Archive for the ‘Uncategorized’ Category

Cosmetic Surgery

Posted: March 7, 2011 in Uncategorized
dental implants - cosmetic surgery

After cosmetic surgery

COSMETIC SURGERY

Liposuction & Facial Implants
Dr. Sreeni is trained to remove excess fat from underneath the lower jaw area. This is done in the office under IV Sedation with a placement of a small incision in a crease line in the chin area. The excess fat is removed with a suction. This procedure significantly decreases the sagging underneath the chin and provides a youthful appeareance.

Facial Implants
We now have the ability to grow bone where needed. This not only gives us the opportunity to place implants of proper length and width, it also gives us a chance to restore functionality and aesthetic appearance. The bone graft procedures are referred to as:

Eyelid Surgery
As we all know, the eyes are a prominent facial feature. Although the eyes are expressionless structures, the surrounding skin conveys emotion. The tissue, muscle, fat, hair and lashes all contribute to the wide array of expressions. Unfortunately, wrinkles and deep lines as well as puffiness under the lids develop as you age. In addition, exposure to the sun as well as hereditary factors contribute to the aging process, all resulting in changes of expression. In many cases, people may look fatigued and worn out, and older than their true age. Beyond possible visual impairment, these changes in your appearance can cause stress and anxiety.

Dr. Sreeni is trained in procedures, such as blepharoplasty in order to eliminate the majority of these problems.

Before Surgery

To better understand your overall health, we will evaluate your medical history prior to surgery. In addition, a complete examination of your eyes and face are made in order to take the most effective surgical approach. The amount, distribution and type of excess skin to be removed are carefully reviewed.

Dr. Sreeni will provide you with pre-operative instructions that may include the elimination of specific drugs containing aspirin several weeks before surgery to minimize excess bleeding. Antibiotics may also be prescribed to prevent infection

The areas that will be excised are marked and digital photographs performed in order to determine the amount of improvement after surgery.

Blepharoplasty
We can perform blepharoplasty to correct sagging eyelids, bags or pouches beneath the eyes, as well as excess folds around the eyes. This surgical procedure involves the removal of excess skin and fat on upper and lower eyelids and is often performed in conjunction with other surgical procedures including facelifts, eyebrow and forehead lifts. Blepharoplasty can be done under general anesthesia, with you asleep or IV sedation. Both are very comfortable options. Pre-medication is utilized prior to surgery, in order to decrease swelling after the operation.

Dr. Sreeni will trace the natural lines and creases of your face and make incredibly fine incisions from the inner to the outer edge of the eyelid. Surgery on the upper eyelid is performed first with the incision made in the fold of the lid. The incision is made below the eyelash on the lower eyelid. Any excess fat and skin are removed from the underlying compartments. The amount of fat excised is determined by the degree of protrusion of fat when pressure is applied to the area. Small sutures are used to close the incision and special ointments and dressings may be applied. The surgery can take up to 2 hours. In certain cases, lower eyelid incisions are made inside the lid. Laser may be used at the same time to reduce wrinkles. Post-Operative Information

Post-Operative Information
Initially, drying of the eyes can occur after blepharoplasty. Yet, this condition can be alleviated with medication. In addition, you may be sensitive to bright light and wind for a period of time. Numbness and itching may also occur during the healing process. A final evaluation may occur within several months from the initial surgical procedure.

Insurance
Your insurance company may pay for part of the cost of surgery if the procedure is performed as a result of visual impairment. Because every insurance carrier is different, it is recommended that you check with your own insurance company to determine the level of coverage.

Orthognathic Jaw Surgery

Posted: March 7, 2011 in Uncategorized
dental implants Rockville - Orthognathic Jaw Surgery

Orthognathic Jaw Surgery

Orthognathic surgery is needed when jaws don’t meet correctly and/or teeth don’t seem to fit with jaws. Teeth are straightened with orthodontics, and corrective jaw surgery repositions misaligned jaws. This not only improves facial appearance, but also ensures that teeth meet correctly and function properly.

Who Needs Orthognathic Surgery?

People who can benefit from orthognathic surgery include those with an improper bite or jaws that are positioned incorrectly. Jaw growth is a gradual process and, in some instances, the upper and lower jaws may grow at different rates. The result can be a host of problems that can affect chewing function, speech, long-term oral health, and appearance. Injury to the jaw and birth defects can also affect jaw alignment. While orthodontics alone can correct bite problems if only the teeth are involved, orthognathic surgery may be required if the jaws also need repositioning.

Difficulty in the following areas should be evaluated:

  • difficulty in chewing, biting or swallowing
  • speech problems
  • chronic jaw or TMJ pain
  • open bite
  • protruding jaw
  • breathing problems

Any of these can exist at birth or may be acquired after birth as a result of hereditary or environmental influences or, trauma to the face. Before any treatment begins, a consultation will be held to perform a complete examination with x-rays. During the pre-treatment consultation process, feel free to ask any questions that you have regarding your treatment. When you are fully informed about the aspects of your care, you and your dental team will make the decision to proceed with treatment together.

Technology and Orthognathic Surgery

Dr. Sreeni uses three-dimensional models and X-ray tracings to show you exactly how your surgery will be approached. We can show you how your bite will be improved and even give you an idea of how you’ll look after surgery. This helps you understand the surgical process and the extent of the treatment prescribed, and to see the benefits of orthognathic surgery.

If you are a candidate for Corrective Jaw Surgery, Dr. Sreeni will work closely with your dentist and orthodontist during your treatment. The actual surgery can move your teeth and jaws into a new position that results in a more attractive, functional and healthy dental-facial relationship.

dental implant-oral pathology

Oral pathology

The inside of the mouth is normally lined with a special type of skin (mucosa) that is smooth and coral pink in color. Any alteration in this appearance could be a warning sign for a pathological process. The most serious of these is oral cancer. The following can be signs at the beginning of a pathologic process or cancerous growth:

* Reddish patches (erythroplasia) or whitish patches (leukoplakia) in the mouth
* A sore that fails to heal and bleeds easily
* A lump or thickening on the skin lining the inside of the mouth
* Chronic sore throat or hoarseness
* Difficulty in chewing or swallowing
* These changes can be detected on the lips, cheeks, palate and gum tissue around the teeth, tongue, face and/or neck. Pain does not always occur with pathology, and curiously, is not often associated with oral cancer. However, any patient with facial and/or oral pain without an obvious cause or reason may also be at risk for oral cancer.
* We would recommend performing an oral cancer self-examination monthly and remember that your mouth is one of your body’s most important warning systems. Do not ignore suspicious lumps or sores. Please contact us so we may help.

Major and minor bone grafting
Over a period of time, the jawbone associated with missing teeth atrophies or is reabsorbed. This often leaves a condition in which there is poor quality and quantity of bone suitable for placement of dental implants. In these situations, most patients are not candidates for placement of dental implants.

We now have the ability to grow bone where needed. This not only gives us the opportunity to place implants of proper length and width, it also gives us a chance to restore the functionality and aesthetic appearance. The bone graft procedures are referred to as:

Sinus lift procedure
This procedure involves elevating the sinus membrane and placing the bone graft onto the sinus floor, allowing implants to be placed in the back part of the upper jaw.

Ridge-augmentation
In severe cases the ridge has been reabsorbed and a bone graft is placed to increase the ridge height and/or width.

Dr. Sreeni has invested in a HARVEST machine which enables the collection of PLATELET RICH PLASMA (PRP) from your own blood. This PRP when mixed with bone graft material, increases the quality and quantity of bone into which an implant can be placed. The PRP also decreases the healing time. This harvesting of PRP can be done in the office at the same time as your implant/bone grafting visit.

Nerve-repositioning
The inferior aveolar nerve, which gives feeling to the lower lip and chin, may need to be moved in order to make room for placement of dental implants to the lower jaw.
These procedures may be performed separately or together, depending upon the individual’s condition. There are several areas of the body which are suitable for attaining bone grafts. In the maxillofacial region, bone grafts can be taken from inside the mouth, in the area of the chin or third molar region or in the upper jaw behind the last tooth. In more extensive situations, a greater quantity of bone can be attained from the hip or the outer aspect of the tibia at the knee.

These surgeries are generally performed in the office surgical suite under IV sedation or general anesthesia. After discharge, bed rest is recommended for one day and limited physical activity for one week.

dental-implant-bone-grafting

Bone Grafting

dental-implant-wisdom-teeth

dental-implant-wisdom-teeth