Q: Why should I choose COAFS for my oral and facial surgery needs?
A: At COAFS, our commitment is to provide you with personalized treatment and the latest innovations in our industry. We offer the full scope of oral and maxillofacial surgery options such as wisdom tooth extractions, dental implants, orthognathic surgery, bone grafting, TMJ treatment and much more. All of our surgeons are Board Certified and are committed to continuing their education, growing the practice with the most qualified medical practitioners, and staying on top of cutting-edge procedures. Our staff is trained to make your visit as pleasant and informative as possible. Our state-of-the-art offices allow us to provide the best quality care in the safest environment with the most up-to-date technology.
Q: Why should I choose to see a Board Certified Oral & Maxillofacial surgeon?
A: All of the surgeons at COAFS are board certified by the American Board of Oral and Maxillofacial Surgery. They have completed 4 years of undergraduate school, 4 years of dental school, 4-6 years of residency, and have passed a rigorous written exam along with the ABOMS Oral Certifying Examination (OCE), which is a series of tests focused on their clinical knowledge and judgement, as well as different concerns that are addressed in surgery.
They are required to take part in ongoing continuing professional education to stay up-to-date with practices and techniques in their field and must be recertified on these every 10 years. This means that patients of COAFS can be confident knowing that they are undergoing treatment with the most equipped dental professionals to handle any complications because of their extensive surgical training, experience, and skill.
Q: Why would I need a dental implant?
A: Statistics show that 69% of adults ages 35 to 44 have lost at least one permanent tooth to an accident, gum disease, a failed root canal, or tooth decay. Furthermore, by age 74, 26% of adults have lost all of their permanent teeth. Almost any person who is missing one or more teeth is a candidate for dental implants.
A dental implant is the best option to replace a missing tooth since they feel and look like a natural tooth and allow you to clean around it like you would with a normal tooth. You will not have to compromise the adjacent teeth with a dental implant like you would with a bridge. Bridge placement usually requires filing the neighboring teeth, which can cause sensitivity and allows cavities to form under the crowns that can eventually cause you to lose the bridge. The bone is more stable with a dental implant, and the implant even prevents the bone from deteriorating away. They also have a higher success rate and the cost is similar to a bridge option.
Q: Why should I have my wisdom teeth removed?
A: The average adult has 32 teeth by the age of eighteen, but a normal mouth is only large enough to hold 28 teeth. These four other teeth are your 3rd molars, known as your wisdom teeth. They are the farthest back in the mouth and they are the most difficult to clean, even if they erupt into the proper position. Most people’s jaws are not large enough to allow the eruption of the third molar tooth in a normal, healthy, and functional position. You can experience swelling of the affected area, sore throat, headaches, and ultimately infection.
Some people do not experience any pain or symptoms that are created by impacted third molars. However, this does not mean that they do not need to be removed. Wisdom teeth can cause problems further down the line, including: damage to other teeth, jaw damage, sinus issues, inflamed gums, cavities, alignment problems, and more.
To determine if wisdom teeth are present and if removal is indicated, a thorough examination of your mouth is performed. There are different types of impaction, which will also determine the protocol we will take to extract your third molars.
Q: What type of sedation and anesthesia are used for oral and maxillofacial surgery?
A: We offer different types of sedation and anesthesia and will work with you to decide the best option to use during your procedure:
- Local anesthesia: the patient remains conscious throughout the procedure. A local anesthetic is administered in the area where the surgery is to be performed, so that it is numb. It is typically used for simple procedures such as a single tooth extraction or minor soft tissue procedures. It is also used in conjunction with the other methods of anesthesia in all oral surgery procedures.
- Nitrous Oxide (commonly called “laughing gas”): this is administered through a nasal breathing device and the patient is awake but in a relaxed state. It has a sedative and pain-controlling effect and is used in simple procedures to help people who are anxious.
- I.V. Sedation (known as a “twilight sleep”): the patient is given medications through an IV line and they fall asleep so that they are completely unaware of the procedure being performed. This is commonly used for procedures such as wisdom teeth extractions, multiple extractions, dental implants, or for people who are very anxious about the procedure.
- General Anesthesia: the patient will be fully asleep and this is used for more extensive cases that require a longer amount of time, such as: TMJ surgery and All-on-4 implants
Q: Is sedation safe?
A: Yes, sedation is very safe. All of our surgeons are Board Certified to perform general anesthesia in the office, and each member of our surgical team are BLS certified.
Q: Do I need a referral to come to your office?
A: No, you do not. However, it is recommended. If you first see a general dentist for a full evaluation, x-rays, and cleaning, they can develop a treatment plan for you and determine if a visit to our office is needed.
Q: Why do I need a consultation if I have already consulted with my dentist? Why is there a charge for the consultation?
A: A consultation appointment allows the surgeon to complete a thorough evaluation of your dental and surgical needs. A treatment plan and approach for anesthesia will be discussed and explained in detail for you. We will spend time familiarizing you with preparation for the surgery and aftercare. We will review fees, insurance and payments with you as well. A consultation appointment provides you with the necessary education and guarantees a better experience for your upcoming procedure.
The charge for the consultation covers all of the components of the appointment: evaluation by the surgeon, discussion of the specific diagnosis, outlining the procedure and anesthesia, a review by a surgical assistant of the preparation for surgery and the aftercare, and discussion of the proposed fees for the surgery to help avoid and financial surprises for you and us.
Q: What do I need to bring with me to my appointment?
A: Please bring the following:
- A referral form from your general dentist or orthodontist if you have one
- Driver’s license or another form of identification with a photo
- Complete list of medications you are taking or are allergic to
- Medical and dental insurance cards
Q: What should I expect during my consultation?
A: During your first visit, you will have an examination and consultation to help us develop a personalized treatment plan specifically for you. A visual exam will be performed and any necessary x-rays will be taken. Once a treatment plan has been chosen, we will discuss financing with you and schedule a date for surgery.
Q: Will I need to have X-Rays taken?
A: If your dentist does not have current x-rays to send us with your referral forms, we can take x-rays at our office. We may need to take a different type of x-ray than your dentist can provide: a CT scan or a panoramic x-ray. These are more comprehensive for examination of the entire upper and lower jaw structures as well as the jaw joint structures, upper sinus cavities, and all related areas of the head and neck region.
Day of Surgery:
Q: What should I expect on my day of surgery?
A: If you are undergoing sedation, make sure you have not had anything to eat or drink since midnight the night before. You must have a driver available to stay at the office during your procedure. Be prepared to pay any outstanding balance. We recommend that you wear comfortable, loose-fitting clothes. Relax! You are in good hands!
Q: Why does my driver have to stay in the waiting room while I am in surgery?
A: We require that there is a responsible adult here with you the day of surgery that can make decisions on your behalf should any of our surgeons need to know something in regards to your health history while you are under IV sedation.
Q: If my child is having surgery, am I allowed to stay with him or her during the procedure?
A: Parents of young children may accompany their child prior to surgery. However, OSHA safety regulations, HIPAA privacy laws, as well as staff and patient safety concerns do not permit bystanders during the surgical procedure.
Q: What type of insurance do you accept?
A: We accept:
- Aetna Dental
- BCBS State Dental Plus
- BCBS State Basic
- BCBS Medical
- BCBS Federal
- BCBS Dental
- Delta Dental
- Thomas Cooper
- Veterans Affairs
- United Concordia
- Worker’s Compensation
Q: How do I know which plan (medical or dental) covers oral surgery?
A: Coverage depends upon the procedures involved and how your dental plan is set up. It is a good idea to get a pre-treatment estimate for any oral surgery procedure over $250.
Q: How much will I have to pay on the day of surgery?
A: Please be sure to provide us with all of the accurate information to aid in submitting your claim and maximizing your insurance benefits. We will contact your insurance company to verify your benefits so that we may give you the expected amount that insurance will pay and an estimate of the amount you will need to pay.
Your payment will be applied to the total cost of your surgery and we will submit a claim on your behalf to your insurance carrier. When your insurance benefit payment is received, if the amount is less than estimated, you will receive a statement as you are responsible for paying for this amount. If the benefit payment amount is more, you will receive a refund.
If you do not have insurance benefits, then you will be responsible for the entire fee at the time that services are rendered.
Q: What forms of payment do you accept?
A: We accept all major credit cards, checks, cash, and cashier checks.
Q: Do you accept payment plans?
A: We offer financing through Care Credit and Lending Club.