services-procedures - Coastal Carolina Oral Surgery - Wilmington, NC

Services & Procedures

Dr. Arné has had the unique opportunity of doing an Anesthesiology residency at UNC-CH prior to his surgery training. He is well versed in outpatient anesthesia and has all of the advanced lifesaving equipment that one would find in most hospital settings.  Because of this additional specialization, when the patient and Dr. Arné find it necessary, we may recommend IV sedation or anesthesia to ensure patient comfort. This allows our patients freedom from the distress and pain they would otherwise experience. When undergoing surgery, a patient is required to have a driver available to take them home after the procedure to insure his or her own safety.

Risks

All surgery carries risk, and you should be fully aware of the medical risks associated with a procedure before you consent to surgery. We will discuss these risks in depth during your consultation, and you are encouraged to ask questions about anything you do not understand.


Wisdom Tooth Extractions

Wisdom teeth usually appear between the ages of 16 and 25. It is common for wisdom teeth to affect other teeth as they develop, becoming impacted or even "coming in sideways." They are often extracted when this occurs.

» Learn more about Wisdom Tooth Extractions


Dental Implants

Dental implants are sort of like artificial roots (titanium anchors) onto which temporary or permanent crowns are placed. This can be a good choice for patients who have a missing tooth or multiple missing teeth. Since implants do not rely on adjacent teeth for support (like partials and bridges), implants are not only a more permanent solution, they also won't damage surrounding teeth overtime.

» Learn more about Dental Implants


Bone Grafting

Bone grafting is a surgical procedure that replaces missing or weak areas of bone tissue. This usually takes about 4 months of healing. The transplanted bone has the ability to regenerate completely through this procedure. Bone grafts can be classified as autologous (bone harvested from the patient's own body), allografts (human cadaveric bone usually obtained from a bone bank), a xenograft or bone obtained from another species (i.e. cow or bovine bone), or the bone may be made of synthetic or alloplastic materials. Each material brings different benefits to the table and is not suited for every patient or surgical situation.

» Learn more about Bone Grafting


Exposure and/or Bonding of Un-erupted, Permanent Teeth

The goal of surgically exposing and /or bonding a bracket on to an un-erupted tooth is to move that tooth into a more functional and aesthetic position. Exposure of the tooth usually requires surgically removing any soft or hard tissue that may be covering or preventing the tooth from erupting. Simply removing this tissue, that is preventing eruption, and packing the wound open is sometimes all that is needed to promote proper eruption.

» Learn more about Exposure and/or Bonding of Un-erupted, Permanent Teeth


Pathology

Oral and Maxillofacial Pathology deals with the identification, and management of diseases affecting the oral and maxillofacial regions. These pathologic processes can range from blocked salivary glands, skin and mucosal lesions, benign dental cysts and tumors, to head and neck cancer (H&N Ca), and even insect and animal bites. Each topic will be discussed in greater detail below.

» Learn more about Pathology


Post-Cancer Oral Reconstruction

For most post-cancer patients, reconstruction can dramatically improve physical appearance and quality of life. Commonly, reconstructive surgery is applied to patients after treatment of certain skin cancers, and cancers of the head and neck regions.

» Learn more about Post-Cancer Oral Reconstruction


Sports Injuries

In athletic sports, the face is often the most vulnerable area of the body and is the least protected. These types of injuries are most often due to direct hits with a ball or player-to-player contact. The most common types of sports-related facial trauma are soft tissue injuries and fractures of the facial bones (the nose, cheeks, upper and lower jaws and forehead). These injuries can often occur separately or in combination. Depending on the extent of damage, some injuries may require surgery to repair.

» Learn more about Sports Injuries


Gingival Surgery

Gingival surgery is generally used to cover an area of exposed tooth root surface with grafted oral tissue. The covering of exposed root surfaces accomplishes a number of objectives: the prevention of further root exposure, decreased tooth sensitivity, reduced susceptibility to tooth decay, improved long term tooth survivability, and improved appearance.

» Learn more about Gingival Surgery


Apicoectomy

Apicoectomy, is a surgical procedure that removes dead and infected tissue when normal root canal treatments have failed and a re-treatment has already been determined to be unsuccessful or is not advised. A simple incision at the apex of the root tip allows for access to the cysts that usually form around failed root canal treated teeth. Once the cyst has been removed, the tip of the root is amputated and then sealed. The cystic cavity is then packed to prevent wound breakdown and the incision is closed. Success rates vary but, in general, single rooted teeth have a much better prognosis than multiple rooted teeth.

» Learn more about Apicoectomy


TMJ

TMJ (Temporomandibular Joint) is an acute or chronic inflammation of the joint that connects the mandible to the skull. The disorder can result in significant pain and impairment. Many people inaccurately associate facial muscle with the "catch all" phrase TMJ. The vast majority of facial muscle issues can rather be classified as "myofascial pain."

» Learn more about TMJ