Friendly Expert Care
Located in Lakewood, just south of Steilacoom Boulevard.
Who are Oral and Maxillofacial Surgeons?

Oral and Maxillofacial surgeons are dental specialists who treat conditions, defects, injuries, and esthetic aspects of the mouth, teeth, jaws, and face.  Their training includes a four-year graduate degree in dentistry and the completion of a minimum four-year hospital surgical residency program

Oral and maxillofacial surgeons care for patients who experience such conditions as problem wisdom teeth, facial pain, and misaligned jaws.  They treat accident victims suffering facial injuries, offer reconstructive and dental implant surgery, and care for patients with tumors and cysts of the jaws and functional and esthetic conditions of the maxillofacial areas.

With specialized knowledge in pain control and advanced training in anesthesia, the oral and maxillofacial surgeon is able to provide quality care with maximum patient comfort and safety in the office setting.
Diagnosis and Mangemnt of Mouth Disease

Diseases and pathology in the mouth may or may not be related to the teeth.  Diagnosis of Oral Pathology and management of such is often managed by the Oral Surgeon.

Removal of Problem Teeth

Impacted or misaligned Wisdom Teeth often need to be removed.  Decayed, Abscessed and misaligned teeth often have no other alternative except to be removed.

Placement of Dental Implants

Titanium anchors in the jaws, dental implants, can support replacement teeth.  They can also provide stability and retention for dentures.  There are many ways dental implants can be used and your dentist will recommend the best use of implants for you.

Exposure of un-erupted teeth for orthodontics

Orthodontics (straightening of teeth) often requires removal of one or more teeth to provide room to unravel crowding.  Exposure of a tooth to provide connection for the connection to the braces is often requited.

Preparation of the jaws for dentures

Removal of the remaining teeth and preparation of the ridges is required for dentures.  Even after teeth are removed, additional shaping of the ridges may be required to provide for a good fit.

Cysts, Tumors and Disease of the mouth and jaws

Diseases and pathology in the mouth areas may or may not be related to teeth.  Pathology of the mouth often requires a biopsy to determine the nature of the problem.  Removal of benign cysts and/or tumors of the jaws or tissues can often be done in the outpatient surgical suite.  The Oral and Maxillofacial surgeon is often the specialist to diagnosis and management pathology of the mouth, jaws, teeth and face.

Management of Oral Trauma and Fractures

Injury to the facial bones, teeth and tissues are usually managed by the Oral and Maxillofacial surgeon, sometimes in the hospital, or in the outpatient surgical suite / office.

Radiographic Imaging

Special x-rays are often needed for the referring dentist, or for the oral surgeon to be able to diagnose and treat problems in the jaws and teeth.  These can often be done in the surgeons office, but sometimes referral to a medical imaging center is needed.  We are pleased to have the Center for Diagnostic Imaging near and convenient for our patients.

 

 
Dr. Cotant and his associate surgeons are Licensed Dental Anesthetists with additional training in the administration of the anesthetic medications, and make sure you, the patient are as comfortable as possible during the treatment.
 


Anesthesia

General Anesthesia is often needed for oral surgery.  This option is usually up to the patient, and can be selected if desired.  Many patients select to be asleep during surgical treatment; not remembering any of the procedure.

Deep Sedation with IV medication is similar to General Anesthesia, but the patient is more aware of his/her surroundings, though comfortable and less anxious.

Sedation with Oral Medication can provide a mild sedation, and for many patients this is enough to allow for treatment in a comfortable setting.

Nitrous Oxide and Oxygen can provide significant relaxation during treatment, and will allow the patient to drive afterward to return home, or even to work, immediately after treatment.

Local Anesthetic is required for most surgical procedures.  Many patients are comfortable with dental treatment, and local anesthesia alone may be enough.  Even with the above sedation methods, local anesthesia is usually required after sedation has been administered.