Maxillofacial Surgery in St. Augustine, FL

Maxillofacial surgery encompasses a comprehensive range of surgical procedures that address complex conditions affecting the face, mouth, and jaw. When facial structures require surgical intervention, whether due to injury, disease, or developmental concerns, this specialized field combines medical precision with aesthetic consideration to restore both function and appearance. At St. Augustine Oral & Facial Surgical Center, we provide advanced maxillofacial surgical care that addresses these intricate challenges with expertise developed through years of specialized training and thousands of successful procedures.

The term “maxillofacial” refers to the maxilla (upper jaw) and the face, representing a surgical specialty that requires extensive knowledge of both hard and soft tissue structures. This field demands not only surgical skill but also an understanding of how facial aesthetics, oral function, and overall health interconnect to create optimal patient outcomes.

Understanding the Scope of Maxillofacial Surgery

Maxillofacial surgery extends far beyond routine dental procedures, encompassing everything from corrective jaw surgery to complex facial reconstruction. These procedures address the following:

Congenital abnormalities
Traumatic injuries
Pathological conditions
Functional problems that affect quality of life

Each case requires careful evaluation and a customized treatment approach that considers both immediate surgical needs and long-term healing goals.

The complexity of facial anatomy makes maxillofacial surgery particularly challenging. The face contains vital structures including nerves, blood vessels, muscles, and bones that work together to enable essential functions like eating, speaking, and breathing. Successful surgical outcomes depend on preserving these structures while achieving therapeutic objectives. This delicate balance requires advanced three-dimensional imaging, precise surgical planning, and meticulous technique.

What Are Common Maxillofacial Procedures?

Facial trauma represents one of the most urgent aspects of maxillofacial surgery. Whether resulting from accidents, sports injuries, or other impacts, facial fractures require prompt attention to prevent long-term complications. These injuries may involve the jaw, cheekbones, eye sockets, or nasal bones, often requiring complex reconstruction to restore normal appearance and function. Modern techniques allow surgeons to repair these injuries with minimal scarring while maintaining facial symmetry.

Corrective jaw procedures address misalignment issues that affect bite function, facial appearance, and overall oral health. These surgeries, performed under IV sedation for patient comfort, can resolve problems like:

Overbite
Underbite
Asymmetry that hasn’t responded to orthodontic treatment alone

The procedures involve carefully repositioning the jaw bones to achieve proper alignment, improving both function and facial aesthetics.

Oral pathology evaluation and treatment form another crucial component of maxillofacial surgery. Suspicious lesions, cysts, or tumors in the mouth or jaw require expert diagnosis and surgical management. Early detection and treatment of these conditions can prevent serious complications and, in some cases, save lives. Our comprehensive approach includes thorough evaluation, biopsy when necessary, and complete surgical excision with careful attention to preserving surrounding healthy tissue.

The Role of Technology in Modern Maxillofacial Surgery

Advanced imaging technology has revolutionized maxillofacial surgical planning and execution. 3D imaging provides detailed visualization of facial structures, allowing surgeons to plan procedures with unprecedented precision. This technology enables virtual surgical planning, where procedures can be mapped out digitally before entering the operating room, reducing surgical time and improving outcomes.

Computer-guided surgery represents another significant advancement in the field. These systems allow for real-time navigation during procedures, ensuring optimal placement of surgical instruments and implants. This precision proves particularly valuable in complex reconstructive cases where millimeter-level accuracy can make the difference between success and complications.

Dr. Douglas L. Johnson, DMD

With over 25 years of specialized experience, Dr. Johnson provides exceptional care using the latest techniques and technology.

Dr. Johnson is a board-certified oral and maxillofacial surgeon who completed his education at the University of Pittsburgh School of Dental Medicine and advanced training through fellowships at prestigious institutions. His extensive training and experience allow him to perform complex procedures with precision and care.

At our state-of-the-art facility, we prioritize your comfort and results. Dr. Johnson and his specially trained staff are committed to providing you with the highest standard of care in a welcoming environment.

Preparing for Maxillofacial Surgery

Preparation begins with a comprehensive evaluation that includes medical history review, physical examination, and diagnostic imaging. Understanding each patient’s unique anatomy and specific concerns allows for development of a personalized surgical plan. This planning phase often involves collaboration with other specialists, including orthodontists, prosthodontists, and medical physicians, to ensure comprehensive care.

Patients receive detailed pre-operative instructions that cover everything from medication adjustments to dietary restrictions. When procedures require anesthesia, which includes IV sedation for patient comfort during more complex surgeries, specific fasting guidelines and transportation arrangements become essential. Clear communication about what to expect helps reduce anxiety and ensures patients arrive properly prepared for their procedure.

Innovations in Bone Reconstruction

Bone grafting techniques have expanded the possibilities for facial reconstruction. Whether replacing bone lost to trauma, disease, or congenital absence, modern grafting materials and techniques allow for predictable bone regeneration. These procedures often serve as the foundation for further reconstruction, including dental implant placement to restore missing teeth.

Platelet-rich plasma therapy represents an exciting advancement in healing enhancement. This technique uses concentrated growth factors from the patient’s own blood to accelerate healing and improve surgical outcomes. When combined with bone grafting or other reconstructive procedures, PRP can reduce recovery time and enhance tissue regeneration.

Our Reviews

Partner with St. Augustine Oral & Facial Surgical Center

At St. Augustine Oral & Facial Surgical Center, our commitment to excellence in maxillofacial surgery stems from extensive training and dedication to patient care. Dr. Douglas L. Johnson brings board certification from the American Board of Oral & Maxillofacial Surgeons and the National Dental Board of Anesthesiology, along with fellowship training in facial cosmetics and reconstruction. Our AAAHC-accredited facility maintains the highest standards of surgical care, supported by a team of certified surgical assistants and a registered APRN.

With years of experience performing complex maxillofacial procedures, we understand that each patient’s situation requires individualized attention and care. Our comprehensive approach combines advanced surgical techniques with compassionate support throughout the treatment process. To learn more about how maxillofacial surgery can address your specific needs, visit our contact page to schedule a consultation.