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 @
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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.