OUR SERVICES

Dr. Redford has treated thousands of patients
to include facial reconstruction of deformities, facial trauma,
and TMJ surgical repair--as well as minor oral surgery
such as extractions and removal of wisdom teeth.

 Dr. Redford has recently limited his practice to in-office procedures.
If you have a painful or impacted tooth that needs to be removed,
a suspicious lesion that needs biopsied, facial pain and headaches
or problems with your jaw joint, TMJ,
Dr. Redford can provide the help you need,
offering his surgical expertise in:

  • Tooth Extractions
  • Removal of Impacted Wisdom Teeth
  • Minor Oral Surgery and Biopsies
  • Nitrous Oxide, Oral Sedation, IV Sedation and General Anesthesia
  • TMJ – Temporomandibular Joint diagnosis and non-surgical treatment
  • MPD/Facial Pain – Evaluation and treatment
     

TMJ EVALUATION and TREATMENT

Many times people who have a jaw joint problem will say they have “TMJ.”
Actually, everyone has “TMJ.”

TMJ is the abbreviation for the right and left jaw joints, the TemporoMandibular Joints.

Jaw joint problems can be the source of significant discomfort. If you experience popping, clicking and/or painful jaw joints, headaches, neck pain, ear pain and/or pain with chewing, Dr. Redford is highly trained and experienced in TMJ surgery, as well as having extensive experience in non-surgical treatment of TMJ problems. He will be able to accurately determine if you have a TMJ problem and diagnose the extent of any problem you may have.

Early diagnosis and conservative treatment is always the first, best
and most often the treatment of choice.

Conservative treatment in most cases can alleviate discomfort and prevent or reduce joint damage. In certain situations the jaw joint has already become damaged beyond non-surgical treatment and requires arthroscopy or surgery as the recommended treatment, but in most cases non-surgical treatment is an option.

Dr. Redford’s evaluation and treatment allow patients to possibly avoid unnecessary surgery or long, drawn-out treatments that can be expensive, painful and sometimes do more harm than good. He has found through years of treating TMJ problems both surgically and non-surgically, that many TMJ problems can be resolved by non-surgical treatment.

Many are not aware that evaluation, diagnosis and non-surgical treatment
are covered by medical insurance, TennCare, VA Medicaid, and even Medicare.

 

MPD/ FACIAL PAIN EVALUATION and TREATMENT

Sometimes pain and dysfunction are experienced in the fascia of the facial/chewing muscles. Fascia is the dense fibrous connective tissue that surrounds and is inside the facial muscles, the masticatory muscles (the muscles used to chew) and muscles in the head and neck—without there being actual TMJ problems. This condition is called MPD or Myofascial Pain Dysfunction and refers to pain and dysfunction of the muscles caused by tension, spasm or fatigue from hyperactivity (overuse) such as bruxing, grinding the teeth and/or clenching the facial muscles (squeezing the teeth together). This hyperactivity causes inflammation which then causes pain and can limit movement of the jaw.

If you frequently awaken with a headache, you may be bruxing, grinding or clenching your teeth during sleep. You might not know this is happening unless you have someone who observes or hears it. These muscle activities can also occur while you are awake with many patients being unaware of this activity. If you have any symptoms described here, you may want to be aware and notice if you are using the muscles of your face in this way.

If you have been suffering from a TMJ problem or facial, head or neck pain,
 non-surgical help may be the solution.
Call us if we can answer any questions or to schedule an evaluation.

 

TOOTH EXTRACTIONS

There are times when it is in your best interest to have a painful or broken tooth removed. Sometimes it is just not affordable to have it restored or a tooth may be decayed or broken beyond restoration.
 

WISDOM TEETH

Impacted teeth can cause problems such as infection, pain and crowding of other teeth.

Most young adults have wisdom teeth and most have all four, one in the very back on each side of the upper and lower jaw. Molars are the teeth with two or three roots in the back of the mouth used for chewing rather than biting. First molars are called the six-year molars because they are the first molars to erupt at about age six. Second molars come in about age twelve. Wisdom teeth are the third set of molars and are so-called because they usually begin erupting between the ages of 17 to 21, nearer the age of becoming an adult.

Because the wisdom teeth (third molars) are located so far back in the jaw, many times there is not sufficient space to erupt fully into the mouth. A wisdom tooth is termed impacted when it cannot erupt directly into the mouth like the other teeth. Not having enough space to erupt, third molars may be positioned at an angle and erupt only partially or many times not at all.

These poorly positioned impacted teeth can cause a number of problems. When they are partially erupted, the opening around the tooth and gum allows food debris to collect, bacteria to grow and can eventually cause swelling, stiffness, and pain from infection. The pressure from wisdom teeth continually trying to erupt may cause pain, move other teeth and disrupt the natural or orthodontic alignment of teeth. The most serious problem occurs when tumors or cysts form around the impacted wisdom tooth, resulting in the destruction of the jawbone and adjacent teeth. Removal of the offending impacted tooth resolves these problems, but early removal is recommended to avoid these problems altogether.

Most patients who have impacted wisdom teeth choose to have all four removed at the same time. This is a wise choice because post-operative discomfort is not four times greater, and this choice limits your surgery and anesthesia to only one experience.



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