Lengthening
This common surgery involves lifting back the gums and removing the tartar. The gums are then sutured back in place so that the tissue fits snugly around the tooth again.
Flap Surgery
Flap surgery is sometimes performed to remove tartar deposits in deep pockets or to reduce the periodontal pocket and make it easier for you or your dental professional to keep the area clean.
Gum Contouring
Gum contouring is a cosmetic procedure that reshapes the gum line to create a balanced and aesthetically pleasing smile. It can correct uneven gum lines and improve the overall harmony between your teeth and gums.
Sinus Elevation
Sinus elevation is a procedure that involves lifting the sinus membrane and placing bone graft material in the upper jaw to create a stable foundation for dental implants. This technique allows for successful implant placement in areas where bone height is insufficient.
Periodontal Surgery
Periodontal surgery involves lifting the gums to access and clean deep pockets around the teeth, removing tartar, and then suturing the gums back in place to promote healing and better oral hygiene. This procedure helps reduce pocket depth, prevent further tissue loss, and improve overall gum health.
Endodontic Surgery
Endodontic surgery targets the inside of a tooth to address complex issues that can't be resolved through standard root canal therapy. This procedure involves accessing the tooth’s root to remove damaged tissue and seal the area, helping to preserve the tooth and restore its health.
Risks
Any surgical procedure whether very small or extremely complex and challenging has the same inherent risks. It is important for the patient to always be well informed of any procedure to be carried out by their dentist so that informed consent is established. After a surgical procedure there can be swelling, pain or discomfort, infection or continued numbness. The anatomy of the oral cavity brings many sensitive structures into the surgical field. In the lower jaw when working around the lower second bicuspids we find the Mental nerve. Also in the posterior of the mandible under the molars and especially close by when removing wisdom teeth or placing implants is the Trigeminal nerve.
The Infraorbital nerve is high above the maxillary first bicuspid and in play with large cysts or infections. Besides nerves the other main structure which becomes involved in different oral surgeries are the maxillary sinuses found above and in between the upper molars and or bicuspids. The nasal cavity is nearby high above the roots of the upper front teeth and is a limiting factor in implant placement. By utilizing an exacting and gentle minimal invasion surgical technique Dr. Kirshen minimizes post operative complications. Thorough diagnosis and treatment planning isolates the position of the nerves so they can be avoided thus minimizing the possibility of numbness or parasthesia post surgery.
Transient parasthesia can be experienced even after a simple injection if the nerve is touched during delivery of the anaesthetic solution. The odds are 1 in 250,000 or larger but must be expressed. The use of medications either pre or post operatively help contain many of the symptoms so that pain relievers and antibiotics are in our armementarium to best help you. Dr Kirshen believes that a patient must be well educated in their treatment options so they can make an intelligent decision and partner in attaining the best outcomes. Dr. Kirshen distributes educational material regarding all the procedures which are carried out in the office so you can review your options at home.