Central Maryland Oral Maxillofacial Surgery, PA: Treating nerve injuries

Dr. Domenick Coletti image credit: centralmarylandoms.com

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.

Domenick Colletti: When to get dental implants

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On occasion, some people might find the teeth in their jaws to ultimately be lacking—literally. When done by professionals such as Dr. Domenick Coletti, “death” or the atrophy of the surrounding jawbone and a myriad of other problems can be avoided through the use of dental implants. Today, implants can offer the necessary structural support sought by people affected by tooth loss and can support not only replacement teeth but also dentures.

While many assume dental implants to be a purely cosmetic affair, the complications that arise from an insufficient set of teeth can have adverse effects on both a person’s wellbeing and the overall integrity of the jawbones. Among the complications include the jaw’s tendency to fill in the space with new teeth, which can cause problems regarding dental hygiene. In addition, people affected by tooth loss may find it difficult to chew, which may lead to dietary defects.

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Moreover, specialists like Dr. Domenick Coletti say that death of the surrounding bone cells may result due to lack of use, causing atrophy of the jawbone. By the time action is taken, there might not be enough bone material for future implants to take place, thus necessitating a bone graft.

Seeking dental implants early on is a wise decision because it can prevent further complications. Bone grafts, on the other hand, can be sought to first reverse the effects of atrophy.

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More information on implants from Dr. Domenick Coletti and how death of the surrounding bone and other conditions can be avoided through them can be accessed on his practice’s 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.

Domenick Coletti image credit: centralmarylandoms.com

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

Central Maryland Oral Maxillofacial Surgery PA and dental implant surgery

According to Central Maryland Oral Maxillofacial Surgery, PA, more than 30 million Americans have lost all of their teeth in one or both jaws. Whether caused by an accident or tooth decay, tooth loss can be resolved permanently through dental implants.

Domenick Coletti Photo Credit: Central Maryland Oral and Maxillofacial Surgery, P.A.

A dental implant is a titanium screw that is placed into the jaw bone to hold a replacement tooth. This process, called osseointegration, enables the implant to integrate with the surrounding bone. After the healing process, which usually takes up to six weeks, a bridge or denture is securely placed on the implant.

Domenick Coletti Photo Credit: dentalimplants.uchc.edu

This procedure is recommended for adult patients with excellent general and oral health. According to dental experts at Central Maryland Oral Maxillofacial Surgery, PA, dental implants are not recommended for children and adolescents because the implants would interfere with the jaw’s growth.

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Many dental experts agree that getting dental implants is more advantageous than getting dentures or bridges. Dental implants are the most reliable replacement to natural teeth. Aside from giving a more natural look than dentures or bridges, dental implants are more stable since the implant is fused with the jaw bone. Also, patients with dental implants don’t need to worry about pain from ill-fitting dentures since it is securely placed on the implant. Generally, maintaining dental implants is similar to maintaining natural teeth in which regular brushing and flossing are required.

To learn more about Central Maryland Oral Maxillofacial Surgery, PA and the process of getting dental implants, visit www.centralmarylandoms.com.

Dr. Domenick Coletti defines how lawsuits shape America’s healthcare program

With the staggering statistic of 95 malpractice lawsuits for every 100 medical practitioners, physicians such as Dr. Domenick Coletti know that lawsuits or their threat are of constant risks to their practice. Many physicians refuse to perform their functions because of excessive malpractice premiums, which in turn limit patients’ access to basic healthcare.

Domenick Coletti Photo Credit: Central Maryland Oral and Maxillofacial Surgery, P.A.

According to a recent survey conducted by the American Medical Association (AMA), 60% of physicians over the age of 55 have faced a suit at least once. While majority of the cases were dropped, settled, or decided in favor of the physicians, they were nonetheless expensive and costly. Physician Insurers Association of America reports that an average of $22,000 were spent on dismissed cases, while more than $100,000 were spent for suits that go to trial.

Many colleagues of Dr. Domenick Coletti say that lawsuits enhanced overstated cost of malpractice insurance premiums, forcing them out of business or out of the state.

Domenick Coletti Photo Credit: Central Maryland Oral and Maxillofacial Surgery, P.A.

One of these physician-friendly states is Ohio, which is an advocate of minimizing false claims against physicians. Gov. Bob Taft signed Senate Bill 281 which limited “pain and suffering” damages at $500,000/occurrence. This and other determining factors helped Ohio decrease its number of closed malpractice suits, and lessen its total payment for settlements by $100 million.

Domenick Coletti Photo Credit: Central Maryland Oral and Maxillofacial Surgery, P.A.

On the other hand, Rep. Matt Gaetz is also gearing up to make Florida a doctor-friendly haven. His legislation aims to minimize “the number of unneeded tests given by doctors to ward off potential lawsuits,” making Florida attractive to physicians such as Dr. Domenick Coletti. Lawsuits in Florida already require patients to submit a statement signed by a medical expert to endorse a negligence claim.

This indicates that there is an improvement in America’s healthcare industry. Additional information about Dr. Domenick Coletti may be accessed at 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.

Domenick Coletti. Photo Credit: thecarmelvalleylife.com

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.

Domenick Coletti. Photo Credit: 352luxmag.lu

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.

Domenick Coletti Photo credit: dentistryandmedicine.blogspot.com

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.