Facial Trauma 2017-11-17T18:05:46+00:00

Dental Work for Facial Trauma

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Recovering from Facial Trauma and Surgical Options

The dental specialist performs the proper treatment of facial trauma injuries. These professionals must be well versed in emergency care, acute treatment and long-term reconstruction and rehabilitation – not just for physical reasons but emotional as well. Oral and maxillofacial surgeons are trained, skilled and uniquely qualified to manage and treat facial trauma. Injuries to the face, by their very nature, impart a high degree of emotional, as well as physical trauma to patients. The science and art of treating these injuries requires special training involving a “hands on” experience and an understanding of how the treatment provided will influence the patient’s long term function and appearance. Dr. Saunders, Lader, Rachiele, Geller, Goulston, Arnone, and Fedele meet and exceed these modern standards. They are trained, skilled, and uniquely qualified to manage and treat facial trauma. They are on staff at local hospitals and deliver emergency room coverage for facial trauma, which include the following conditions:

Facial lacerations

Intra oral lacerations

Avulsed (knocked out) teeth

Fractured facial bones (cheek, nose or eye socket)

Fractured jaws (upper and lower jaw)

The Nature Of Maxillofacial Trauma

There are a number of possible causes of facial trauma such as motor vehicle accidents, accidental falls, sports injuries, interpersonal violence, and work-related injuries. Types of facial trauma injuries can range from injuries of teeth to extremely severe injuries of the skin and bones of the face. Typically, facial trauma injuries are classified as either soft tissue injuries (skin and gums), bone injuries (fractures), or injuries to special regions (such as the eyes, facial nerves or the salivary glands).

When soft tissue facial trauma injuries such as lacerations occur, they are repaired by suturing. In addition to the obvious concern of providing a repair that yields the best cosmetic result possible, care is taken to inspect for and treat injuries to structures such as facial nerves, salivary glands, and salivary ducts (or outflow channels). Our Doctors are a well-trained oral and maxillofacial surgeons and are proficient at diagnosing and treating all types of facial trauma lacerations.

Fractures of the bones of the face are treated in a manner similar to the fractures in other parts of the body. The specific form of treatment is determined by various factors, which include the location of the fracture, the severity of the fracture, the age, and general health of the patient. When an arm or a leg is fractured, a cast is often applied to stabilize the bone to allow for proper healing. Since a cast cannot be placed on the face, other means have been developed to stabilize facial fractures. One of these options involves wiring the jaws together for certain fractures of the upper and/or lower jaw. Certain other types of fractures of the jaw are best treated and stabilized by the surgical placement of small plates and screws at the involved site. This technique of treatment can often allow for healing and obviates the necessity of having the jaws wired together. This technique is called “rigid fixation” of a fracture. The relatively recent development and use of rigid fixation has profoundly improved the recovery period for many patients, allowing them to return to normal function more quickly.

The treatment of facial trauma fractures should be accomplished in a thorough and predictable manner. More importantly, the patient’s facial appearance should be minimally affected. An attempt at accessing the facial bones through the fewest incisions necessary is always made. At the same time, the incisions that become necessary, are designed to be small and, whenever possible, are placed so that the resultant scar is hidden.

Isolated injuries to teeth are quite common and may require the expertise of various dental specialists. Oral surgeons usually are involved in treating fractures in the supporting bone or in replanting teeth that have been displaced or knocked out. These types of facial trauma injuries are treated by one of a number of forms of splinting (stabilizing by wiring or bonding teeth together). If a tooth is knocked out, it should be placed in salt water or milk. The sooner the tooth is re-inserted into the dental socket, the better chance it will survive. Therefore, the patient should see a dentist or oral surgeon as soon as possible. Never attempt to wipe the tooth off, since remnants of the ligament that hold the tooth in the jaw are attached and are vital to the success of replanting the tooth. Other dental specialists may be called upon such as endodontists, who may be asked to perform root canal therapy, and/or restorative dentists who may need to repair or rebuild fractured teeth.

In the event that injured teeth cannot be saved or repaired, dental implants are often now utilized as replacements for missing teeth. The proper treatment of facial trauma injuries is now the realm of specialists who are well versed in emergency care, acute treatment, long-term reconstruction, and rehabilitation of the patient.

Office Locations

Bethlehem, PA
Allentown, PA
Easton, PA
Stroudsburg, PA
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OUR PATIENTS SAY

We love getting feedback from our patients! If you’re still undecided about whether or not you can trust St. Luke’s OMS to handle your oral surgery needs, than please feel free to see what others are saying on our testimonials page.

The doctors and staff at St. Lukes OMS have consistently been great to work with. Dr. Geller is very skilled and our family is very happy with the numerous times he has performed surgery on our children. Highly recommend St. Luke’s OMS!

Autumn H.

Had two wisdom teeth taken out. Was told horror stories at work. Dr. Gholston extracted without any problems. Have very little pain. He gave me the right meds, to keep it under control. Great bedside manner. Was my third time there for extractions. Thanks Dr. Gholston.

Robert A.

I had an appointment here yesterday (5/31/16) at the Allentown office to get a tooth extracted. I’ve never been more pleased with a dentist. Appointment was at 11 am and I was in my car at 11:26! Awesome professionalism from all as well! No pain during the extraction either! Highly recommend!

Katie P.
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Our team at St. Luke’s OMS makes themselves available 24 hours for oral surgery emergencies. That is why we are the leading Lehigh Valley oral Surgery Practice! If you have an issue that is not during the time of office hours, call us at 610-865-8077 and leave a message for our answering service. We will be able to evaluate your emergency needs and direct you as needed.