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We are proud to offer the following services at Arrowhead Oral and Maxillofacial Surgery, click below to learn more!

► Implants

Tooth Replacement with Dental Implants

Dental implants have been a preferred method of tooth replacement for decades. Their unparalleled advantages of both beauty and health have made them a favorite of both doctors and patients. Whether you have tooth loss due to injury, disease, or a tooth extraction, dental implants can replace a single tooth, multiple teeth, or a full mouth of teeth. Implants may also be incorporated into other replacement methods, for example, to lend stability to a bridge or denture. If your teeth are in poor condition or you have recently had a tooth extraction, schedule a consultation with Dr. Michael Allard to learn about dental implants in Glendale, AZ.

Dental implants offer the following benefits:
•  Provide a stable, permanent tooth replacement option
•  Restore your ability to eat properly after a tooth extraction
•  Require only convenient, easy maintenance
•  Protect bone health
•  Deliver a beautiful, natural looking smile

Single Tooth Replacement: Know Your Options

► All-On-4® Treatment Concept

Implant Supported Dentures

Why Wait? Restore Your Smile Today!
The All-on-4® Treatment Concept is specifically designed to use only four implants that are available for immediate function. All-on-4® Treatment Concept implants do not typically require bone grafting, so they are an ideal solution for patients with areas of low bone density or volume.

Benefits of All-on-4® Treatment Concept Include:
•  Fast recovery time
•  Enjoy eating and speaking again
•  No more removable appliances

Implant Supported Dentures
Dentures can be frustrating due to poorly adhering glues, slipping, and maintenance routines. Patients often find that they would prefer a more permanent solution for the replacement of their missing teeth, one that allows them to eat, talk, or laugh with the knowledge that their appliance will stay in place and look natural.

Advantages of All-on-4® Treatment Concept Dental Implants:
•  Eat all of your favorite foods without diet restrictions
•  Enjoy ease of maintenance and durability
•  Implants offer a secure solution to dentures, which can slip or shift
•  Implants provide shorter post-procedure recovery times than traditional dental implants
•  Bone grafts are rarely needed
•  The dental implants utilized in the All-on-4® Treatment Concept preserve bone volume
•  A brilliant new smile can be yours in only one day

The Procedure for Implant Dentures
When you arrive for your All-on-4® Treatment Concept procedure, Dr. Allard will administer an anesthetic to keep you comfortable throughout your surgery. He will then insert the posts of your dental implants into your jaw bone. The posts are made of titanium, a material that integrates with human bone and forges a strong foundation for your implant dentures. The All-on-4® Treatment Concept only requires the placement of four dental implants which are positioned strategically to distribute the pressure of your bite. This placement also allows Dr. Allard to maximize the amount of bone volume present, even for patients who have lost a significant amount of bone, eliminating the need for additional bone grafting procedures.

image of of dimensions 600 wide by 400 high Before Smile Man Mustache

image of of dimensions 600 wide by 400 high After Smile Man Mustache

Once your dental implants have been placed, you will be fitted with a temporary set of teeth which will be worn while the implant posts fuse with the bone. This process takes between three to six months to complete, after which you will return to Dr. Allard or the restoring practitioner working alongside Dr. Allard for the final placement of your permanent teeth.

All-on-4® allows our patients to never go a single day without teeth, leaving the office with a beautiful smile on day one.

► Wisdom Teeth

Wisdom Teeth Extraction

Types of Impaction and Eruption
The wisdom teeth typically appear in adults between the ages of 17 and 25. Not all people have a complete eruption of their wisdom teeth and many experience partial eruption or impaction that can cause pain or discomfort.

Wisdom teeth are third molars that erupt later in life. By the time you have reached your late teens or early twenties, you may not have sufficient space in your mouth to accommodate four additional teeth. This can create pain in your teeth and jaw. Wisdom teeth pain can also be caused by the irritation of the gums or even a gum infection, resulting from bacteria that get trapped in the spaces around a partially erupted tooth.

If you have wisdom teeth pain, schedule a consultation for extraction with Dr. Michael Allard. Dr. Allard is a skilled oral surgeon who offers wisdom teeth removal in Glendale, AZ.

The reasons to have wisdom teeth removed include the following:
•  Prevent the movement of teeth which have been straightened with braces
•  Alleviate wisdom teeth pain
•  Create space for orthodontic treatment
•  Avoid possible gum disease or tooth decay

What to Expect From Your Visit for Wisdom Teeth Removal
Extractions may be performed with local anesthetic alone or, more comfortably, in combination with sedation dentistry and/or a general anesthetic. The technique chosen depends on the needs of the patient, the amount of wisdom tooth pain present, the severity of the condition and the number of teeth being removed. Intravenous (conscious) sedation and/or general anesthesia in our state of the art facility, are commonly used to allow for a safe and comfortable experience.

Once you are comfortable, Dr. Allard will make an incision in the gum tissue and if necessary, remove the bone that covers the tooth. If the tooth has partially erupted and grown straight, Dr. Allard may be able to relax the connective fibers that hold the tooth by rocking it back and forth, pulling the whole tooth out as he would in a simple extraction. If not, however, the tooth structure may need to be cut into several pieces which can be removed more easily. After the entire tooth is removed, the incision will be sutured closed.

Following wisdom teeth extractions, we will provide thorough post-operative instructions for you to follow in order to promote the best healing environment. Call Dr. Allard in Glendale, AZ today to schedule your consultation for wisdom teeth removal.

► Tooth Extractions

Tooth Extractions

Reasons Teeth May Be Extracted Include
•  Severe tooth decay or infection
•  Extra teeth that are blocking other teeth from growing in (supernumerary teeth)
•  Severe gum disease
•  Orthodontic treatment
•  Non-restorable teeth
•  Fractured teeth
•  Cosmetic reasons

Extractions are usually reserved only for cases in which no other treatment option will cure the infection or problem.

What to Expect From Your Tooth Extraction
There are two types of tooth extraction, simple and surgical, that may be recommended based upon the purpose of your extraction and the tooth condition. Tooth extraction is generally associated with tooth decay but teeth may be removed for a variety of reasons, both cosmetic and functional. If you need a tooth extraction, contact our office in Glendale, AZ to schedule your consultation with Dr. Michael Allard. Tooth pain is not the only reason patients seek extraction, as tooth removal may be necessary in the following situations:
•  Prolonged gum disease causing loose teeth
•  Treatment with orthodontics to move teeth into ideal positions
•  The presence of additional teeth or baby teeth that have not fallen out
•  Hopeless teeth that cannot be saved
•  Severe decay of a tooth structure that cannot be restored
•  Impacted wisdom teeth causing tooth pain

The Two Types of Tooth Extraction
Simple Extraction for Tooth Pain
A simple extraction is rendered when the tooth structure is visible and whole. Once appropriate anesthesia has been obtained, simple extraction does not require any incisions. Dr. Allard uses forceps to loosen the tooth, moving it back and forth until the tooth is released from the fibers and bone that support it.

Surgical Extraction for Tooth Pain
A surgical extraction is performed when the tooth structure must be accessed below the gum line or must be sectioned for complete removal. This may include teeth which have not yet erupted, severely decayed teeth, or fractured teeth. Surgical extractions may be performed with local anesthetic or with sedation dentistry, depending upon the severity of your tooth pain and the condition of your teeth. With this method, Dr. Michael Allard will make an incision in the gum line to gain visibility and access to the tooth structure. The tooth is then removed in parts, and the gum tissue is stitched back into position with sutures. Surgical extraction is common in cases of impacted wisdom teeth.

Tooth extractions, both simple and surgical, are common procedures performed on a regular basis. To schedule your consultation for a tooth extraction, contact Dr. Allard in Glendale, AZ today.

► Sedation

Sedation Dentistry

Sedation Candidates Have:
•  High fear
•  Had traumatic dental experiences
•  Difficulty getting numb
•  A bad gag reflex
•  Very sensitive teeth
•  Limited time to complete their dental care
•  Complex dental problems
•  A fear of needles and shots
•  An aversion to the noises, smells and tastes associated with dental care
•  Fear or embarrassment about their teeth
•  Medical conditions necessitating advanced anesthetic techniques

Comfortable Dental Visits With Sedation Dentistry
During your initial consultation with Dr. Michael Allard in Glendale, AZ he will discuss the type of procedure involved, your medical history and your level of anxiety. Various procedures require various anesthesia techniques. The choice of anesthesia is a personal decision and should be made only after an informative consultation with Dr. Allard.

Not every patient is comfortable in the dental chair, or with the needles commonly used to administer local anesthetic. Some may suffer from dental anxiety due to a bad experience or fear of pain or discomfort. Unfortunately, this can result in avoiding dental appointments until a condition becomes severe. Dr. Allard is committed to your oral health and wants to ensure that everyone is able to get the care they need in a comfortable environment. If you suffer from dental anxiety, schedule an appointment with Dr. Michael Allard at in Glendale, AZ for sedation dentistry. Varying levels of sedation are able to be offered to our patients in our state of the art facility, including:
•  Local anesthesia (numbing)
•  Intravenous (IV) sedation
•  Oral sedation
•  Nitrous oxide (N2O)
•  General anesthesia

Nitrous Oxide (N2O)
Also known as laughing gas, N2O is a popular form of sedation dentistry due to the immediacy of its effects. When the colorless gas is administered through a face mask, you will feel euphoric within five minutes, easing dental anxiety. When the mask is taken away, the effects wear off within minutes, leaving you free to drive yourself to and from your appointment.

Oral Sedation
Moderate dental anxiety may also be eased by oral sedation. With this method, a pill is taken roughly an hour before you arrive for your appointment with Dr. Allard. By the time you arrive at our office, you will feel relaxed and drowsy. This is an excellent option for those who fear dental procedures but are also uncomfortable with the needle used for intravenous sedation.

IV Sedation/General Anesthesia
Administered via an IV, intravenous conscious sedation, deep IV sedation, and general anesthesia are safe methods of effectively treating patients with moderate to severe dental anxiety. State of the art monitoring devices—EKG, pulse oximetry, end-tidal CO2 monitors and pre-cordial stethoscopes, coupled with advanced training in these techniques, allows an optimal environment for maximizing patient care in a relaxed, comfortable environment.

Regardless of the level of fear and dental anxiety, we can provide comfort through various sedation methods. To schedule your consultation with Dr. Michael Allard in Glendale, AZ, contact our office today.

► Ridge Preservation

Preserve Your Appearance After Tooth Loss

Benefits of Ridge Preservation Include:
•  Preserves bone tissue after the loss of a tooth
•  Prevents the collapsing of the bone and soft tissue in the sockets
•  Minimally invasive with minimal discomfort
•  Prepares the site for future placement of a dental implant or other tooth replacement, reducing the need for additional grafting
•  Maintains the aesthetics of the ridge, especially for the front of the mouth
•  Preserves a natural looking smile

When one or more teeth are extracted from the mouth, soft tissue and bone can begin to regress or collapse. Without the tooth root to stimulate it, the surrounding jaw bone will often begin to deteriorate shortly following the loss of a tooth.

Dental Implants After Previous Tooth Extraction

If there is significant bone loss, it may be impossible to place dental implants and may become more expensive, invasive and time consuming to replace the lost bone. Loss of bone can lead to depressions or unevenness within the ridge, as its form is supported by the contour of the underlying bone. Ridge (or socket) preservation is a type of bone grafting procedure that rebuilds and stabilizes bone where an extraction has left an empty socket. It is recommended to have a ridge preservation procedure performed at the time of an extraction, as it helps to promote the aesthetics of the ridge and avoid bony defects.

The Procedure
Ridge preservation procedures ideally begin with the removal of the tooth. The doctor will perform the extraction carefully so as to not disturb existing bone in the socket. Next, the doctor will place a specialized bone grafting product. This product can be an autogenous graft, allograft, or alloplast or xenograft material. The bone grafting material is designed to replace bone and stimulate bone growth in the socket. After it has been placed, the grafting material will be stabilized with sutures and possibly a collagen membrane. Healing time is approximately three to five months before a dental implant can be placed.

The Benefits
Ridge preservation can essentially minimize the amount of bone loss that occurs after the removal of one or more teeth. Leaving the socket empty after an extraction is likely to lead to deteriorating bone in the jaw, making it more difficult to place an implant later. This procedure is designed to prevent the collapsing of bone and soft tissue in the sockets.

► Tooth Exposure

Why Is Exposing Adult Teeth Important?

If you let a tooth stay impacted, it can lead to several negative possibilities. It is best to treat an impacted tooth relatively quickly to avoid facing problems such as:
•  Infections
•  Pain, stiffness and swelling
•  Gum disease
•  Cysts and tumors in the jaw

Orthodontic Guided Tooth Eruption
Abnormal or delayed eruption is a common problem. When the tooth cannot erupt into its normal position, the tooth can get physically obstructed and stuck in its position in the dental arch. Not addressing this failure in normal eruption can lead to much larger developmental discrepancies.

Although wisdom teeth are the most common tooth to be impacted, the second most common is the maxillary cuspid (canine).

These teeth normally erupt around 11-12 years of age. They play a vital role in lip support and act as the cornerstone of the mouth. They play an important role in the way our bite comes together. The older the patient, the less likely that any impacted tooth will erupt on its own. Early in a child's development, a panoramic x-ray is performed at around the age of 7 to assess the number and position of the teeth. This allows for an appropriate assessment of the sequencing of things as development is occurring.

If an impacted tooth fails to erupt it may need Dr. Allard, working closely with the orthodontist and general dentist, to perform a simple procedure to assist the tooth in its guided eruption. First, orthodontics is initiated to allow the space around the tooth to be opened and allow guidance of the tooth into position. This is accomplished via an orthodontic bracket with a gold chain that is bonded to the impacted tooth. The chain is ligated to the orthodontic arch wire. The incision made to carry out this procedure may be re-approximated or sutured open—depending on the requirements of the site.

After surgery, the patient may return to the orthodontist anywhere from 1-14 days post procedure to have the orthodontist place forces on the tooth with elastics and begin guiding the tooth into its desired position. If baby teeth act as an obstruction, Dr. Allard will often instruct that they also be removed. If the impacted tooth must travel a long way before it is fully erupted, Dr. Allard may suggest a secondary soft tissue procedure to fine tune the soft tissue appearance.

In conjunction with the general dentist/orthodontist, Dr. Allard in Glendale, AZ can ideally locate the tooth pre-operatively with a 3D scan (CT) so as to appropriately visualize the tooth orientation in relation to the surrounding anatomy. This best allows Dr. Allard the appropriate information to least invasively approach the surgical exposure procedure. In conjunction with the appropriate anesthetic approach, an anxiety provoking procedure such as this can be carried out in a relaxed and comfortable setting. With this advanced technology and his advanced training and expertise in this type of surgery, optimal soft and hard tissue results are seen in these types of orthodontically challenging cases!

► Bone Grafting

Bone Grafting

Bone Loss Occurs Immediately After Tooth Loss
Bone loss in the jaw bone is common when one or more teeth have been lost due to injury, decay or trauma. Without the tooth in place to stimulate the jaw bone, the bone around the missing tooth will begin to deteriorate.

It is common to experience bone loss around the teeth as a result of progressive disease, infection or trauma. However, bone loss can limit our ability to restore your smile using methods like dental implants or implant supported dentures. We offer bone augmentation and bone grafting procedures to replace lost bone. Bone grafting can also restore the proper facial contours where bone is missing in the font of the mouth.

Dental Implants - High-Tech Teeth

Restore Bone Health With a Dental Bone Graft
When you suffer tooth loss, your bone begins to deteriorate at the site of extraction. This is due to the fact that the root of your tooth stimulates your jaw bone. When the tooth is lost, its absence begins a process of deterioration. With prolonged multiple tooth loss, the consequences can be devastating, altering the underlying shape of your facial structure.

Bone volume is not only important to appearance, but also for tooth replacement. A dental implant, for example, needs sufficient amounts of bone for successful placement. If you are considering replacing missing teeth with a dental implant, you may need a dental bone graft. Schedule a consultation with Dr. Michael Allard to determine whether you are a candidate for one of the following grafting methods:
•  Autogenous: Donor tissue is collected from the patient
•  Alternative: bone morphogenetic protein—a group of growth factors known as cytokines which serve to stimulate the production of new bone
•  Allograft: the source of the donor tissue is a donor bank (cadaveric)
•  Xenograft: donor tissue is derived from a nonhuman source, usually cow bone

The Procedure for a Dental Bone Graft
The most commonly performed bone graft to prepare for your dental implant is an autogenous graft, which will be performed with local anesthetic. With this method, there are two surgical sites, one from which to collect donor tissue and the treatment site where the additional bone is required. Donor tissue is typically collected from the chin bone, under the front teeth. Dr. Allard can access the ample bone at the site through the inside of the mouth, leaving no visible scarring. Once this bone and a bit of marrow has been collected, it can be transplanted to the site of your future dental implant. Dr. Allard perfectly positions the new tissue at the treatment site and holds it in place with biocompatible titanium screws.

Over time, the new bone will integrate with the existing, augmenting bone volume and rendering a suitable foundation for your dental implant surgery. To schedule your bone grafting consultation in Glendale, AZ, contact Dr. Michael Allard today.

► Facial Trauma

Facial Trauma

Facial trauma is a serious injury, because not only can it affect your look, but can lead to serious complications down the line. Examples of facial trauma we treat include:
•  Car accidents
•  Sporting accidents
•  Work-related incidents
•  Fractured bones
•  Knocked out teeth

Visit a Specialist for Facial Trauma or Broken Jaw
Facial trauma may occur as a result of an injury related to sports, work, or even a car accident. It may include fractured bones, knocked out teeth, or lacerations. This type of trauma requires a specialist familiar with the bones and nerves of the face, mouth and jaw to preserve and rebuild function and appearance. An oral and maxillofacial surgeon has the special training and qualifications to treat a range of facial trauma conditions, from lacerations to broken bones.

If you have sustained a facial fracture or broken jaw, schedule a consultation with Dr. Michael Allard in Glendale, AZ. Dr. Allard is a skilled oral and maxillofacial surgeon who is uniquely qualified to treat facial injuries, including:
•  Soft tissue
•  Bones of the face and jaw
•  Teeth and surrounding area

Soft Tissue
Soft tissue refers to the skin and gums. When repairing damage caused by facial trauma to this tissue, it is critical to consider the nerves, arteries and glands that may also need care. Oral surgeons have the specialized training and knowledge to treat the injury you have sustained while achieving the best cosmetic result possible.

Bones of the Face and Jaw
Facial bones present a challenge, as they cannot be placed in a cast like other parts of the body, and care must be provided while reducing the visibility of both the treatment and the effects of the facial trauma. Plates and screws inserted through small incisions may be utilized to hold the bones in place while they heal. Jaws may be wired together to minimize movement.

Teeth and Surrounding Area
Facial trauma of the teeth may include damage, fracture, or displacement. Dr. Allard provides treatment to restore the health and appearance of teeth that have sustained injury, from crowns to dental implants. When a tooth structure cannot be saved and must be extracted, a dental implant can be an ideal substitute.

When trauma or injury has occurred to the facial or oral regions, the skilled hands of an expert are necessary to maintain function and appearance. Contact Dr. Allard today for your oral and maxillofacial consultation in Glendale, AZ.

► Botox® & Juvéderm®/Restylane®

BOTOX® and Juvéderm®/Restylane®

Take Years Off!
Non-surgical methods of reducing signs of aging are a great way to appear younger and preserve your youthful visage. Dr. Allard provides Botox® and Juvéderm®/Restylane® injections as complementary services to his patients.

Botox® Cosmetic
If the stresses of everyday life have led to some unwanted wrinkles becoming more visible, the use of Botox® cosmetic may be right for you.

Botox® is a simple, non-surgical, physician-administered treatment that can temporarily smooth horizontal forehead creases, vertical eyebrow lines, crow's feet, "smile lines" and "lipstick lines." Using his exceptional understanding of facial anatomy coupled with advanced techniques, Dr. Allard personally administers each injection himself. Dr. Allard can help you restore your youthful appearance safely, comfortably and effectively. Please schedule a consultation with Dr. Allard in Glendale, AZ to see if Botox® cosmetic is right for you!

Dermal Fillers
The normal process of aging produces skin changes that affect the way we look. With time our youthful skin appearance changes and wrinkles/folds begin to appear.

Common FDA approved injectable fillers used by Dr. Michael Allard:
•  Juvéderm®
•  Juvéderm® Ultra
•  Juvéderm® Ultra Plus
•  Restylane®

Dermal fillers such as Juvéderm® and Restylane® (or other gels made of hyaluronic acid—a naturally occurring substance) are designed to improve volume and the amount of hydration of the involved skin. They serve to effectively smooth and increase the fullness of the skin in the face and lips. They can also improve the definition of the injected area. Strategically placing Juvéderm® or Restylane® in select areas can restore a youthful, healthy appearance in subtle ways. The goal of treatment is to produce a result that everyone notices and yet no one can tell. Please schedule a consultation with Dr. Allard in Glendale, AZ to see if the use of an injectable filler is right for you!

► Full Mouth Reconstruction

Full Mouth Reconstruction

Smile Makeover Procedures Include:
Since every case is unique, only qualified dental professionals can determine exactly which procedures you will need for full mouth reconstruction. Procedures may include:
•  Crown lengthening
•  Gum tissue contouring
•  Implants and/or anchor bridge restorations to replace missing teeth
•  Bone or soft tissue grafting

Have a Smile Makeover With Full Mouth Dental Implants
A full mouth reconstruction may be spurred by injury, decay, or prolonged gum disease. The damage sustained must be repaired and the structures rebuilt in order to restore your appearance and your oral health. Lost teeth may be replaced with dental implants or implant supported dentures. If you need full mouth dental implants contact our office in Glendale, AZ to schedule your appointment with Dr. Michael Allard. Our implant dentistry expert can help you determine whether you are a good candidate for full mouth reconstruction, which is based largely upon the following criteria:
•  The health of your teeth and tooth structures
•  The health of your gums
•  Misalignment of the teeth and jaw

The Health of Your Teeth and Tooth Structures
Dr. Allard will examine your teeth to discover any damage to the structures, including cavities, fractures, or wear. Fillings, crowns, or veneers may be necessary. If you have missing or loose teeth, Dr. Allard may recommend dental implants or implant supported dentures to restore the appearance and function of your smile.

The Health of Your Gums
Gum health is crucial to the health of your teeth and bone. As a bacterial infection of the gum tissue, gum disease slowly destroys the connective fibers and bone that hold your teeth in place. If you suffer from gum disease, periodontal therapy may be recommended before any replacement treatments, such as implant supported dentures, can be performed.

Misalignment of the Teeth and Jaw
Dr. Allard will assess your bite and the health of your jaw joints. A misaligned bite can cause unnecessary wear to the teeth and missing teeth can cause the surrounding teeth to shift out of position. Misalignment may also result in symptoms of Temporomandibular Joint Disorder (TMD). The position of your jaw has a significant effect upon facial shape, as does the absence of teeth. With slight movement of the jaw and the addition of implant supported dentures, facial appearance may be greatly improved.

Full mouth reconstruction provides a return to function and appearance for those suffering from oral damage, decay, disease, or missing teeth. For your personalized consultation contact Dr. Allard in Glendale, AZ today.

► Jaw Surgery

Jaw Surgery

Reasons for Jaw Surgery
There are a myriad of reasons one might decide to receive jaw surgery. Dr. Allard is pleased to treat the following and more:
•  Temporomandibular Joint Disorder (TMJ)
•  Broken jaws from accidents
•  Jaws with issues that went untreated

Jaw Surgery for TMJ Treatment
Orthognathic surgery is performed to reposition the jaw. For some patients, the lower and upper jaw may be out of alignment, affecting appearance, speech, or chewing function. Jaw surgery may be recommended to improve the underlying facial structure, as part of an orthodontic treatment, or to address chronic jaw pain.

Oral Surgery

Jaw pain may be a sign of Temporomandibular Joint Disorder (TMD), which affects the temporomandibular joint (TMJ). Patients who need TMJ treatment in Glendale, AZ turn to Dr. Allard for orthognathic surgery. Contact our office to schedule your consultation. Other conditions that may necessitate jaw surgery include:
•  Bite issues, such as open bite
•  Speech difficulties, related to teeth and jaw
•  Misaligned jaw
•  Orthodontic treatment
•  Jaw line that appears to protrude or recede

Who Is a Candidate for Orthognathic Surgery for TMJ Treatment
For some patients, the upper or lower jaw may grow too large or too small, due to varying growth rates or a birth defect. This creates a misalignment that results in jaw pain and can lead to the various symptoms that make up disorders of the TMJ, such as difficulty hearing, chewing, or opening the jaw. To correct this condition and ensure the proper function and appearance of the jaw, it may be necessary to alter the position of the jaw surgically.

Facial Trauma
Jaw surgery may also be performed as part of a reconstructive treatment to correct facial trauma. As an oral and maxillofacial surgeon, Dr. Allard is trained to rebuild the bone structure of the face and jaw for patients who have sustained injuries.

Orthodontic Treatment
If surgery is part of an orthodontic treatment, Dr. Allard will coordinate with your orthodontist, who may first align the teeth within the jaw using braces before scheduling surgery. Then, Dr. Allard will surgically re-position the upper and/or lower jaw to improve the function of your teeth as well as the shape of your face. Changing the position of your upper jaw can have a visually transformative effect on the cheeks, nose and mouth.

Meet Brenna: Corrective Jaw Surgery (2:48) from AAOMS.org on Vimeo.

Disorders of the TMJ, facial trauma, and certain orthodontic treatments often necessitate the experience of a highly skilled oral and maxillofacial surgeon. Dr. Allard specializes in orthognathic jaw surgery to improve the function, aesthetics and health of your face, teeth and jaw. Contact Dr. Allard today for your personalized consultation in Glendale, AZ.

► Oral Cancer Screening

Oral Cancer Screening

What Happens During an Exam?
During an oral cancer exam, you doctor will:
•  Exam of the tongue and insides of your mouth to check for red or white patches or sores
•  Feel the tissues of the mouth to check for lumps or other abnormalities
•  Order further testing on abnormalities that are found
•  Discuss your treatment options
•  Answer any questions you may have
•  Schedule your appointment!

Oral pathology is related to diseases of the teeth, bone, and soft tissue. When you have changes to the tissue in your mouth, including the gums, tongue, or throat, you will want to schedule an examination to facilitate the early detection and diagnosis of disease. If you are concerned about oral cancer in Glendale, AZ, contact our office to schedule your appointment with Dr. Michael Allard. Dr. Allard is an oral and maxillofacial surgeon with years of experience and training in the diagnosis and treatment of oral conditions. Your visit for oral cancer screening may include the following:
•  Review of your medical and dental history
•  Visual evaluation of your oral cavity
•  Tactile inspection of your soft tissue
•  Biopsy, or removal, of tissue for oral pathology

What to Expect From Screening for Oral Cancer
Early detection of precancerous or cancerous cells is critical to maintaining your oral and overall health. Oral pathology screenings should be performed once a year. Dr. Allard will visually inspect your mouth, tongue and gums for signs of cysts, colored patches or sores. He will then feel the soft tissue to check for any abnormalities. If any are present, further testing will be performed. Dr. Allard may take a biopsy of the tissue and send it to a pathology lab for testing. The analysis will determine whether treatment is necessary.

Oral Pathology Self Exams
Annual professional exams by Dr. Allard are recommended, but you should also consider performing self exams at home to detect growths or lesions in between visits. Frequently inspect your mouth to become aware of how the tissue looks and feels and report any changes to our office so that we may schedule an oral pathology appointment for you as soon as possible. Successful treatment depends, in part, on early treatment. With early detection, oral cancer is often treatable. For your oral cancer screening and consultation in Glendale, AZ, contact Dr. Allard today.

► Pre-Prosthetic Surgery

What Is Pre-Prosthetic Surgery?

Pre-prosthetic procedures are treatments that prepare the oral environment for the placement of partial or full dentures. Here are a few procedures that fall under this area:
•  Gum reduction
•  Bone and ridge reduction

Dentures are a convenient and affordable option for tooth replacement designed to rest on the gums, simulating the appearance of your missing teeth. Some patients, however, may have sharp edges on the jaw bone or too much gum tissue for a proper fit.

To ensure your comfort, it may be necessary to reshape the bone and soft tissue that supports your prosthetic. If you are considering dentures, schedule a consultation with Dr. Michael Allard to determine whether you need bone and gum contouring. Procedures commonly performed before prosthetics are placed include:

Bone and Ridge Reduction
When your teeth are lost or extracted, the socket remains. This supportive bone may have sharp edges or ridges, detectable even after the gum tissue heals. When dentures are placed, these points may create discomfort where they encounter your prosthetic, causing tenderness and a poor fit. Dr. Allard can reshape or remove the bone or the gum tissue to deliver a smooth, even foundation for your dentures. Bone may be removed with an alveoplasty, a procedure to access the bone and reshape the edges. Many times, this is performed in conjunction with tooth extraction. Alveoplasty may also be performed to reduce or flatten a ridge that has formed in the jaw bone due to prolonged bone loss.

Gum Reduction
Gum reduction or contouring is generally associated with the cosmetic procedure to correct a gummy smile. When gum reduction is performed for pre-prosthetic surgery, however, it flattens the gum line to render a stable base for your dentures.

Bone and gum reduction surgery are often necessary to enable proper and comfortable use of dentures. For your personalized consultation, contact Dr. Allard in Glendale, AZ today.

► Gummy Smile Surgery

Hypermobile Lip Plastic Surgery for a Gummy Smile

A Beautiful Smile for a Beautiful You!
Although orthognathic (jaw) surgery is the most predictable way to address the problem of a "gummy" smile—excessive gum tissue showing when smiling—recent success with a lip lowering plastic surgery can successfully and dramatically address the issue.

Similar to a frenectomy (a very common procedure required for many individuals) this lip lowering procedure will reduce the fold between the lip and gum tissue thereby reducing the amount of upward movement of the lips. Under the right circumstance and with minimal invasiveness, dramatic improvements have been produced.

During the consultation with Dr. Allard in Glendale, AZ, he will review the skeletal relationships involved in the development of a gummy smile, discuss the role of jaw relationships and the vertical position of the upper jaw in the development of a gummy smile, the role of orthognathic (jaw) surgery and the potential of a lip lowering procedure to more conservatively address the gummy smile issue. Dr. Allard typically utilizes in-office IV sedation to perform this minimally invasive surgery, and may also address the possible use of Botox® and/or crown lengthening if there is excessive gingiva contributing to the gummy smile.

Aesthetic Crown Lengthening
Those who feel that they have a "gummy" smile can greatly benefit from aesthetic crown lengthening. This relatively simple procedure usually takes about an hour to perform and is essentially a "gum lift." During the procedure, the doctor removes excess gum and bone tissue and reshapes the smile to expose more of the natural tooth. While this gum reduction surgery can be performed on just one tooth, it is often done on the entire smile. The end result is that more of the natural tooth surface is exposed creating a wider, more beautiful smile.

Aesthetic crown lengthening can also be done to preserve the health of the smile. Removing excess gum tissue with gum reduction surgery can help control and prevent periodontal disease. Increasing the exposed surface area of the tooth will decrease the depth of periodontal pockets between the teeth and gums where bacteria can grow and harm your oral health.

► Sinus Lift

Sinus Lift

Why Do I Need a Sinus Lift?
Patients who have lost teeth in the upper premolar or molar areas of the jaw often require a sinus lift, or sinus augmentation, in order to have dental implants placed.

As a result of bone loss, the sinuses can expand to occupy the empty space where the bone used to be. With insufficient bone to securely place a dental implant, a sinus lift is necessary to move the sinus away from the roots of the teeth or to create additional bone in the area.

The Sinus Lift Procedure
The maxillary sinuses are behind your cheeks and above the upper back teeth. The maxillary sinus are air-filled cavities. Many of the roots of the upper back teeth extend in to the maxillary sinuses. When these upper teeth are removed, the amount of bone separating the oral cavity and the sinus may be greatly diminished. As dental implants require anchorage in this bone, sinus lifting may be required to improve the amount of bone for dental implant anchorage.

The technique entails entering the sinus from where the upper teeth were previously positioned. The sinus membrane is gently elevated and bone grafting is inserted into the desired area. Over the course of the next 4-6 months, this bone grafting becomes part of patient's own bone and dental implants can be inserted and stabilized in this new bone. There are many instances whereby sinus lifting and dental implant placement may be performed at the same time. Dr. Allard will review these instances in his consultation with you at your visit at the Glendale, AZ office.

picture of DrAllard Arrowhead Oral Surgeon Glendale Dr. Michael Allard
Call for an Appointment:

(623) 738-2564
18555 N 79th Ave Suite A-103
Glendale, AZ 85308-8370

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Arrowhead Oral and Maxillofacial Surgery | arrowheadoralsurgery.com | (623) 738-2564
18555 N. 79th Avenue #103
Glendale, AZ 85308