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By Dr. James M. Maragos, DDS, PC
September 22, 2015
Category: Dental Procedures
Tags: oral surgery  
SimpleProcedureCouldReduceBitingtheInsideofYourMouth

Somewhere between bites during a recent meal, the inside of your cheek found itself in the way of your teeth. You winced with pain at the resulting bite, and while it was sore for a day or two it seemed to heal over. Now, though, you’re noticing this same area of your cheek gets in the way of your teeth a lot more often, with more bites and sores.

What’s likely happened is that you have developed a traumatic fibroma. When the soft tissues of the inner cheek, lips or tongue heal after being injured, a small bit of fibrous tissue composed of the protein collagen forms like a callous over the bite wound to protect it after it heals. If, however, the process is interrupted by another bite, the fibrous tissue that subsequently forms may be thicker and thus more raised on the surface of the skin. This higher profile makes it more likely the site will be involved in repeated episodes of biting.

If the fibroma continues to be a problem, it can be solved with a simple surgical procedure. A surgically-trained dentist or oral surgeon will remove portions of the fibroma (usually with local anesthesia) to flatten the skin profile, and then close the resulting wound with a couple of stitches unless a laser was used. Any discomfort after the procedure can usually be managed with a mild anti-inflammatory drug like aspirin or ibuprofen, and the site should heal in just a few days to a week.

Although the vast majority of fibromas aren’t dangerous, it’s routine practice to have the excised tissue biopsied for abnormalities. More than likely the fibroma tissue will be normal; but by having the fibroma removed and examined, you’ll gain peace of mind about your oral health. In the process, you’ll also eliminate a bothersome and painful problem.

If you would like more information on mouth sores, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Common Lumps and Bumps in the Mouth.”

By Dr. James M. Maragos, DDS, PC
December 31, 2013
Category: Dental Procedures
Tags: oral surgery  
YourOralSurgeonisanImportantPlayeronYourDentalHealthcareTeam

During most of your life, your dental healthcare will be mainly provided by your general dentist. Sometimes, though, certain situations and conditions call for the skills of a dental specialist. One such specialist is an oral surgeon.

An oral surgeon is a dentist who has undertaken further training and residencies in the practice of oral surgical procedures and treatments. They are especially distinguished by surgical procedures that may require advanced forms of anesthesia.

The field of oral surgery touches on a wide array of conditions. They are adept at tooth extractions, especially difficult cases like impacted teeth, and surgical procedures that correct issues involving the underlying bone of the jaw. They perform procedures as part of treatment for diseases of the jaws or facial region (including biopsies, and the removal and treatment of oral cancers), reconstructive surgeries of the mouth and jaw following disease or injury, and orthognathic surgeries that correct malocclusions (bad bites) caused by the size of the jaw and its placement with the skull.

Oral surgeons also provide treatments in the area of pain management like temporo-mandibular disorder (TMD), a group of conditions involving the joint that connects the lower jaw with the skull. Because of their background training in oropharyngeal (pertaining to the back of the mouth and the throat) physiology, many oral surgeons have received further training in the diagnosis and treatment of obstructive sleep apnea (OSA). They also play an important role in cosmetic dentistry, as with the surgical placement of dental implants.

All in all, these professionals are an important part of your dental healthcare team. Along with your general dentist and other oral specialists, they’re committed to helping you gain the highest degree of dental health possible, as well as a vibrant, healthy smile.

If you would like more information on the role of oral surgeons, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Why Consult an Oral Surgeon?



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James M. Maragos, D.D.S.

Dr. Maragos’ commitment to his community parallels his commitment to his profession. In 2007, he was elected to... 

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