Our Services

Our Services

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

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

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.

A wisdom tooth that is deemed problematic is normally extracted to avoid any oral complications. To have a wisdom tooth removed, a small incision is made to open up the gum tissue over the tooth and remove any bone that is covering the tooth. Once the tooth is in view, it is gently grasped with a dental instrument, known as a forcep, and gently rocked back and forth to loosen it from the jaw bone and surrounding ligaments. Sometimes the tooth may need to be cut into smaller pieces to make it easier or removal. Stitches may be necessary after the removal of a wisdom tooth.

A tooth that can not be saved with restorative materials may need to be removed. Before removing your tooth, the area will be numbed with anesthesia. The tooth is then loosened using a special dental instrument known as an elevator. After it is loosened from the socket, it is gently removed by a forcep, a dental instrument commonly used in dental extractions. Stitches may be necessary after the removal of a tooth.

An impacted tooth is a tooth that fails to fully pass through the gums for various reasons.

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), a growth factor, is a mixed gel that can be applied directly into tooth sockets and other sites. The use of PRF in tooth sockets after tooth extractions is capable of improving soft tissue healing and positively influencing bone regeneration. PRF in extraction sites is utilized for reducing pain and shortening healing time, aimed to improve post op quality of life.

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 implants are the replacement of tooth roots in the mouth. Implants provide a strong foundation for fixed or removable replacement teeth. Dental implants are small anchors made of biocompatible metal called titanium, which are placed in the jawbone. The anchors begin to fuse with the bone over a few months. After the fusing process, known as osseointegration, abutment posts are inserted into the anchors to allow for the permanent attachment of the replacement teeth. To fabricate the replacement teeth, an impression is taken and a model of the bite is created. The replacement teeth are based on this model. Replacement teeth can either be crowns or dentures fabricated and designed by your restorative dentist.

Dental implants are the replacement of tooth roots in the mouth. Implants provide a strong foundation for fixed or removable replacement teeth. Dental implants are small anchors made of biocompatible metal called titanium, which are placed in the jawbone. Recent technology allows in certain circumstances for dental implants to be placed at the same time as tooth removal.
“Teeth in a Day” is a unique implant solution that allows patients who are missing or will require removal of all of their upper and/or lower teeth to replace a full arch of teeth using only four to six implants as “anchors” for the full restoration in just one day. This technique is made possible by the All on Four concept and offers many advantages over traditional dentures.

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.

Alveolar bone grafting is the replacement or enhancement of bone around teeth. When a tooth is lost, the surrounding bone collapses. Bone grafting is performed to reverse bone loss or enhance bone volume. The bone can be taken from parts of the body or from synthetic material. Bone grafting allows for proper support of dental implants or prostheses.


The active ingredient in INFUSE® Bone Graft is recombinant human bone morphogenetic protein-2 (rhBMP-2), a manufactured version of a natural protein that is found in small quantities in the body. The purpose of the protein is to stimulate bone formation.

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.


Soft Tissue, periodontal or “gum” grafting is a very important aspect of achieving excellent esthetic results for dental implants. Dental implants thrive with a band of strong gums surrounding them and grafting techniques can replace or enhance deficient tissue around dental implants to create a natural and biologic smile. Gingival grafts offer a cosmetic and healthy maintenance solution for dental implants placed. Grafting is a highly predictable procedure and provides a stable healthy protective gum layer around the implant. The tissue necessary for a soft tissue graft procedure requires harvesting healthy tissue from another part of the mouth. A thick piece of protective tissue is taken from the palate, just in side the upper teeth, and transplanted to the site of the recession. In certain circumstances, however, donated grafting materials such as Allografts® or Xenografts® may be used in place of your own tissue, with no additional surgery required.
A sinus lift is a surgery that adds bone to your upper jaw in the premolar and molar areas of your mouth. An incision is made to add bone where the premolar and molar teeth were previously. A small circular shape is made in the bone to access the sinus and the sinus membrane is gently pushed up and away from the upper jaw. Once this is completed, bone graft material is filled into the space where the sinus was previously, the incision is closed and the healing process begins.

Oral and maxillofacial pathology refers to the diseases of the mouth and the jaw. Treatment options vary based on the patient’s specific needs.

Cone Beam technology provides a 3D digital tomographic view of the patient’s area of interest. A traditional x-ray is only two-dimensional. With Cone Beam systems, Dr. Lucca is able to get a full 360 degree view of the tooth and all surrounding areas. The 3D Cone Beam scanner provides nearly limitless views of the teeth while using less radiation than traditional medical CT technology. This new technology is fast, simple and painless, providing many wonderful benefits that were unavailable only a few years ago. 3D Software facilitates the implant planning process, helping both dentist and patients to see exactly how implants will improve their smile and tooth function. The 3-D detailed view of the patient’s mouth also helps with precise placement, facilitating minimally invasive implant placement.
Using a virtual 3-D model or a physical Model, implant placement and the following restorative work can be simulated to create the ideal patient treatment plan. These virtual plans allow Dr. Lucca to take multiple aspects of implant placement and restoration into consideration, resulting in optimal aesthetics, function and longevity for the patient’s final restoration. Working with a 3-D model also allows patients to better understand the planned procedures and visualize the end result.

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.

Botox® Treatment

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® Treatment

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 frenectomy is a simple surgical procedure performed to release the connection of the “frenum,” a tight band of connective tissue. There are two types of oral frenectomies that are frequently performed on both adults and children for a variety of reasons.

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.