Canby Smiles

Maxillofacial Surgery 
in Canby, OR

To “build” bone so dental implants can be placed
Facial Trauma Emergency Room

For patients seeking trained, skilled and uniquely qualified to doctors to manage and treat Facial Trauma.

The effective treatment of facial injuries requires extensive, specialized training, experience and an understanding of how the treatment will influence the patient’s long term function and appearance. Dr. Wieland is highly skilled in the field of maxillofacial treatment and surgery. He has the training and experience to treat patients who are suffering an injury which needs acute treatment, emergency care and/or reconstruction.
Schedule Your Appointment
718-743-5400

About Facial Trauma

If you need facial trauma treatment, you can rely on Dr. Wieland, a skilled oral and maxillofacial surgeon, to give you the care and consideration you need to heal your wounds and help you recover as quickly as possible.

Maxillofacial Trauma

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. Dr. Wieland meets and exceeds these modern standards.

The treatment of facial trauma covers:

Teeth that have been knocked out (Avulsed teeth)
Fractured upper or lower jaw
Fractures to eye socket, nose or cheek bones
Facial lacerations
Lacerations of the mouth (Intra-oral lacerations)


The treatment of damaged teeth

Avulsed Teeth
A tooth that has been knocked out can be saved if fast action is taken. Carefully put the tooth in some milk or saliva to keep the tooth moist. Water should only be used if nothing else is available. Don’t try and clean it, leave it exactly how it is and then get to the dentist as quickly as possible.

If the tooth or bone aren’t damaged, Dr. Wieland will be able to put the tooth back into place and hold it in with a soft wire splint. The root should then re-attach itself to the bone within a month or so and then the splint can be removed.

Fractured upper or lower jaw

Fractures to the lower jaw (mandible) and the upper jaw (maxilla) may need orthognathic surgery and orthodontic treatment to enable you to open and close your mouth, chew properly and align your jaw correctly so that your normal bite is re-established.

Dr. Wieland will either wire up your jaw to let the fractures heal or place the bones back in position and then use screws and plates to hold them in place until they are healed. This procedure is called ‘rigid fixation’ and has a faster recovery period than jaw wiring.

Fractures to the eye socket, nose or cheek bones

Fractures of the face will cause swelling and the sensation that teeth are not fitted together as they are normally. Opening and closing your mouth may also be difficult. If the fracture isn’t serious you may be advised to take a liquid diet for a specified amount of time in order to let the injury heal by itself. If a dental procedure is required, your jaw will either be wired to keep it shut, or as in the case of a fractured jaw, the bones will be placed surgically in position and then held together with screws and plates.

Facial lacerations

Injuries to the face not only require suturing to repair the damage and prevent infection, but your dentist can also check and treat damage to the salivary glands and ducts, as well as your facial nerves.

Lacerations to the mouth (Intra-oral lacerations)

Intra-oral lacerations may need suturing and require careful checking to ensure that there is no damage to teeth or any fractures to the face or jaw. Most wounds heal quickly, but your dentist will re-evaluate the injury after 48 hours to ensure that it has not become infected and is healing properly. 

To Schedule Your Appointment
503-266-2629

If you'd like to contact the office outside of regular work hours, you can leave a message or complete the Schedule Appointment form and we will call you back with 24 hours. 
Schedule Your Appointment ›
Canby Smiles
General and Implant Dentistry
Joshua Wieland DMD
150 NE 3rd Avenue
Canby, OR 97013

Phone: 503-266-2629

Office Hours:
Monday: 8:30 am to 5:30 pm
Tuesday: 9:00 am to 4:30 pm
Wednesday: 8:30 to 4:30 pm
Thursday: 8:00 to 3:30 pm
Friday: By appointment only
Schedule Your Appointment ›
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