CORRECTIVE JAW SURGERY
WISDOM TEETH REMOVAL
BONE GRAFTS & RECONSTRUCTION
At the initial visit, Dr. Portuondo will listen carefully to your questions and concerns and will compile a complete medical and dental history. This will be followed by detailed radiographic evaluation which is comprised of a panoramic radiograph to help determine the correct diagnosis of the patient's problem and elaborate an appropriate treatment plan.Once all of the information has been compiled and reviewed, Dr. Portuondo will explain the nature of your situation, review all associated risks and benefits and recommend the appropriate treatment specifically for you. All of your questions will be answered carefully and to your satisfaction in an unhurried manner. An appropriate surgical date and time will then be arranged to accommodate your schedule. If required and desired, surgery may be possible on the same day.
Wisdom Teeth Removal
The removal of wisdom teeth is a highly common procedure. Early wisdom tooth removal (late teens- early 20’s) has proven to be easier with a more rapid and comfortable recovery. The skill set of an oral and maxillofacial surgeon is a unique combination of dentistry, medicine and surgery. This collection of skills is never more valuable than when treating a patient for the removal of wisdom teeth. Choosing an oral surgeon with advanced and extensive surgical training is a crucial factor in the care you receive and the outcome you desire.
At the initial visit (Consultation), Dr. Portuondo will listen carefully to your questions and concerns, provide an oral examine, and will compile a complete medical and dental history. This will be followed by detailed radiographic evaluation which is comprised of a panoramic radiograph to help determine the correct diagnosis of the problem, and elaborate an appropriate treatment plan. Once all of the information has been compiled and reviewed, Dr. Portuondo will explain the nature of your situation, review all associated risks and benefits and recommend the appropriate treatment specifically for you. All of your questions will be answered carefully and to your satisfaction in an unhurried manner. An appropriate surgical date and time will then be arranged to accommodate your schedule. If required and desired, surgery may be possible on the same day.
Dental implants are titanium screws that are gently inserted into the jaw bone, where they serve as permanent, solid anchors for new teeth. These teeth provide patients with the comfort, function and esthetics similar to their own original teeth. Dr. Portuondo is an oral surgeon, who has had extensive training and 30 years of experience in implant surgery. The single most important factor in the success of your implant treatment is the surgeon rendering your care. For anyone with one or several missing teeth, dental implants have become important options to anchor and support new teeth that resemble the missing ones.
Bone Grafts & Reconstruction
In order to optimize comfort, function and esthetics, bone grafting is required to replace missing bony tissue, and in many cases support the placement of dental implants. Bone grafting is a procedure where bone is implanted into the deficient bone area, or transferred from one area or location of the mouth, and placed into a new location. Dr. Portuondo has had extensive training and experience in the areas of bone grafting and reconstruction, and can therefore “build bone” in areas where it is missing. He employs an evidenced-based approach utilizing the industry’s highest quality materials and standards of care.
Oral and maxillofacial surgeons have broad training and experience in treating oral and facial injuries including:
- Facial Lacerations
- Fractured or avulsed teeth
- Mandibular Fractures
- Maxillary and midface injuries
- Zygoma (cheekbone) Fractures
- Orbital Fractures
- Combination of all the above
The in-depth knowledge of the dentition and occlusion (the way teeth bite together) combined with extensive surgical training allows the oral surgeon to achieve results that maximize comfort, function and cosmetics.
Corrective Jaw Surgery
Orthognathic surgery, or corrective jaw surgery, is used to treat patients with severe malocclusions that involve misalignment of both the teeth and the jawbones. As an oral and maxillofacial surgeon, Dr. Portuondo is uniquely qualified to perform corrective jaw surgery combining his foundation of a dental education together with advanced and extensive surgical training from Johns Hopkins Hospital.
Whenever there is an imbalance in the relationship between the upper jaw (maxilla) and lower jaw (mandible), individuals may benefit from procedures that align the jaws into a more functional and comfortable, balanced position. This imbalance or disharmony is referred to as a dentofacial deformity. Although the objective of orthognathic surgery is to achieve balance and occlusal stability (stable bite), the results will generally yield improved esthetics as well
Oral pathology is defined as the study and diagnosis of diseases of the mouth. Patients may visit the office with a varied list of complaints and/or diseases. Problems may include but are not limited to cysts or tumors of the jaw bones and soft tissue lesions of the oral mucosa, gingiva (gums), lips, cheeks and tongue. Dr. Portuondo is able to determine the need for biopsy, and if indicated, has the expertise to provide this service, on site, in a fully comfortable and painless fashion. Results will be processed with minimal delay, and a follow-up visit to review result and detail the appropriate treatment plan.
An apicoectomy is often referred to as a surgical root canal. To better explain, the tip of the root of a tooth is referred to as the “apex” of the tooth, and the term “ectomy” means to excise or cut. Therefore an apicoectomy can be defined as cutting or excising the tip of a tooth root. The treatment is usually required when an individual has a “toothache” in a tooth that has already had a root canal procedure
Sometimes a cuspid or canine tooth is malpositioned within the jaw bones, or is blocked from erupting into the mouth. This in turn can alter the position of the teeth and affect both function and esthetics. Surgical exposure and orthodontic alignment are generally required. The cuspids (or canine teeth) are easily visualized as the corner teeth in the front of the mouth. These teeth appear as pointed “fangs” and are referred to as “eye teeth”. Cuspids are the last of the front teeth to surface into the mouth and they do so at or around the age of 12-14. They are the most common teeth requiring exposure, however, any tooth can have a similar situation.
The temporomandibular joint is located in front of the ear, and in diseases states it may cause jaw pain, ear aches, headaches and restriction in mouth opening. It represents the articulation between the lower jaw (mandible) and the temporal bone (base of skull). Separating this “ball and socket” is a fibrocartilage disc that acts as a cushion between the two bones. When an individual complains of TMJ, they are generally complaining about a pain and dysfunction within or around this joint. The dysfunction usually presents as a clicking within the jaw joint and/or a locking of the jaw joint. In addition, muscular pain of the masticatory muscles can cause these or similar symptoms. Assessment of a ‘TMJ’ patient requires compilation of a detailed history, together with a thorough clinical and radiographic examination – which may even include MRI in certain situations. Non-surgical management of TMJ issues generally involves the combination of soft diet, moist heat application, mouthguard / nightguard therapy, physical therapy, stress reduction, and anti-inflamatory medications, as well as muscle relaxants to alleviate stress and its impact on the TMJ. For severe cases, surgical intervention may require TMJ arthroscopy and possible open-joint TMJ surgery.