Facial Trauma

Treatment of Damaged Teeth, Bone & Soft Tissue

Maxillofacial defined:
of or relating to the upper jaw and face (particularly with reference to specialized surgery of the maxilla); “maxillofacial surgery”

The dental specialist performs the proper treatment of facial injuries. These professionals must be well versed in emergency care, acute treatment and long-term reconstruction and rehabilitation — not just for physical reasons but emotional as well. Oral and Maxillofacial Surgeons are trained, skilled and uniquely qualified to manage and treat Facial Trauma. Injuries to the face, by their very nature, impart a high degree of emotional, as well as physical trauma to patients. The science and art of treating these injuries requires special training involving a hands on experience and an understanding of how the treatment provided will influence the patients long term function and appearance.

Dr. Jungels meets and exceeds these modern standards. Dr. Jungels and the Staff of Atlantic Oral and Maxillofacial Associates are trained, skilled and uniquely qualified to manage and treat facial trauma. They are on-staff at local hospitals and deliver emergency room coverage for facial injuries, which include the following conditions.

  • Facial lacerations
  • Intraoral lacerations
  • Avulsed (knocked out) teeth
  • Fractured facial bones (cheek, nose or eye socket)
  • Fractured jaws (upper and lower jaw)

The Nature of Maxillofacial Trauma

Facial Trauma Illustration Northfield NJThere are a number of possible causes of facial trauma. Motor vehicle accidents, accidental falls, sports injuries, interpersonal violence and work related injuries. Types of facial injuries can range from injuries of teeth to extremely severe injuries of the skin and bones of the face. Typically, facial injuries are classified as either soft tissue injuries (skin and gums), bone injuries (fractures), or injuries to special regions (such as the eyes, facial nerves or the salivary glands).

Soft Tissue Injuries of the Maxillofacial Region

When soft tissue injuries such as lacerations occur on the face, they are repaired by suturing. In addition to the obvious concern of providing a repair that yields the best cosmetic result possible, care is taken to inspect for and treat injuries to structures such as facial nerves, salivary glands and salivary ducts (or outflow channels). Dr. Jungels is a well-trained oral and maxillofacial surgeon and he is proficient at diagnosing and treating all types of facial lacerations.

Bone Injuries of the Maxillofacial Region

Fractures of the bones of the face are treated in a manner similar to the fractures in other parts of the body. The specific form of treatment is determined by various factors, which include the location of the fracture, the severity of the fracture, the age and general health of the patient. When an arm or a leg is fractured, a cast is often applied to stabilize the bone to allow for proper healing. Because a cast cannot be placed on the face, other means have been developed to stabilize facial fractures.

One of these options involves wiring the jaws together for certain fractures of the upper and/or lower jaw. Certain other types of fractures of the jaw are best treated and stabilized by the surgical placement of small plates and screws at the involved site. This technique of treatment can often allow for healing and obviates the necessity of having the jaws wired together. This technique is called “rigid fixation” of a fracture. The relatively recent development and use of rigid fixation has profoundly improved the recovery period for many patients, allowing them to return to normal function more quickly.

The treatment of facial fractures should be accomplished in a thorough and predictable manner. More importantly, the patient’s facial appearance should be minimally affected. An attempt at accessing the facial bones through the fewest incisions necessary is always made. At the same time, the incisions that become necessary are designed to be small and, whenever possible, are placed so that the resultant scar is hidden.

Injuries to the Teeth and Surrounding Dental Structures

Isolated injuries to teeth are quite common and may require the expertise of various dental specialists. Oral surgeons usually are involved in treating fractures in the supporting bone or in replanting teeth that have been displaced or knocked out. These types of injuries are treated by one of a number of forms of splinting (stabilizing by wiring or bonding teeth together).

If a tooth is knocked out, it should be placed in salt water or milk. The sooner the tooth is re-inserted into the dental socket, the better chance it will survive. Therefore, the patient should see a dentist or oral surgeon as soon as possible. Never attempt to wipe the tooth off, because remnants of the ligament that hold the tooth in the jaw are attached and are vital to the success of replanting the tooth.

Other dental specialists may be called upon, such as endodontists, who may be asked to perform root canal therapy, and/or restorative dentists, who may need to repair or rebuild fractured teeth. In the event that injured teeth cannot be saved or repaired, dental implants are often now utilized as replacements for missing teeth.

The proper treatment of facial injuries is now the realm of specialists who are well versed in emergency care, acute treatment, long-term reconstruction and rehabilitation of the patient.

Atlantic Oral & Maxillofacial Surgery Associates

5 out of 5 stars based on 30 reviews.

Patient Review

His concern for me to keep me calm. He explain what he was going to do and talk to me during the procedure which did keep me calm. I appreciate his patients

- Phyllis E

4 out of 5 stars on

Patient Review

I recommend them , A+++

- Robert M

5 out of 5 stars on

Patient Review

Happy with the care I received!

- Gillian M

5 out of 5 stars on

Patient Review

Staff was very caring and friendly. Dr. Jungles made me feel calm and as comfortable as possible during procedure.

- Cheryl S

5 out of 5 stars on

Patient Review

Excellant doctor and staff made me feel very relaxed

- joe nigro n

5 out of 5 stars on

Patient Review

Doctor Jungles explained condition and what to expect with the surgery and recovery.
All options were presented and insurance coverage and co-pays explained with no “surprise” additional fees.
Surgery out come was excellent.
I highly recommend Dr. jungles and his entire staff was wonderful!

- Gary S.

5 out of 5 stars on

Patient Review

I was refered to this Dr. and I can only say that I need to thank that person because this office was a complete joy.

- Kevin P.

5 out of 5 stars on

Patient Review

Everything was great. Two convenient locations too.

- Joe F.

5 out of 5 stars on

Patient Review

Great job, quick, and barely any pain after all four removed.

- Sarah S

5 out of 5 stars on

Patient Review

Excellent surgery and friendly staff. I had my wisdom teeth removed and recovery was smooth. Thank you, Dr. Jungels and staff for making me feel very safe and in good hands.

- Nastassia D.

5 out of 5 stars on

Patient Review

I had gastric bypass surgery years ago, an after effect is that my teeth have began to fall apart, I was able to make an appointment, be seen, and have the bad teeth removed all within a week, I will be following up for the remainder of my teeth and would trust no one else!

- Stanley G.

5 out of 5 stars on

Patient Review

I was in severe pain for over a year with exposed roots and nerves, I went here and in one appointment the teeth were removed as well as impacted wisdom teeth, I have severe anxiety and they took care of that with local sedation, I am now home recovering and can not wait until the extraction pain goes away so I can see how my new mouth feels

- Stanley G.

5 out of 5 stars on

Patient Review

Quite amazing, actually. As professional, courteous and efficient as one could imagine.

- Alan M.

5 out of 5 stars on

Patient Review

I was very pleased with my experience.

- Stephen

5 out of 5 stars on

Patient Review

I had a great experience. I was so scared and anxious about the whole procedure. The doctor and his staff helped ease that a lot

- Jacklyn

5 out of 5 stars on

Patient Review

Great office, I would recommend them to anyone seeking a pleasant and calm experience.

- Jabril

5 out of 5 stars on

Patient Review

Outstanding. Thank you.

- Catrickes, C. P..

5 out of 5 stars on

Patient Review

Would definitely recommend. Polite, friendly , professional staff.

- Gary

5 out of 5 stars on

Patient Review

I was very pleased with my experience.

- Stephen

5 out of 5 stars on

Patient Review

Great experience, smooth operation

- Brett

5 out of 5 stars on