Facial Trauma

Our team of Oral and Maxillofacial Surgeons are trained, skilled and uniquely qualified to manage and treat Facial Trauma. our team  is on staff at local hospitals and provides emergency room coverage for facial injuries including:

  • 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

Motor vehicle accidents, accidental falls, sports injuries, interpersonal violence and work related injuries are among number of possible causes of facial trauma. Injuries to the face  can range from injuries of teeth to extremely severe injuries of the skin and bones.

Soft Tissue Injuries of the Maxillofacial Region

Soft tissue injuries such as lacerations are repaired by suturing. Our team is trained to achieve 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.

Bone Injuries of the Maxillofacial Region

Location and type of the fracture will determine the specific form of treatment is needed to treat the injury.

One of these options involves wiring the jaws together for certain fractures of the upper and/or lower jaw. 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.

Injuries to the Teeth and Surrounding Dental Structures

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 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 injuries is now the realm of specialists who are well versed in emergency care, acute treatment, long term reconstruction and rehabilitation of the patient