Maxillofacial - Huntington
7 High Street, Ste 308
Huntington , NY 11743
631-547-8324

Dr. Alexander is a Diplomate of the American Board of Oral and Maxillofacial Surgery, i.e., a Board Certified Oral and Maxillofacial Surgeon. An oral and maxillofacial surgeon has graduated from an accredited dental school and completed an approved in hospital Oral & Maxillofacial Surgery Residency Program of four years duration. It includes training in other surgical specialties such as anesthesia, general surgery, neurosurgery, internal medicine, surgical intensive care and otolaryngology. Following completion of the training program the individual must pass a rigorous national written and oral examination given by the American Board of Oral and Maxillofacial Surgery in order to become Board Certified.

 

TMJ Implant Surgery
A procedure in which part or all of the temporomandibular (jaw) joint is replaced with a custom made titanium prosthetic device. The devices, made by TMJ Implants, Inc., are FDA approved and we have over 20 years experience with their use. They have a proven track record and are a highly successful treatment for a failed joint.

Arthroscopic TMJ Surgery
A procedure similar to arthroscopic knee surgery in which a small scope is inserted into the TM joint. Attached to the scope is a camera that allows the surgeon to visualize to the inside of the joint on a monitor similar to a TV screen. The procedure is minimally invasive and can be used to treat some forms of internal derangements (displaced discs) , hypomobilty of the jaw joint and hypermobility (chronic dislocation) of the jaw joint. When indicated, the procedure is highly successful, far less invasive and has a shorter recovery time than open joint surgery.

Denture Implant Surgery
Denture implants are implants designed specificaly to stabilize floppy dentures and are considerably less expensive than traditional dental implants. Lower dentures can usually be stabilized with as little as 2 implants. Upper dentures can generally be stabilized with 4 denture implants. The patient's existing denture can often be used eliminating the need for a new denture.

Dental Implant Surgery
Dental implants are screw type devices placed in the jaw to replace lost teeth. They can be used to replace one tooth, multiple teeth and as abutments for an implant supported bridge. Implants have a longer life span than bridges therefore it makes little sense to cut down and crown 2 healthy teeth to construct a natural tooth supported bridge. It is better and cheaper in the long run to replace a single tooth with an implant.

Wisdom Teeth
Wisdom teeth (3rd molars) rarely erupt to become functional teeth. If there is insufficient space for them to erupt and become functional teeth nothing good happens from leaving them there. All the things that happen are bad and some are not symptomatic until the damage is done. The most common reason to remove wisdom teeth is to prevent damage to the adjacent teeth and or a periodontal (gum) problem both of which can result in the loss of the adjacent tooth. Unerupted wisdom teeth in some instances can form large cysts in the jaw that destroy bone. In rare instances the walls of these cysts can be the source of a locally aggressive tumor called an ameloblastoma. These cysts and tumors can become very large before they become symptomatic. If you choose not to remove unerupted (impacted) or non-functional wisdom teeth your surgeon may recommend that you have a yearly panoramic x-ray (full jaw x-ray) to rule out damage to an adjacent tooth, cyst formation or tumor formation.

Laser Surgery
Carbon dioxide lasers are used on tissues with a high water content such as the skin and the tissues of the oral cavity. The carbon dioxide laser emits a beam of light that is absorbed by tissues with high water content. The energy from this light beam vaporizes the tissue to which it is applied. In the process the laser beam seals off blood vessels and nerve endings. Most lesions in the tissues of the mouth and skin are better removed with the laser than by conventional means. Laser removal frequently avoids the need for stitches and results in less pain, less bleeding and less scarring.

Facial Fracture Surgery
Oral and maxillofacial surgeons have extensive training in the repair of facial fractures. Small bone plates are used to stabilize the fractures after the bones are properly repositioned. Fractures in the tooth bearing areas of the jaws used to be treated by wiring the teeth together for 6-8 weeks. This is rarely necessary when bone plates are used to fix the fractures. In most instances the patients are able to function immediately and quickly return to a normal diet.

Bone Graft Surgery
Bone grafting is done to build up areas of the jaws that have insufficient bone for placement of dental implants. Bone grafting is also used to restore continuity defects of the jaws resulting from resection of a jaw tumor, from traumatic loss of bone resulting from a motor vehicle accident or gun shot wound and from bone loss due to serious infections such as osteomyelitis. Sources of the bone for grafting include the patient's bone known as autogenous bone, tissue bank bone known as autologous bone or a combination of the two. In some cases a substances called BMP or bone morphogenetic protein is placed in the defect. BMP is placed on an absorbable collagen sponge and inserted in the defect. BMP contains a group of growth factors that induce the formation of bone. In small defects BMP may be all that is required to regenerate bone. In larger defects BPM can be combined with autogenous or autologous bone thereby reducing the amount of bone required for a successful graft.

Orthognathic (Jaw) Surgery
This surgery derives its name from the fact that many skeletal deformities of the jaw, growth related or congenital, require a combination of orthodontics (to align the teeth) and surgery (to reposition the jaw). Conditions requiring this type of surgery include over and under grown upper and lower jaws, open bite deformities, facial asymmetries, constricted upper jaws and a number of congenital jaw abnormalities. Small bone plates are generally used to stabilize the segments that are moved therefore the patient rarely has to have their jaws or teeth wired together following the surgery. Many of these procedures are performed inside the mouth thereby avoiding the need for incisions on the face.