Oral & Maxillofacial Surgery
Oral Surgery & Maxillofacial Surgery in Clifton, NJ
Oral & Maxillofacial Surgeons are specialists with advanced training and expertise in the diagnosis and treatment of various head and neck conditions and injuries. After four years of dental school, an Oral & Maxillofacial Surgeon completes four to six years of additional formal training in treating the craniomaxillofacial complex. This specialty is one of 9 dental specialties recognized internationally and by the American Dental Association (ADA).
An Oral Maxillofacial Surgeon can diagnose and treat a wide variety conditions. The following are just some of the many conditions, treatments and procedures oral and maxillofacial surgeon deal with on a daily basis:
- Dental Implants
- Tooth Extractions & Impacted Teeth
- Wisdom Teeth
- Misaligned Jaws
- Oral Cancers , Tumors, Cysts, & Biopsies
- Sleep Apnea
- Facial Cosmetic Surgery
Whether your dentist refers you to our office, you have pain or symptoms causing you concern, or you simply have questions you would like answered, please contact our office today to schedule an appointment. We are here to answer your questions and provide the treatment you deserve!
The teeth are held firmly in place by strong roots that extend into the jawbone. Molars and premolars tend to have several roots, whereas the front incisors only have a single root. The end or tip of each root is termed the apex. The apex is where the nerves and blood vessels enter the tooth, and aids in the delivery of blood to the crown (the part of the tooth you can see in your mouth).
A root canal treatment refers to the cleaning of the canals and the removal of infected and inflamed tissue within the root. When the inflammation or infection persists after the root canal treatment, an apicoectomy may be required. An apicoectomy is essentially the removal of the apex (or root tip), followed by a filling procedure to seal the root from further infection. When left untreated, infected roots can damage other teeth, spread infection, and cause regression of the jawbone.
Reasons for an apicoectomy
Infected and inflamed soft tissue around the root of a tooth can be exceptionally painful and debilitating to the patient. The purpose of an apicoectomy is to eliminate the infection in the tissue and to ultimately preserve the function of the tooth and save it from extraction. An apicoectomy will rarely be considered by the dentist unless a prior root canal treatment has failed.
There are several reasons why an apicoectomy may be necessary:
- Small Adjoining Root Branches – Roots are extremely complex and can contain many tiny branches. If these tiny branches cannot be cleaned and sealed when the root canal treatment is performed, inflammation can persist.
- Blocked Root Canal – In some cases, the dentist is unable to effectively clean a root canal because it is blocked by a fractured file left behind from prior root canal treatment. Infection and debris can quickly affect adjacent teeth.
- Narrow or Curved Root Canals – When the root canal is poorly shaped, the endodontic files cannot reach the root tip. Continuing infection or re-infection can then occur.
What does getting an apicoectomy involve?
Prior to the surgery, the dentist will generally prescribe an antibiotic or anti-inflammatory medication to treat the underlying infection. Panoramic x-rays will then be taken to enable the dentist to plan the apicoectomy, which will be performed under local anesthesia.
The dentist will make a small incision in the gum and expose the root by lifting away the gum. In some cases, a tiny fraction of the jawbone may be removed to properly expose the root. The edge of the root tip and any infected connective tissue will be removed using ultrasonic instruments. The root will be sealed using a retrofill (filling material) and the dentist will suture the gum with several stitches.
This surgery does not require an overnight stay, and full aftercare instructions and pain medications will be provided as needed. After several days, the dentist will remove the stitches, and the connective tissues will fully heal several months after the procedure.
If you are experiencing any signs or symptoms, such as pain or swelling associated with a tooth that has had a root canal, we encourage you to contact our office immediately to schedule an appointment.
Meet Your Award Winning Dentist
Dr. Roberto Russo D.D.S.
Dr. Mike Shulman D.D.S.
The Proof is in Our Patients
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Most Insurances Welcomed and Maximized
We’ll make the process of paying for your dental care as simple as possible! Our office accepts a wide variety of insurance plans, and we’re always happy to file your claim for you so that you can be sure to receive the maximum benefits available to you. Clifton Dentist – Dr. Roberto Russo & Dr. Mike Shulman is in network with Delta Dental, Cigna, Metlife, Aetna, Guardian, Ameritas, Principal, United Healthcare, United Concordia, Assurant, GEHA, Careington, Humana, TDA, BlueCross BlueShield and more! Call us today to find out how we can maximize your insurance plan!
|Monday||9:00 AM – 6:30 PM|
|Tuesday||11:00 AM – 7:00 PM|
|Wednesday||10:00 AM – 7:30 PM|
|Thursday||11:00 AM – 7:30 PM|
|Friday||By Appointments Only|
|Saturday||By Appointments Only|