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Maxillofacial refers to the face and jaws, which along with the mouth comprise the areas of expertise of an oral and maxillofacial surgeon.

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Oral and maxillofacial surgery is the specialty of dental practice that deals with the diagnosis and surgical treatment of diseases, injuries and defects of the mouth, jaws, face and related structures. This includes the removal of impacted and decayed teeth, placement of dental implants, biopsy and removal of cysts and tumors of the mouth and jaws, treatment of facial trauma and reconstructive jaw surgery.

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Dr. Green is a Board Certified Oral Surgeon. This means that he has graduated from an accredited dental school and completed an oral and maxillofacial surgery residency program approved by the American Dental Association Commission in Dental Accreditation. This requires thirteen years of post-high school education and training. The American Board of Oral and Maxillofacial Surgery is recognized by the American Dental Association as the specialty board for oral and maxillofacial surgery. The board is responsible for reviewing all applicants for board certification, as well as administering the examination involved in the certification process. One must pass both a thorough written qualifying examination and a rigorous oral certifying examination to become board certified as a Diplomate of the American Board of Oral and Maxillofacial Surgery. Diplomates are encouraged to maintain current competence by ongoing continuing education.

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In most instances, a referral from a general dentist or physician is required for care at Dr. Green's practice.

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X-rays are necessary for any problems involving the teeth or bones. If your dentist does not have current X-rays to forward to us with the referral, we can take the films at our office.

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Oral Surgery Care is now utilizing digital radiography, which is an outgrowth of the space industry that reduces radiation to the patient by approximately 50% from conventional radiography. In addition to reduced radiation, digital radiography eliminates the environmentally hazardous waste products typically produced by radiograph processing, such as developer, fixer, film and processor cleaning agents.
In digital radiography, a sensor connected to a computer is used instead of film. This sensor needs approximately 50% less radiation to be properly exposed than does conventional x-ray film, and the image is available immediately on a computer monitor, instead of waiting for film processing. Dr. Green can enlarge, zoom and colorize the image so that a problem is much easier to both diagnose and to illustrate to you. The images are stored electronically and can instantly be copied or sent by e-mail to an insurance company or to your dentist or another specialist for a second opinion.

We feel that this digital technology provides substantial benefits to both you and our staff as well as being more environmentally friendly. Time that used to be wasted in the dark room by our staff can now be spent with you, discussing your care and answering your questions.

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This applies to General Anesthesia, Sleep Sedation (IV Sedation).
Restrictions

• You may not have anything to eat or drink (including water) for eight (8) hours prior to the appointment.
• A responsible adult must accompany the patient to the office and drive the patient home.
• The patient should not drive a vehicle or operate any machinery for 24 hours following general anesthesia (sleep sedation).
• Please wear loose fitting clothing with sleeves which can be rolled up past the elbow, and low-heeled shoes do not wear white clothing.
• Contact lenses, jewelry, and dentures must be removed at the time of surgery.
• Do not wear lipstick, excessive makeup, or nail polish on the day of surgery.
• If you have an illness such as a cold, sore throat, stomach or bowel upset, please notify the office.
• If you take routine oral medications, please check with the surgeon prior to your surgical date for instructions

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Yes, our doctors are trained in anesthesia techniques and are licensed by the state of New York to provide a variety of anesthetic techniques.

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If our doctor has scheduled you to be sedated, you will need someone to drive you home. Patients receiving local anesthetic can drive home themselves.

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If our doctor has scheduled you to be sedated for your procedure, you should not eat or drink anything at least eight (8) hours before your surgery. If you intend to complete you surgery with local anesthetic, you may eat normally prior to your appointment.

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Parents of small children can be with their child before the surgery to ask the doctor any questions they might have. On certain occasions we accept non-patients in the surgical area.

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Teeth become impacted when there is not enough space for them to grow into the mouth, and their normal growth and eruption are prevented by overlying gums, bone, or another tooth. Many times, teeth that have been impacted appear to erupt later in life; this is usually from the adjacent gums receding, or pulling back, because of gum disease.

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Impacted teeth can be painful and lead to infection.They may also crowd or damage adjacent teeth or roots.

More serious problems may occur if the sac surrounding the impacted tooth becomes filled with fluid and enlarges to form a cyst. As the cyst grows it may hollow out the jaw and permanently damage adjacent teeth, the surrounding bone and nerves. Rarely, if a cyst is not treated, a tumor may develop from its walls and a more serious surgical procedure may be required to remove it.

Despite the considerable concern regarding impacted third molars, a recent study sponsored by the American Association of Oral and Maxillofacial Surgeons and the Oral and Maxillofacial Surgery Foundation finds that third molars which have broken through the tissue and erupted into the mouth in a normal, upright position may be as prone to disease as those third molars that remain impacted.

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Before surgery, your oral and maxillofacial surgeon will discuss with you what to expect. This is a good time to ask questions or express your concerns. It is especially important to let the doctor know about any illness you have and medications you are taking.

The relative ease with which a wisdom tooth may be removed depends on several conditions, including the position of the tooth and root development. Impacted wisdom teeth may require a more involved surgical procedure.

Most wisdom tooth extractions are performed in the oral and maxillofacial surgery office under local anesthesia, intravenous sedation or general anesthesia. Your oral and maxillofacial surgeon will discuss the anesthetic option that is right for you.

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It isn't wise to wait until your wisdom teeth start to bother you. In general, earlier removal of wisdom teeth results in a less complicated healing process.The American Association of Oral and Maxillofacial Surgeons (AAOMS) and Oral and Maxillofacial Surgery Foundation studies strongly recommend that wisdom teeth be removed by the time the patient is a young adult in order to prevent future problems and to ensure optimal healing.The researchers found that older patients may be at greater risk for disease, including periodontitis, in the tissues surrounding the third molars and adjacent teeth. Periodontal infections, such as those observed in this study, may affect your general health.

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Following surgery, you may experience some swelling and mild discomfort, which are part of the normal healing process. Cold compresses may help decrease the swelling, and medication prescribed by your Oral and Maxillofacial Surgeon can help manage the discomfort. You may be instructed to modify your diet following surgery and later progress to more normal foods.

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1hour

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A dry socket is:

Any socket in which a patient is having pain due to the loss of the blood clot thus exposing the bone to air, food, and fluids along with an offensive odor. This often occurs two or more days after an extraction and can last about 5-6 days. It is normal to have soreness and discomfort following an extraction.

However, pain should be lessening by the second day.

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Replacing missing teeth has always been a challenge for dentists, but fortunately we have added another way to replace teeth that offers many advantages over conventional methods. Dental implants allow a missing tooth to be replaced without altering or trimming down neighboring teeth that would serve as anchors for a bridge, or without relying on neighboring teeth that are not strong enough to support a bridge. Partial dentures and full dentures can be supported or retained by implants so that the function of the denture is greatly improved. The problem of a lower full denture that moves around when talking or eating can often be corrected by placing two implants in the lower jaw that hold the denture in place. Once dental implants are placed, the gradual deterioration that takes place in your jawbone where teeth are missing is slowed or eliminated.

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A dental implant is a natural tooth replacement which is implanted in the jaw. They can be used to support a crown, bridge or denture.

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Anyone in reasonable health who wants to replace missing teeth. You must have enough bone in the area of the missing teeth to provide adequate anchorage for the implants. Most people today are potential candidates for dental implants to replace a single missing tooth, small bridges or removable partial and full dentures.

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This depends on where the implants are placed and their function, as well as how well they are cleaned at home after they are completed. Most studies show success rates of at least 95%.

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2 hours.

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No, we can always have a temporary made over the implant site.

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Most insurance plans pay a portion of your bill. The noncovered copayment and deductible amount is expected on the day of your procedure. We file claims promptly and we serve as your advocate.

*Please be aware that with most insurance plans have a deductible, copay and or coinsurance.

We will file your insurance as a courtesy to you. However, insurance benefits vary from plan to plan and rarely do they cover 100% of the surgical fee for services. We require that you pay your deductible (if not already met) and co-payment on the day of the surgery.

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Diplomate, American Board of Oral and Maxillofacial Surgery

32BJ
Aetna PPO
Affinity Dental Health Plan
Affordable Family Health Services
Ameritas
Anthem Blue Cross Blue Shield
Blue Cross Blue Shield of Michigan
Blue Cross Blue Shield of Texas
Blue Cross of California
Careington
Cigna
Columbia Dental Plan
Conection Dental
CPS Dental
CSEA
Delta Dental
Delta Care
Denta Max Network
Emblem Health
Empire Blue Cross Blue Shield
Excellus Blue Cross Blue Shield
First Ameritas PPO
GHI Preferred
GHI Preferred Plus
Guardian
Healthplex
HIP
Horizon Blue Cross Blue Shield of New Jersey
Managed Dental Guard
Medicaid
MetLife
Oxford Health Plans
Rayant
Reliance Standard
SeleDent
Self Insured Dental Services
UFT
United Condordia
United Health Care

We also except all out of network coverage

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Yes!

Please be aware that insurance coverage can ONLY be verified during normal business hours Monday through Friday from 9:00am until 5:00pm . Hence during the aforementioned times we will accept payment in full until insurance coverage is verified. Insurance benefits will be reimbursed to the patient.

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Most of our claims are sent electronically. There are still some insurance companies that only take paper claims.

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Yes! We utilize 3rd party financial institutions Care Credit & Citihealth These companies offer flexible payment plans that allow you to get the treatments you need right now.