At Tucson Oral & Maxillofacial Surgery, we offer a full scope of oral and maxillofacial surgery services. Using the latest techniques and state-of-the-art equipment, we provide a pleasant, warm, and caring environment. We study the latest techniques in oral surgery to provide you with the most advanced surgical care and diagnosis.

Anesthesia

For your surgical procedure, you may choose intravenous sedation or general anesthesia to be used to provide you with a comfortable and safe surgical experience. With the intravenous anesthesia option, the anxiety and fear of undergoing surgery is removed, and, best of all, your procedure is completely painless!

All anesthetics are performed with an emphasis on patient safety, utilizing state-of-the-art equipment and monitoring systems.  Each of our doctors underwent nearly an entire year devoted specifically to anesthesia training during their surgical residencies, and are fully licensed and qualified to provide this service to you.

Dental Implants

Dental Implants are available for patients who are seeking a permanent and predicable solution to replace missing teeth.  Patients who desire the ability to eat and smile as they once did with their natural teeth will select dental implants for a new sense of confidence and a lifetime of dental satisfaction.Dental Implants placed by Dr. Holbrook can replace single or multiple missing teeth. They can be placed individually or splinted together as an implant-supported “bridge”. They can also be used to stabilize and retain ill-fitting or loose dentures in the patient who is missing all their teeth.

There are usually multiple different dental implant options to treat any particular missing tooth situation. If you have an interest in dental implant treatment to restore your smile, please contact our office.

Bone Grafting

When a patient is missing a single tooth or multiple teeth, the jawbone around these areas will shrink in size (height and width) over time due to lack of stimulating forces from chewing. The longer the tooth or teeth have been absent, the more pronounced the bone shrinkage can become. When this occurs, there often is inadequate bulk of bone to support the placement of dental implants to replace the missing teeth. These patients will not be acceptable candidates for dental implant treatment unless the amount of bone in these areas is increased by grafting procedures. Your bone can be “bulked up”, so to speak, by grafting pieces of your own bone harvested from another area of your jaws or another part of your body. Other grafting options include using sterile cadaver bone from human donors, sterile bone from other mammal species, or chemically-engineered synthetic “bone substitutes” that are commercially available and work well in certain situations.

Wisdom Teeth Extraction

Teeth erupt into the mouth in a specific sequence and pattern during childhood and adolescence. Our jaws, in most cases, are only large enough to accommodate 28 teeth. However, there are 32 teeth in the normal adult mouth. The last four teeth to develop are called the third molars, but most people refer to them as “Wisdom Teeth”. The wisdom teeth typically begin to erupt into the mouth between the ages of 16 and 20 years.  Because there is often inadequate room for these teeth, the wisdom teeth rarely grow in to assume a normal position within the jaws to become functional teeth that are useful in chewing. It is more often the case that these teeth come in crooked, leaning in different abnormal directions, or they fail to erupt completely through the jawbone or gums (“impacted” wisdom teeth).

These poorly positioned wisdom teeth can result in negative complications to the overall dental health. These problems include:

  • Tooth decay
  • Periodontal disease (gum disease)
  • Damage to adjacent teeth, possibly resulting in tooth loss
  • Dental crowding
  • Cysts or tumors within the jaw bones

The only predictable way to prevent problems with wisdom teeth is to have them removed before these problems occur.  If you, or your dentist, have concerns regarding your wisdom teeth, an accurate evaluation of the status of these teeth within your jaws can be provided to you by one of our doctors.  The American Association of Oral and Maxillofacial Surgeons recommends timely removal of indicated wisdom teeth between the ages of 15 and 25.  The longer you delay the removal of poorly positioned wisdom teeth, the more likely you are to experience unfavorable complications from the wisdom teeth themselves, or from the surgery required to remove them.

Oral Pathology

The evaluation and diagnosis of growths and lesions within the mouth and jaws is an important aspect of the practice of oral and maxillofacial surgery. Patients referred for evaluation undergo a thorough examination of their head and neck areas.

Not all growths within the mouth are oral cancer. However, the prevention and early diagnosis of cancer is important to the increased survival and prognosis of the patient. Biopsies and/or other tests are performed, when required, to arrive at a diagnosis and to allow the development of an appropriate treatment plan.

Corrective Jaw Surgery

Corrective Jaw Surgery (orthognathic surgery) may be required or requested when a person’s upper and lower jaws grow at different speeds. At the speed that your jaws grow (very slowly), an under-bite or over-bite can be noticeable early on or it could take many years to develop. Fundamentally, this procedure is available and practiced on those whose jaws do not fit together correctly.

With orthognathic surgery, this problem can be reversed. Correcting misaligned jaws can solve a broad range of problems for a patient, including speaking, chewing, breathing, and swallowing.

Before surgery, the teeth are properly aligned through orthodontic therapy (braces). Orthodontics corrects the crowding of teeth and abnormal tooth angulations and rotations. Once the teeth are properly aligned, orthognathic surgery is used to fix the misaligned jaws.

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