Gary L Nesslein DDS MD
American Association of Oral and Maxillofacial Surgeons
6301 N Oak Trafficway, #101
Kansas City, MO 64118
PHONE: 816 452-0300
FAX: 816 452-3385
Oral & Maxillofacial Surgeons specialize in surgery of the facial skeleton including the jaws. We offer the following surgical services:
Removal of teeth relating to decay or periodontal disease, or to assist in orthodontic therapy.
Dental Implants may be utilized to replace missing teeth, support dentures, provide orthodontic anchorage, and other functional uses.
Office procedures may be performed via local anesthesia, local-nitrous oxide anesthesia, or intravenous (sleep) anesthesia.
Surgical repositioning of the jaws to correct for skeletal mismatch. This may occur due to growth variation, genetic predisposition, trauma, or parafunctional habits; with the main goal of restoring occlusal function and facial harmony.
Bone grafting to restore continuity and support may involve transplanting natural bone or using synthetic calcium mineral grafts.
Repair of hard and soft tissue injuries including facial fractures to realign the structures for optimum occlusion and aesthetics.
Surgical excison and biopsy of various oral and facial lesions. This provides for a diagnosis and proper treatment planning.
Please follow the guidelines listed below to ensure a smooth intravenous anesthetic.
Important daily medications should be taken with small sip of water.
A parent or legal guardian must provide legal consent for treatment of minors, 17 or younger.
Please wear low heels and short sleeve shirts.
Click to download a full
pre-anesthesia orders check list.
No food or drink including water for 6 hours prior to appointment.
An escort MUST accompany you to drive you home.
HOW DO I MANAGE ORAL BLEEDING?
Local pressure directly on the surgical site should control most cases of post-operative bleeding. Biting on moist gauze pads, or moist tea bags for 30 minutes will suffice. Please call if heavy bleeding continues.
WHAT CAUSES POST-OP NAUSEA?
Post-operative nausea and vomiting is usually related to either swallowing blood or narcotic pain medicine. Control bleeding first. Clear liquids only and avoid dairy products. Stop taking narcotic analgesics. Please call if n/v persists.
SHOULD I BE BRUISING?
Bruising seems to be a very individual occurance. The elderly tend to bruise more easily following oral surgery. Some coloring to the cheeks after surgery can be normal and will resolve over a few days.
HOW MUCH SWELLING IS NORMAL?
Post-operative edema increases for 24-48 hours, then begins to resolve. Continue ice packs through this period. Swelling of the cheeks is less worrisome than swelling under the jaw on the upper neck. Please call if your edema continues to increase, or if other problems become apparent such as difficulty swallowing, fever, etc.
WHY IS MY LIP STILL NUMB?
Surgery of the lower jaw occasionally approximates the sensory nerve to the lip and chin. Movement of the lip remains normal. Prolonged numbness may be due to "bruising" the nerve. Feeling usually slowly returns over a few weeks to months. Please call our office for evaluation should numbness persist beyond 24 hours.
WHAT IS A DRY SOCKET?
Alveolar Osteitis (dry socket) occurs in a small percentage of patients due to early breakdown of the blood clot. This results in pain and slow healing. Dry socket is treated by placement of a sedative dressing.