NK nestor d. Karas, DDS,MD
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Trauma & Trauma Reconstruction
Oral and maxillofacial surgeons are highly trained, and skilled to evaluate and treat facial trauma. Naturally injuries to the face bear a lot of physical and emotional trauma. Dr. Karas has a “hands on” experience and understanding of how to provide treatment that will affect the patient’s appearance and long term function.
What are Types of Facial Trauma?
Dr. Karas is trained for facial injuries, which include these conditions:
Knocked-out teeth
Fractured jaws (lower and upper jaw)
Fractured facial bones (eye socket, cheek, or nose)
Facial lacerations
ntra oral lacerations
What Causes Facial Trauma?
There are several causes of facial trauma, such as sports injuries, motor vehicle accidents, interpersonal violence, accidental falls, and work-related injuries. The types of facial injuries range from moderate to severe (a moderate as injuries to teeth to extremely severe injuries to skin and bones of the face). Facial injuries are categorized as soft tissue injuries (skin and gums), bone injuries (fractures), or extraordinary regions (such as facial nerves, eyes or the salivary glands). How are Facial Injuries Treated?
Soft Tissue Injuries:
Soft tissue injuries are repaired by suturing. Dr. Karas takes special care to ensure the best cosmetic results and that your facial nerves, salivary glands, and salivary ducts are intact and functioning properly.
Bone Injuries:
Fractures to the bones in your face are treated similarly to fractures in other parts of your body. The form of treatment is dependent upon the location of the fracture, how severe the fracture is, age, and your general health. A cast is often used when an arm or leg is fractured, but since a cast cannot be placed on your face, we have other methods to stabilize facial fractures.
Sometimes jaws are wired together for fractures to the upper and/or lower jaw. Other types of jaw fractures are treated by surgically placing small plates and screws at the injury site (See Figure 2). This technique is often favored because jaws do not need to be wired together and can still allow for necessary healing. This type of procedure allows patients to return to normal function quickly (See Figure 3).
Figure 1: Jaw Fracture Figure 2: Surgical Plates Placed at the Injury Site Figure 3: Normal Function Returned Quickly
We ensure your appearance will be minimally affected by accessing facial bones using the fewest incisions necessary. All necessary incisions are small and place so the resultant scar is hidden.
Teeth and Surrounding Dental Structures Injuries
Oral surgeons commonly treat fractures in the supporting bone to the injured teeth, or replanting teeth hat have been knocked out or displaced. These injuries are treated by a number of forms of splinting (bonding or wiring teeth together). If your tooth is knocked out, it should be placed in salt water or milk to keep it healthy. The tooth needs to be inserted back into the dental socket as soon as possible for the best chance of survival. You should never wipe the tooth off because there may be remnants of the ligament that held the tooth in the jaw and are vital to replanting the tooth successfully.
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This material does not constitute medical advice. It is intended for informational purposes only.Please consult a physician or dentist for specific treatment recommendations.