Dental Reconstruction

Dental reconstruction refers to procedures performed to treat patients with facial injuries / facial trauma.

Dr. Thanos Kristallis DDS, is highly trained, skilled, and uniquely qualified to manage and treat facial trauma. He is experienced in emergency care, acute treatment and long-term rehabilitation of patients with such conditions.

Facial injuries, by their very nature, cause severe emotional and physical trauma to patients. So, treating patients with facial injuries requires special training and understanding of how the reconstruction treatment will influence the patient’s long term functioning as well as appearance.

If you have experienced facial trauma and are in need of dental reconstruction, please call our experienced dental care specialists at Dr. Thanos Kristallis & Associates at Washington Metro Center Dental. We can work with you to help you determine the dental reconstruction treatments that best fits your needs.

What causes facial trauma?

Facial trauma can result from a number of reasons such as:

  • Motor vehicle accidents
  • Accidental falling down
  • Injury from sports
  • Injury from interpersonal violence
  • Injury from work

Types of facial injuries

The types of facial injuries seen in facial trauma can range from relatively minor injuries of teeth to extremely severe injuries that involve the skin, bones and soft tissue of the face. Typically, facial injuries that we treat can be classified under three groups:

  • Injuries to the Teeth & Surrounding Dental Structures (e.g., avulsed / knocked-off teeth)
  • Soft tissue injuries that involve the skin and gums (facial lacerations, intra-oral lacerations and other injuries of the oral and maxillofacial region)
  • Bone injuries (e.g., fractures of facial and / or jawbones and other such injuries of the oral and maxillofacial region)

Dental reconstruction treatment for facial injuries / facial trauma

The specific nature of dental reconstruction treatment for a facial injury will depend on several factors such as the type, location and severity of the injury; and the patient’s age and health status. Sometimes facial injuries also involve injuries to special regions such as injuries to the eyes, facial nerves or the salivary glands. These cases need specific treatments on their own.

If you have experienced facial trauma and are in need of dental reconstruction, please call our experienced dental care specialists at Dr. Thanos Kristallis & Associates at Washington Metro Center Dental. We can work with you to help you determine the dental reconstruction treatments that best fits your needs.

Injuries to the Teeth & Surrounding Dental Structures

Generally, the treatments of injuries to teeth involve replanting (replacing any displaced / avulsed teeth) and treating fractures in the supporting bone.

Replanting can be done if the patient intactly recovers the knocked-out tooth. The sooner the tooth is re-inserted into its dental socket, the better its chances for survival.

If a tooth is knocked out, it should be placed in salt water or milk and bring it to the surgeon. Never try to wipe a knocked out tooth. The remnants of the ligament that hold the tooth to the jaw will be attached to it; this is critical to successful replanting of the tooth.

Soft Tissue Injuries

Generally, soft tissue injuries can be repaired by suturing. In addition to providing a repair we take special care to use techniques that would yield the best cosmetic result possible. We also conduct thorough inspection and treat injuries that may have occurred to structures such as facial nerves, salivary glands, and salivary ducts.

Bone Fracture Injuries

The general principle for treating dental / face bone fractures is similar to that of treating fractures on bones in any other part of the body. That is, the fracture has to be stabilized and immobilized to allow for proper healing. Since a cast cannot be applied the face for stabilization, there are alternate means to stabilize facial fractures.

One such option for certain fractures of the upper and lower jaws involves wiring the jaws together. Another option, which is more recent, involves the surgical placement of small plates and screws at the affected site. This technique is called “rigid fixation” of a fracture.

A critical aspect in the treatment of facial fractures is that it should be implemented in a thorough and predictable manner. The patient’s facial appearance should be minimally affected. We take great care to ensure that access to the facial bones is made through least number of incisions necessary. Also, when incisions are necessary, they are designed to be as small as possible and least obvious such that the resultant scar is best hidden.