Facial Trauma

An oral and maxillofacial specialist is thoroughly qualified to repair facial injuries. These professionals are well versed in emergency care, acute treatment, and long-term reconstruction and rehabilitation – not just for physical reasons, but for emotional ones as well. 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 patient’s long-term function and appearance.

Drs. Cudney or Doot meets and exceeds 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
  • Intraoral 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 to teeth to extremely severe injuries to 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. Cudney or Doot is a well-trained oral and maxillofacial surgeon and is proficient at diagnosing and treating all types of facial lacerations.

Bone Injuries of the Maxillofacial Region

Fractures to the bones in the face are treated in a similar manner to 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, and the age and general health of the patient. When an arm or 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 eliminates 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.

Midwest Oral and Maxillofacial Surgery

5 out of 5 stars based on 11 Facial Trauma reviews

Our Latest Patient Testimonial

I had a wonderful experience visiting my oral surgeon, Dr Gauger, from Sandy at the front desk to all of his assistants. They made me feel very comfortable and I was impressed with everyone’s professional yet welcoming and human personalities. I’ve had an excellent result from my sinus lift and implant. Thanks everyone!

- Pat H

5 out of 5 stars on

Our Latest Patient Testimonial

The whole staff here is awesome and very welcoming all the time. I had double jaw surgery and Dr. Cudney made me feel comfortable the whole time before and after the surgery. He was very detailed and made sure I came out with the best smile possible. For follow up care they were very responsive and checking in on me and always answering mine and my parents questions. Truly the best in the business. I walk around happy and confident in my smile everyday thanks to Dr. Cudney and his staff!

- Kevin M

5 out of 5 stars on

Our Latest Patient Testimonial

The welcoming and greeting to the office by Ms. Sandy was impressive, she answered all our questions and ensured that our x-rays were in order before seeing Dr. Cudney. Dr. Cudney was very detailed and answered all our questions and concerns to prepare for procedure. The entire office very professional and courteous.

- Angelica Martinez

5 out of 5 stars on

Our Latest Patient Testimonial

My daughter had her wisdom teeth extracted by Dr. Gauger. For being very nervous and anxious everyone treated her terrific. They calmed her down, the procedure went smoothly and my daughter is glad she went through with the surgery. Everyone let her take all the time she needed to calm down and relax. A special shout out to Dani who went out of her way to take great care of my daughter and make the experience for her as pleasant as oral surgery could possible be. Thanks.

- Dan L

5 out of 5 stars on

Our Latest Patient Testimonial

Dr. Gauger was friendly and explained the procedure very well. He helped me to worry less about the extraction process. Anna was very nice with the X-rays and orientation. The whole staff seemed very pleasant which makes me feel they must be treated well. I will have the extraction done next week and I hope I am just as pleased then.

- Kathleen C

5 out of 5 stars on

Our Latest Patient Testimonial

Genuinely the best Dental related experience ever! The staff hands down most courteous and professional humans I have ever encountered! I got a tooth extracted in a matter of what felt like seconds. Pain free! I’m big on performance and this place deserves a standing ovation! Thank you guys so much!

- Jorge F.

5 out of 5 stars on

Our Latest Patient Testimonial

The staff is very friendly and patient. Sandy answered my questions. Dr Cudney and his assistant are patient and answered questions and concerns they are very easy to talk to, which is big deal to me.

- Tim H

5 out of 5 stars on

Our Latest Patient Testimonial

What a wonderful and smooth experience I had at this facility. It’s my second day since removing two wisdom teeth, one being in a difficult position. I am feeling almost zero pain. I’m so grateful to everyone involved; genuinely one of the most pleasant experiences— friendly, respectful, honest, and professional staff and doctors. We were even given back over $100 because not all the anesthetic was used. I feel better than I did pre-surgery; perhaps it’s because I had the privilege of being the patient of some wonderful people. 5 stars just isn’t enough. “Whoever is not grateful to the people, he is not grateful to Allah (God).” So, thank you all very much!

- Mariam I

5 out of 5 stars on

Our Latest Patient Testimonial

I would like to personally Thk Sandy,is awesome very pleasant to talk to .she helped me with all my concerns. I felt like part of the family. Very professional the whole atmosphere was happy peaceful u have to go and visit there Midwest Palos heights office. Thk u for everything. I’m telling everyone about my experience today.

- Patricia Conner A

5 out of 5 stars on

Our Latest Patient Testimonial

My dentist referred me to Dr. Cudney when I went in for an emergency appointment for wisdom teeth pain. The office was able to get me in to see Dr. Cudney immediately. When I came to the office, I was greeted by the friendly staff and waited not even 10 minutes before I saw the doctor. Dr. Cudney is very warm, welcoming, patient, and thorough. He explained everything in a way that I could understand and said he could remove my painful tooth right then and there. I was so nervous, but with his technique, I did not feel a thing! I was closing my eyes expecting the worse part to come and before I knew it he was already done! I plan to return to him after the new year to get the rest of my wisdom teeth out. I left the office happy as can be. I would recommend him to anyone, especially if you are nervous about a procedure. He truly knows how to calm your nerves.

- Samantha K

5 out of 5 stars on

Our Latest Patient Testimonial

Fantastic staff from receptionist to dental assistant to Dr Cudney, staff truly cares and goes above and beyond for their patients.

- Shannon Wood W

5 out of 5 stars on