Dr. Bader treats fractures of all facial bones. This includes fractures of the lower jaw (mandible), upper jaw (maxilla), cheek bones (zygoma), eye sockets (orbit), and forehead (frontal bone).
Diagnosis of facial fractures requires a careful history, physical exam and analysis of a CT scan by a surgeon experienced with facial injuries. A fracture in which the bone pieces have not moved much, known as a non-displaced fracture, in an area of the facial skeleton that is not critical for structural stability will not require any surgery and can simply be observed. Fractures that require repair are those that have caused a visible deformity, loss of structural support or changed the way your teeth fit together, known as malocclusion.
Facial fractures are best treated with a surgery known as open reduction and internal fixation. “Open” means an incision is required to expose the fractured bone pieces. Dr. Bader is able to expose all facial fractures through incisions hidden inside the hairline, inside the eyelids and inside the mouth. “Reduction” is the process of moving the fractured pieces of bone back into their normal anatomic position. “Internal fixation” means the bone pieces are held together by a device left inside the body, like plates and screws, as opposed to an external device, like a cast or splint. Dr. Bader uses tiny but strong plates and screws constructed with medical-grade titanium. These plates and screws hold the bones in place until your body forms new bone and completely heals the fracture. The plates and screws are permanent but are not visible. Most fractures of the upper jaw (maxilla) and lower jaw (mandible) can be properly repaired without wiring the jaws shut but this is sometimes necessary.