Atlantic Oral Surgery & Facial Reconstruction Centres

Oral Surgery Procedures

• Dental Implants

  Dental implants are titanium posts surgically placed in the jawbone to replace missing teeth. They bond with the bone, offering a stable foundation for artificial teeth that look and function like natural ones. Implants help preserve facial structure and prevent bone loss. Advances in technology allow for immediate placement post-extraction in some cases. Most procedures involve two stages over six to eight months. Dr. Bourget performs the surgeries, while your dentist handles the prosthesis. Implants offer long-term benefits with proper care.

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• Bone Grafting

  Bone grafting restores jawbone structure for dental implants or facial reconstruction, addressing deficiencies caused by extractions, gum disease, or trauma. Techniques include sinus lifts, ridge augmentation, and various grafts using bone from the jaw, hip, or tibia. Procedures may combine with advanced materials and methods like PRP to enhance results. Grafts are tailored to patient needs, improving implant stability and facial aesthetics. Surgeries are performed with precision to ensure optimal outcomes.

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• Wisdom Teeth Removal

  Wisdom teeth removal is a common oral surgery procedure aimed at extracting the third molars, which often become problematic due to impaction, misalignment, or insufficient space in the mouth. This treatment can prevent complications such as pain, infections, gum disease, and damage to adjacent teeth. The procedure is typically performed under local or general anesthesia to ensure patient comfort. Recovery involves managing swelling and pain and following aftercare instructions to promote healing and avoid complications like dry socket.

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• Impacted Canines

  Impacted canines are a common dental concern where the upper canine teeth fail to emerge properly and remain trapped in the gums or bone. These teeth play a crucial role in dental health by guiding the bite and maintaining alignment, so addressing impaction is essential. Treatment typically involves a combination of orthodontic and surgical approaches to guide the impacted teeth into their correct position. An oral surgeon often collaborates with an orthodontist to create space in the dental arch and expose the impacted canine. This process might involve attaching a small bracket to the tooth to aid in its guided eruption over time. Addressing impacted canines promptly helps prevent complications like crowding, root damage to neighboring teeth, and cyst formation.

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• Facial Trauma

  Facial trauma refers to injuries affecting the face and jaws, requiring expert care to restore function and aesthetics. Treatment may address fractures of the jaw, cheekbones, eye sockets, or facial lacerations. The approach depends on injury severity and aims to ensure proper healing and symmetry. Oral surgeons use advanced techniques to minimize scarring and maintain facial structure integrity.

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• TMJ Disorders

  TMJ disorders involve dysfunction of the temporomandibular joint, causing jaw pain, difficulty chewing, and clicking sounds. Treatments range from conservative approaches like bite guards and physical therapy to surgical interventions for severe cases. Oral surgeons assess symptoms and develop personalized care plans to alleviate discomfort and restore function.

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• Oral Pathology

  Oral pathology focuses on identifying and treating abnormalities in the soft or hard tissues of the mouth, which may be indicative of underlying conditions, including oral cancer. The symptoms can include sores, discoloration, or lumps that do not heal, as well as persistent pain or difficulty chewing. Early diagnosis is key to effective treatment, often involving biopsies or other diagnostic measures. Specialists in oral pathology, such as those at AOSFRC, are trained to evaluate and manage these conditions to maintain both health and function of the oral structures.

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• IV Sedation

  V sedation is commonly used in oral surgery to help patients remain calm and comfortable during procedures. It is administered through an intravenous line and provides effective relaxation, pain relief, and memory suppression during treatments such as tooth extractions or dental implants. While patients remain conscious, they experience a state of deep relaxation and may have limited recall of the procedure afterward.

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• Brow Lift & Forehead Lift

  A brow lift, or forehead lift, rejuvenates the upper face by lifting sagging brows and smoothing forehead wrinkles. This procedure, often done via small incisions hidden behind the hairline, can address deep furrows, drooping brows, and signs of aging. Candidates typically experience a significant improvement in facial appearance, with minimal scarring and a refreshed, more youthful look.

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• Chin Augmentation

  Chin augmentation enhances facial balance by reshaping or resizing the chin. This procedure is often combined with rhinoplasty to achieve harmony between the nose and chin. Using implants or bone reshaping techniques, a cosmetic surgeon can improve the chin’s prominence, creating a more defined, proportional appearance. The surgery is typically straightforward and can have a significant impact on overall facial aesthetics.

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• Eyelid Surgery

  Eyelid surgery (blepharoplasty) is a procedure designed to remove excess skin, fat, and muscle from the upper and lower eyelids. It can improve vision by addressing sagging eyelids and restore a youthful appearance by brightening the eyes. While it does not eliminate wrinkles or lift eyebrows, it can significantly enhance facial aesthetics. Recovery includes minimal downtime, with most people resuming normal activities within 10 days.

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• Facelift / Necklift

  A facelift (rhytidectomy) tightens the facial and neck muscles and removes excess skin to restore a youthful appearance. This procedure can address sagging skin around the chin, jawline, and neck caused by aging, genetics, or sun exposure. It often accompanies other cosmetic surgeries like eyelid surgery or chin augmentation for enhanced results. Recovery includes some bruising and tightness, with most patients returning to normal activities within a few weeks.

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• Facial Implants

  Facial implants are used to enhance facial features, often in combination with other procedures, to improve balance and proportion. They are inserted through incisions inside the mouth or beneath the lower eyelid, and recovery typically involves swelling and bruising. A pre-surgical consultation with Dr. Bourget is key to determining the best approach. Potential risks include infection, asymmetry, and implant displacement.

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• Facial Liposuction

  Facial liposuction targets stubborn fatty areas in the face and neck, such as the cheeks and under the chin. This procedure is ideal for patients who have difficulty reducing facial fullness through diet and exercise. The surgery involves small incisions, and post-op care includes wearing a neck support strap and using cold compresses to manage swelling. Recovery varies, but most people return to normal activities within 7–12 days. The final results can take a few months to fully reveal.

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• Fat Transfer

  Fat transfer, also known as autologous fat transplantation, uses the patient’s own fat to add volume and smooth wrinkles in the face. This natural, non-allergenic procedure is a popular alternative to fillers for plumping areas such as the cheeks and chin. It can also help contour the face for a more youthful appearance. The procedure involves harvesting fat from another part of the body, purifying it, and injecting it into targeted facial areas.

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• Lip Augmentation

  Lip augmentation enhances the appearance of the lips by adding volume and smoothing out wrinkles. Over time, factors like aging and sun exposure can cause lips to lose their youthful fullness. Lip augmentation restores that sensual, youthful look using various techniques like fillers or implants. The procedure can reshape the lips and define the Cupid’s Bow, offering a fuller, more aesthetically balanced appearance.

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• Mid-Facelif

  A mid-facelift (or cheek lift) addresses sagging cheeks, nasal folds, and drooping corners of the mouth. This minimally invasive procedure is performed using endoscopic techniques and can be done alone or alongside other cosmetic treatments, such as a brow lift or full facelift. It provides a refreshed, youthful appearance with minimal downtime.

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• Neck Lift

  A neck lift tightens and tones the skin around the neck, addressing sagging, excess fat, or wrinkles. This procedure often combines liposuction and skin tightening techniques to create a smooth, youthful neckline. It’s ideal for patients experiencing signs of aging, such as loose skin or jowls. Recovery includes swelling and bruising, with most people returning to daily activities in a few weeks.

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• Otoplasty

  Otoplasty, commonly known as ear pinning, is a procedure designed to reshape protruding or overdeveloped ears. Ideal for both children (age 6 and up) and adults, it can alleviate psychological stress caused by ear appearance. The surgery involves either folding or removing cartilage to reposition the ears closer to the head. Recovery includes minimal discomfort and a few days of rest, with bruising typically fading within 2–3 weeks.

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• Rhinoplasty

  Rhinoplasty, or nose surgery, reshapes the nose to improve both appearance and function, including correcting nasal deformities, reducing size, or improving breathing. The procedure involves reshaping bone and cartilage, with incisions typically inside the nose, although some cases may require an external approach. Recovery usually takes 1-2 weeks, with minimal pain. Patients may combine rhinoplasty with other treatments, like chin augmentation, for enhanced profile results.

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• Septoplasty

  Septoplasty is a surgical procedure aimed at correcting a deviated septum, which can cause breathing difficulties. The surgery involves straightening and repositioning the nasal septum to improve airflow. Dr. Bourget tailors the procedure based on the patient's symptoms and nasal structure. The surgery typically results in a smoother, more functional nasal passage with minimal recovery time.

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• Sub Nasal Lift

  A sub-nasal lift is a cosmetic procedure designed to enhance the appearance of the upper lip, particularly for those with a thin lip or a flat arch. It lifts and reshapes the lip to show more of the red part of the lip, providing a more youthful look. The procedure involves making an incision at the base of the nose, removing excess tissue, and repositioning the lip. Recovery includes minimal discomfort and requires keeping the incision moist.

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• Laser Skin Resurfacing - CO2

  Laser skin resurfacing with CO2 technology offers a powerful solution for reducing fine lines, wrinkles, and scars. Using an ultrapulse carbon dioxide laser, the procedure removes the outer layer of skin to reveal smoother, youthful skin beneath. This treatment targets areas around the eyes, mouth, and forehead and is effective for sun damage and deeper wrinkles. It is a less painful, quicker recovery alternative to chemical peels and dermabrasion.

  Link: Laser Skin Resurfacing - CO2

• Botox Cometic

  Botox Cosmetic is an injectable treatment used to reduce expression lines by temporarily relaxing muscles. The procedure is minimally invasive, with results lasting around three to six months. It's effective for treating wrinkles around the eyes, forehead, and between the eyebrows. While generally well-tolerated, some may experience mild bruising or temporary muscle weakness. The treatment is reversible, and side effects are rare.

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