Oral and Maxillofacial Surgery

Oral and maxillofacial surgery is surgery to correct a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws, and the hard and soft tissues of the oral and maxillofacial region. It is a recognized international surgical specialty, and it is one of the nine specialties of dentistry recognized by the American Dental Association.

Oral Surgeons: Changing Lives with a Smile

Oral and maxillofacial surgeons are the only recognized dental specialists who, after completing dental school, are surgically trained in an American Dental Association-accredited hospital-based residency program for a minimum of four years. They train alongside medical residents in internal medicine, general surgery and anesthesiology, and also spend time in otolaryngology (ear, nose, and throat), plastic surgery, emergency medicine, and other specialty areas. Their training focuses almost exclusively on the hard and soft tissue of the face, mouth, and jaws, and their knowledge and surgical expertise uniquely qualify them to diagnose and treat the functional and aesthetic conditions in this part of the body.

Conditions and Treatments

Your oral and maxillofacial surgeon has many years of education and hands-on training to provide treatment for a wide range of conditions.

Corrective Jaw Surgery

  • Corrective jaw or orthognathic surgery is performed in which the upper jaw, lower jaw, and chin may be repositioned to correct minor and major skeletal and dental irregularities, including the misalignment of jaws and teeth which can improve chewing, speaking, and breathing. Difficulty chewing or biting food, excessive wear of teeth, a receding chin, a protruding jaw, or sleep apnea may indicate the need for corrective jaw surgery.

Wisdom Teeth

  • Wisdom teeth are the last set of teeth to develop. Sometimes they emerge from the gum line, and the jaw is large enough to allow room for them, but more often than not, they fail to emerge and become impacted. When a wisdom tooth is impacted, it may need to be removed. Impacted wisdom teeth that are partially or fully erupted tend to be quite difficult to clean and are susceptible to tooth decay, recurring infections, and even gum disease. The American Association of Oral and Maxillofacial Surgeons strongly recommends that wisdom teeth be removed by the time the patient is a young adult in order to prevent future problems and to ensure optimal healing.

Cleft Palate

  • Cleft lip and cleft palate result when all or portions of the mouth and nasal cavity do not grow together properly during fetal development. The result is a gap in the lip or a split in the opening in the roof of the mouth. Until it is treated with surgery, a cleft palate can cause problems with feeding, speech, and hearing. Oral and maxillofacial surgeons work as part of a team of health care specialists to correct these problems through a series of treatments and surgical procedures over many years.

Facial Trauma

  • Maxillofacial injuries or facial trauma encompass any injury to the mouth, face, and jaw. One of the most common types of serious injury to the face occurs when bones are broken. Fractures can involve the lower jaw, upper jaw, palate, cheekbones, eye sockets, or combinations of these bones. These injuries can affect sight and the ability to breathe, speak, and swallow. Because of this, the expertise of the oral and maxillofacial surgeon is indispensable. Avoiding injury is always best, so it is extremely important to use seat belts, protective mouthguards, and appropriate masks and helmets for everyone who participates in athletic pursuits at any level.

Temporomandibular Joint Surgery

  • The temporomandibular joint (TMJ) is a small joint located in front of the ear where the skull and lower jaw meet and allows the lower jaw to move and function. If you experience jaw pain, earaches, headaches, a limited ability to open or close your mouth, clicking, or grating sounds, you may have Temporomandibular Disorder (TMD). TMJ treatment may range from conservative dental and medical care to complex surgery. If non-surgical treatment is unsuccessful or if there is clear joint damage, surgery may be indicated which can involve either arthroscopy or repair of damaged tissue by a direct surgical approach.

Oral cancer

  • Oral and maxillofacial surgeons recommend that everyone perform an oral cancer self-exam each month. If you notice white or red patches, an abnormal lump, chronic sore throat or hoarseness, or difficulty chewing or swallowing, you should contact your oral and maxillofacial surgeon. They will remove a section of tissue to perform a biopsy and accurately diagnose the problem.

Implants

  • Dental implants are long-term replacements for missing teeth that your oral and maxillofacial surgeon surgically places in the jawbone. Composed of titanium metal that fuses with the jawbone through a process called osseointegration, dental implants never slip and never decay. Because dental implants fuse with the jawbone, bone loss is generally not a problem.

Outpatient Anesthesia

  • Oral and maxillofacial surgeons have the ability to provide patients with safe, effective outpatient anesthesia including local anesthesia, nitrous oxide, IV sedation, and general anesthesia. During their surgical residency, residents must complete a rotation on the medical anesthesiology service where they become competent in evaluating patients for anesthesia, delivering the anesthetic, and monitoring post-anesthetic patients.
Bruno Orthodontics Bruno Orthodontics
(248) 435-2000
from Bloomfield Hills
We love Dr. Bruno and the entire staff, they all do a wonderful job! I’m in my 4th child through there and would highly recommend!
Bruno Orthodontics Bruno Orthodontics
(248) 435-2000
from Royal Oak
You guys are always able to get us in short notice and a fun crew.
Bruno Orthodontics Bruno Orthodontics
(248) 435-2000
from Roseville
Great office !! Braces off in November and still look great !!!
Bruno Orthodontics Bruno Orthodontics
(248) 435-2000
from Beverly Hills
Dr. Bruno and his staff are top notch. Myself and my four kids have been seen by Dr. Bruno since 2017. They consistently run on time while practicing todays safety measures. Dr Bruno thoroughly explains the process and is approachable when you need to ask a question. All the staff are friendly and accommodating. We have completed two beautiful smiles with three more in progress thanks to Bruno Orthodontics!
Bruno Orthodontics Bruno Orthodontics
(248) 435-2000
from Royal Oak
My son is always well cared for at his visits.
Bruno Orthodontics Bruno Orthodontics
(248) 435-2000
from Royal Oak
Very thorough and kind with my kids.
Bruno Orthodontics Bruno Orthodontics
(248) 435-2000
from Madison Heights
My daughter has had nothing but excellent care since day one. The staff is friendly and Dr. Bruno is awesome!
Bruno Orthodontics Bruno Orthodontics
(248) 435-2000
from Macomb
My daughter got an expander put in today. Everyone was great and it went really well.
Bruno Orthodontics Bruno Orthodontics
(248) 435-2000
from Royal Oak
Kristi and Erin are incredible as always
Bruno Orthodontics Bruno Orthodontics
(248) 435-2000
from Berkley
I love the friendliness and professionalism of the entire staff, how clean they keep the office, and how they run on time. Dr. Bruno has done a fantastic job creating beautiful smiles for our family.
Bruno Orthodontics Bruno Orthodontics
(248) 435-2000
from Troy
We felt very welcome. All our concerns/questions were addressed.
Bruno Orthodontics Bruno Orthodontics
(248) 435-2000
from Warren
Extremely professional and friendly staff!
Bruno Orthodontics Bruno Orthodontics
(248) 435-2000
from Clawson
Super friendly and organized and quick. Everyone was super nice and knew exactly what they were doing.
Bruno Orthodontics Bruno Orthodontics
(248) 435-2000
from Roseville
Love coming here . Assistants are hilarious.
Bruno Orthodontics Bruno Orthodontics
(248) 435-2000
from Madison Heights
Staff is always very friendly and efficient.
Bruno Orthodontics Bruno Orthodontics
(248) 435-2000
from Oak Park
Always satisfied with the professionalism and expertise of the people who work in this office.
Bruno Orthodontics Bruno Orthodontics
(248) 435-2000
from Clawson
Friendly and kind. Great treatment.
Bruno Orthodontics Bruno Orthodontics
(248) 435-2000
from Sterling Heights
Our daughter has been a patient for several years, she is very comfortable with Dr. Bruno and his staff.
Bruno Orthodontics Bruno Orthodontics
(248) 435-2000
from Birmingham
Extremely happy with Dr. Bruno and staff
Bruno Orthodontics Bruno Orthodontics
(248) 435-2000
from Ferndale
You always make it easy (and safe)!
Bruno Orthodontics Bruno Orthodontics
(248) 435-2000
from Bloomfield Hills
Everyone is so nice! I have a great experience seeing Dr Bruno and his staff!
Bruno Orthodontics Bruno Orthodontics
(248) 435-2000
from Rochester Hills
Everyone is always professional and pleasant. They are the best!
Bruno Orthodontics Bruno Orthodontics
(248) 435-2000
from Beverly Hills
Dr. Bruno and his staff are wonderful! My four kids and myself see them. Always efficient and professional. My 15 year son’s teeth are beautiful! My other three and myself are in the midst of our orthodontic process. Highly recommend Dr. Bruno’s services!
Bruno Orthodontics Bruno Orthodontics
(248) 435-2000
from Birmingham
Amazing Job!!! Thank you for all the care and attention you have for our kids.
Bruno Orthodontics Bruno Orthodontics
(248) 435-2000
from Bloomfield Hills
Amazing staff. Excellent communication. Would definitely recommend.
Bruno Orthodontics Bruno Orthodontics
(248) 435-2000
from Royal oak
Great service every time
Bruno Orthodontics Bruno Orthodontics
(248) 435-2000
from Rochester Hills
Outstanding service from office staff to consultation with Dr. Bruno who spent considerable time explaining the procedure ahead. Very professional and personable!
Bruno Orthodontics Bruno Orthodontics
(248) 435-2000
from Rochester
Great service as always with Dr. Bruno and Kristy!
Bruno Orthodontics Bruno Orthodontics
(248) 435-2000
from Pleasant Ridge
This is a dumb survey. I used to be in marketing research if you ever want to do a relevant survey. We have been going to your practice for six years or more. Why do you care now why we came, as it’s not really relevant anymore (in terms of timeliness). Why aren’t you asking about things like promptness or communication now or something like that. And you keep sending the same survey. Are you actually doing something with the data that is being collected. Sorry for being a pain. I just hate irrelevant surveys that capture poor data.
Bruno Orthodontics Bruno Orthodontics
(248) 435-2000
from Bloomfield Hills
Thank you! I love my new smile!
Bruno Orthodontics Bruno Orthodontics

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