Additional Procedures
Alliance Oral & Maxillofacial Surgery logo
Fort Worth Office:
9415 N. Beach St.
Fort Worth, TX 76244
(817) 741-2200 
Haslet Office:
544 FM 156, Suite 200
Haslet TX 76052
(817) 741-2200

Additional Procedures

Oral pathology

A healthy mouth is lined with a smooth, pink layer of skin known as "mucosa."  If the color or texture of the inside of your mouth changes - suddenly or gradually - it could be a sign of something serious, and you should see an oral surgeon without delay. 

If you notice the following in your mouth, it could be indicative of a developing pathological process or even cancer: 
  • Reddish or whitish patches in the mouth or on your tongue. 
  • A sore that won't heal.
These symptoms can occur on the lips, cheeks, palate, and gums, as well as the tongue.  Pain does not always occur with pathology, and oral cancer usually comes on without warning.

The mouth can be of the body’s "early warning" systems, so please, do not ignore suspicious spots or sores.  Contact Alliance Oral & Maxillofacial Surgery so we can address any questions or concerns, before it's too late. 

Impacted Canines (eyeteeth)

When a dentist describes a tooth as "impacted," he or she is basically saying that it's "stuck" inside the jaw.  Wisdom teeth, or the third molars, are the most common teeth to become impacted.  When this happens, they can cause a myriad of problems.  Since they aren't used for chewing, wisdom teeth should be removed. 

The next most common tooth that becomes impacted is the maxillary cuspid - the upper canine, or "eye" tooth.  These teeth are for biting and cutting food, and play a very important role in your dental bite.  When you close your jaws, your canine teeth should be the first to touch. 

The cuspid teeth are the next to last permanent teeth to erupt.  The second molars are the last.  The cuspids are the anterior tooth to erupt. This usually occurs around age 11.  Just like musical chairs, the last one is left  out - or in this case impacted.  The surgery is done in conjunction with an orthodontist.  The tooth is uncovered and a bracket with a chain is attached.  The orthodontist then uses the chain to pull the tooth into place. 

If your child has an impacted canine tooth, getting it back into proper alignment with the help of a our maxillofacial surgeon should be priority #1.  

Pre-prosthetic surgery

If you're taking the big, but positive step to getting dentures, before you slip them on and smile, your oral surgeon needs to take a few steps to ensure that your mouth is ready to receive them comfortably.  This is known as "pre-prosthetic" surgery. 

Before partial or complete dentures are fitted, you may require oral surgery to ensure you are completely comfortable with your new teeth.  Since dentures sit on the jaws, it's crucial that the jaw bone is properly shaped and of adequate size. If you have any natural teeth left that require extraction, the underlying bone might be sharp and uneven.  Contouring, reshaping, or removal of excess bone may be required to ensure optimal fit of your dentures.  Excess gum tissue or impacted teeth may also be removed during pre-prosthetic surgery. 
Other Procedures
  • FACIAL TRAUMA

    Play is an integral part of a child's well-being. When it results in trauma to the jaw or face, Alliance Oral & Maxillofacial Surgery is here for you, and for them.  Our professional oral and maxillofacial surgeons are thoroughly qualified to handle emergency care and long-term reconstruction as a result of: 

    • Facial cuts (lacerations)
    • Split lips
    • Knocked-out (avulsed) teeth
    • Facial bone fractures (cheek or nose)
    • Dislocated or fractured jaws (upper and lower jaw)

    When a child gets hit in the face with a soccer ball, it's a traumatic experience for both the patient and his or her family.  The team at Alliance Oral & Maxillofacial Surgery takes both a "hands on" and "hearts on" approach to the science and art of treating these types of injuries.  Indeed, local emergency rooms call on Dr. Parmer and Dr. Macholl often to deliver top-notch care for adults and children who have suffered facial injuries. 

  • SOFT TISSUE INJURIES

    When you sustain a laceration (cut) on your face, your first thought is if there's going to be a scar and will it ruin your looks.  At Alliance Oral & Maxillofacial Surgery, we take the utmost care to treat the injury with particular focus on optimal long-term cosmetic results.  


    Dr. Parmer and Dr. Macholl will fix you right up, with minimal evidence that anything ever happened. 

  • MAXILLOFACIAL BONES INJURIES

    When you break an arm or a leg, your doctor puts it in a cast.  When you break a bone in your face, putting a cast on your head isn't exactly practical.  That's why other means to stabilize the bones must come into play, and these require the expertise of a maxillofacial surgeon, such as the professionals at Alliance Oral & Maxillofacial Surgery. 


    The specific treatment protocol for a facial bone fracture is determined by several factors, such as the location of the break, the severity of the injury, and the patient's age and overall health. If the jaws are fractured, treatment might involve wiring the jaws together.  In other cases, jaw fractures can be stabilized most effectively by the surgical placement of small plates and screws, a technique known as "rigid fixation."  


    This method of treating jaw fractures has dramatically improved the prospects for patients with jaw injuries, as it often eliminates the need for having the jaws wired together, which allows a faster healing and return to their normal lives. 

  • INJURIES TO THE TEETH AND JAWS

    There are all kinds of ways you can get a tooth knocked out.  If it happens to you or a loved one, the sooner you act, the better the chances are that we can re-plant your original tooth back into the socket.   

    1. Place the knocked out tooth in salt water or milk.
    2. Do not attempt to wipe the tooth off - if remnants of the ligament that hold the tooth in the jaw are still attached, they are vital to the success of replanting the tooth.
    3. Get to a dentist or qualified oral surgeon immediately.

    In your oral surgeon's office, your treatment will usually begin with splinting, which is stabilizing the tooth by wiring or bonding it with adjacent teeth.  Depending on the nature and severity of your injury, you may require the help of other dental specialists, such as an endodontist (if you need a root canals) and/or a general dentist to repair or rebuild a broken tooth.  If the affected teeth cannot be salvaged, all is not lost.  


    Alliance Oral & Maxillofacial Surgery can fit you with dental implants, which is a permanent replacement for missing teeth. 

Alliance Oral & Maxillofacial Surgery

Call to schedule your consult at (817) 741-2200

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