Oral surgery in Hinesville GA-Roger Myers DMD

Roger Myers DMD-Southern Georgia Oral Surgery of Hinesville GA
Tooth infections are very painful and can spread to the soft tissue causing swelling.  The significance of an oral infection due a decayed tooth is very important.  Soft tissue infections spread rapidly and can affect vital structures in their path.  Difficulty breathing, swallowing, and visual disturbances can occur.  Tooth removal or incision and drainage of the affected region may be required.  Followed by pain meds and antibiotics for an extended period time.  The appropriate measure of treatment would require visiting an oral surgeon.

912-408-7100 Oral surgery office in Hinesville GA

Southern Georgia Oral Surgery in Hinesville GA 
Roger Myers DMD is an oral surgeon in Hinesville


Sedation as a method to calm relax a patient prior to surgery

IV sedation is an effective means of relaxing a patient prior to surgery.  However, some form of oral anxiolytic like halcion seems to be a great preface to intravenous medications.  For children and adults alike, our office promotes both forms of sedation.  What do you use in your office ?

Oral Surgery office in Hinesville GA 912-408-7100

Bone grafting after an extraction has many benefits:
1.  Preservation of bone
2.  Increasing the likelihood of quality bone
3   Prevent a noticeable defect in the jaw after an extraction
4.  Helps ensure that the width of the jaw is maintained.

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Roger Myers DMD oral surgeon in Hinesville, GA

Hinesville GA Oral Surgeon Roger Myers DMD(Maxillary Tori)

Significant maxillary tori causing difficulty chewing, swallowing and inhibition of speech.  Planned removal of maxillary bony tori in order for the patient to tolerated a denture.  Fabrication of stent after impression is planned.  IV sedation and removal of the tori in sections is the surgical approach.
Will forward post-operative photos later.

Oral surgery-Oral Surgeon in Hinesville GA 912-408-7100

Southern Georgia Oral Surgery in Hinesville GA
Roger Myers DMD

Removal of Pediatric Dentition

Pediatric oral surgery is a facet of the field that requires compassion, patience and overall extreme attentiveness.  Pediatric patients have very short attention spans and bring a level of anxiety in an already tense environment.  The situation of  commencing oral surgery for am pediatric patient is very delicate.  What meds are appropriate for sedation ?, how is this patient going to respond under anesthesia?, and what will be the post-operative outcome?
   Southern Georgia Oral Surgery has implemented an approach to dealing with the anxiety of pediatric patients, by using verbal, oral and IV medications.  The combination of verbal distraction and medications appears to be very effective.  The patients respond to calm and soothing speech, which induces a level of serenity.  The oral sedative assists in helping the patient stay calm and not reactive to an unfamiliar situation.  IV medications allow a level of unconsciousness that promotes amnesia and analgesia.  As a result, the pediatric patients appear to have a more comfortable dental surgery experience. 
For more answers to pediatric oral surgery procedures, please view our website @
www.southerngeorgiaoms.com
Roger Myers DMD-oral surgeon in Hinesville GA

Southern Georgia Oral Surgery of Hinesville; Canine Exposure

 Canine exposure in preparation for orthodontic treatment
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Roger Myers DMD oral surgeon in Hinesville GA


Canine exposures are sometimes viewed as very arduous oral surgical procedures.  The orientation of the canine tooth and the proximity to other oral-facial structures is vitally important.  A Panorex or a PA can be taken in order to assess the position of the tooth, but surgical exposure seems to be the most definitive method of identifying tooth position.  In some cases the maxillary sinus, adjacent teeth and the floor of the nasal cavity are major considerations.  Exposure of the area involves a full mucoperiosteal flap in order to visualize the underlying bone/tooth.  A peripheral ostectomy may be required for increased exposure of the canine tooth.  In order to ligate the tooth with a chain and bracket, bleeding in the surgical site must be controlled.  Etchant is placed on the tooth and cleared with copious irrigation of normal saline.  Next the adhesive is placed and light cured.  Finally, composite material in affixed to the bracket and tooth surface.  It is then light cured and the adhesion of the bracket to the tooth is assessed by pulling on the chain lightly.  Silk suture or wire is then used to attach the chain to ortho-wire/tissue.  The patient is then referred to the orthodontist for continued treatment. 
   This dental surgery procedure was performed by Roger Myers DMD at southern Georgia Oral surgery of Hinesville.  The pediatric patient was placed under sedation as the procedure was performed. 

At What Age Should Wisdom Teeth Be Removed

This a difficult and common question.  Age is a criteria of least importance and patients should be evaluated on basis of need.  If a patient is in eminent danger of infection, cyst development, loss of adjacent teeth, TMJ problems or consist pain to the affected region, removal of the wisdom tooth should be considered.  I have encountered 12 yr old patients who exhibit more developed wisdom teeth than a 20 yr old.  Each patient is  to be evaluated on an individual basis and the proper decision is to be made accordingly.  Wisdom teeth are teeth that are typically non-functional and are usually not in occlusion.  There position in the posterior of the jaw inhibits proper hygiene and makes the m more inclined to develop caries.  This information makes it apparent that wisdom teeth erupted or impacted typically serve no function and almost always require removal.

Roger Myers DMD
Southern Georgia Oral Surgery
Hinesville and Statesboro