Facial Trauma

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. Gayed and Dr. Fiorita meet and exceed these modern standards. They 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
  • Intra oral lacerations
  • Avulsed (knocked out) teeth
  • Fractured facial bones (cheek, nose or eye socket)
  • Fractured jaws (upper and lower jaw)

The Nature Of Maxillofacial Trauma

There are a number of possible causes of facial trauma such as 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). Drs. Gayed and Fiorita are both well-trained oral and maxillofacial surgeons and are 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. Since 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 & 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, since 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.

Wooster Oral Surgery and Implant Center

5 out of 5 stars based on 7 Facial Trauma reviews

Our Latest Patient Testimonial

Thank you to the staff and Dr. Gayed for easing my fears of having a wisdom tooth pulled. You took the time to talk with me and tell me all about the procedure. Dr. Gayed and his staff were very calming and understanding of my fears. I did not feel the needle to numb the area . . . not one bit! As Dr. Gayed began to remove my wisdom tooth, he and his staff talked about general topics which brought a calmness over me. He said "you'll feel a little pressure", which I did not. Dr. Gayed was also humming a song, which also brought a calmness over me! He then said, "you may hear some cracking", which I did not. Next thing I knew, my tooth was out! Absolutely no pain, no pressure and no cracking! I can't thank Dr. Gayed and his staff enough for their professional manner and patience with me! I highly recommend!!

- Jodie S

5 out of 5 stars on

Our Latest Patient Testimonial

I am a retired dentist of 35 years, Dr. Fiorita extracted a tooth for me and he is really the BEST of the BEST! All the staff was absolutely wonderful.

- David M

5 out of 5 stars on

Our Latest Patient Testimonial

Everyone was so nice. Dr Marc was great! He is so knowledgeable and explained everything.

- Liz H

5 out of 5 stars on

Our Latest Patient Testimonial

I am so grateful for this team. I was in a very scary situation to me. Dr Fiorita preformed surgery on me. Amazingly, I had no scaring on my face when he was done. A little swelling and discomfort (very minimal). Dr Fiorita has a very calming bedside manner to be praised for. He talked me through everything. I knew what to expect during and after surgery. I will be forever grateful to Dr Fiorita. Thank you for helping me with this intense situation. Donna Nye

- Donna N

5 out of 5 stars on

Our Latest Patient Testimonial

Dr. Fiorita and his Staff did and excellent job during my procedure, it was painless during and even after the procedure I experienced NO PAIN at all. The whole staff was very informative and really made me feel at ease. I was also very impressed with the follow up calls I received after I got home. Thank you for making something I was not looking forward to at all into tolerable experience.

- Todd D

5 out of 5 stars on

Our Latest Patient Testimonial

Dr. Fioriti is the gentlest oral surgeon I've ever been to. He knew what he was doing and did the procedure with expertise and explanation the whole way through. I was nervous and scared from a previous bad experience with a dentist; however, Dr. Fioriti was able to calm me down by explaining what he was doing and his staff reassuring me. It was the easiest dental surgery I've ever had. I will definitely recommend him to my family, my friends, and anyone I hear that needs an oral surgeon! I will be coming back for further treatments.

- Laura K

5 out of 5 stars on

Our Latest Patient Testimonial

This office was probably the most pleasant experience I have ever had in any business setting--medical and non-medical. Every person I came in contact with was very pleasant and helpful. From check-in to the doctor himself, this office offers great care.

- Angela S

5 out of 5 stars on