Blog

Lutherville & Havre de Grace Oral Surgeon

Anesthesia in the Oral and Maxillofacial Surgery Office

Dr. Leonard Spector explains his extensive training and experience in anesthesia that he uses to keep patients comfortable during in-office oral surgery procedures.

I have delivered approximately 50,000 general anesthetics during my 32 years in private practice. Our private practice facility has to be certified to provide general anesthesia in our office setting. In our office, we have the most advanced equipment, including monitoring of blood pressure, EKG, pulse oximetry, and capnography, which is a way to measure carbon dioxide. My staff and I are trained in advanced cardiac life support and we regularly renew this training to stay current.

It is a great convenience for the patient to come to an oral and maxillofacial surgery office to have their procedure done. Patients understand that their surgery and anesthesia are being taken care of by individuals with an impressive amount of formal training and many years of experience. They also know that we do everything possible to make the procedures safe and we also have all the necessary equipment on site to perform procedures using different types of anesthesia, including general anesthesia if necessary.

I received extensive formal training in anesthesia during my residency program. This extensive training included a six-month rotation in the anesthesia department. I have been intensively trained in providing IV sedation and general anesthesia.

We closely screen all of our patients prior to anesthesia, and we have an excellent safety record for providing anesthesia in our office. In regard to the monitoring, we are using all the most advanced, state of the art monitoring equipment to provide the safest type of general anesthetic that can be provided in an office setting.

The drugs we use are all ultra short-acting drugs, and many of these drugs have a reversal agent. With our advanced training, we are able to provide a level of anesthesia in which the patients are extremely comfortable and sedated during the procedure, but also recover very quickly following the procedure.

Dr. Leonard Spector
www.chesapeakeimplants.dentist

Wisdom Teeth Problems Explained by Lutherville Oral Surgeon

Impacted wisdom teeth problems are listed and explained by Lutherville oral and maxillofacial surgeon Dr. Leonard Spector.  

Not all wisdom teeth need to be removed. The wisdom teeth that are healthy or positioned correctly with other teeth and are able to be kept clean are the ones that may not need to be removed. Many times, however, the wisdom teeth–the third molars in the very back of the mouth—do not have room to grow properly and they can cause problems. These teeth can grow at various angles to the jaw, sometimes horizontally.   

Problems Caused by Wisdom Teeth 

  1. Partially erupted wisdom teeth tend to collect food.  It is difficult for the patient to get access to these areas and keep them clean and the result can be gum disease and tooth decay. 
  2. Possibility of repeated infections which cause pain. 
  3. Formation of cysts, which are fluid-filled sacks around the impacted teeth.  
  4. Impacted teeth can encroach on the mandibular canal, which is the nerve that gives you feeling to your lower lip, chin, and tongue on both sides of your lower jaw. 
  5. Impacted teeth can encroach on or damage adjacent teeth and cause other teeth to be pushed out of alignment.  Sometimes impacted wisdom teeth are removed in advance of orthodontic treatment so that the orthodontist can move other teeth and teeth roots into proper alignment. 
  6. Tumors can form around these teeth.  

Best Age to Remove Impacted Wisdom Teeth  

I recommend that patients bring in children who may have impacted wisdom teeth for an evaluation.  I have removed wisdom teeth in the office for patients as young as 12 or 13 years old when the lower wisdom teeth are preventing the second molar teeth from erupting, but typically people have wisdom teeth removed sometime during their high school years.  

Patients of any age can have their wisdom teeth removed if an examination reveals a need for the procedure.  

Dr. Leonard Spector 
www.chesapeakeimplants.dentist 

Chesapeake Oral Surgeon Explains How 3D X-Rays Benefit Patients

Chesapeake oral and maxillofacial surgeon explains how 3D x-rays provide surgeons with a road map for surgery that leads to advanced patient care.

Lutherville Oral Surgery

In my practice, we use state of the art three-dimensional cone beam technology that allows us to provide very accurate three-dimensional images of the facial bones and the facial structures. This technology allows us to use these images for diagnosis and planning and treatment of dental implants, temporomandibular joint analysis, orthognathic surgery and many other dental procedures. These three-dimensional images provide us with extremely accurate images of the anatomy and facilitate advanced patient care that is not possible just with conventional x-rays.

With the advanced cone beam technology we have in our office, we are able to look closely at the facial structures and the facial bones in three dimensions. With the old-fashioned two-dimensional technologies, you cannot really see or evaluate the true anatomy of the bone.

For example, with regard to dental implants, the 3D x-ray technology allows us to locate certain anatomic structures such as the mandibular canal and the maxillary sinuses. It shows us the shape and size of the dental ridges, including the quality and quantity of bone. It helps us decide if we need bone grafting or a sinus lift procedure. It also allows us to use certain dental implants planning software in conjunction with these 3D x-ray images to help plan complex cases.

When I am extracting impacted third molars, these digital images show the relationship of the mandibular canal to the root to the third molars, and therefore I can avoid any nerve damage.

We are able to also localize any types of impacted teeth, including impacted canine teeth, and we also use the technology with our corrective jaw surgery planning.

With regards to pathology, it allows us to locate lesions in the jaws and review findings in three dimensions and see the relationship of these lesions to teeth and other structures in the jaw.

Dr. Leonard Spector
www.chesapeakeimplants.dentist

Doctor Spector Discusses Training in Oral and Maxillofacial Surgery

Dr. Spector

Dr. Leonard Spector, oral and maxillofacial surgeon, explains his extensive training and experience and offers advice to those who need oral surgery procedures. 

I have been in private practice as an oral and maxillofacial surgeon for 32 years. My training involved four years of college followed by four years of dental school. I graduated second in my class from the University of Maryland Dental School in 1981.

After dental school, I completed a three-year accredited advanced dental education program in oral and maxillofacial surgery in a residency program at the Washington Hospital Center in Washington, D.C.
My training involved a very strong background in general anesthesia, placement of dental implants, orthognathic surgery, and dentoalveolar surgery. I think many patients would be surprised to know that as a dentist training to become an oral surgeon my hospital-based program included rotations in cardiology, internal medicine, as well as rotations to the Surgical Intensive Care Unit and advanced trauma training.

This great breadth of training gave me the skills necessary not only to perform procedures in my specialty but also to treat many patients who are medically compromised and referred to my office.

I started my private practice 32 years ago in the Baltimore area, specifically in the Towson, Maryland area in 1984.

One of my specific areas of interest in the practice is dental implants. My team and I do very advanced cases of dental implant surgery in our office for the convenience of the patient. This includes everything from replacing a single missing tooth with a dental implant to replacing an entire arch of teeth or even both arches with dental implants.

Another professional interest is day-to-day dentoalveolar surgery, which involves procedures such as extracting teeth when necessary, including the extraction of third molars–sometimes called “wisdom teeth”–when this procedure is indicated.

My advice to all patients who need oral and maxillofacial surgery procedures is to seek out a specialist in this highly complex field, ask about training and qualifications, and do not hesitate to ask the doctor questions before treatment begins. We are very open with our patients and we find that this approach creates trust and sets the stage for a very good experience.

Dr. Spector gratefully acknowledges the help of David Schwab, Ph.D. in developing blogs.www.davidschwab.com

Dr. Leonard Spector 
www.chesapeakeimplants.dentist

Lutherville MD Oral Surgeon | Healthy Smile, Healthy Body

Good oral hygiene habits are essential to prevent tooth decay and gum disease. What you might not know is that research has found the health of your mouth actually mirrors the overall condition of your body. According to the Academy of General Dentistry, there is a direct relationship between gum disease and many serious health conditions, including heart disease,

stroke, and diabetes. The good news is, research also shows that good oral health may actually help prevent certain diseases from occurring.

Understanding the mouth/body connection

Poor oral habits can cause bacteria to build up on your teeth, making your gums more prone to

disease and infection. When that happens, your immune system goes to work attacking the

infection, leading to inflammation and gum disease, also known as periodontitis. Left untreated, periodontitis and chronic inflammation can wreak havoc on the rest of your body, leading to a host of health problems. Thankfully, this “worst-case-scenario” is easily preventable. Here’s what you can do to elevate your oral hygiene habits and keep unwanted health concerns at bay:

  • Brush twice a day for at least two minutes using a soft-bristled brush. Be sure to choose a toothbrush that is the right size for your mouth so you can reach back teeth easily. If you have any questions about which toothbrush we recommend for you, you can ask our office during your appointment.
  • Remember to replace your toothbrush every three or four months.
  • Choose an American Dental Association-approved fluoride toothpaste to keep teeth free from decay.
  • Floss daily to remove tooth decay-causing bacteria that tend to linger between teeth. Regular flossing also helps remove plaque under the gumline and minimize your risk of contracting gum disease.
  • Eat a healthy diet that limits sugary beverages and snacks.
  • Avoid cigarettes and other tobacco products, which are known to contribute to gum disease and oral cancer.

In addition to maintaining good daily oral health habits, seeing your oral surgeon regularly is one of the best ways to keep your mouth – and your body – healthy. These exams allow our team to monitor any changes to your teeth and gums and make recommendations that will help you avoid future health problems. Contact Chesapeake Oral Surgery & Dental Implants today to schedule an exam with our Lutherville Oral Surgeon.

 

Chesapeake Oral Surgery & Dental Implants
Phone: (410) 670-4500
2360 W. Joppa Rd., Suite 310
Lutherville, MD 21093

Lutherville MD Oral Surgeon | Sports and Facial Injuries: How to Protect Yourself

Your face and mouth are some of the most vulnerable places on your body. With an average of 25% of all sports injuries involving the face, the resulting damage and necessary repairs can be a costly process. As such, learning how to protect yourself to avoid injury and what to do if an injury occurs are important to know. Here, Chesapeake Oral Surgery & Dental Implants will outline basic steps you can take.

How to protect yourself

Equipping yourself with the proper gear before play is the first and most important step to protect yourself from injury. Organized sports such as football or hockey require helmets for play, but including a full cage or a visor can make a difference when out on the field or on the ice.

Additionally, using a proper mouthguard is a crucial part of protecting yourself while playing sports. A custom form-fit mouth guard will be worth the investment for any sport you play, both for protection and comfort. Keeping child athletes equipped with the proper protection is especially important. Childhood sports injuries have been on the rise with the increasing popularity of more contact sports, such as football, hockey, and MMA (mixed martial arts).

What to do if an injury occurs

Occasionally injury can still occur even with proper protection. It is important to know what to do in those situations for your safety. Depending on the extent and type of trauma, some injuries can be taken care of at the sporting event site, with the athlete continuing play. More organized sports often have some type of care on site whether it is a licensed trainer or a coach able to assist the athlete. Having a knowledgeable person on-site knowing how to assess injury is also a way to protect against any further injury.

If a tooth is knocked out during play, it can be placed temporarily in milk or salt water for transport, but should be placed back into the socket as soon as possible. Any other serious injury should be assessed by a medical professional as quickly as possible to prevent any further damage.

Proper protection and knowledge on how to protect against sports related facial injury is important to keep you or even a teammate safe during play. If you have any questions about sports related facial injuries or have previously suffered from a facial injury, contact Chesapeake Oral Surgery & Dental Implants today.

 

Chesapeake Oral Surgery & Dental Implants
Phone: (410) 670-4500
2360 W. Joppa Rd., Suite 310
Lutherville, MD 21093

Lutherville Oral Surgeon | Facts You May Not Have Known About Oral Cancer

Havre de Grace Oral Surgeon | Facts You May Not Have Known About Oral Cancer

According to The American Academy for Oral Systemic Health, oral cancer claims one American life every hour of every day. Unfortunately, most cases go undetected until it is too late, making the need for regular examinations of even greater importance. Those who are proactive and seek treatment early have the best chance of beating the disease and living a long, healthy life. Below are some facts you may not have known about oral cancer, including warning signs, trends, and more.

1.) Oral Cancer Affects More Men Than Women

No matter your gender, you should be aware of the very real dangers of oral cancer. While studies conducted by the Oral Cancer Foundation have shown that oral cancer is one the rise among women too, a 2:1 incidence ratio between men and women still remains. This correlation may be due to the fact that, statistically speaking, men smoke and drink more than women. Regardless of your own habits, remain aware of the signs and symptoms and ask your doctor to perform a regular oral exam if they do not already.

2.) Each Year, 450,000 New Cases Are Discovered

As such, it is likely that oral cancer has affected someone in your life. Whether you know someone who has had, or is currently dealing with their own struggle against oral cancer, you should know that they are not alone.

3.) Alcohol and Tobacco Increase Your Risk

Among the many risk factors, your lifestyle choices can have a huge impact on the likelihood of you developing this cancer. It is estimated by the Cancer Treatment Centers of America that roughly 80% of people with oral cancer are heavy smokers, while 70% are heavy drinkers. Add this unfortunate statistic to the list of reasons why you should leave the cigarettes behind.

4.) When Detected Early Enough, Oral Cancer has a Cure Rate of 90%

According to many experts, part of the reason why oral cancer can be so destructive is because it often goes undetected for long periods of time. Don’t overlook or ignore any suspicious new developments in your mouth and call your doctor or oral surgeon as soon as you notice anything amiss.

The best way to overcome oral cancer is to stay informed and catch it early. As something that is important to all dental professionals, we hope you will take this disease just as seriously as we do. We look forward to helping you stay healthy and protecting your oral health throughout your life. If you have any questions call or contact our oral surgery office in Lutherville today and we will assist you however we can. 

Chesapeake Oral Surgery & Dental Implants
Phone: (410) 670-4500
2360 W. Joppa Rd., Suite 310
Lutherville, MD 21093

Oral Surgeon Havre de Grace MD | Practical Wisdom on Wisdom Teeth Removal

Oral Surgeon Havre de Grace MD | Practical Wisdom on Wisdom Teeth Removal

If a dentist has recommended you have your wisdom teeth removed, you probably have some questions you would like answered before scheduling the extractions. The prospect of oral surgery may seem rather scary at first, but we are here to provide you with both clarity and comfort as you contemplate the “what” and “why” of wisdom teeth removal. Here are some of the most frequently asked questions our office receives:

Q. Why do I have wisdom teeth if I don’t need them?

A. Wisdom teeth helped our early human ancestors chew and dissect the tougher foods that were a typical part of their diet. Fossil records also indicate that ancient human jaws were larger than ours, leaving more room for these “third molars.” The bottom line is that as our diets have evolved and our jaws have gotten smaller, wisdom teeth are no longer a tool that we rely upon. In fact, they can often do more harm to our mouths than good these days.

Q.  Why do my wisdom teeth need to be removed?

A. Wisdom teeth removal is often recommended to prevent an array of potential oral health problems. For example, leaving your wisdom teeth in place can lead to impaction. Impaction occurs when there is not enough space inside your mouth to accommodate emerging teeth, causing them to grow in at an angle. These impacted molars can cause tooth crowding and discomfort, and potentially lead to plaque build-up and periodontal disease.

Q. When should I have my wisdom teeth removed?

A. According to the American Association of Oral and Maxillofacial Surgeons , wisdom teeth removal usually occurs during your high school years or when you are a young adult (between the ages of 17 and 25). If you wait too long, the tooth root will continue to grow leading to potential nerve damage and other complications. However, each person is unique and your needs may vary.

Q. Are there circumstances when it’s okay to keep your wisdom teeth?

A. Our oral surgery office will work with you to determine whether or not your wisdom tooth removal can be delayed. If there is enough room in your mouth to allow your wisdom teeth to erupt properly without impaction or damage to surrounding teeth, then it may be acceptable to consider leaving them in place. However, your wisdom teeth will need close monitoring to ensure that no changes occur that could cause harm to your other teeth. Our oral surgery team will discuss this option with you during your exam.

Wisdom teeth removal is a very common procedure that millions of people undergo each year. For many young adults, it’s almost a right-of-passage. Doing your homework and talking to your dentist can provide you with confidence and peace of mind as you determine if wisdom teeth removal is right for you. If you still have unanswered questions or if you would like more information, please contact our oral surgery office in Havre de Grace today to schedule an evaluation.

Chesapeake Oral Surgery & Dental Implants
Phone: (410) 670-4500
2360 W. Joppa Rd., Suite 310
Lutherville, MD 21093

Oral Surgeon Havre de Grace MD | Oral Surgeons: The Facial Experts

Oral Surgeon Havre de Grace MD

When most people think about oral surgeons usually the first thing to come to mind is removing wisdom teeth. However, with extensive knowledge and experience, oral surgeons have the ability to treat a wide array of areas from medical to cosmetic. Oral surgeons train and learn in different areas of the medical field to become experts on nearly all of the different possible dental and facial needs you may have. Learn more about oral surgeons’ training and how they might be able to benefit you.

How Oral Surgeons Reach Their Positions

Did you know that oral surgeons are the only dental specialists recognized by the American Dental Association who are surgically trained in a hospital-based residency? Oral surgeons must complete a 4 year minimum hospital based residency program focusing on facial skin, bone, and muscle. This training allows them to train alongside general surgery, internal medicine, and emergency specialists to name a few. Oral surgeons also learn and train extensively in anesthesia (general and local) and sedation, and how to properly administer them to patients.

How Can An Oral Surgeon Help You?

Oral surgeons specialize in numerous areas related to face, mouth, and jaw surgery. With both medical and cosmetic specialties, oral surgeons may be able to assist you with something you had not expected previously. While specialties can vary from surgeon to surgeon, most can treat a variety of areas including, but not limited to:

  • Wisdom teeth
  • Corrective jaw surgery
  • Tooth extractions
  • Cleft lip and palate
  • Obstructive sleep apnea
  • Oral, neck, and head cancer

With a multitude of specialties, oral surgeons can treat areas and issues you may not have previously thought of. If you have any questions for our oral surgery team, or would like to learn more about us, visit us online or contact our oral surgery office today.

Chesapeake Oral Surgery & Dental Implants
Phone: (410) 670-4500
2360 W. Joppa Road, Suite 310
Lutherville , MD 21093

Oral Surgeon Lutherville MD | Oral Surgeons Can Help You With More Than Just Wisdom Teeth

Oral Surgeon Lutherville MD

For many of us, the only time we’ll think of an oral surgeon is when we need to get our wisdom teeth removed. While this is definitely a valuable service they provide, there’s a whole lot more you need to know about oral surgery. Read on to learn more of the ways that oral surgeons help people every day.

Oral and maxillofacial surgeons are different from other dental specialists in many ways. For instance, apart from anesthesiologists themselves, they are the only healthcare specialists who can administer all levels of sedation up to general anesthesia.

Because oral surgeons are focused on treating problems related to the hard and soft tissues of the face, mouth and jaws, it is normal to be referred to one by your general dentist or orthodontist for a number of reasons.

Tooth extractions are one of the most common procedures oral surgeons perform. While many dentists are knowledgeable on this subject too, an oral surgeon is usually called in when complications (such as impacted teeth) arise.

Corrective jaw surgery is sometimes needed when orthodontics can’t correct a malocclusion alone. Oral surgeons often work with orthodontists to plan and carry out surgery that reshapes, repositions or realigns jaws and teeth.

These specialists can also perform reconstructive surgery after a traumatic injury to the face or other dental issues. This can happen due to an accident, injury, birth defect or the performance of another operation. Experts in working with both hard and soft tissues, oral and maxillofacial surgeons specialize in reconstructing facial structures.

Oral surgeons may also be called upon to help with bone grafting required for proper dental implant placement, or as a consult on obstructive sleep apnea cases. The wide range of clinical experience they possess means that oral surgeons can help with just about anything related to your face and mouth. If you’re ever in need of an expert in oral surgery, our office is just a phone call away. If you’ve already been referred to our oral surgery office by your dentist, we look forward to meeting you.

Chesapeake Oral Surgery & Dental Implants
Phone: (410) 670-4500
2360 W. Joppa Road, Suite 310
Lutherville , MD 21093