We offer an extensive list of oral & facial (Maxillofacial) services, some of which are included below. If you have questions about any of our treatment options, please give our friendly staff at our Boston office a call to see about scheduling an appointment so we can go over your specific treatment options in more detail. You can click on any of the topics listed below to learn more.
Local Anesthesia (“Novocaine”) will produce a numb feeling in the area being operated on and you will be aware of a feeling of pressure during surgery. You will be awake and recall the surgery, but there should be no significant discomfort. Local Anesthesia can be used alone, and is always used in combination with Nitrous Oxide, IV Sedation and General Anesthesia to ensure a pain free experience after your surgery.
Nitrous oxide, sometimes referred to as “laughing gas,” is an effective and safe sedation agent that is inhaled through a mask that fits over your nose to help you relax. Mixed with oxygen, nitrous oxide allows you to breathe normally through your nose and within minutes you should start to feel the effects. You may feel light-headed or a tingling in your arms and legs. Some patients comment that their legs and arms feel heavy. Ultimately, you should feel comfortable and calm. The effects of nitrous oxide wear of quickly after the small mask is removed. Talk to Dr. Lucca about whether nitrous oxide would be a good option for you.
Mild, Moderate and Deep Sedation (IV Sedation) and General Anesthesia
In most cases, anesthesia is administered through an I.V. and makes patients feel relaxed, often enough that they fall asleep.
Patients that are under anesthesia during their procedure are continuously monitored with a pulse oximeter, blood pressure cuff and an EKG.
Procedures that are performed under general anesthesia are psychologically less traumatic for the patient since they are asleep. Procedures are often performed more quickly and the patient is ready to go home about 15 to 20 minutes after the procedure is completed.
Impacted wisdom and cuspid (or canine) teeth are fairly common. For impacted wisdom teeth, the most common procedure is extraction. For impacted canine teeth, several treatment modalities are available.
Surgically Assisted Orthodontics can involve removing primary (baby teeth) or exposing the tooth to place an orthodontic bracket which is utilized to help bring the tooth into proper alignment.
If children are undergoing orthodontic treatment, orthodontic anchorage can be a useful tool to assist in tooth movement. The surgical placement of a small anchorage device can assist in pulling teeth forward or pushing teeth back or moving teeth in to the correct position. We will work with your child’s orthodontist to coordinate our treatment plans.
Platelet-rich fibrin (PRF) is a new approach to tissue regeneration. PRF derives from the centrifugation of a patient’s own blood and contains growth factors that influence wound healing. This is important in tissue repair mechanisms. The use of PRF in surgical practice has beneficial outcomes, reducing bleeding and enhancing soft tissue healing and bone regeneration.
Dental implant placement can help alleviate the sunken look that can occur with bone loss in the jaw by stimulating bone growth in the area around the implant. This process is called osseointegration and can also help prevent future bone loss. A major advantage of All on Four technology is that it allows avoidance of expensive and time consuming bone grafting procedures that delay the process.
With implant supported full arch restoration, there is no plate covering the roof of the mouth, so speaking and eating are more natural and comfortable than with a traditional denture. Easy to care for, this type of restoration can simulate the look and feel of natural teeth and stay fixed in place with the implants acting as anchors for new teeth. Patients will not experience the typical rocking and movement or gum irritation associated with dentures.
“All on four” restorations can often be placed in one office visit, reducing both overall cost and healing time. Dr. Lucca’s talented team of lab technicians can be present on site during the procedure to provide a full set of teeth on the same day as the implant surgery.
Our Boston oral surgeons are happy to provide consultation utilizing our state of the art technology and to discuss in detail all on four and teeth in a day implant solutions.
When INFUSE® Bone Graft is used during oral surgery, the rhBMP-2 protein is mixed with sterile water. This solution is then soaked onto an absorbable collagen sponge, which is crafted from a material found in bone and tendons. The absorbable sponge releases the protein over time in the treated area, providing a foundation on which new bone can grow. As the graft site heals, the ACS is resorbed and replaced by bone.
When used during jaw bone resorption, rhBMP-2 may be placed in the section or sections of the jaw bone that need to be built back up in preparation for dental implants.
Once planning is complete, specialized software can be used to create a surgical guide that will used during implant placement. This guide directs the exact location, angle and depth of the implant placement. The use of the guide increases the accuracy, efficiency and safety and predictability of the procedure.
With noticeable results without surgery or recovery time, there are many reasons why Botox® Cosmetic treatments could be right for you. Botox® offers noticeable changes to your appearance without surgery or recovery time, and is ideal for erasing facial lines on the forehead and around the eyes, leaving you looking more youthful and feeling more beautiful for up to a year.
Juvederm® is an FDA Approved gel filler that can be used to smooth away wrinkles around the nose and mouth. One treament can offer natural looking results for up to a year.
A Labial Frenectomy, or lip release, is performed on the tissue that connects the lip to the gums. This may be performed on children or adults to aid with orthodontic treatment or even help with the proper fitting for a denture or appliance.
A Lingual Frenectomy may also be referred to as the release of tongue-tie (ankyloglossia). This procedure is performed on the connective tissue under the tongue. The procedure is often performed on neonatal patients to assist with nursing or on toddlers or older patients who need the surgery to help correct speech issues caused by limited movement due the the frenum.