Special Procedures Require Specialists

Why are patients referred to an oral surgeon? 

When you visit your dentist for regular exams, they might discover a dental need that can be better handled by a specialist like an oral surgeon. Because more complex procedures are routine for an oral surgeon, patients commonly experience smoother treatments and a quicker recovery time. Common cases treated by oral surgeons include the removal of wisdom teeth, tooth extractions, bone grafting procedures, dental implant placement, biopsies and teeth-in-a-day transformations that we call One Day Smile. 

What differentiates an oral surgeon from a general dentist? 

Once an oral surgeon completes dental school, they continue their education through an accredited oral surgery program. From there, oral surgeons are surgically trained in a hospital-based residency program for a minimum of four years. In addition, they have training in internal medicine, general surgery, trauma surgery, advanced anesthesia, plastic facial surgery and orthognathic surgery. This specialized training allows oral surgeons to manage complications that may arise and provide the expertise to handle complex oral surgery cases. 

Will I be sedated during my oral surgery procedure? 

Not all procedures require sedation, however, most patients prefer IV sedation and can rest assured that oral surgeons are the only dental specialists who receive formalized general anesthesia training in residency. Oral & Maxillofacial Surgery is the only recognized dental specialty allowed to have a General Anesthesia Permit in the state of Texas.

Is wisdom tooth removal a necessary procedure? 

Wisdom tooth removal by a board-certified oral surgeon is firmly supported by both the ADA and the American Association of Oral and Maxillofacial Surgeons. Without the removal of third molars, the potential of developing cysts, tumors and damage to adjacent teeth may occur. Although the instances are not high, removing wisdom teeth. Removing wisdom teeth preserves orthodontic treatment, protects healthy teeth, and can prevent dental crowding. Beware of wisdom tooth removal by providers whose credentials cannot be easily verified or individuals who travel to multiple dental office locations, also called “travelling” oral surgeons, or dentists who specialize in oral surgery. 

Are narcotics always needed after surgery? 

We have addressed the opioid epidemic by the use of alternative non-narcotic pain medications including the use of a long-lasting, time-released local anesthetic called Exparel® in our more involved surgery procedures.

What kind of technology is used in your procedures? 

Many surgical cases at Rockwall Oral Surgery are planned using the advanced technology of a 3-D CT scan allowing dental implant placement to be done with precision guides. In addition, patients can be confident that only top-tier implants from superior companies are placed. With proper use and care, these dental implants can be guaranteed for a lifetime. 

How many surgeons do you have? 

We are excited to announce the edition of Nathan Dombrowski, DDS, MD as an associate surgeon to the Rockwall Oral Surgery team. Dr. Dombrowski attended Texas A&M School of Dentistry and is completing his surgical residency at University of Louisville Medical School. Appointments with Dr. Dombrowski for July 2024 are currently being booked.