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Facial Trauma Oral Surgeons in Elmhurst, IL

Facial Trauma

The Oral and Maxillofacial Surgeon identifies and treats various facial injuries.  These professionals must be well versed in emergency care, acute treatment, and long term reconstruction and rehabilitation.  Oral and Maxillofacial Surgeons are trained, skilled and uniquely qualified to manage and treat facial trauma.  Injuries to the face impart a high degree of physical and emotional trauma to patients.  The science and art of treating these injuries requires special training involving a “hands on” experience and an understanding of how the treatment provided will influence the patient’s long term function and appearance.

Our doctors are trained, skilled, and uniquely qualified to manage and treat facial trauma.  They are on staff at local hospitals and deliver emergency room coverage for facial injuries, which include the following conditions:

  • Facial lacerations
  • Intraoral lacerations
  • Avulsed (knocked out) teeth
  • Fractured facial bones
  • Fractured jaws (upper and lower jaw)

The Nature of Maxillofacial Trauma

There are a number of possible causes of facial trauma such as motor vehicle accidents, accidental falls, sports injuries, interpersonal violence and work related injuries.  Types of facial injuries can range from simple tooth injuries to extremely severe skin and bone trauma.  Typically, facial injuries are classified as soft tissue injuries (skin and gums), bone injuries (fractures), or injuries to special regions (such as the eyes, facial nerves or the salivary glands).

Soft Tissue Injuries of the Maxillofacial Region

When soft tissue injuries such as lacerations occur on the face, they are repaired by suturing.  In addition to the obvious concern of providing a repair that yields the best cosmetic result possible, care is taken to inspect for and treat injuries to structures such as facial nerves, salivary glands, and salivary duct channels.

Bone Injuries of the Maxillofacial Region

Facial bone fractures are treated in a manner similar to fractures in other parts of the body.  The specific form of treatment is determined by various factors, which include the location of the fracture, the severity of the fracture, the patient’s age, and patient’s general health.  When an arm or a leg is fractured, a cast is often applied to stabilize the bone to allow for proper healing.  Since a cast cannot be placed on the face, other means have been developed to stabilize facial fractures.

One of these options involves wiring the jaws together for certain fractures of the upper and/or lower jaw.  Other types of jaw fractures are best treated and stabilized by the surgical placement of small plates and screws at the involved site.  This technique of treatment can often allow for healing while eliminating the necessity of having the jaws wired together.  This technique is called "rigid fixation" of a fracture.  The relatively recent development and use of rigid fixation has profoundly improved the recovery period for many patients, allowing them to return to normal function more quickly.

The treatment of facial fractures should be accomplished in a thorough and predictable manner.  More importantly, the patient's facial appearance should be minimally affected.  An attempt at accessing the facial bones through the fewest incisions necessary is always made.  At the same time, these incisions are designed to be small and are placed so that the resultant scar is hidden whenever possible.

Injuries to the Teeth and Surrounding Dental Structures

Isolated injuries to teeth are quite common and may require the expertise of various dental specialists.  Oral surgeons usually are involved in treating fractures in the supporting bone or in reimplanting teeth that have been displaced or knocked out. These types of injuries are treated by numerous forms of splinting (stabilizing by wiring or bonding teeth together).  If a tooth is knocked out, it should be placed in salt water or milk.  The sooner the tooth is re-inserted into the dental socket, the better chance it will survive.  Therefore, the patient should see a dentist or oral surgeon as soon as possible.  Never attempt to wipe the tooth off, since remnants of the ligament that hold the tooth in the jaw are attached and are vital to the success of replanting the tooth.  Other dental specialists may be called upon such as endodontists, who may be asked to perform root canal therapy, and/or restorative dentists who may need to repair or rebuild fractured teeth.  In the event that injured teeth cannot be saved or repaired, dental implants are often now utilized as replacements for missing teeth.

Multidisciplinary Approach to Facial Trauma

In many circumstances, traumatic injuries require a multidisciplinary approach involving the expertise of multiple specialties.  Oral surgeons, ENT surgeons, Plastic Surgeons, Neurosurgeons, and Trauma surgeons often work side by side to provide care. 

About

As Oral and Maxillofacial Surgeons, Drs. Wolf and Dr. Dohse manage a wide variety of problems relating to the Mouth, Teeth and Facial Regions.

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533 West North Ave, Suite 200
Elmhurst, IL 60126

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