Central Maryland Oral Maxillofacial Surgery, PA: Treating nerve injuries

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Central Maryland Oral Maxillofacial Surgery, PA offers a full scope of oral and maxillofacial surgery procedures performed by its team of physicians led by Domenick Coletti, DDS, MD.

Nerve injuries can be caused by trauma, surgery, and sometimes dental procedures such as root canal fillings, wisdom teeth removal, and insertion of implants. Soft tissue lacerations and facial bone fractures can cause significant nerve injuries, too. Moreover, local anesthetics can trigger nerve injury.

A person with nerve injury experiences a variety of unpleasant sensations. Some of the symptoms include:

• Numbness
• Tingling
• Crawling sensation
• Burning sensation
• Hypersensitivity of the affected area
• Electric shock sensation

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These sensations, according to doctors like those at Central Maryland Oral Maxillofacial Surgery, PA, can interfere with normal activities such as chewing, speaking, and drinking. If these symptoms persist longer than a month following surgery, the nerve injury will likely not resolve on its own without other treatments or surgical intervention.

Treatment options Depending on the type and severity of injury, one or more of the following procedures can be done:

• Decompression -- The nerve is relieved of any material or tissue pressuring it.
• Nerve grafting -- The lost portion of the nerve is replaced by a sensory nerve graft taken from either the posterior portion of the lower leg or the neck.
• Neurolysis -- The removal of the scar tissue inside the nerve.
• Suturing – The two ends of the nerve that are severed are held in place with precise stitches.

• Removal – Taking out of any abnormal nerve tissue or a neuroma.
Chances of recovery are high if the injury is treated immediately. Central Maryland Oral Maxillofacial Surgery, PA offers treatments for nerve injuries.

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More information can be accessed at this website.

Dr. Domenick Coletti: What is teeth grinding?

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Most people don’t realize that they might be putting their teeth in harm even while they sleep. Dentists, like Dr. Domenick Coletti, agree that it is important to understand the causes and effects of teeth grinding before complications develop.

Medically known as bruxism, teeth grinding usually occurs while a person is asleep. This condition is believed to be caused by having crooked or missing teeth or an abnormal bite, and is often associated with stress and anxiety. Since people usually experience this condition while they are asleep, most of them are unaware that they grind their teeth and only realize it when other people hear the grinding or when they wake up with a sore jaw or headache.

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Although teeth grinding may appear to be harmless, dentists, like Dr. Domenick Coletti, agree that it can be harmful once it becomes chronic. Those who grind their teeth constantly may suffer from fractured or loose teeth, tooth loss, hearing loss, temporomandibular disorders, and even a change in facial appearance.

To stop teeth grinding, patients may ask their dentist for a mouth guard which they can wear while they are asleep. They can also seek help in stress management if their condition is caused by stress or anxiety. Cutting back on caffeinated and alcoholic drinks can also help ease their anxiety.

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Based in Columbia, MD, Dr. Domenick Coletti specializes in oral and maxillofacial surgery. To learn more, visit www.centralmarylandoms.com.

Dr. Domenick Coletti on snoring and a possible death

Did you know that snoring can be deadly?


Central Maryland Oral & Maxillofacial Surgery partner Dr. Domenick Coletti talks about death as a result of ignoring snoring as a symptom of a serious disease.

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Snoring: What it could mean


Snoring could be a sign of carotid artery atherosclerosis, or carotid stenosis, a narrowing of the arteries that is caused by the buildup of plaque (comprised of cholesterol deposits and other fatty substances) in the arteries. It reduces the blood flow rate as it clogs the arteries, thereby increasing the risk for heart attack or stroke which can lead to severe brain damage or even death. If left unaddressed, people with carotid artery stenosis decrease their survival rate by an estimated 36%.


Yet this is not always the case. As Dr. Domenick Coletti points out, there are several options to avoid death.

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Treating snoring symptoms


There is a variety of remediation options available for people who are vulnerable to this illness. Heavy snoring caused by carotid stenosis can be treated by using a Pillar and Procedure method, whereby three implants are inserted into the patient’s soft palate. The procedure is performed with local anesthesia and takes about 10 minutes to complete. Patients who undergo this procedure have minimal post-operative discomfort, akin to a slightly sore throat or soreness in the mouth.


Though the Pillar Procedure is considered as the most invasive procedure to stop snoring, there are other methods that can help a person desist from snoring such as oral devices, jaw appliances, and even the “tennis ball” technique.

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More resources and information about Domenick Coletti and death risks related to snoring can be accessed at www.centralmarylandoms.com.

Dr. Domenick Coletti on the treatment and prevention of facial trauma

Facial trauma, which Dr. Domenick Coletti specializes in, is any injury to the face, mouth, or jaw. This includes soft tissue injuries, facial bone and jaw fractures, eye injuries, and facial and intraoral lacerations. Facial trauma is usually caused by vehicular accidents, sports injuries, and physical assault. According to statistics, about three million people in the U.S. are treated for facial trauma injuries every year. Among children, the main cause of facial trauma is accidental fall, while vehicular accidents and interpersonal violence are the two main causes among adults.

From Domenick Coletti

Experts at Central Maryland Oral and Maxillofacial Surgery, P.A. treat facial injuries depending on its severity and location in the face. For soft tissue injuries, Dr. Domenick Coletti, along with Dr. Richard Nessif, sutures the wound, ensuring that the facial nerves and salivary glands and ducts are intact. For bone injuries, the jaws are wired together or small plates and screws are placed where the injury is. Treatment for this kind of injury depends on its location, and the patient’s age and general health condition. But regardless of where the injury is, treatment must be given immediately to control any bleeding and ensure that there is a clear airway.

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Since facial trauma usually results from accidents, preventive measures should be taken to minimize its effects. For drivers, seatbelts and helmets (if applicable) must be worn at all times. For athletes, helmets (or other headgear) and mouth guards must be used when playing. For parents with small children, proper supervision and safety measures must be applied to prevent children from falling from elevated spots.

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Aside from the treatment of facial trauma, Dr. Domenick Coletti also performs various medical procedures. Learn more by visiting www.centralmarylandoms.com.

Central Maryland Oral and Maxillofacial Surgery: Replacing your missing teeth with dental implants

From Domenick Coletti

Surgeons at Central Maryland Oral and Maxillofacial Surgery, P.A. provide several options for treating missing teeth. The most effective and durable option—as proven by majority of dentists—is dental implants.


These implants (titanium screws or cylinders) are used as replacement for the roots of missing teeth. They are anchored into the jawbone to hold up a single tooth crown, a multi-tooth bridge, or stabilize a removable partial or full denture.

From Domenick Coletti

Usually, an expert surgeon, such as the clinic’s Richard J. Nessif, DDS, would recommend the procedure for patients whose teeth are lost due to decay, root canal failure, gum disease, trauma to the mouth, excessive wear and tear, and inherited defects. The procedure, which is available at Central Maryland Oral and Maxillofacial Surgery, is important to undergo so the patient can avoid bone loss in the jaw area caused by a missing tooth and prevent the increase of oral hygiene difficulty due to unbalanced teeth spacing.


Dental implants can serve as support for a patient’s tooth crown, replacing a single missing tooth. They can also support a dental bridge and serve as replacement for multiple missing teeth, helping decrease dental pains and ease chewing difficulties.

From Domenick Coletti

Dental implants are being used in the dental industry for more than 30 years, and according to studies, the process has a success rate of above 95 percent.


Central Maryland Oral and Maxillofacial Surgery, employs surgeons who are skilled at performing this process and can provide you with the surgical procedure you need. Visit www.centralmarylandoms.com for more information.

From Domenick Coletti

Domenick Coletti, DDS: Treating sleep apnea

Domenick Coletti, DDS is a nationally recognized surgeon who specializes in oral and maxillofacial surgery. Certified by the American Board of Oral and Maxillofacial Surgeons, Dr. Coletti is adept in performing surgical procedures such as placement of dental implants, corrective jaw surgery, and treatment of facial trauma. One of his commonly performed procedures is the surgical treatment of sleep apnea.

From Domenick Coletti

Sleep apnea is a common disorder characterized by shallow breathing during sleep and low levels of blood oxygen. Obstructive sleep apnea (OSA) is the most common type of this disorder and occurs when the airway is narrow or blocked, causing a pause in breathing during sleep. Medical professionals such as Domenick Coletti, DDS treat OSA depending on the severity of the disorder. The following are some options in treating OSA:

• Continuous Positive Airway Pressure (CPAP) - This option involves the patient wearing a device while sleeping, providing pressurized air that reduces airway obstruction. Though effective, it is not a cure because it only works when the patient is wearing the mask. Without it, symptoms of OSA are likely to return.


• Surgery - Surgery is done only when the disorder is severe. There are several types of surgery that can be performed, but otolaryngologists and sleep specialists must be involved in deciding on the right procedure.



• Lifestyle change - A much simpler way to relieve the symptoms of OSA is by changing one’s lifestyle. Avoiding alcohol and sedatives, losing weight, and not sleeping on the back may decrease apnea spells.

From Domenick Coletti

More information on Domenick Coletti, DDS and his treatment procedures for OSA can be found at www.centralmarylandoms.com.

From Domenick Coletti