Dental Implants, Oral and Maxillofacial Surgery

The Hershman Group and staff use leading edge technology to change lives. The doctors' expertise and compassion are evident in everything he does. Included below are descriptions of some of our leading services.

Grafts
Over a period of time, the jawbone associated with missing teeth atrophies or shrinks. This often leaves a condition in which there is poor quality and quantity of bone suitable for placement of dental implants. In these situations, most patients were previously not candidates for placement of dental implants. Today there are multiple bone grafting procedures available to reconstruct these areas...read more

Dental Implants
Usually, when you lose a tooth, it is best for your oral health to have it replaced. Missing teeth can affect your "bite" as well as your ability to speak and chew. Their loss can increase the burden on your remaining teeth and can cause muscle pain in your jaws and headaches...read more

Surgical Management of Impacted Teeth
An impacted tooth simply means that it is "stuck" and can not erupt into function. Patients frequently develop problems with impacted third molar (wisdom) teeth. These teeth get "stuck" in the back of the jaw and can develop painful infections among a host of other problems...read more

Maxillofacial Surgery
There are a number of possible causes of facial trauma. Motor vehicle accidents, accidental falls, sports injuries, interpersonal violence and work related injuries account for many. Types of facial injuries can range from injuries of teeth to extremely severe injuries of the skin and bones of the face...read more

Pathology
The inside of the mouth is normally lined with a special type of tissue called mucosa which is smooth and coral pink in color. Any alteration in this appearance could be a warning sign for a pathological process. The most serious of these is oral cancer. The following can be signs at the beginning of a pathologic process or cancerous growth:

  • Reddish patches (erythroplasia) or whitish patches (leukoplakia) in the mouth
  • A sore that fails to heal and bleeds easily
  • A lump or thickening on the skin lining the inside of the mouth
  • Chronic sore throat or hoarseness
  • Difficulty in chewing or swallowing

These changes can be detected on the lips, cheeks, palate, and gum tissue around the teeth, tongue, face, and/or neck. Pain does not always occur with pathology and, curiously, is not often associated with oral cancer. However, any patient with facial and/or oral pain without an obvious cause or reason may also be at risk for oral cancer.

We would recommend performing an oral cancer self-examination monthly and remember that your mouth is one of your body's most important warning systems. Do not ignore suspicious lumps or sores. Please contact us so we may help.

Apicoectomy
An Apicoectomy, or Root-End Resection, is the removal of the root tip and the surrounding infected tissue of an abscessed tooth. This procedure may be necessary when inflammation and infection persists in the area around the root tip after root canal therapy or root canal retreatment.

Impacted Wisdom Teeth
By the age of eighteen, the average adult has 32 teeth; 16 teeth in the upper jaw and 16 teeth in the lower jaw. Each tooth in the mouth has a specific name and function. The teeth in the front of the mouth (incisors, canine and bicuspid teeth) are ideal for grasping and biting fo od into smaller pieces. The back teeth or molar teeth are used to grind food up into a consistency suitable for swallowing.

The average mouth is made to hold only 28 teeth. It can be painful when 32 teeth try to fit in a mouth that holds only 28 teeth. These four other teeth are your Third Molars, also known as "wisdom teeth." If you'd like a wisdom teeth examination in Manhattan, please call us for an appointment.

Why Should I Remove My Wisdom Teeth?
Wisdom teeth are the last teeth to erupt within the mouth. When they align properly and gum tissue is healthy, wisdom teeth do not have to be removed. Unfortunately, this does not generally happen. The extraction of wisdom teeth is necessary when they are prevented from properly erupting within the mouth. They may grow sideways, partially emerge from the gum and even remain trapped beneath the gum and bone. Impacted teeth can take many positions in the bone as they attempt to find a pathway that will allow them to erupt successfully.

These poorly positioned impacted teeth can cause many problems. When they are partially erupted, the opening around the tooth allows bacteria to grow and will eventually cause an infection. The result: swelling, stiffness, pain and illness. The pressure from the erupting wisdom tooth may move other teeth and disrupt the orthodontic or natural alignment of teeth. The most serious problem occurs when tumors or cysts form around the impacted wisdom tooth, resulting in the destruction of the jawbone and healthy teeth. Removal of the offending impacted tooth or teeth usually resolves these problems. Early removal is recommended to avoid such future problems and to decrease the surgical risk involved with the procedure.

Oral Examination of Wisdom Teeth
With an oral examination and x-rays of the mouth, Dr. Hershman evaluates the position of the wisdom teeth and predict if there may be present or future problems. Studies have shown that early evaluation and treatment result in a superior outcome for the patient. Patients are generally first evaluated in the mid- teenage years by their dentist, orthodontist or by an oral and maxillofacial surgeon.

All outpatient surgery is performed under appropriate anesthesia to maximize patient comfort. Dr. Hershman has the training, license and experience to provide various types of anesthesia for patients to select the best alternative.

Removal of Wisdom Teeth
In most cases, the removal of wisdom teeth is performed under local anesthesia, laughing gas (nitrous oxide/oxygen analgesia), intravenous sedation or general anesthesia. These options as well as the surgical risks will be discussed with you before the procedure is performed. Once the teeth are removed, the gum is sutured. To help control bleeding, bite down on the gauze placed in your mouth. You will rest under our supervision in the office until you are ready to be taken home. Upon discharge, your post-operative kit will include postoperative instructions, appropriate prescriptions and a follow-up appointment if necessary. If you have any questions, please do not hesitate to call us.

Our services are provided in an environment of optimum safety that utilizes modern monitoring equipment and staff that are experienced in anesthesia techniques.

Post Operative Instructions
Download Post-Operative Instructions here

 

 

Oral and MaxilloFacial Surgeon - Brooklyn
2469 65th Street
Brooklyn, NY 11204
718-382-9399