Oral Surgery in Midtown East

Even with the best preventive dentistry measures, sometimes oral surgery is the best option. When oral surgery is required, New York General Dentistry is here to take excellent care of you.

Whether it’s removing wisdom teeth, restoring a tooth suffering from extensive decay, or helping you recover from gum disease, we’re here to help. Our board-certified dental specialists and oral surgeons provide a variety of oral and maxillofacial surgery procedures and the highest quality of care to relieve pain and restore your health. All surgery procedures can be performed in our state-of-the-art New York dental office.

With an emphasis on comfort, precise results, and easy recovery, our team works hand-in-hand with you to ensure your dental surgery procedure is as stress-free as possible.

Types of Oral Surgery 

Maxillofacial Surgery

Maxillofacial surgery is focused on the jaw and lower facial regions. This type of surgery is usually recommended by Dr. Chern if you have a misaligned jaw that causes issues with chewing or speaking. Additionally, this type of surgery can help alleviate TMJ disorders, relieving facial pain, headaches, and other symptoms of TMJ. This surgery can not only help your comfort, lifestyle, and oral health but can also improve your cosmetic appearance and function.

Tooth Extraction

A common procedure performed by oral surgeons is tooth extraction. Extractions are usually necessary for resolving extensive decay, trauma, or overcrowding in the mouth. Removing diseased tissue restores the mouth to health and function and prevents further concerns from developing in the teeth or other oral tissues. Often, tooth extraction is performed in tandem with restorative treatments like implants or bridges to make sure your smile remains complete and you don’t experience negative side effects from gaps in your smile.

Implants

Dental implants are usually used to replace missing teeth. They work by placing a socket in the jawbone where a rod can be attached to support a fabricated tooth or bridge. The process is often performed under local anesthesia and requires several months of healing prior to final crown placement. Dental implants can restore your oral function and fill in missing gaps where teeth were lost or extracted.

Wisdom Teeth Removal

Although some people don’t experience any problems with their wisdom teeth, many people need them removed at some point. This is because they can cause concerns like crowding, shifting, problems with your bite, or even discomfort if the wisdom teeth aren’t removed within the right timeframe.

Bone Grafting

Bone grafting is a minor surgery where bone material from elsewhere on your body (or from another source) is deposited into the jaw to combat bone loss. Bone loss usually happens as a result of decay, but it may also be necessary to perform a bone grafting procedure onto the jaw in order to place implants. 

Crown Lengthening

This type of oral surgery is used to expose more of the tooth structure by reshaping the gum and bone tissue. This can have a lot of benefits including cosmetic (to address a gummy smile) or for certain restorative procedures.

The Oral Surgery Process and What to Expect

Your First Appointment (30-45 minutes)

Dr. Chern will speak with you during a consultation to discuss your oral surgery options in Midtown. A surgical treatment plan will be formulated, and our team will coordinate your subsequent appointments. We are partnered with experienced oral surgical specialists all around New York and can ensure you receive consistent and high-quality care. 

Your Surgical Appointment (60-90 minutes)

Your oral surgeon will make sure you know what to expect during your surgery. Most oral surgeries are performed using a local anesthetic or IV sedation, meaning you’ll be comfortable and relaxed throughout. You’ll receive detailed aftercare instructions to follow, as well as what to expect from follow-up with your oral surgeon or our office. Your oral surgeon will coordinate any relevant information with us as well so that we can keep track of your treatment.

Your Follow-Up Appointment (15-30 minutes)

As you recover, it’s important to keep an eye on your progress and take the right steps for the next part in your treatment plan, whether this includes restorative devices or further care from Dr. Chern. We’ll make sure you know whether to come back for another follow-up and can help you schedule accordingly.

Caring for Your Oral Surgery Results

Your oral surgeon will provide detailed instructions to follow to ensure a successful recovery. When it comes to maintaining your results for the long term, make sure to follow these steps:

  • Eat a healthy diet (with moderate amounts of sweets and soft drinks)
  • See your board-certified dentist regularly for check-ups and hygiene appointments (every 4-6 months)
  • Brush your teeth twice daily for 2 minutes with a soft or electric brush
  • Floss every day or use a water flosser (Waterpik)

Sedation FAQ’s

Are you awake during IV sedation?

There are varying levels of sedation ranging from conscious (awake) to general anesthesia (unconscious).

Can I be sedated for tooth extraction?

Yes, often many dental patients choose to be sedated for extractions to relieve anxiety.

Can you eat and drink before dental sedation?

It is recommended to abstain from eating and drinking for 8-12 hours prior to sedation for oral surgery.

Can you request to be sedated at the dentist?

Yes, you can request sedation. It usually cannot be done the same day and requires some arrangement with a surgeon or dental anesthesiologist.

Do I need sedation for tooth extraction?

You do not need sedation. Extractions are performed under local anesthesia unless the patient specifically desires sedation.

Does sedation dentistry cost more?

There is an additional fee associated with the sedation. The fee varies on the duration and complexity of the procedure.

Can you feel anything under sedation?

Yes, that is why local anesthesia is used in tandem with sedation to relieve pain sensations. Sedation is not a pain reliever. It acts to minimize anxiety.

How does sedation dentistry work?

A consultation appointment is used to discuss sedation options with a board-certified dentist and a subsequent appointment is scheduled for the actual procedure. When you present for the sedation appointment, an IV is placed and the sedative is administered. The procedure is completed and you are placed in a recovery room to have your vitals monitored. Once you are stable, you are escorted home to fully recover.

Is dental IV sedation safe?

Dental sedation is safe with the proper anesthesiologist and with proper monitoring facilities.

How long after sedation can you drive?

You should abstain from driving until the next day. It takes time for the anesthetic to be removed from your system.

How long does dental sedation last?

The sedation can last as long as needed to complete the given oral or maxillofacial surgery. The recovery can be several hours till the medication leaves your blood.

Is dental sedation safe?

Dental sedation is safe when proper pre-operative and post-operative monitoring is conducted.

What are the side effects of oral sedation?

The side effects of oral sedation include drowsiness, sluggishness, loss of memory during the procedure, slow reflexes, low blood pressure, headache and nausea.

How long does it take conscious sedation to wear off?

Depending on the level of sedation, it can take several hours to pass completely through a patients system. To be sure, it is important to ask the treating dentist for specific post sedation timelines.

Is conscious sedation safer than general anesthesia?

Yes, conscious sedation is safer than general anesthesia because patients remain responsive and recover much faster.

What drugs are used for sedation?

Depending on the duration of the procedure, there are a variety of common sedative drugs which include ketamine, phenobarbital, lorazepam, propofol and fentanyl.

What is minimal sedation?

Minimal sedation is a level of anxiety relief where the majority of your senses are intact and you control your own breathing.

What kind of sedation is used for tooth extraction?

A wide range of sedation can be used for extractions ranging from oral sedation to general anesthesia.

What sedation is used for dentistry?

All forms of sedation are used in the field of dentistry. The type depends on the specific needs of the patient and the duration and complexity of the procedure.

What can I expect after sedation dentistry?

You can expect to feel nothing at all or sluggish , drowsy and possibly nauseous. Side effects vary depending on the type of medication used and may differ between patients.

What should I do before dental sedation?

You should stop eating and drinking 8-12 hours prior to surgery. Get a good nights rest and organize someone to accompany you.

Will I feel any pain with dental sedation?

You may feel minor discomfort from the IV needle but otherwise there is no pain from the actual sedation.

Why no food or drink before IV sedation?

Food and drink are contraindicated 8-12 hours before anesthesia so the stomach remains empty. Any food in the stomach can come back up into the mouth and be aspirated into the lungs causing major problems and need for emergency care.

What Makes Our Office the Right Fit for Your Dental Needs?

Personalized Care

Dr. Chern will evaluate your dental health, working carefully with our team to diagnose the problem and recommend the best surgical treatment. We’ll create a treatment plan personalized just for you.

Comfortable Office

When you visit our Midtown East, New York dentist office with surgical needs, we’ll help you feel calm, relaxed, and confident about your dental health future. Your comfort is our top priority.

Toothache causes New York General Dentistry

Health-First Approach

Using our advanced network of surgical specialists, we’ll ensure you get the highest quality care and amazing results. From start to finish, our attention to detail is unparalleled!