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.

Dr. Bhaskar meets and exceeds these modern standards. We are trained, skilled, and uniquely qualified to manage and treat facial trauma. Dr. Bhaskar is on staff at Community Hospital of Monterey Peninsula (CHOMP) and delivers 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). Dr. Bhaskar 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.

Monterey Oral Surgery

5 out of 5 stars based on 17 reviews.

Our Latest Patient Testimonial

We are lucky to have The Best Oral Surgeon Ever right here in Monterey! I've had several (many) implants placed and every single procedure has been painless and perfect. My case hasn't been easy by any stretch of the imagination; he's had to work hard to find solutions to some difficult spaces with very little to work with ... Thanks Dr Bhaskar, for making my "Smile"! Bhaskar's Stars are Six (6)

- Marka B

5 out of 5 stars on

Our Latest Patient Testimonial

Really satisfied with everything

- Imelda C

5 out of 5 stars on

Our Latest Patient Testimonial

I am a person that has a lot of anxiety going to any dental office. His receptionist is very warm and welcoming. The staff is very good at returning phone calls and answering all questions. Dr. Bhaskar called me after surgery which made me feel he is very caring. I would highly recommend this office for any type of oral surgery.

- Sherryl S

5 out of 5 stars on

Our Latest Patient Testimonial

Dr. Bhaskar honors his patients, staff, and himself through his insistence on quiet, efficient, effective, disciplined and competent performance of the jobs they're all there to do.

- Walter W

5 out of 5 stars on

Our Latest Patient Testimonial

Dr. Bhaskar and his staff were incredibly professional, friendly and gentle. I worried for years about this procedure, knowing I would have to do it at some point in my future - what a waste of worry that was! The procedure was quick and painless and I was comfortable throughout it all. The healing process was a breeze and am so glad to be rid of that troublesome tooth once and for all! Thank you Dr. Bhaskar and staff. I will recommend you to others!

- Kristi J

5 out of 5 stars on

Our Latest Patient Testimonial

I was so incredibly scared of my last wisdom tooth removal. But it all went easy, smooth and pleasant. Everyone is extremely friendly, the office is well organized and Dr. Bhaskar did a fantastic job. Thank you so much! Highly recommendable!

- Klaudia R

5 out of 5 stars on

Our Latest Patient Testimonial

Dr.Bhaskar placed 2 implants in June 2016. Everything went great, no pain, no swelling..... very easy. Loved the office, staff was great.

- Thomas K

5 out of 5 stars on

Our Latest Patient Testimonial

I love Dr. Baskar! Great experience and couldn't be happier with my new Dental Implants. Yay!!

- Josh S

5 out of 5 stars on

Our Latest Patient Testimonial

Dr. Bhaskar took care of my children's (all four!!) wisdom teeth removal. All four did great. The office is nice, staff is soooooo kind and Dr Bhaskar is the best!

- Martha J

5 out of 5 stars on

Our Latest Patient Testimonial

Professional, efficient and kind. The yellow after care flow sheet was particularly helpful.

- Deborah W

5 out of 5 stars on

Our Latest Patient Testimonial

Dr. Bhaskar has performed fairly extensive oral surgery on my husband, Paul, over the last couple of years, with a perfect outcome. Dr. Bhaskar's competence, demeanor and attentiveness made us feel calm and well cared for. Paul had multiple issues that needed to be addressed over a lengthy period of time, under the care of multiple professionals. Dr. Bhaskar communicated with the other dental experts and together they planned for excellent, sequential, efficient care. We greatly appreciate the care received by Dr. Bhaskar and his skilled staff, and highly recommend him. Thank you, Dr. Bhaskar.

- Kristen C

5 out of 5 stars on

Our Latest Patient Testimonial

Had my wisdom teeth removed by Dr Bhaskar, everything went great! Loved the office, the staff and Dr Bhaskar.

- Susan S

5 out of 5 stars on

Our Latest Patient Testimonial

The reason why I give this practice a five star review is because Dr. Bhaskar is one of the best oral surgeons. My whole experience was great. The receptionist was very friendly and the assistants made me feel at ease. After the surgery Dr. Bhaskar even called that evening to check on me. I have to admit that I was scared to have my wisdom teeth pulled but Dr. Bhaskar and his staff made it super easy and smooth!!!

- Makayla T

5 out of 5 stars on

Our Latest Patient Testimonial

Great with the patients

- Makayla T

5 out of 5 stars on

Our Latest Patient Testimonial

Dr. Bhaskar put an implant in me quite a while ago, and I've had no problems. He also pulled the wisdom teeth on my three children. They all recovered with minimal discomfort.

- Barbara K

5 out of 5 stars on

Our Latest Patient Testimonial

The office is very professional. I was impressed with the doctor and his staff. My outcome is great.

- Barbara K

5 out of 5 stars on

Our Latest Patient Testimonial

I saw Dr Bhaskar for the extraction of a molar tooth. After our first meeting, we decided to place an implant at the time of the extraction. Everything went very well, no pain or problems. The crown was placed 10 weeks later and it has worked perfectly!!! I highly recommend Dr. Bhaskar.

- Paul P

5 out of 5 stars on