Expert Oral & Maxillofacial Surgery
At Simi Valley Periodontics, we make oral health a priority and provide the information and care you need to feel comfortable during any procedure. We diagnose and treat a broad range of disorders that affect facial structure, dentition, and overall health. Dr. Yashar and Dr. Kaminsky have extensive training and years of experience and can help with even complex conditions.
At our Simi Valley practice, we offer a full range of surgical treatments that will restore your oral health and give you a healthy smile. Our team takes pride in our excellent quality of work and our outstanding patient care. For more information or to schedule your consultation, give us a call today!
CALL US: (805) 584-6225 REQUEST APPOINTMENT
Common Cases in Oral and Maxillofacial Surgery
- Jaw and Congenital Facial Disproportion
- Temporomandibular joint disorders
- Benign pathologies such as cysts and tumors
- Head, neck and oral cancers
- Mouth ulcers and infections
- Salivary gland disease
- Impacted teeth and dental implants
- Facial trauma
Types of Oral Surgery We Provide
Pocket reduction surgery is also known as gingivectomy, osseous, or flap surgery. This consists of a series of procedures that access the root of the tooth to remove bacteria and tartar. Your mouth consists of millions of bacteria. Some of these bacteria produce acids that cause demineralization of the tooth surface, ultimately causing periodontal disease.
These periodontal infections cause a chronic inflammatory response that affects the subgingival area, which is the area below the gum line. This destroys bone and gum tissue forming deep pockets between the teeth and gums.
Periodontal disease is a progressive condition. If you do not get regular treatment, then bacteria colonization occurs in the gum pockets, which can eventually lead to more serious conditions. Pocket reduction surgery attempts to halt the progression of this condition by eliminating the bacteria-harboring pockets.
Why You Should Get Pocket Reduction Surgery
Pocket reduction surgery is a procedure that has proven effective in shrinking periodontal pockets, eliminating bacteria, and reducing inflammation. The goals of this surgery are:
- Reducing Spread of Bacteria: Oral bacteria have been associated with many chronic conditions such as heart disease, diabetes, and stroke. This bacteria travels through the bloodstream to other parts of the body and begins to colonize. Pocket reduction surgery reduces oral bacteria and the risk of secondary infections.
- Halting Bone Loss: Oral bacteria induces a chronic inflammatory response, which can destroy the bone and tissue supporting your teeth. If they become too loose, they may need to be extracted.
- Better Oral Health: If periodontal disease progresses and your gum pockets become deeper, It may become increasingly painful and difficult to clean your teeth. This can take a toll on your oral and general health.
- Enhance Your Smile: An oral cavity infected by periodontal disease is not aesthetically pleasing. Your smile is marred by ridge indentations, dark-colored teeth, and discolored gums. Pocket reduction surgery halts progression of the disease and heals your smile.
What Does Pocket Reduction Surgery Entail?
Before performing the procedure, our team will conduct a thorough exam with digital X-rays to evaluate the condition of your teeth, gums, and underlying bone. This surgery is performed under local anesthesia and involves the separation of your gum line from the teeth. Scaling and root planing are then performed to remove tartar from the surface of the root. The final part of this treatment involves the administration of antimicrobial liquid to eliminate any bacteria that is still present and to promote healing. Your gum is then sutured with tiny stitches that dissolve in about ten days.
Gum Tissue Graft
If you have receding gums, we may recommend a gum tissue graft procedure. Gum recession exposes the roots of your teeth, making them susceptible to abrasion, sensitivity, and decay. Also known as a gingival graft, it’s a standard procedure performed to correct receding gums.
After assessing your condition, we may perform one of the following procedures.
Free Gingival Graft
A piece of tissue is removed from your palate and stitched to the area requiring extra volume. This type of graft can help if you have thin gums and need some extra tissue to prevent further recession.
Connective Tissue Graft
For this kind of graft, our surgeon opens a small flap at the roof of your mouth and removes a piece of connective tissue then attaches it to the area that needs it more.
For this treatment, we extract a flap of tissue from the area right next to where you have the recession but leave it attached at one corner, then lay it over the area where the gum is receding.
This is commonly known as sinus lift surgery. During this procedure, bone is added between your jaw and maxillary sinuses found on either side of your nose. To make room for this bone, the sinus membrane is first moved upwards.
Why You May Need a Sinus Augmentation
- If you have lost teeth on your upper jaw, molars in particular, you may need a sinus lift if you don’t have enough bone for implants. Due to the anatomy of the skull, the back of the upper jaw has less bone compared to the lower jaw.
- Once you lose teeth, your bone begins to re-absorb back into the body. If this happens and you need implants, you may need a sinus lift first.
- Your maxillary sinus may be located too close to your upper jaw for implants to be placed. The shape and size of sinuses also vary from person to person. They also get larger as you age.
- You may also have lost your dental bone due to gum disease.
How is a Sinus Augmentation Performed?
Our surgeon cuts your gum tissue near the back teeth, exposing the bone with a small oval window. The membrane that lines your sinus on the opposite side of the window separates it from your jaw. The surgery gently pushes this membrane up and away from your jaw. Next, we will fill the space where the sinus was with bits of bone graft material, then stitch up the area. Four to nine months later, you can have your implants placed and have a higher chance of a successful procedure.
Bone Grafting In Simi Valley
Traditionally dental bone grafting involved extracting a piece of bone from another part of your jaw or body and transplanting it on the area with bone loss. Today you have an option to either obtain a bone from a cadaver or an animal source. This option eliminates the need for a second surgical site and is equally successful. After you get the graft, it may take several months for the transplanted bone to grow to support the placement of the dental implant.
A ridge augmentation is a dental procedure performed after tooth extraction. It helps recreate the natural contour of the jaw and gum that may have been lost due to a missing tooth. The alveolar ridge is the bone that surrounds the roots of your teeth. When your tooth is extracted, it leaves an empty socket in your alveolar ridge bone. Usually, this socket heals on its own. But sometimes, when a tooth is removed, the bone surrounding the cavity can break and is unable to heal on its own. This deficiency can cause the previous height and width of the socket to continue shrinking.
A ridge augmentation is performed by placing bits of bone graft material into the cavity to prevent this deterioration and restore bone density.
Corrective Jaw Surgery
This surgery is also referred to as orthognathic surgery. It is used to correct problems of the jaw and facial skeleton, including asymmetry, imbalance, undergrowth, and overgrowth. If you are experiencing difficulties chewing or speaking, you may be suffering from jaw and tooth misalignment or asymmetry. Jaw and facial disproportion, craniofacial syndromes such as a cleft lip and palate can also be reasons to seek orthognathic surgery.
Orthognathic surgery is conducted in conjunction with other orthodontic treatments, such as braces. This ensures that you achieve the right facial balance as your bite is aligned. This surgery is usually performed on teenagers or young adults when development is almost complete.
Wisdom Teeth and Dentoalveolar Surgery
Dentoalveolar surgery is the most common kind of oral and maxillofacial procedure performed. Some of the reasons this surgery is needed include:
- Surgical Removal of Erupted Teeth: There are several reasons why surgical removal of teeth may be necessary. Most teeth are extracted because of extensive decay. The pattern of root growth can cause complications resulting in the need for extraction.
- Removal of Impacted Teeth: Impacted teeth don’t have sufficient space to erupt. The teeth that are most affected are the canines and wisdom teeth. Such teeth often require removal due to decay of adjacent teeth, pain, and infection of surrounding gum tissue.
- Management of Jaw Cysts: Jaw cysts are fluid-filled cavities that replace bone within your jaw. Most jaw cysts develop due to infections of soft tissues. Benign jaw cysts can be managed by surgery. However, for some cysts, adjacent teeth may have to be removed as part of the treatment.
- Prosthetic Surgery: To get a comfortable denture, sometimes it’s necessary to alter the shape and size of the soft tissues and jaw that the denture will rest on. Removal of excess gum tissue that may have developed under the old denture may be necessary. Bony projections may also need to be contoured to accommodate the new denture.
- Apical Surgery: This is a procedure conducted to treat residual infection around the apex of a tooth root. This condition is common with teeth that have undergone root canal treatment.
Correcting Sleep Apnea
With apnea, your sleep is disrupted due to a problem with the relaxation of your throat muscles. Radiofrequency volumetric tissue reduction can shrink or remove tissue at the back of your throat, which opens up your airway. Uvulopalatopharyngoplasty, or UPPP, is another procedure used to treat this condition. This involves the removal of extra tissue from the top of your throat and back of your mouth.
Preparation for oral and maxillofacial surgery is similar to other types of surgery. Our experienced team will give you guidelines on eating and drinking before the surgery and review your anesthesia options. After the procedure, you should follow all our post-operative instructions and take any prescribed medication as directed.
Specialized Care for Surgical Needs
Dental treatment with surgical intervention can resolve even the most severe cases of tooth decay, gum disease, and oral structural problems. At Simi Valley Periodontics, Dr. Yashar and Dr. Kaminsky perform a wide variety of surgical procedures with the precision and gentleness necessary to maintain a high quality of dental care. For more information about our range of dental services, call our practice, and schedule your next dental appointment today!
CALL US: (805) 584-6225 REQUEST APPOINTMENT