Oral Surgery

Dr. Grossman has extensive experience in major hospital oral and maxillofacial surgery, including trauma, orthodontic surgery and facial reconstruction. He concentrates on office surgery, Dental Implants, Bone and Tissue Grafting, Wisdom Tooth Removal, Dental Extractions; Management of Oral Pathology (Cyst, tumors, and infections); Endodontic, Microsurgery (Root Canal Surgery) and Temporomand ibular Joint Therapy.

We utilize the latest instruments and techniques to provide the best care. These include Intraoral Laser Surgery, Anesthesia and Pain Control, and Diagnostic Imaging.

Dental Extractions

Extractions are performed with effort to save supporting bone and gum tissues. This preserves the maximum structures to support the placement of implants, bridges, or dentures for the best possible functional and cosmetic results.

Management of Oral Pathology (Cyst, Tumors, and Infections)

Oral pathology and oral infections can cause pain and swelling. Significant damage, not noticed by patient is seen by your dentist in our x-rays. We use state of the art diagnostic instruments such as panoramic x-rays, tomograms, and CT scans.

Pathology is treated with laser surgery using microscopes when appropriate. We will discuss the diagnosis and treatment options in detail and supply you with copies of all pathology reports.

Reconstruction (Jaws, Dentures, Bridges, Implants)

Jaw bone and gum tissues shrink, get distorted or are lost from cyst, tumors, trauma, periodontal disease and tooth loss. Pressure from dentures, and partials, slowly destroy the bone which can be restored with implants, bone grafts and/or soft tissue. Grafts must be added in areas where cosmetics are a concern, such as the front of the mouth, before implants, bridges or denture can be made.

Dr. Grossman currently uses a new technology that will enhance and shorten the time your body needs to heel itself. By using a small amount of your own blood, we can produce a gel that when applied properly, will accelerate wound and bone graft healing, while decreasing the amount of bruising traditionally associated with various cosmetic and dental procedures. This procedure is called harvesting of Platelet Derived Growth Factors or Platelet Rich Gel.

The PDGF gel that is produced while you are in surgery is rich in your own blood's growth factors. These growth factors allow your body to heal itself faster. Since it's your blood there is no chance for transmission of infections. The procedure is simple and pain free. Once you are in the surgical suite, a small amount of blood is taken from you, processed and the PDGF gel is applied at the surgical site or mixed with the bone graft material and applied on top of the graft towards the end of the procedure. This technique is one of many that Dr. Grossman has incorporated into his practice to make sure that you have the best care.

Endodontic Microsurgery (Root Canal Surgery)

Recently, the operating microscope has been introduced to the dental community where its use has revolutionized surgical endodontics (surgical root canals). Cases that only a few years ago could not be done and required tooth extraction now can be treated with great clinical success.

Surgical root canals are done when regular root canals fail, when there is a large cyst or infection in the bone at the root of a tooth, and when teeth have caps (crowns) or large filling where regular root canals are difficult to do.

Postoperatively patients have reduced discomfort and swelling when procedures are done under the microscope or surgical telescope because tissue is handled so gently during these procedures.

Anesthesia

All surgical procedures may be done using local anesthesia (numbing). Nitrous oxide, (laughing gas) and/or intravenous general anesthesia, (twilight sleep), (IV sedation) are also available and commonly used to reduce stress and anxiety. Our staff is CPR trained. Dr, Grossman is certified in Advance Cardiac Life Support (ACLS) and we have a general anesthesia license from the board of Dental Examiners- which requires regular in-office testing. Our anesthesia monitoring equipment is the same as you would find in a modern hospital operating room.

Patient Education

Informed patients understand and participate in their treatment and care. Good communications make for better results and happier patients.

In addition to personal consultations, we have patients education programs which address the details of his services, like CD’s, VCR tapes and written material.
If at any time you have additional questions, please ask!

Infection Control

Since taking medical histories and clinical examinations do not guarantee the identification of serious infectious diseases such as hepatitis, herpes and HIV, we practice UNIVERSAL PRECAUTIONS and follow infectious control guidelines of OSHA and the US Center for Disease Control, including:

• BARRIER Technique - the use of gloves, surgical masks and protective clothing when treating patients.
• STERILIZATION and DISINFECTION - steam on chemical, sterilization is used to destroy all microorganisms, on all surgical instruments. Sterile irrigating solutions are used. Disposable instruments are used where possible and all sterilizing equipment is biological monitored routinely.

All operatory equipment and surfaces that are disinfected with Environmental Protection Agency (EPA) registered disinfectants that are tuberculocidal, virucidal, and eliminates virtually all recognized pathologic microorganisms (bacteria).

Diagnostic Imaging

We use state of the art 'high tech' imaging procedures to assure the safest and most accurate surgical results. We have in office panographic equipment. Tomographic x-ray equipment is available This technology is particularly valuable when planning implant cases, as we can evaluate bone and jaw relationship in all dimensions, and even do 'mock surgery' on the computer-assuring that there will be no surprises during the real surgery.

Home | About the Doctor | Surgery | Dental Implants | Before & After Photos | Contact Us