Oral & Maxillofacial Surgery

Though oral or facial surgery may be planned or unexpected, it does not have to be unpleasant. We take every opportunity to prepare you for your procedure by providing you with information on what you can expect. Your questions are answered and encouraged, as we take your comfort seriously. We plan in advance for your post-operative comfort with a thorough and comprehensive medical evaluation. This preparation has been shown to provide the best possible surgical success for our patients. We provide the following services.

Common Oral and Maxillofacial Surgery Procedures

We take great pride in the way we treat patients who require wisdom tooth extraction. Although the American Association of Oral and Maxillofacial Surgeons (AAOMS) considers the best time for removal of impacted and unerupted teeth to occur between the ages of 15 and 25, timely wisdom tooth removal is an important part of preventive dentistry at any age. Waiting for impacted and unerupted teeth to cause pain or complex clinical complication results only in more extensive and costly treatment. Our patients report excellent recovery rates following tooth removal.

Patients without teeth who present little or no bone in the jaws for implants may be considered candidates for bone grafting. Using state-of-the-art techniques, bone can be generated to supply additional support for dentures, implants, and replace or rebuild facial structures lost to the ravages of trauma or cancer or other benign tumors.

If deformities of the teeth and jaws are too extreme for orthodontics, orthognathic (jaw) surgery becomes the procedure of choice. Malformations of the jaws and face can be traced to trauma, disease, or heredity. By repositioning the jaw, Dr. Ewig can help you avoid future problems with your bite and provide a better cosmetic appearance.

Before prosthetic restorations such as crowns, bridges, or dentures can be constructed, the hard and soft tissues of the mouth or the jawbones may need to be surgically reshaped. This procedure may be accomplished through recontouring the bone, enlarging the tissues in the floor of the mouth, or by surgical removal of excess tissues of the mouth– allowing for a better fitting and more comfortable restoration.

By itself, cleft lip is harmless but it can be disfiguring; in this situation the cleft can be closed by surgery a few weeks after birth. Unlike cleft lip, which is merely unsightly, a cleft palate can cause eating and swallowing difficulties. Palate deformities can sometimes be cured using an appliance soon after birth. The appliance gently and steadily presses the divided parts of the palate together. For more severe cases, surgery may be required. Dr. Ewig will work with your orthodontist or general dentist to decide the best treatment and post-operative guidelines for you.

For a variety of reasons, tumors, cysts or other growths may form in either the bones or the soft tissues of the mouth. While some may be harmless, others may threaten the health and function of the surrounding tissue. In this case the tumor or cyst should be removed.

In the unfortunate event of trauma to the face or jaw, there are various procedures available to repair fractures as well as reconstruct the facial skeleton. Dr. Ewig is highly skilled in the area of reconstructive surgery and will recreate the ideal position of the facial bones so that a natural appearance may be regained.

Perhaps no other advancement in dentistry has had such a dramatic effect in improving the quality of life for patients. The proper and predictable placement of implants requires the expertise of a residency trained and certified surgeon, and should take into account the site preparation, (any needed bone-grafting) as well as the most comprehensive guided implant surgery available. Dr. Ewig has been a highly successful implant surgeon for over 25 years.

The diagnosis and surgical treatment of the temporomandibular joint and surround structures has been an area for which Dr. Ewig is known.

Medical Management
Incision and drainage of infections

Removal of stones
Removal of submandibular gland or sublingual gland
Management of salivary gland disease

Chin, Cheek or Jaw Augmentation and Reduction
Maxillofacial cosmetic surgery
Facial scar revision