With the remarkable All-on-4®1 method of care, our office can help patients who either already lost or are scheduled to have all of their upper and/or lower teeth extracted quickly rebuild their smiles to speak, smile, and eat with renewed confidence and ease!
First Performed by Dr. Paulo Malo in 1998, the All-on-4 treatment concept has helped hundreds of thousands of patients reestablish attractive smiles that look, feel, and function like their very own!
The All-on-4 treatment concept offers:
Best of all, you never have to go without teeth! With the All-on-4 method of care, a fully functional set of temporary teeth is placed the same day as your procedure. This remarkable feature offers the added benefit of having an attractive and complete smile to share with the world until healing is complete and your permanent ones get placed.
With a patient satisfaction rate that exceeds 95%, the All-on-4 treatment concept restores your smile and allows you to once again enjoy the foods you love!
For skilled and experienced care you can trust, contact the office of Royal Oral & Maxillofacial Surgery. We offer the most advanced solutions to transform incomplete smiles into ones that look great, function well, and inspire confidence!
1All-on-4 is a registered trademark of Nobel Biocare
The All-on-4 treatment concept offers an implant-based solution to patients who have lost all of their upper and/or lower teeth. This remarkable method of care helps patients quickly rebuild complete and beautiful smiles. With All-on-4, your new, and complete set of implant-supported replacement teeth feel secure, stable, and much like your very own.
If you currently wear complete upper and/or lower dentures or are slated to have your remaining teeth extracted, you may be a candidate for All-on-4. First Performed by Dr. Paulo Malo in 1998, the All-on-4 treatment concept has helped hundreds of thousands of patients quickly reestablish attractive smiles that look, feel, and function just like a set of natural teeth!
The All-on-4 treatment concept offers a fixed and permanent alternative to removable dentures. Unlike dentures, All-on-4 does not rely on messy dental adhesives or natural suction to hold your new set of teeth in place. With All-on-4, your replacement teeth are permanently secured by dental implants, giving you a smile that looks not only great but also feels secure and stable. You'll feel comfortable and confident as you speak, smile, and chew with ease.
While traditional full arch implants also achieve outstanding results of care, the All-on-4 treatment concept does not involve bone grafting and requires fewer implants to support a full set of teeth. With just four strategically placed dental implants needed to support an entire set of upper or lower teeth, the All-on-4 treatment concept offers a cost-effective and satisfying solution for rebuilding a complete smile. Thanks to this remarkable method of care, patients can experience the satisfaction of having teeth placed the same day as surgery. This key feature allows patients to smile and function with confidence until healing is complete and the permanent restorations installed.
Once it's been determined that you're a candidate for treatment with All-on-4, the process of treatment planning and designing your new smile begins. 3D diagnostic records provide the detailed information required to determine the exact positions of the four supporting dental implants. Then, on the day of surgery, we'll remove any remaining teeth, place the 4 implants, and insert a set of attractive, sturdy, and functional set of temporary teeth. With All-on-4, temporary teeth can be placed right away with a customized, permanent set to follow once the implants become fully integrated with the surrounding bone.
With All-on-4, temporary teeth can be placed right away with a customized, permanent set to follow within just a few months after the implants become fully integrated with the surrounding bone.
Thanks to All-on-4, patients enjoy permanent teeth that look, feel, and function just like real teeth. And with a patient satisfaction rate that exceeds 95%, the All-on-4 treatment concept restores your smile, your confidence, and allows you to enjoy once again the foods you love!
Maintaining your All-on-4 smile requires the same care as a natural smile. By cleaning your teeth twice daily, after meals as possible, and scheduling appointments for routine checkups as well as care, you can keep your new smile strong and healthy for years to come. Our office will demonstrate the most effective methods of oral hygiene and answer all your questions as to how to care for your new smile.
3D imaging systems are radiographic systems used by dental professionals to analyze and reconstruct 3D images of a patient’s teeth, jaws and surrounding anatomy. The information obtained by means of 3D imaging is useful in both diagnosis and precise treatment planning when two-dimensional diagnostic films are insufficient 3D imaging is useful for multiple types of analyses as well as the assessment of maxillofacial disorders or pathology. It is also most useful in surgical planning, including the accurate placement of dental implants.
Before any surgery, at Royal Oral & Maxillofacial Surgery, Dr. Tamimi will review the type of anesthetic to be used, as well as the way you're likely to feel during and after the operation. This is the time to discuss any concerns you may have about any facet of the operation. Usually, patients describe their feelings during surgery as comfortable and surprisingly pleasant. After surgery, you may be prescribed a medication to make you as comfortable as possible when you get home.
The "sleep" you experience under general anesthesia is different from regular sleep. The anesthetized brain doesn't respond to pain signals or surgical manipulations.
Dr. Tamimi ensures the comfort and safety of every patient and has successfully performed hundreds of complex facial surgeries, he is compassionate about treating his patients and welcomes you to schedule a consultation (973) 404-7779.
During early pregnancy, separate processes of the fetal face develop individually and then join together, including the left and right sides of the roof of the mouth and lips. However, if some parts do not join properly, sections don’t meet and the result is a cleft. If the separation occurs in the upper lip, the child is said to have a cleft lip. A completely formed lip is important not only for a normal facial appearance but also for sucking and to form certain sounds made during speech. A cleft lip is a condition that creates an opening in the upper lip between the mouth and nose. It looks as though there is a split in the lip. It can range from a slight notch in the colored portion of the lip to complete separation in one or both sides of the lip extending up and into the nose. A cleft on one side is called a unilateral cleft. If a cleft occurs on both sides, it is called a bilateral cleft. A cleft in the gum may occur in association with a cleft lip. This may range from a small notch in the gum to a complete division of the gum into separate parts. A similar defect in the roof of the mouth is called a cleft palate.
The palate is the roof of your mouth. It is made of bone and muscle and is covered by a thin, wet skin that forms the red covering inside the mouth. You can feel your own palate by running your tongue over the top of your mouth. Its purpose is to separate your nose from your mouth. The palate has an extremely important role during speech because when you talk, it prevents air from blowing out of your nose instead of your mouth. The palate is also very important when eating. It prevents food and liquids from going up into the nose. As in cleft lip, a cleft palate occurs in early pregnancy when separate areas of the face do not join together properly. A cleft palate occurs when there is an opening in the roof of the mouth. The back of the palate is called the soft palate and the front is known as the hard palate. A cleft palate can range from just an opening at the back of the soft palate to a complete separation of the entire roof of the mouth (soft and hard palate). Since the lip and palate develop separately, it is possible for a child to be born with a cleft lip, palate or both. Cleft defects occur in about one out of every 800 babies. Children born with either or both of these conditions usually need the skills of several professionals to manage the problems associated with the defect such as feeding, speech, hearing and psychological development. In most cases, surgery is recommended.
Cleft lip surgery is performed in early infancy. The goal of surgery is to close the separation, restore muscle function, and provide a normal shape to the mouth. The nostril deformity may be improved as a result of the procedure or may require a subsequent surgery.
A cleft palate is initially treated with surgery usually when the child is between 7 to 18 months old. The major goals of surgery are to:
There are many different techniques that surgeons will use to accomplish these goals. The choice of techniques may vary between surgeons and should be discussed between the parents and the surgeon prior to the surgery. The cleft alveolus in the dental arch is generally repaired between the ages of 7 and 12 when the cuspid teeth begin to develop. Procedures for revision and refinement are often done at various periods throughout growth. The procedure involves placement of bone from the hip into the bony defect, and closure of the communication from the nose to the gum tissue in layers. It may also be performed in teenagers and adults as an individual procedure or combined with corrective jaw surgery.
Frequently the growth and development of the upper jaw may be deficient, creating a disparity between the upper and lower jaws. In these instances, in the teenage years improves jaw function and facial appearance.
Dr. Tamimi and team at Royal Oral & Maxillofacial Surgery are trained in such complex procedures and surgeries with the appropriate experience, the team ensures all patients questions are answered and understands the anxieties that can accompany a patient or a parent when dealing with such procedures.
Dr. Tamimi and his team at Royal Oral Maxillofacial & Surgery conduct Corrective jaw, or orthognathic, surgery is performed to correct a wide range of minor and major skeletal and dental irregularities, including the misalignment of jaws and teeth. Surgery can improve chewing, speaking and breathing. While the patient's appearance may be dramatically enhanced as a result of their surgery, orthognathic surgery is performed to correct functional problems.
Jaw Surgery can have a dramatic effect on many aspects of life.
Following are some of the conditions that may indicate the need for corrective jaw surgery:
Your dentist, orthodontist and OMS will work together to determine whether you are a candidate for corrective jaw, or orthognathic, surgery. The OMS determines which corrective jaw surgical procedure is appropriate and performs the actual surgery. It is important to understand that your treatment, which will probably include orthodontics before and after surgery, may take several years to complete. Your OMS and orthodontist understand that this is a long-term commitment for you and your family, and will try to realistically estimate the time required for your treatment.
Dr. Tamimi is compassion with those seeking jaw correction surgery and completely understands your position. Dont hesitate to contact our office and set up a consultation appointment.
Dr. Tamimi at Royal Oral Maxillofacial & Surgery is trained in complex facial surgeries and understands various reasons as to why you may need to have tooth extractions.
You may need to have a tooth extracted for a number of reasons such as decay, injury, or as part of orthodontic treatment. Whatever the reason, you will most likely be referred to an oral and facial surgeon who will remove your tooth in the office using an anesthetic that is appropriate for your procedure.
While most root canals are successful, there are times when a root canal alone isn’t sufficient. If the infection from the dead nerve inside a tooth spreads beyond the tooth root and into the surrounding bone, your dentist may refer you to an oral and maxillofacial surgeon for an apicoectomy. During an apicoectomy, the surgeon removes the infected portion of the tooth’s root in order to clean the infection from the tooth and surrounding bone and then fills the root to prevent future infections.
It is not uncommon for teeth other than wisdom teeth to be impacted, or blocked from entering the mouth. Fortunately, your orthodontist and oral and facial surgeon can bring the impacted tooth through the gum and into the correct position – giving you a beautiful healthy smile.
A frenum is a small fold of tissue located in the mouth: under the tongue, inside the upper lip, inside the lower lip, and connecting the cheeks to the gums.
A frenectomy is a simple procedure performed in the oral and facial surgeon’s office to loosen the frenum’s connection and extend the range of motion in that part of the body.
If, even after a root canal, one or more of the tooth’s roots should become infected or there is significant bone loss around the tooth, your dentist may refer you to an oral and facial surgeon for a hemisection or root amputation. During a hemisection, your surgeon removes one-half of the tooth, leaving a serviceable one-rooted tooth. The term “root amputation” refers to the surgical removal of one root of a multi-rooted tooth.
Temporary anchorage devices (TADS) are occasionally used for a short time during orthodontic treatment. TADS are small titanium screws that orthodontists use to help reposition teeth. TADS are usually placed by the oral and facial surgeon in their office. When the TADS are no longer needed, they are removed and the site is usually fully healed in a couple of days.
Soft tissue grafts
Soft-tissue grafts in the mouth can be important to maintaining oral health. Soft tissue grafts are used to add more tissue in a certain area and may be used to:
Gingivectomy and Gingivoplasty
Gingivitis, an inflammation of the gum tissue surrounding the teeth, is caused by bacteria that, if left unchecked, may lead to periodontitis. A gingivectomy surgically removes diseased or excess gum tissue and the bacteria that can cause periodontitis.
Gingivoplasty, which is the surgical reshaping of the gum tissue, is often performed in combination with a gingivectomy for cosmetic or functional purposes.
Crown Lengthening Procedures
Before placing a crown on a tooth that has been weakened by decay, is cracked or broken, or severely worn down, your dentist may refer you to an oral and facial surgeon for a crown lengthening procedure to ensure that enough of the tooth’s structure is available to securely hold a crown.
Dental Implants look and feel very natural. Not only is your smile affected when you are missing a tooth or several teeth, but your oral health is at stake due to the fact that your remaining teeth can shift or you could suffer bone loss.
Thankfully, Dr. Tamimi and his team at Royal Oral & Maxillofacial surgery, are skilled in surgically placing your new dental implants, which can provide you with comfort and confidence that is needed to speak, eat and flash that pretty smile. The team is serving Morristown, Parsippany, Denville, livingston and vicinities.
With proper placement and meticulous patient upkeep, As long as you have good oral health (strong tissues and bones), you are usually a candidate for dental implants, which will stand in the place of your missing teeth from the tooth root to the implant itself.
When you are missing a tooth, regardless of its position, your remaining teeth will begin to shift over time and contribute to not only tooth decay but gum disease as well. Your tooth can be restored to its natural form by, with an implant that will replace your tooth’s root and the tooth itself.
Dental implants look and feel as natural as your original teeth and work to prevent deterioration of the jawbone, which is often seen with the loss of even a single tooth.
When several teeth are missing, many may opt to have a dental bridge or some other form of tooth replacement. However, bridges require the use of adjacent teeth and involves sculpting them into shape to fit the bridge.
With dental implants, your teeth can look as natural as ever without the help from your adjacent teeth and will replace your tooth root ensuring that your jawbone is preserved in a much better fashion than having any other tooth replacement. In terms of longevity and long-term results, dental implants are more comfortable, functional and esthetic than most other dental replacement options.
If you can answer yes to the following questions (some of which may require assistance from Dr. Tamimi to be answered), you are more than likely an eligible candidate to receive our Implants.
Give us a call at Royal Oral to schedule a Free consultation with Dr. Tamimi to determine if you are truly an eligible candidate to receive dental implants and you can go about your life as normally as you would if you had all your original teeth.
Thanks to their surgical and dental background, oral and maxillofacial surgeons (OMSs) are uniquely qualified to perform cosmetic procedures involving the functional and aesthetic aspects of the face, mouth, teeth and jaws. Extensive education and training in surgical procedures involving skin, muscle, bone and cartilage finely attune the oral and maxillofacial surgeon to the need for harmony between facial appearance and function.
With the development of advanced medical devices and biomaterials, many facial cosmetic procedures are minimally invasive and can be performed in an office setting using local and/or intravenous anesthesia. Some procedures may require use of an outpatient or same day surgery center or hospital.
The following are some of the procedures available to you. Your OMS may perform other surgeries not listed here. Make an appointment to discuss your personal situation.
Dr. Tamimi at Royal Oral & Maxillofacial Surgery is available during office hours to answer your cosmetic procedure questions. : Don't hesitate to make a consultation appointment (973) 404-7779.
Dr. Tamimi at Royal Oral and Maxillofacial Surgery is highly trained diagnosing and surgically treating cancer of the head, neck and mouth.
The Oral Cancer Foundation estimates that close to 42,000 Americans will be diagnosed with oral or pharyngeal cancer this year. Oral cancer’s mortality is particularly high, not because it is hard to detect or diagnose, but because the cancer is often discovered late in its development. Your family dentist or OMS is in the best position to detect oral cancer during your routine dental examinations.
Everyone should perform an oral cancer self-exam each month. An oral examination is performed using a bright light and a mirror:
When performing a self-examination, look for the following:
Your mouth is one of your body's most important early warning systems. Don't ignore any suspicious lumps or sores. Should you discover something, make an appointment for a prompt examination. Early treatment may well be the key to complete recovery.
Don't risk it Perform an oral cancer self-exam each month, Dr. Tamim and Team are here to answer all your questions, feel free to call the office for a consultation at anytime, rest assured you have a team here that have a passion for treating and diagnosing complex facial and oral diseases.
Obstructive sleep apnea (OSA) is a serious and even life-threatening condition. The risks of undiagnosed OSA include heart attack, stroke, irregular heartbeat, high blood pressure, heart disease and decreased libido. In addition, OSA causes daytime drowsiness that can result in accidents, lost productivity and relationship problems.
The National Sleep Foundation estimates that 18 million adults have obstructive sleep apnea and it is likely that OSA also affects 2% to 3% of children. Yet, people who have OSA may not be aware they have a problem. If someone close to you has spoken of your loud snoring and has noticed that you often wake up abruptly, gasping for air, you should consult your Oral and Maxillofacial Surgeon (OMS).
During sleep, the upper airway can be obstructed by excess tissue, large tonsils and/or a large tongue. Also contributing to the problem may be the airway muscles, which relax and collapse during sleep, nasal passages, and the position of the jaw. The cessation of breathing, or “apnea,” brought about by these factors initiates impulses from the brain to wake the person just enough to restart the breathing process. Sleep apnea is generally defined as the presence of more than 30 apneas during a seven-hour sleep. In severe cases, periods of not breathing may last for as long as 60 to 90 seconds and may recur up to 500 times a night.
Depending on whether your OSA is mild, moderate or severe, your OMS will select the treatment that’s best for you. This can range from behavior modification to oral appliances to an air pressure device. Surgery may be a good alternative for some patients, but it’s important to keep in mind that no surgical procedure is universally successful. Every patient has a different shaped nose and throat, so before surgery is considered your OMS will measure the airway at several points and check for any abnormal flow of air from the nose to lungs.
An OMS has considerable experience and the necessary training and skill to perform the following surgical procedures:
Dr. Tamimi is available to answer your concerns regarding sleep apnea and how to correct it.
Dr. Tamimi and Team are highly trained treating this common but uncomfortable condition.The temporomandibular joint (TMJ) is a small joint located in front of the ear where the skull and lower jaw meet. It permits the lower jaw to move and function. Temporomandibular Joint (TMJ) disorders are not uncommon. Individuals with a TMJ disorder may experience a variety of symptoms, such as earaches, headaches and limited ability to open their mouth. When symptoms of TMJ trouble appear, consult an oral and maxillofacial surgeon (OMS). A specialist in the areas of the mouth, teeth and jaws, your OMS is in a good position to correctly diagnose the problem. Diagnosing TMJ disorders can be complex and may require different diagnostic procedures. Special imaging studies of the joints may be ordered and appropriate referral to other dental or medical specialists or a physical therapist may be made.
Treatment may range from conservative dental and medical care to complex surgery. Depending on the diagnosis, treatment may include short-term non-steroidal anti-inflammatory drugs for pain and muscle relaxation, bite plate or splint therapy, and even stress management counseling. If non-surgical treatment is unsuccessful or if there is clear joint damage, surgery may be indicated. Surgery can involve either arthroscopy (the method identical to the orthopaedic procedures used to inspect and treat larger joints such as the knee) or repair of damaged tissue by a direct surgical approach.
Once TMJ disorders are correctly diagnosed, your OMS can provide appropriate treatment to relieve the problem.
Dr. Tamimi works closely with his patients to help them throughout this uncomfortable condition , dont hesitate to give the office a call and schedule a consultation appointment.
Dr. Tamimi and his team at Royal Oral Maxillofacial Surgery are experts in treating and repairing facial injury and trauma, including fractures of the upper and lower jaws and the orbits surrounding the eyes, and facial lacerations. Their knowledge of how jaws come together (dental occlusion) is critical when repairing complex facial fractures.
If you or a loved one suffer a facial or mouth injury that requires a trip to the emergency room, be sure to ask that an OMS is called for consultation. With their background and training, OMSs are the specialists most qualified to deal with these types of injuries. In some cases, they may even detect a “hidden” injury that might otherwise go unnoticed.
Wisdom tooth extraction is a common procedure that many Americans need as their bodies mature. While the need for an extraction is not always be preceded by any particular signals, Symptoms to pay attention to include:
Dr. Tamimi and his team at Royal Oral & Maxillofacial Surgery have the experience to make this procedure painless with little to no downtime.
Wisdom teeth are the last set of molars to come in, and they can make their appearance anywhere from the late teens to the mid-twenties. Wisdom teeth are often misaligned or impacted. Impacted wisdom teeth are either partially or completely still under the gums. The partial opening in the gums can make it more likely for bacteria to get in to the gums and cause an infection. The position that wisdom teeth hold in the back of the mouth also makes them harder to clean thoroughly while brushing and flossing. The lack of good oral hygiene can make them more vulnerable to infection and decay.
A common solution to these issues is for dentists to extract these wisdom teeth before they are able to become a problem. If you and your dentist decide to extract your wisdom teeth, there are two common scenarios:
Here are the steps your dentist will follow in the extraction of a wisdom tooth:
Upon completion of the extraction, the staff will provide detailed post-operation instructions for you to carry out at home.
At Royal Oral & Maxillofacial Surgery, our goal is to preserve your natural teeth as often as possible. We have many restorative options that we would recommend first. However, there are definitely scenarios where the extraction of a tooth is the only good option. Here are a few examples of those types of scenarios:
An extraction is always our last resort because the extraction of a tooth always carries the possibilities of additional complications. Your other teeth, your gums, and your jaws are all affected by an extraction. Our staff will always discuss with you any possible alternatives. We will only recommend an extraction when we feel there is no other viable option. If the decision is made to perform an extraction, we will also inform you of the best options available for replacing the tooth that will be extracted.
Dr. Tamimi At Royal Oral & Maxillofacial Surgery will conduct an onsite full mouth x-ray and review the images with all patients prior to any procedure. Feel free to schedule a consultation today (973) 404-7779.