Working to Improve Your Health and Your Smile
At Cascade Oral & Facial Surgery, Dr. Philip Mann provides our patients with a comprehensive range of oral and facial reconstruction services. Whether you need wisdom teeth removal, dental implant placement, or dental surgery in Lake Oswego, Lake Grove, Portland, Tigard, or Tualatin, our experienced and dedicated team can safely meet your treatment needs and quickly get you on the road to recovery.
As an Assistant Professor at Oregon Health and Science University, Dr. Mann remains committed to providing his patients with only the latest and most advanced care possible.
Our range of cutting edge oral and facial surgery services include:
Wisdom Tooth Removal
So called because they emerge at the age of attaining adulthood, wisdom teeth frequently fail to erupt through the gum line due to a lack of space in the jaws. When this happens, the teeth are said to be "impacted". This leads to discomfort when the gums and bone become inflamed or infected because the teeth cannot be properly cleaned. Often, this situation increases a patient's risk for tooth decay and gum disease that could damage an otherwise healthy smile.
After a consultation with Dr. Mann, he will recommend whether a patient needs to have his or her wisdom teeth removed. Dr. Mann will base his recommendation on a number of factors, including the age of the patient, the position of the developing wisdom teeth, and the health of the adjacent teeth. Each patient has his or her own individual oral health needs that need to considered before removal of their wisdom teeth. However, if you experience pain, discomfort, or swelling as a result of an impacted or partially emerged wisdom tooth, an extraction may be necessary to prevention future oral infections or lasting complications.
Dr. Mann and your general dentist will always make every attempt to preserve patients' teeth for as long as possible. However, when the health of a tooth can no longer be maintained, it must be removed. When faced with a tooth extraction, the best choice is often to replace the tooth with a dental implant. A dental implant takes the place of a lost root, by placing a screw-like structure in the jawbone. Your body's natural bone structure will bond to the implant surface which will allow a new dental crown to be connected to the implant. The result is a tooth that looks and feels like the real thing.
Before the placement of a dental implant, Dr. Mann will perform a thorough evaluation of your current oral health to ensure you are a good candidate for the procedure. It's important that patients possess good oral and general health needed to help ensure the successful placement of a dental implant.
Dental implants can be used to treat a variety of issues including:
- Replacing a missing tooth
- Replacing a fractured crown
- Replacing a bridge
- Providing retention and support for dentures
- Replacing dentures with full arch fixed teeth
A bone graft is performed if the jaw bone does not possess adequate thickness or strength to support a dental implant. In most cases, patients need only a small piece of bone to repair the jaw. Once the graft is completed, it will take several weeks to a few months for the new piece of bone to grow into the existing jaw enough to support an implant.
There are several types of bone grafts that Dr. Mann may use, they include:
- Autograft: A type of transplant where bone is taken from another part of the jaws or body and moved to the site to be repaired. In most cases, the bone graft will come from a thicker part of the patient's jaw.
- Allograft:A type of transplant where the bone is taken from a human donor. The cells and proteins are treated to ensure no contamination, and the structure of the bone remains only to allow your own bone to replace it with time.
- Xenograft: A type of transplant where the bone is taken from a cow or other species of animal. It is also treated in the same way as allograft to remove contaminants. It is generally used in conjunction with other types of grafts.
- Growth Factors: Molecules and proteins that stimulate your body to re-grow your own bone. Examples include BMP (Infuse), Emdogain (EMD), GEM21 (platelet-derived growth factor).
Dr. Mann performs corrective orthognathic (jaw) surgery to correct a wide range of skeletal irregularities, resulting in the misalignment of a patient's teeth and jaws. In conjunction with braces from your Orthodontist, corrective jaw surgery can help improve a patient's ability to speak, eat, and breathe.
Conditions that may require orthognathic surgery include:
- Unbalanced facial appearance
- Open bite
- Protruding jaw or chin
- Difficulty chewing or biting down on food
- Difficulty swallowing
- Chronic TMJ (jaw joint) pain or headaches
- Sleep apnea
Dr. Mann will work with patients to determine the best treatment options for their unique case, and provide them the information needed to understand the process from consultation to surgery to recovery.
Cascade Oral and Facial Surgery
16455 Boones Ferry Rd Ste B
Lake Oswego OR 97035