https://www.woodwardoralsurgery.com/about-us daily 0.75 2023-05-10 https://images.squarespace-cdn.com/content/v1/5f16526967bbf502d4069f27/1627787726431-X2HYP217CGEA35O28EV9/PPL01145.jpg About Us https://images.squarespace-cdn.com/content/v1/5f16526967bbf502d4069f27/1596039539322-UXCF9GQR9R7KCVD0BRQL/FE3087EE-56A5-4F08-A960-3803CB06C94D+2.jpeg About Us - joshua Woodward, DDS Tobias Keene, D.D.S. Hailing from Richmond, Virginia, Dr. Tobias Keene brings a bit of unabashed Southern hospitality to all his patients. He moved to Washington, D.C. over thirty years ago as a freshman at Ivy College. Right after graduation, he attended World University’s School of Dentistry. Before opening Keene Dental in 1994, he worked for free clinics and some of the finest practices in the District. He is part of the 123 Dental Association and stays up-to-date on the latest dental discoveries. When not striving to keep his patients happy and healthy, he’s enjoys hiking with his family in Rock Creek Park. https://images.squarespace-cdn.com/content/v1/5f16526967bbf502d4069f27/1596039476751-RIYMLHQIG832RH8D3G24/990C8DAE-4F12-41B6-87D8-42C2B05463F6.jpeg About Us - Donal woodward, DDS Donal Woodward is a native Oklahoman and was raised in Sand Springs. He attended the University of Oklahoma for his undergraduate education and was then accepted to the University of Oklahoma College of Dentistry. Dr. Woodward graduated dental school at the top of his class and was accepted into the Oral and Maxillofacial Surgery Program at OU Health Sciences Center. Upon completion of his four year residency program in 1989, Dr. Woodward returned to Tulsa to begin his private practice. Dr. Woodward uses his skills in the management of wisdom teeth, multiple extractions, IV anesthesia, implants, orthodontic exposures, and oral pathology. Dr. Woodward is a member of Omicron Kappa Upsilon National Dental Honor Society, a past president of the Oklahoma Society of Oral and Maxillofacial Surgeons, a fellow of the American Association of Oral and Maxillofacial Surgeons (AAOMS), a board certified diplomate of the American Board of Oral and Maxillofacial Surgery (ABOMS) for over 25 years, and a member of Beta Theta Pi Fraternity. Dr. Woodward has been married to his wife Laura for over 35 years, and they have four children and three grandchildren. He loves family time, working in his yard, coaching sports, long walks with his wife, and volunteering at his church nursery. He cares for his patients like his family and looks forward to helping each patient feel comfortable and informed. https://www.woodwardoralsurgery.com/dental-implants daily 0.75 2020-07-31 https://images.squarespace-cdn.com/content/v1/5f16526967bbf502d4069f27/1596222859979-XYM36VOE18PB8KLCCIWK/AdobeStock_168851344+%5BConverted%5D.png Dental Implants - dental implants Missing teeth are more than just a cosmetic issue; they affect how a person eats, drinks, and breathes. Dental implant surgery is the most permanent solution available for missing teeth as the implants integrate directly with a patient’s jawbone. Depending on a patient’s needs, a single implant could replace one or more teeth. Two or more implants can serve as a stable support for the replacement of multiple teeth. A dental implant restoration is composed of these three parts: A titanium implant that fuses to the jawbone through a process called osseointegration. An abutment, which is the portion of the implant that rises above the gum line. A crown fitted atop the abutment to give the appearance of a natural tooth. After the implant is placed, it takes time for the titanium to fuse with the jaw. Once the implant is stabilized, a restorative dentist takes an impression of the upper and lower jaws to make a model from which the needed crowns are created. Some implants may be eligible for immediate provisionalization or loading: Immediate Provisionalization – When the missing tooth is in a very visible area, a temporary crown may be placed at the time of surgery. This crown is for appearance purposes only and should not be used for chewing or biting. Immediate Loading – Patients with adequate bone to support the implant may be eligible for immediate loading, which is the placement of temporary or permanent crowns at the time of surgery or very soon afterward. This allows for a patient to return to a more normal diet sooner. Full osseointegration can take several months but once complete, the dental implant will be as sturdy as the original tooth. Dental implants do not slip or make noises the way dentures can, nor do they require replacement the way a dental bridge might. https://www.woodwardoralsurgery.com/contact-us daily 0.75 2020-09-03 https://www.woodwardoralsurgery.com/postop-instructions daily 0.75 2020-07-31 https://www.woodwardoralsurgery.com/forms daily 0.75 2021-03-23 https://www.woodwardoralsurgery.com/tooth-extraction daily 0.75 2020-08-05 https://images.squarespace-cdn.com/content/v1/5f16526967bbf502d4069f27/1596221160011-S684U3TJH21QXRSN6X0M/AdobeStock_303989257.jpeg Tooth Extraction - tooth extraction Tooth removal, commonly referred to as tooth extraction, is indicated when a tooth has become damaged or infected such that repairing, restoring or maintaining the tooth is no longer in the best interest of the patient. When the hard outer surface of a tooth (the enamel) is damaged or decays, the porous, inner tooth structure (the dentin) is exposed and can result in sensitivity and pain and allow the entry of oral bacteria into deeper tissues, resulting in infection. When this happens, the best treatment is for the restorative dentist to repair the tooth, using a variety of restorative techniques and materials. When such repair fails, or is not possible due to the extent of the damage, the tooth is removed to prevent further pain and to avoid or resolve infection. Oral and maxillofacial surgeons are experts in tooth removal and utilize instrumentation and techniques not found in other dental settings. Many teeth can be removed quickly and easily with local anesthetic alone (an injection of medication to numb the area), as would be used in any dental procedure. The patient typically feels a sensation of pressure, but has no pain. However, if the tooth is actively infected, has had root canal treatment, or there are multiple teeth that require removal, some form of sedation will make the treatment more comfortable for the patient. A patient who has a history of dental local anesthetic not working well, or who has had traumatic treatment experiences in the past, often chooses some form of sedation as well, to optimize treatment comfort. https://www.woodwardoralsurgery.com/tooth-exposures daily 0.75 2020-08-05 https://images.squarespace-cdn.com/content/v1/5f16526967bbf502d4069f27/1596039035641-UIIHXCH46ES632EPMDEP/expbnd.JPG Tooth Exposures - tooth exposures While wisdom teeth are often impacted, other teeth can be impacted as well. An impacted tooth is simply one that has been blocked from entering the mouth. Because of the placement and difficulties of caring for wisdom teeth, many oral and maxillofacial surgeons recommend their removal. Other impacted teeth can be brought into proper position through an expose-and-bond procedure – a process combined with orthodontic treatment that can bring the impacted tooth into its proper position. What is “Expose and Bond”? When patients visit an orthodontist to have their teeth straightened, space also is made for any unerupted teeth. If the teeth fail to erupt on the expected timeline, the orthodontist refers the patient to an oral and maxillofacial surgeon (OMS) for an expose-and-bond procedure. During the procedure: The unerupted tooth is exposed. A bracket may be attached to the newly exposed tooth and connected to the patient’s orthodontia via a chain. At a later visit to the orthodontist, the patient will have the chain activated to slowly move the exposed tooth or teeth into place. Why Expose Impacted Teeth? The expose-and-bond procedure is a common oral surgery technique to expose an unerupted tooth. The following are reasons why the surgery is performed: If a tooth is not erupting due to its position in the mouth, and it is unlikely to erupt on its own. The position of an unerupted tooth could damage the roots of adjacent teeth if it is not relocated to its proper position. Cysts can form around unerupted teeth and lead to other health issues. Even if the tooth does eventually erupt, it can push other teeth out of position. https://www.woodwardoralsurgery.com/home daily 1.0 2024-05-17 https://images.squarespace-cdn.com/content/v1/5f16526967bbf502d4069f27/1595779940428-7NUKX18Y832JP4JGW2W2/8B4E8C5C-74F5-4DEE-B8F6-5F4C621B58C8.jpeg Home - welcome to the family. As the only father and son oral and maxillofacial surgery office in Oklahoma, we bring a well-rounded knowledge base, coupling 30+ years of experience and training in the newest advancements and technology. We are born and raised in Oklahoma, received our training in Oklahoma, and are honored to serve the people of our state. At Woodward Oral Surgery, we are a true family, including a father, son, brother-in-law/uncle, and many staff members who have been with us for decades. We all genuinely love coming to work every day, and consider it a privilege that you trust us with your own family. https://www.woodwardoralsurgery.com/bone-grafting daily 0.75 2023-05-05 https://www.woodwardoralsurgery.com/oral-pathology daily 0.75 2020-08-05 https://www.woodwardoralsurgery.com/sinus-lifts daily 0.75 2020-07-31 https://images.squarespace-cdn.com/content/v1/5f16526967bbf502d4069f27/1596221660736-9HMA4X5XAI5MK7SLS7TY/AdobeStock_242103832.jpeg Sinus Lifts https://images.squarespace-cdn.com/content/v1/5f16526967bbf502d4069f27/1596136440313-5FPXX0CQ69JT1PNIAIDG/AdobeStock_242103848.jpeg Sinus Lifts https://www.woodwardoralsurgery.com/wisdom-teeth daily 0.75 2020-07-31 https://images.squarespace-cdn.com/content/v1/5f16526967bbf502d4069f27/1596220941165-FI2SNC9147TMDGQSRES4/AdobeStock_223913288.jpeg Wisdom Teeth - Wisdom teeth What are wisdom teeth? Wisdom teeth, or third molars, are the last teeth to develop and appear in your mouth. They come in between the ages of 17 and 25. What Is an impacted tooth? When a tooth is unable to fully erupt into the mouth, it is said to be “impacted.” In general, impacted teeth are unable to break through the gums because there is not enough room. Nine out of ten people have at least one impacted wisdom tooth. Complications such as infection, damage to adjacent teeth, and the formation of cysts may arise from impacted teeth. Why should I get my wisdom teeth out? If left in the mouth, impacted wisdom teeth may damage neighboring teeth, or become infected. Because the third molar area of the mouth is difficult to clean, it is a site that invites the growth of bacteria that leads to gum disease. Oral bacteria may travel from your mouth through the bloodstream, where it may lead to possible systemic infections and illnesses that affect the heart, kidneys and other organs. Research has shown that once periodontal disease is established in the third molar areas, the problem is persistent and progressive, but may improve following extraction of the teeth. In some cases a fluid-filled cyst or tumor may form around the crown of the untreated wisdom tooth. As the cyst grows it may lead to more serious problems as it hollows out the jaw and damages surrounding nerves, teeth and other structures. When should I get my wisdom teeth out? Wisdom teeth are easier to remove when the patient is younger, since their roots are not completely formed, the surrounding bone is softer, and there is less chance of damaging nearby nerves or other structures. Removal of wisdom teeth at a later age becomes more complicated as the roots have fully developed (and may involve the nerve or sinus cavity), and the jawbone is denser. What if my wisdom teeth haven't caused me any problems yet? Many people believe that as long as they are not in pain, they do not have to worry about their wisdom teeth. However, pain-free does not mean disease or problem-free. In fact, wisdom teeth that come in normally may still be prone to disease, according to a study by the American Association of Oral and Maxillofacial Surgeons and the Oral and Maxillofacial Surgery Foundation. AAOMS strongly recommends that third molars be evaluated by an oral surgeon by the time a patient is a young adult in order to assess the presence of third molars, disease status, and to suggest management options ranging from removal to a monitored retention plan to ensure optimal patient-specific outcomes. In general, dental and medical professionals agree that wisdom teeth should be removed in the following instances: • Infections, bone loss, and/or periodontal disease • Cavities that cannot be restored • Pathologies such as cysts, and tumors • Damage to neighboring teeth Wisdom teeth that are completely erupted, functional, and disease-free may not require extraction. They do, however, require annual check-ups, professional cleaning, and periodic radiographs to monitor for any changes. What happens during surgery? Before surgery, we will discuss the procedure in detail with you and tell you what to expect. Be sure to let us know about any illness you have and medications you are taking. There are several conditions that affect how easy it will be to remove a wisdom tooth, including how the tooth is positioned and the stage of root development. Most of the time third molars can be removed with little or no pain. Patients are given either local anesthesia, intravenous sedation, or general anesthesia. We will discuss the anesthetic option that is right for you. What happens after surgery? Following surgery, you may experience some swelling and discomfort, which are part of the normal healing process. Cold compresses may help decrease the swelling, and we will prescribe medication to help manage the discomfort. You may be instructed to modify your diet following surgery and later progress to more normal foods.