Welcome to the website of Dr. james Lemon, Dr. Joseph park, Dr. Heath Stewart and Dr. Steve Tevepaugh, maxillofacial oral surgeons in Columbia, South Carolina. These Columbia, SC maxillofacial oral surgeons practice offers wisdom teeth removal, dental implants, facial cosmetic procedures, botox procedure, and other oral surgery procedures.
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Cosmetic Procedures
If you are not happy with the appearance of your smile, your oral and maxillofacial specialist can suggest a number of options to correct the aesthetics of your teeth, gums and bone structure. From replacing lost or recessed gums and teeth, to reshaping the bone structure that supports your teeth, your specialist can help you achieve and maintain a smile you will be happy with for a lifetime.

Dental Implants
Do you wish that you could replace one or more of your teeth but don't want to get dentures?

Dental Implants are a natural looking, long lasting, comfortable, and safe alternative to bridgework or dentures. For people with good oral health, replacing a lost tooth with an implant is an ideal option.


Not everyone is a candidate for implants. Your doctor will inform you about the different factors that determine whether or not a patient fits the criteria of an implant recipient. Factors like pre-existing disease and bone loss can affect a patient's ability to receive implants. However, it is now possible to regenerate bone in some patients through the use of grafting techniques.

Bone Grafting
A Maxillofacial surgeon can replace or augment bone in areas of the jaw with less than sufficient mass to support a dental implant. Through Guided Tissue Bone Regeneration (GTR) or grafting, your doctor can grow bone in areas that have become atrophied due to disease or tooth loss. When a healthy tooth is in its socket, the presence of the root of the tooth stimulates the bone it resides in, keeping it strong and healthy. When a tooth is lost due to either trauma or disease the bone surrounding it weakens and degenerates. This is a problem, especially for those seeking dental implants to replace the missing tooth; as implants need a healthy jaw to be placed in. Ask your doctor about the exciting developments in this technology, it may be the answer to your needs.

TMJ/TMD
The "Temporomandibular Joint," more commonly referred to as the "jaw joint," assists in the basic opening and closing movements of the jaw. Unfortunately, this joint is a common area for recurring pain. Although conventional wisdom suggests that a "popping" sound in the jaw indicates a TMJ dysfunction, this is not always true. Many times, your jaw is functioning properly even if a "popping" sound is present when chewing or talking.

We offer a TMJ exam that evaluates the joint tissue in the "hinge" of the jaw. Problems include swelling; deterioration of the joint tissue; or damaged joint tissue (which cushions the jaw bones during the opening and closing movement of the mouth). Arthritis can contribute to TMJ dysfunction. Another possibility is displacement or dislocation of the disc between the socket and jawbone. A disc in the wrong position may limit jaw movement, produce clicking sounds, or cause pain when opening or closing the mouth. Also conditions like injury or rheumatoid arthritis can cause parts of the TMJ to fuse together, preventing any jaw movement at all. Stress can be a huge factor in causing or adding to TMJ symptoms. Nighttime teeth grinding can cause muscle spasms and inflammation of muscle tissue, causing difficult and often painful jaw movement.

Diagnosing TMJ dysfunction can be a complex process, and may require different diagnostic procedures.

Why consult an Oral and Maxillofacial Surgeon for my TMJ treatment?

A specialist in the areas of the mouth, teeth and bones of the jaws, an oral and maxillofacial surgeon has the training and expertise to correctly diagnose your condition. Special imaging studies of the joints (digital radiography, arthography, or MR imaging) may be ordered and appropriate referral to other dental or medical specialists or a physical therapist may be made.

Wisdom Teeth
One of the most common reasons people come to an OMS is because of problems related to their third molars, more commonly called Wisdom Teeth. Usually appearing in the late teens or early twenties, third molars often lack the proper space in the jaw to erupt fully or even at all. This common condition is called impaction. When any tooth lacks the space to come through or simply develops in the wrong place of your jaw, and becomes impacted, problems can arise. Primarily, damage to adjacent teeth and crowding occur.

In certain cases the wisdom tooth that cannot come through becomes inflamed under the gums and in the jawbone, causing a sac to develop around the root of the tooth that then fills with liquid. This can cause a cyst, or an abscess if it becomes infected. If either of these situations goes untreated, serious damage to the underlying bone and surrounding teeth and tissues can result.

Corrective Jaw Surgery
If you have been recommended to have corrective jaw surgery, you are not alone! Modern advances in medicine allow patients to perfect conditions caused by heredity, trauma or growth impediments.

Abnormalities involving the upper face, cheekbones and nose can also be surgically perfected. Bone structure is adapted to create correct facial symmetry and proportion; this also often restores normal breathing, eating and speaking capabilities.

When you look in the mirror, do you see a protruding or receding lower jaw? Do you have buckteeth? Do your teeth connect in the proper way? If you have any reason to think your jaws might not be correctly formed or positioned, ask your oral and maxillofacial surgeon for an evaluation today.

Biopsy
In addition to their many other capacities, your OMS may elect to check for cancers of the mouth and surrounding jawbone.

If your OMS recommends a biopsy as a result of a cancer screening, we strongly urge you to follow up with any tests or instructions given to you by your doctor. While cancer can be a scary thought, early testing and diagnosis can significantly improve your chances of making a fast and complete recovery. Don't let fear of this disease compromise your chances of having a beautiful smile and a healthy future!

Ask your doctor about the details of your specific situation and your heath care options following your biopsy.
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