Dr. George A Maranon

03/19/2022

Highly recommend all parents to watch with their teens. Awareness and communication can help prevent loss of life.

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Important information ALL parents should know about how fake pills are killing our kids.

Learn about how the drug landscape has changed since you were a kid and the risks today’s kids face. Featuring 3 families who have lost kids to fake prescription pills and what they wish they had known.

10/11/2019

Educating about the dangers of Va**ng can save a life.

The number of cases has risen weekly. So far, 19 deaths have been confirmed, and health officials say more are being investigated.

04/02/2019

This patient was a 30-year-old female who presented to my office concerning a previously extracted tooth number 8. She had an implant placed in this site while she was living in New York. She allowed enough time for the implant to be integrated and restored prior to her wedding.
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Unfortunately, the implant failed integrate and needed to be removed. After the removal of the implant, the level of the marginal labial gingiva was superior to that on the adjacent tooth number 9.
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Clinically it appeared that there was only a slight anterior-posterior alveolar ridge width deficiency. A CBCT demonstrated the real extent of her alveolar ridge atrophy. A muco-adhesion removable partial denture was fabricated for aesthetics during her wedding.
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After her honeymoon, the patient returned and underwent labial alveolar ridge bone and connective tissue grafting using a particulate mineralized bone allograft and a tenting screw.
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Five months later she returned for the placement of the dental implant in the edentulous space of tooth number 8 with an immediate screw retained fixed provisional restoration
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She is now five years status post implant placement.
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@ Dr. George A Maranon

03/04/2019

We have been using Leukocyte Platelet Rich Fibrin (L-PRF) for some time now. Using a specific centrifuge, a concentrate of the patient’s own platelets and white blood cells is prepared. Nothing is added to the blood in this process. Only 2 ounces of blood is needed to fabricate the concentrate. This concentrate platelets and white blood cells also contains key proteins and growth factors.
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These proteins and growth factors recruit the patient’s own stem cells to the surgical site and stimulate bone and soft tissue growth, which accelerates bone and soft tissue healing. These growth factors also speed recovery and shorten healing time. This process is frequently used with bone grafting procedures that we perform in the office. We use it as a matter of routine during our third molar (wisdom tooth) and other tooth extraction procedures.
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This technique and our atraumatic extraction protocols have further helped to speed the recovery of our patients. Our incidence in alveolar osteitis (dry socket) has historically been very low. The addition of L-PRF has led to a further reduction in this and other common postsurgical complication.
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02/07/2019

Post-surgical CB CT scan images of the reconstruction of a 42-year-old male with a composite hard and soft tissue vertical and horizontal defect. You can see in the CB CT scan the outline of the block bone grafts and the fixation screws. You can also note the dimensional reconstruction of the vertical and horizontal defect. The prosthetic teeth in the Essex retainer demonstrate the amount of vertical and horizontal augmentation achieved. The patient will be followed throughout this initial healing phase. In approximately four months he should be ready for the placement of dental implants in the reconstructed edentulous spaces of teeth numbers 10 and 12. These implants will be used to support a three unit fixed partial denture for the replacement of teeth numbers 10, 11 and 12.
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@ Dr. George A Maranon

02/06/2019

Following the protocol, the site was exposed using full thickness labial and palatal mucoperiosteal flaps. The labial flap incision margins were widely undermined and cut back incisions were placed to extend the base of the labial flap to allow for tension-free closure at the end of the procedure.
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Sharp palatal subepithelial dissection is started at the distal aspect of the maxillary second bicuspid tooth and is carried anteriorly to the mesial aspect of the canine region. The VIP-CT flap was then divided at the distal aspect of the subepithelial dissection. The flap is then rotated anteriorly and used to cover the recipient site. Hard tissue reconstruction started with preparation of the recipient site for the block bone allograft. The block bone allograft is then modified to fit the recipient site. The graft is then mortised into the recipient site and stabilized using three 1.5 mm titanium fixation screws placed in a lag fashion.
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Additional particulate bone allograft is then placed around the periphery of the block bone graft. The VIP-CT flap was then advanced over the graft and sutured to the vestibular periosteum. A labial flap is then advanced over the VIP-CT flap and closed primarily.
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A provisional Essex retainer is used to replace the dental component of the defect to keep pressure off the graft site. The following post will show his post-surgical CB CT scan images.
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02/06/2019

The patient is a 42-year-old male who suffered the loss of his maxillary left lateral incisor and first bicuspid teeth due to an impacted ankylosed maxillary left canine tooth. He presented with a composite hard and soft tissue vertical and horizontal defect at that site. His medical history was significant for aplastic anemia. The patient underwent a bone marrow transplant in January of last year.
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In order to correct the defect, a block bone graft was planned. Because of his medical history and the preference of the patient, the decision was made to not perform an autologous block bone graft. A block bone allograft was planned to correct the hard tissue defect. The soft tissue defect would be corrected using a technique developed by Dr. Anthony Sclar called a Vascularized Interpositional Periosteal-Connective Tissue (VIP-CT) flap. This technique allows for simultaneous hard and soft tissue site development. The VIP-CT is an anteriorly-pedicled vascularized random-pattern flap used to transfer a large volume of connective tissue. These are the patients presenting CT scan images and pre-op photograph. Follow our next post to see the reconstruction.
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@ Dr. George A Maranon

02/05/2019

I would like my orthodontic colleagues to comment on this case! This 15- year old patient presented to our office to evaluate extraction of her third molars and to surgically upright tooth number 31. Her case presents a dilemma. The patient is in the final stages of her Invisalign treatment and is at a halt due to the position of tooth number 31. Unfortunately,due to the angulation of this tooth, uprighting it would bring it into traumatic occlusion with the super erupted tooth number 2.
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Treatment options include, intrusion of tooth number 2 or significant coronoplasty. This could still result in an open bite situation. The resulting angulation of the repositioned tooth number 31 would likely still be unfavorable.
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A second option might be to allow for further development of the third molar teeth and to consider the extraction of tooth number 31 and transplantation of tooth number 32 into that site.
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A final option would be to consider would be the extraction of the maxillary right second and third molar teeth.
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As a surgeon,this is an example as to why it is important to have orthodontic consultations and examination earlier in development. If the patient had started her orthodontic treatment at a younger age, the re-positioning of tooth number 31 might have been much more manageable. I ask that my orthodontic colleagues to comment on if Invisalign orthodontic treatment was the most appropriate way of managing this case and possible treatment alternatives.
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01/23/2019

Mini are being used by some dentists because they require a small financial investment, the procedures for these implants require fewer steps and require less equipment and fewer instruments. Just like traditional dental implants, there are complications associated with the use of these devices.
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This patient was referred to me for the retrieval of a mini dental implant placed by a general dentist. This implant became displaced in the left maxillary sinus. A Caldwell-Luc approach was used to retrieve the dental implant.
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@ Dr. George A Maranon

01/21/2019

A compound is a hamartoma that is comprised of normal dental tissues (enamel, dentin, cementum and pulp tissue) and are usually recognizable as tooth-like structures.
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In complex odontomas, all dental tissues are present but are not well formed and occur in a disorganized pattern. Compound odontomas are twice as common as complex odontomas.
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As in this case, compound odontomas are in the first and second decades of life and usually occur in the . This odontoma was interfering with eruption of the permanent central and lateral incisor teeth.
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@ Dr. George A Maranon

01/07/2019

Unfortunately, fractures of teeth are somewhat common. These fractures are often minor. They can appear as craze lines that only involve only the enamel of the tooth. Some minor fractures often do not require any treatment. Somewhat larger fractures may require extensive restorations like dental crowns. More severe tooth fractures can require either endodontic treatment (root canal therapy) or tooth extraction.

Complete fracture rates for teeth has been reported to be five teeth per 100 adults per year. The risk of tooth fracture is related to the natural shape of teeth due to their steep cusps. Fractures of these teeth as often times related to clenching and bruxism. Another risk factor is teeth that have multiple large dental restorations. Most fractures caused by these risk factors tend to be vertical. Traumatic tooth fracture usually occurs as a result of a sports injury or accident.

This patient is a 35-year-old male who was walking down a sidewalk while visiting New York. He tripped on some uneven pavement and sustained a compound complex fracture of the left body and parasymphysis of his mandible. He underwent open reduction/internal fixation surgery of his fracture with bone plates and screws by oral and maxillofacial surgeons in New York. He was referred to my office for post-surgical management.

His post-operative course was uncomplicated except for persistent pain associated with his mandibular left second molar tooth. Diagnosis of his pain was difficult because of the presence of the bone plates and screws. A cone beam CT scan examination was performed. This allowed for further detailed evaluation of the tooth. A horizontal fracture was noted at the level of the root. This tooth was subsequently extracted with the placement of a particulate bone allograft for guided bone regeneration in anticipation of future implant placement.

12/17/2018

Dr. Deryck Pham, a dentist in Mays Landing New Jersey and a Navy veteran, was the founder of the “Veteran’s Smile Day” program. In 2012, Dr. Pham opened his doors for who needed dental care. He then decided to take the program nationwide. Dr. Pham enlisted the help of Dr. Karin Irani, a dentist in the . Dr. Irani then organized a Veteran’s Smile Day event in Southern California in 2014.

As co-founders, Dr. Pham and Dr. Irani have taken Veterans Smile Day nationally. Dr. Irani has said that this program is about giving back to the men and women who have sacrificed so much in the service of our country. In 2016 the San Fernando Valley Dental Society Foundation partnered with Foundation, who donated $50,000 worth of health care products to support the program in providing free oral health care to veterans nationwide. This donation came from the company’s global social responsibility initiative, . These donations have greatly enhanced the program’s ability to provide quality dental care to veterans at no charge to them.

My office staff and I have had the honor of caring for some of these veterans. Today, we took care of Mr. Harry Kelly. Fifty years ago today, as a 25-year-old, he was drafted and served in the .

12/13/2018

This patient presented to my office at the age of 14 years and 2 months on the recommendation of her . On radiographic examination, her orthodontist determined that her mandibular second molar teeth were nearly completely formed but impacted in a significant mesial-angular position. The third molar teeth were just short of 50% root development.
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After considering her options, it was decided to extract the mandibular second molar teeth and to perform -transplantation of the third molar teeth into those sites. A was taken prior to her transplantation procedure. The third molar transplantation was performed five months after her initial presentation allowing for more root development.
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An immediate post-surgical panoramic radiograph demonstrated that the transplanted third molar teeth were in good position. She is now 15 years and three months old and nine months post-transplantation. The transplanted third molar teeth are still present and root formation is progressing normally.
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@ Dr. George A Maranon

12/11/2018

A huge thank you to Susie Scrubs for always supplying our office with beautiful embroidered scrubs !

12/06/2018

Have your wisdom teeth been bothering you? Call our office and schedule a consultation!
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11/29/2018

This patient presented to my office when she was almost 18 years old for dental implant consultation. She was congenitally missing (born without) 18 permanent teeth. Her orthodontist had determined that her growth was completed. The patient was going to college in New York and wanted to start her dental reconstruction. Her concerns were how her dental reconstruction could be performed around her demanding college schedule. The fact that so many teeth were congenitally missing complicated her case as there was an inadequate amount of bone for implant placement.
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The first stage of her treatment called for bone grafting of the edentulous sites. Eight months later she was ready for implant placement. It was planned that 11 of her missing teeth would be replaced by dental implants. Computer-assisted guided implant surgery was performed. These 11 implants were placed simultaneously. Fixed temporary crowns were placed immediately on her dental implants at the time of implant placement. She was able to confidently start college on time with new temporary teeth.
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During her winter break, it was determined that she was ready to commence the placement of her permanent crowns. Because of her school schedule, the restoration of her dental implants was postponed. Her dental implants were restored when she returned from school the following summer.
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The patient returns for re-evaluation of her dental implants every year. The restorations in this photograph were completed more than three years ago.
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@ Dr. George A Maranon

11/28/2018

11/28/2018

This woman presented to our office when she was 59 years old. She required the placement of multiple , but had been told by another surgeon that it was not possible because of the amount of bone loss she had in these sites.

One of the teeth that needed replacement was her upper right central incisor tooth. She underwent the replacement of her maxillary right first tooth, her maxillary right central incisor tooth, her maxillary left first molar tooth, her mandibular right second bicuspid, first and second molar teeth.

She subsequently required the extraction of her maxillary left canine and mandibular left first molar and second bicuspid tooth. These teeth were also replaced with dental implant retained restorations. Her original plan did not call for the replacement of the maxillary left second molar. The patient requested that this tooth also be replaced with a implant.

She is now five years after her original implant placement. @ Dr. George A Maranon