Facial Trauma and Reconstructive Surgery

Dental injury.When you were a youngster, did you ever get a black eye, chip a tooth or bruise your cheek? If so, you may have experienced a case (let's hope, a mild one!) of facial trauma. In many situations, however, facial trauma can be severe. Among its major causes are auto accidents, sports injuries, work-related mishaps, falls, and acts of violence. When serious facial injury occurs, it's important that you receive immediate and comprehensive care. That's why oral and maxillofacial surgeons are on call at most emergency and trauma centers.

Facial trauma in general involves injuries to the soft- or hard-tissue structures of the face, mouth or jaws — including the teeth, the bones of the jaws and face, and the tissue of the skin and gums. It can also involve treatment of particular specialized regions, such as the area around the eyes, the salivary glands or facial nerves. Because facial injuries can affect not only a person's ability to carry on basic life functions (eating, vision, etc) but also his or her appearance, there is often a strong emotional component to treatment as well as a physical one. But after completing an extensive training program, oral and maxillofacial surgeons are capable of handling the full scope of facial injuries.

Treatments for Facial Injury

Some facial traumas are relatively minor. A common one occurs when a tooth is loosened or knocked out (avulsed). Many times, if treated immediately, the tooth can be successfully re-implanted in the jaw. If that isn't possible, placing a dental implant is often the most effective way to replace a missing tooth.

Another type of relatively common but more serious injury may involve a fracture of the facial bones, including the cheekbones, upper or lower jawbones, or the eye sockets. In principle, its treatment is essentially the same as that used for a broken arm: place the bones back in their proper position, and immobilize them. But since it isn't possible to put a cast on the face, different immobilization techniques are used. One method involves wiring the upper and lower jaws together to let them heal in the correct alignment; alternatively, plates and screws may be used to permanently reattach the bones.

Severe facial trauma is often a critical condition, since over 60% of these patients also have serious injuries in other parts of the body. In fact, many of the standard techniques used in trauma centers were developed by oral and maxillofacial surgeons during the wars in Korea, Vietnam, and the Middle East. Restoring breathing, controlling bleeding and checking for neurological damage are top priorities. After that, as much of the reconstructive surgery as possible is accomplished in one operation.

Preventing Facial Trauma

Athletic mouthguards.

What's the best treatment for facial trauma? Prevention. Always wearing seat belts, using proper helmets and protective gear when playing sports, and staying out of dangerous situations (like driving while impaired, tired or distracted) can go a long way toward keeping you safe. If you're engaging in athletic activities that carry any risk of facial injury, wear a properly fitted mouthguard — this small piece of protective equipment can save you a lot of potential harm.

But if you (or someone you care for) require a trip to the emergency room for a facial injury, be sure to ask for a consultation with an oral and maxillofacial surgeon, so that you get the best care and the most favorable outcome.

Related Articles

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The Field-Side Guide to Dental Injuries Accidents to the teeth, jaws and mouth can happen at any time during any sporting activity. Proper attention can save pain, alleviate anxiety and costly dental treatment. A little knowledge, as they say, can go along way. This field-side guide briefly explains some simple rules to follow when dealing with different dental injuries and when you need to see the dentist... Read Article

Mouthguards - Dear Doctor Magazine

Athletic Mouthguards There are times when an athlete can feel invincible… able to connect on every jump-shot, run faster and longer, or hit every pitch, but statistics show that even on their best days accidents can happen. An ounce of prevention goes a long way… For a small cost, a protective mouthguard can prevent excess anxiety, risk, injury, pain, suffering, and years of dental treatment... Read Article

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The office is open alternating Wednesdays and Fridays!

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Testimonials

  • "This dental office rocks! Dr. M. & all her staff are knowledable, professional, & all very friendly."
    Lisa Griffith
  • "The entire staff at Ahh Dental are amazing. From the moment you walk in to the treatment area and checking out. Dr. Moreschini is very nice and makes sure patients are comfortable with any treatment. I would recommend everyone and anyone to Ahh dental!"
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  • "Dr. Moreschini is not only intelligent, well-versed, articulate in diagnosis as well as treatment, but kind and gracious in her treatment administrations. I knew, a year ago, Ahh Dental would be my dental home. I’m even more vested now as a patient but also as a “family member” to this exceprional team of people who strive to provide the best outcome for their patients. Thank you, Ahh Dental"
    Sabine Stanley
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  • "I visited Ahh Dental for the first time earlier today and it was one of the most positive experiences I've had at a dental office. I am actually looking forward to my next appointment. Everyone was extremely pleasant and attentive. If you are new to town, or just looking for a new dentist I highly recommend Ahh Dental."
    Kelse Lighthizer
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    Jordan Higgins
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  • "Highly recommend Ahh Dental. Dr Moreschini is one the the best Dentist who is not only professional but cares about her patients and their well being. She has an excellent staff who are very helpful and also very professional!!"
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    Cherie Hughes
  • "It’s a pleasure sitting in Dr. Moreschini’s chair. She’s a stellar graduate of Creighton and a wonderful reminder of the Marquette University dentists I had for thirty years. She is always a pleasure to work with, efficient and excellent at pain prevention and management. This young woman is my third dentist in three years in Santa Fe. Unquestionably the best."
    Mark Janssen
  • "I'm so glad that I found Dr Renae. She's great to work with . Feel very at ease with her and her staff. Great people. Highly recommend her. Thanks Dr."
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  • "I had a wonderful experience at Ahh Dental. Everyone was truly kind and professional. Everything was explained to me beforehand and they made sure I was comfortable and felt at ease. Dr. M.and her staff truly care about their patients. Thank you for making my dental appointment a positive one."
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    Amazing clinic... Everyone should experience this attention and care for their oral health care."
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