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Our Services

Our Services

As a Board Certified Diplomate of the American Board of Oral & Maxillofacial Surgery, Dr. Douglas Hong possesses years of experience and training performing a wide variety of oral surgical procedures. From wisdom tooth extractions to dental implants to TMJ treatment, Dr. Hong can provide the care you need in a comfortable and relaxing environment. If you’re looking for an oral surgeon in Westminster, Dr. Hong and the staff at North Denver Oral and Maxillofacial Surgery offer services that include:

Bone Grafting
 With the advanced technology we have available to us today, we are able to regenerate, or grow bone, where we need it. The bone is obtained from a tissue bank, or other synthetic sources, and is completely safe to use.

Bone grafting can repair implant sites with inadequate bone structure due to previous extractions, gum disease, or injuries. Sinus bone grafts are also performed to replace bone in the upper jaw. In addition, a special membrane may be used that will dissolve under the gum and protect the bone graft and help the bone regenerate. This is called guided bone regeneration or guided tissue regeneration. 

Sinus Lift Procedure

The maxillary sinuses are large, air-filled cavities that sit above the roots of your upper back teeth. Some of the roots of these teeth extend up into the maxillary sinuses, and upon removal, create a communication, or an opening, into the sinuses. When placing an implant, they need bone to hold them in place. When the sinus wall is very thin, it is impossible to place dental implants in this bone.

The solution to this problem is a sinus lift. Through the opening created by removing the tooth, the sinus membrane is then lifted upward. Dr. Hong will place donor bone into the floor of the sinus. Keep in mind that the floor of the sinus is the roof of the upper jaw. After several months of healing, the bone becomes part of the patient’s jaw, and dental implants can be inserted and stabilized in this new sinus bone.

Dental Implants

The implants themselves are tiny titanium posts that are surgically placed into the jawbone where teeth are missing. These metal anchors act as tooth root substitutes. The bone bonds with the titanium, creating a strong foundation for artificial teeth. These posts provide secure anchors for artificial replacement teeth.

Implants also help prevent bone loss that occurs naturally after a tooth is extracted.

Dental Implants Surgical Procedure

Initially, implant posts are placed within your jawbone. Sometimes, the implants are completely submerged in the gum tissue, while some are exposed in the mouth. For the first three to six months following surgery, the implants are still healing. It is very important that you do not chew directly over the implant site, or it may not heal properly.

After the implant has bonded to the jawbone, the second phase begins. If needed, we will uncover the implants that are covered by the soft tissue, and attach small posts that protrude through the gums that will act as anchors for the artificial teeth. If the implants were already exposed in the mouth, we will make sure they are stable before we send you to your dentist to have the artificial tooth placed. When the artificial teeth are placed on, these posts will not be seen. The entire procedure usually takes six to eight months. Most patients experience minimal disruption in their daily life.

Are You A Candidate For Implants?

If you are considering implants, your mouth must be examined thoroughly and your medical and dental history reviewed. There are several determining factors for implants, such as bone volume and space for the implant. We will inform you of all of your options at the consultation.

What Type Of Anesthesia Is Used for Implant Surgery?

As an oral and maxillofacial Denver surgeon, Dr. Hong is able to provide a complete variety of anesthesia to accommodate your needs. Most patients prefer to have this particular procedure performed under conscious sedation, although it is possible to perform under local anesthesia. (See Anesthesia)

Please feel free to contact our office for more information.

How Long Do Dental Implants Last?

There is no guarantee of 100% success with dental implants. With proper dental hygiene and maintenance, you can expect many years of use from your implants. Statistically speaking, implants have been known to last at LEAST five years, although they tend to last longer if you take care of your mouth. Please feel free to contact our office for more information.

Oral Pathology

The inside of the mouth is normally lined with mucosa that is smooth and pink. Any changes in this appearance could be a warning sign for a pathological process. The most serious of these is oral cancer. The following can be signs that are considered “red flags”:

  • Reddish patches or whitish patches in the mouth
  • A sore that fails to heal and bleeds easily
  • A lump or thickening on the skin lining the inside of the mouth
  • Chronic sore throat or hoarseness
  • Difficulty in chewing or swallowing

These changes can be detected on the lips, cheeks, palate, and gum tissue around the teeth, tongue, face, and/or neck. Pain does not always occur with pathology, and is not often associated with cancer. However, anything new and suspicious in the mouth should be thoroughly evaluated. We recommend that you don’t ignore any new lumps or sores.

Wisdom Teeth

The average mouth is made to hold only 28 teeth. It can be painful when 32 teeth try to fit in a mouth that holds only 28 teeth. These four other teeth are your third molars, also known as “wisdom teeth.”

Wisdom Teeth

The average mouth is made to hold only 28 teeth. It can be painful when 32 teeth try to fit in a mouth that holds only 28 teeth. These four other teeth are your third molars, also known as “wisdom teeth.”

Why Should I Have My Wisdom Teeth Removed?

Wisdom teeth are the last teeth to erupt within the mouth, usually around your late teenage years. When they grow in properly and the surrounding gum tissue is healthy, wisdom teeth do not have to be removed. However, the extraction of wisdom teeth is necessary when they are prevented from properly erupting within the mouth.

These malposed, or poorly positioned impacted teeth can cause many problems. When they are partially erupted through the gum tissue, the opening around the teeth allows bacteria to grow and will eventually cause an infection. These teeth can also create enough pressure in the mouth to disrupt the natural alignment of your teeth. Removal of the offending impacted teeth usually resolves these problems. It is advisable to have these teeth removed early, as potential risks and complications go up with age.

Wisdom Teeth Removal

In most cases, the removal of wisdom teeth is performed under intravenous sedation . Although rare, it is also possible to perform the surgery with local anesthesia alone. The potential risks and complications associated with the surgery (sinus involvement, nerve injuries, etc), will be discussed with you during your consultation. After the teeth are removed, depending on Dr. Hong’s surgical disposition, sutures will or will not be placed in the mouth. If sutures are placed, they will dissolve on their own or fall out within a week or two. We will place pieces of gauze in your mouth to control the bleeding after surgery, and we will monitor you to ensure you are safe to go home.

Upon discharge, you will receive a postoperative bag that has postoperative instructions, your prescriptions, and additional gauze for you to use if needed. We will schedule a follow-up visit for one week afterwards, so that Dr. Hong can evaluate you and make sure you are healing properly.

Our services are provided in an environment of optimum safety that utilizes modern monitoring equipment and a staff who is experienced in anesthesia technique. 

Anesthesia

Dr. Hong is a specialist in dealing with problems of the mouth, teeth and jaws, and is also experienced in dealing with the control of pain and anxiety.

Dr. Hong has received extensive schooling in medical and dental aspects of anesthesia. He is thoroughly knowledgeable in pain and anxiety control, and possesses extensive clinical experience in anesthesia techniques, including local anesthesia and intravenous sedation.

As a result of this specific training in anesthesia, our surgeons are experienced in evaluating patients for anesthesia, administering anesthetic, and monitoring post-anesthetic patients.

Dr. Hong realizes that one way to ease your anxiety is to make you aware of exactly what to expect during surgery. Before surgery, you’ll review your case with him. He will talk to you about which type of anesthetic he feels is best suited for your individual case.

Types Of Anesthesia: Local Anesthesia vs. Conscious IV Sedation

Local anesthesa: (Lidocaine, Marcaine, etc) These are injections in the mouth that numb the surgical field. They do not, however, alleviate the sensation of pulling, pushing, and other surgical manipulations.
Conscious IV sedation with local anesthesia: A small IV is started in the arm, and medications are administered to keep you comfortable, and provide adequate pain control. The medications used include, but not limited to, anti-anxiety drugs and potent pain medications to keep you as comfortable as possible. Local anesthetics are administered after you fall asleep to numb the surgical area so that you are comfortable afterwards.

What to Expect During Sedation

During surgery, one or more of the following is used to control pain and anxiety – local anesthesia that numbs the surgical area, and/or intravenous sedation for increased relaxation with adequate pain control. Our surgeons are specifically trained and experienced in the administration of all aspects of anesthesia and the treatment of anxiety. They have received extensive training in administering and maintaining proper levels of anesthesia.

Who can be “Put to Sleep?”

A complete health/medical history will be taken on patients who wish to have general anesthesia. Providing there are no significant allergies or health problems that might affect the administration of anesthesia, we can provide this service to most people.

How Do I Prepare For Anesthesia?

  • Clothing- Wear loose, comfortable clothing with sleeves that can be easily rolled up.
  • Transportation- Arrange to have someone accompany you to your surgery appointment, drive you home afterward, and stay with you until the effects of the anesthesia have worn off. Driving yourself home after anesthesia is unsafe.
  • Diet- DO NOT EAT OR DRINK FOR AT LEAST SIX HOURS PRIOR TO SURGERY. (IF DIABETIC, NO FOOD OR DRINK FOR EIGHT HOURS PRIOR TO SURGERY)
  • Medications- Adhere to any medication schedule prescribed by your surgeon prior to surgery.
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