Q&A

What is an oral surgeon? A: An oral surgeon is a dentist who specializes in different aspects of surgery in and around the mouth. He / she performs simple extractions and difficult, complex extractions, including the removal of wisdom teeth. Oral surgeons are qualified to install dental implants and perform jaw realignment procedures. They usually have about four years of advanced education after finishing dental school. Many Oral Surgeons also have medical Degrees which requires additional training beyond the four years of dental school and four years of Oral Surgery Residency.

What is oral/ maxillofacial surgery? A: Oral and maxillofacial surgery is the branch of dentistry that deals with the diagnosis and treatment of defects, injuries, and diseases involving the face, head, mouth, teeth, gums, jaws, and neck.

Who needs to have their wisdom teeth extracted? A: Anyone who is in danger of developing impacted wisdom teeth (third molars that only partially erupt or get trapped or stuck in the jaw) should have them removed so that they do not damage adjacent molars and cause other oral problems.  In addition, anyone who is getting dentures should have their wisdom teeth removed.

Do Oral Surgeons place Dental Implants? A: Yes, Oral Surgeons are uniquely qualified to place implants because they are trained during their four years or oral surgery residency on not only the technique placing Dental Implants, but they also have extensive experience in surgery of the jaws, bone grafting and reconstruction.

Are there any professional organizations for oral surgeons? A: Yes. The American Association of Oral and Maxillofacial Surgeons is a professional organization of oral surgeons.

What does it mean to be board certified? A: Board certified Oral & Maxillofacial Surgeon has completed a minimum of 4 years Residency in a program approved by the ADS, has completed a comprehensive application an examination process, both written and oral, and maintains his/her competency thru continuing education and recertification every ten years.

• See http://www.aboms.org/General_Information/general_information.htm

Do I have to be referred by a dentist to schedule an appointment? A: You are not required to have a referral; however, it is strongly recommended. Unnecessary visits can be avoided if you first see a general dentist for a full evaluation, x-rays, and cleaning. Your dentist can develop a treatment plan for you and determine if a visit to our office is needed.

The thought of oral surgery frightens me. Is this normal? A: It is a natural response to be anxious about oral surgery. Dr. Tye and his skilled staff make every effort so that your experience is as pleasant and comfortable as possible.

Will I need to have x-rays taken? A: Yes, current x-rays are required for any dental surgical procedure or exam. Your general dentist can provide you with current x-rays to bring if they have them available. Otherwise, our skilled staff can take the films at your appointment.

Do I need someone to drive me home after surgery, or can I drive? A: If you are receiving IV sedation, you will need a responsible adult to drive you home and to remain with you for several hours following surgery. You should not operate any vehicle or hazardous device on the day of surgery. Patients receiving local anesthetic or nitrous oxide can drive home or have a driver whichever is preferred.

May I eat before I come in for surgery? A: If you are receiving IV sedation for your procedure, you can have nothing at all to eat or drink for a minimum of six full hours prior to your appointment. However, you should take routine medications with a sip of water. Persons receiving local anesthetic and nitrous oxide may eat a light meal prior to the appointment.

How do I know the instruments and materials used are sterile? A: All instruments are cleaned and then sterilized after each use. Each instrument pack or bundle is tested with chemical indicators to confirm sterilization parameters have been achieved. Our autoclaves (sterilizers) are spore-tested to ensure it is working properly prior to using the instruments.

May I stay with my child during surgery? A: Parents of small children may accompany their child prior to surgery to ask the doctor any questions. However, OSHA regulations and staff and patient safety do not permit bystanders during the surgical procedure.

I have insurance. Do I have to make a payment the day of surgery? A: Insurance is filed as a courtesy. Due to the length of time many insurance companies take to process claims, it is unfeasible to not require payment the day surgery is performed. Our knowledgeable insurance staff makes every effort to familiarize themselves with the area plans so you will know about what you can expect your insurance to pay.

May I sleep through the surgical procedure? A: Yes - Dr. Tye successfully completed six months of hospital-based anesthesia training as part of his oral and maxillofacial surgery residency. He has sedated thousands of patients. Safety is of utmost importance. Your vital signs will be monitored with modern, high quality equipment that is regularly inspected and maintained by a skilled biomedical electronic technician. Our conscientious doctor and anesthesia assistants use the safest, proven intravenous medications for your deep sedation.

What are dental implants? A: Dental implants are artificial replacement teeth designed to become part of the mouth and serve the same purposes of the original teeth. Made of an artificial tooth root and a dental crown, dental implants can be used to replace one or more missing teeth. They can also act as support for bridges and partial or full dentures. Dental implants are known for their comfort, functionality, aesthetic, and permanent results.

Why are dental implants an improvement over traditional bridges or dentures? A: Although traditional bridges and dentures have certain benefits, those who have them can sometimes experience undesired consequences. Bridges require the dentist to cut normal tooth structure and increase the potential of dental decay around the margin of the bridge. Also additional force is applied to the supporting tooth of a bridge making it more likely to crack. Dentures allow for slippage, maintenance issues, decreased biting force and other problems. Dental implants are permanent replacements for missing teeth that act as though they are your own. They are custom-designed for the most accurate fit, and they become an actual part of your mouth, just like a natural tooth. This can improve chewing, speaking, and the overall appearance of your teeth.

What does the dental implants procedure entail? A: The dental implants procedure typically involves the placement of a thin anchor, the implant)  attached to the jaw below the gumline. Over a few months, the anchor will fuse to the jaw bone. Once the fusion of the implant has taken place, a custom-tailored dental crown will be affixed to the anchor – creating a new tooth that looks and feels natural.

Is it difficult to care for dental implants? A: Dental implants should be cared for just like real teeth. Your dentist will instruct you how to care for them. With good oral hygiene and routine checkups, you can enjoy them for years.

How long will dental implants last? A: Dental implants will last as long as 35 years to lifetime provide you practice good oral hygiene and visit the dentist regularly. They need the same special attention you give to real teeth. To enjoy them for years, regular checkups with your dentist are important. He or she will tell you how to brush and floss properly to keep your gums, jaws, and teeth in good shape.

Am I a candidate for dental implants? A: If you have missing teeth, you may be a candidate for dental implants. Since the procedure involves oral surgery, a candidate often must have adequate bone density in the jaw and healthy gums. Dr. Tye will give you a full evaluation at your initial consultation to determine whether you are a candidate for the procedure.

Who is qualified to perform Cosmetic Surgery? A: Cosmetic surgery is a unique discipline of medicine focused on enhancing appearance through surgical and medical techniques. Cosmetic surgery can be performed on all areas of the head, neck and body. Because treated areas function properly but lack aesthetic appeal, cosmetic surgery is elective.

Plastic surgery is defined as a surgical specialty dedicated to reconstruction of facial and body defects due to birth disorders, trauma, burns, and disease. Plastic surgery is intended to correct dysfunctional areas of the body and is reconstructive in nature.

As a  Board Certified Oral & Maxillofacial Surgeon and Fellow of the American Academy of Cosmetic Surgery (http://www.cosmeticsurgery.org/patients/index.cfm) with over fifteen years of experience, Dr. Tye is uniquely trained and qualified to perform Facial Cosmetic Surgery.