Our Services

Fishbein Oral & Maxillofacial Surgery


General Tooth Extraction

There are several reasons a tooth may need to be extracted. Decay, injury, or other dental conditions can become so severe that a tooth cannot be saved, or the health of the surrounding teeth may require its removal. A tooth that is unhealthy can cause complications like persistent pain and infection, while an otherwise healthy tooth can cause problems such as dental shifting, crowding, and alignment issues.

Common reasons why a tooth may be recommended for extraction include:

  • Advanced decay
  • Severe infection or periodontal disease
  • Dental crowding
  • Broken teeth
  • Root canal failure
  • Pathology
  • Orthodontic treatment

Tooth extraction is a common procedure performed at Fishbein Oral and Maxillofacial Surgery in our Vernon and Southington, CT offices. Most of the time, local anesthesia is all that is needed during a single extraction to keep the patient calm and comfortable. Your personal treatment plan, including your options for anesthesia, will be discussed during your consultation appointment.

If a tooth replacement is needed after an extraction, your oral surgeon will discuss your options during your appointment.

Wisdom Teeth Removal

The third molars, which are commonly called wisdom teeth, are typically the last teeth to erupt. Because of this, there is often not enough room for the wisdom teeth to grow in as they should. When there is not sufficient space for the wisdom teeth, they may become impacted (unable to fully break through the gum tissues and jawbone) or grow in at an incorrect angle. Wisdom teeth that do not erupt as they should can lead to several dental problems, such as:

  • Disturbing the natural tooth alignment or orthodontic treatment
  • Damage to neighboring teeth
  • Tooth decay
  • Infection and inflammation in the gums or other tissues
  • The formation of cysts
  • Damage to the jawbone

Our oral surgeon may recommend wisdom teeth removal to avoid these serious complications and to keep your smile healthy. Our team will ensure that your wisdom teeth removal treatment is as painless and comfortable as possible. To learn more about wisdom teeth removal, please call or visit us today. We are committed to keeping your smile in the best possible health.

Anesthesia Options

The most common anesthesia option for wisdom teeth removal is a combination of IV sedation and local anesthesia, but other options are available and can be discussed with you. The anesthesia chosen for your wisdom teeth removal procedure will be based on your medical history and personal preference, among other factors.

Please visit our anesthesia page for more information about your anesthesia options at Fishbein Oral and Maxillofacial Surgery.

After Surgery

Fishbein Oral Maxillofacial Surgery cares about achieving your oral health goals. Following your post-operative instructions is extremely important to your best outcome. Before your surgery, we will guide you through your aftercare and provide pre-and post-operative instructions at your consultation appointment. In the immediate days following your oral surgery procedure, a soft food diet and a little extra care to your mouth are recommended. Following your instructions will promote healing and minimize the risk of complications. If you have any questions about your care before or after your surgery, please call our office for assistance.

Dental Implants

Dental implants offer a tooth replacement solution that is permanent as well as natural in look, feel, and function. They can replace a single tooth or an entire arch of teeth. Many patients are pleased to find out that they are a good candidate for a dental implant.

A dental implant is revolutionary because it replaces the entire tooth — including its root! There are three parts to a dental implant: the post, the abutment, and the crown.  The dental implant post, made of medical-grade titanium, is surgically implanted into the jaw bone and will act as the root for the replacement tooth. Through a process called osseointegration, this post will fuse with the jaw bone and is responsible for the dental implant’s strong, secure, and permanent foundation. The crown is a custom-made prosthesis designed to blend in with the surrounding teeth for the most natural look possible. It sits on top of the dental implant post and is the visible part of the implant. Finally, the abutment piece is what connects the dental implant post to the crown. A single dental implant truly is a complete tooth replacement solution.

Dr. Gary Fishbein designs customized tooth replacement treatment plans to create the best possible outcome for every patient. If you are considering a single dental implant, multiple implants, full-arch restoration, or another tooth replacement solution, we will work with you to create the treatment plan that is right for you.    

What Are The Benefits of Dental Implants?

  • Permanent and secure replacement. Through a process called osseointegration, this post will fuse with the jaw bone and is responsible for the dental implant’s strong, secure, and permanent foundation. With the right care, dental implants can last a lifetime.
  • Discreet results. The crown is the visible part of the implants and is a custom made prosthesis designed to blend in with the surrounding teeth for the most natural look possible.
  • Enhanced quality of life. Traditional tooth replacement options can make it difficult or impossible to eat certain foods. Dental implant patients are able to enjoy the food they love without the worry of the implant slipping or falling out. Patients can also enjoy speaking and smiling with confidence again.
  • Preserved bone health. Dental implants are considered a complete tooth replacement because they also replace the tooth’s root, the part of the tooth responsible for preserving jaw bone health.
  • Versatile. Whether you are missing a single tooth, multiple teeth, or even an entire arch of teeth, dental implants offer several solutions to tooth loss. 
  • Most patients are dental implant candidates. Chances are good that if you are healthy enough to undergo a minor oral surgery procedure, such as a tooth extraction, you are healthy enough to receive a dental implant.

Dr.Fishbein is an experienced oral and maxillofacial surgeon and is an expert when it comes to dental implant placement. If you are considering dental implants, we encourage you to contact our office and schedule a consultation. Dr. Fishbein will provide a complete oral evaluation and work with you to design a treatment plan that works for you.


Bone Grafting

Bone and soft tissue grafting help many patients become successful dental implant candidates by restoring the deteriorated bone. Bone grafting can also be part of a successful treatment plan for facial trauma injuries, tooth extraction, severe periodontal disease and other oral and maxillofacial conditions.

Types of Bone Grafting

By applying a solution of granulated bone material to the area(s) where more bone is desired, a bone graft can restore the bone that has been lost.

The location of the missing bone, overall treatment plan, and other factors will determine the appropriate bone grafting procedure for you. Common bone grafting procedures include:

  • Sinus lifts. Granulated bone material is added to the upper jaw and sinus cavity, located just behind the cheekbones. This is a common bone grafting procedure for dental implant patients who require the implant to be placed in the upper jaw.
  • Socket preservation. To prevent the loss of bone after an extraction, a bone graft can be performed immediately after a tooth has been removed.
  • Ridge expansionThe bone that surrounds your upper and lower teeth is called the alveolar ridge. Height and/or width can be added with a ridge expansion.

Oral Pathology

Normally, the tissues inside your mouth should be smooth and coral pink in color. When a change occurs in and around the mouth, it should be evaluated by an oral and maxillofacial surgeon.

Pain does not always occur with oral pathologies, so it is important to know how your mouth typically looks and feels. When caught early, most oral pathologies can be easily treated.

A biopsy is commonly conducted to confirm a diagnosis and determine appropriate treatment. An oral biopsy is a small tissue sample of the affected area, which is sent off to a lab for diagnosis. Your oral surgeon can determine the appropriate treatment from the pathologist’s findings.

Signs & Symptoms of Oral Pathologies

Most oral pathologies are benign, but it is important to rule out more serious diseases and conditions, such as oral cancer. The signs and symptoms are different from patient to patient. Common changes in and around the mouth that require an oral and maxillofacial surgeon include:

  • Patches in the mouth that are red or white in color
  • A sore that bleeds easily or fails to heal
  • Any lump or irregularity
  • Chronic sore throat and/or persistent hoarseness

If you have noticed any of these changes to your mouth, or if you have noticed any other changes you feel are irregular, please call our office to schedule an appointment.

Tooth Exposure

A tooth is said to be impacted when it is unable to erupt from the gums and into its proper position in the mouth. Bone and/or underlying gum tissue is a common cause for a tooth’s path to become blocked. Impaction can occur with any tooth, but wisdom teeth and canines are especially prone to impaction.

Most dental professionals recommend removing wisdom teeth whether or not they are impacted. Since canine teeth play an important function in the mouth, extra efforts are made to help the tooth erupt into its proper position. An oral surgeon and orthodontist will work together to expose the tooth and guide it into place. Exposing an impacted tooth is a very common treatment.

Canine Impaction

An impacted tooth can be confirmed with an X-ray or CT scan. As the last primary teeth to come in, canine teeth can become impacted for many reasons:

  • Baby teeth or unusual growths that block the tooth’s path
  • Poor alignment
  • (Rarely) extra teeth in the mouth

The canine teeth are the four pointed teeth at the corners of the mouth and are essential to the proper alignment, bite, and function of other teeth. Exposing an impacted tooth as early as possible is often the best choice. With regular checkups, your family dentist will monitor the growth and development of your child’s teeth and will refer to an oral surgeon for treatment of an impacted tooth. Your oral surgeon will work hand in hand with an orthodontist to expose the impacted tooth. At Fishbein Oral & Maxillofacial Surgery, we want you to be as comfortable as possible. Local anesthesia or IV sedation are commonly used for the surgical exposure of an impacted tooth. Your anesthesia options and options for pain management following the procedure will be discussed and selected during your consultation appointment.

Anesthetic Sedation

Anesthesia Options

We want our patients to feel safe, comfortable, and informed throughout their treatment. We recognize that any oral surgery procedure can cause varying levels of anxiety in many patients, and want to make sure we do everything that we can to provide the most comfortable experience possible. We offer several options for anesthesia at Fishbein Oral and Maxillofacial Surgery in Vernon and Southington CT to suit our patients’ individual preferences and oral surgery treatment needs. Dr. Fishbein will discuss your customized treatment plan, including your options for anesthesia, and work with you to select the best option.

Fishbein Oral and Maxillofacial Surgery offers several types of anesthesia, including:

  • Local anesthesia. This type of anesthesia allows the patient to remain conscious without experiencing any pain associated with the procedure. The anesthetic is directly administered in and around the surgical site for localized numbness. It is commonly used with other anesthetic options, such as nitrous oxide.
  • Nitrous oxide. Nitrous oxide (also known as laughing gas) is inhaled through the mouth and nose to help the patient feel relaxed throughout the procedure. It helps the patient feel more at ease, especially if they are nervous about their procedure. Local anesthesia is often used in conjunction with nitrous oxide.

Intravenous (IV) sedation. A common option for wisdom teeth and dental implant patients, IV sedation allows the patient to enter a sleep-like state for the duration of the procedure. It is a quick-acting medicine because it is administered directly into a vein. Most patients who opt for IV sedation do not remember the procedure afterward, a common side effect.

3D Imaging

Three-dimensional (3D) scanning utilizes the most advanced technology to take high-quality images of your teeth and jaws. This is important information for your oral surgeon so they can determine the best treatment plan based on your individual anatomy and condition. At Fishbein Oral and Maxillofacial Surgery, these scans usually take place during your first visit.

3D scanning ensures every angle of your condition can be viewed, which optimizes your treatment plan while reducing the risk of complications or surprises during your surgical procedure.

3D Scanning Benefits

Your unique facial structure and condition can be viewed from every angle using 3D technology. Your oral surgeon can use these scans to determine the ideal treatment plan for many oral surgery procedures, like dental implant placement. 3D scanning ensures you receive the best treatment possible.

3D scanning benefits include:

  • High-resolution images from multiple angles
  • Reduced radiation exposure than conventional cat scans
  • Reduced risk of complications and surprises during surgical procedure
  • Images are easily shared with your dentist

Dental Implants

Wisdom Teeth Removal

Tooth Extraction

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