Our Services

Implants replace missing teeth with titanium posts that fuse with the jawbone through a process called osseointegration. Once integrated, a crown, bridge, or implant-supported denture attaches to the post, restoring both function and appearance. The evaluation includes a clinical examination, dental X-rays or a cone-beam CT scan, and a review of your health history. If bone volume at the site has diminished from tooth loss or infection, bone grafting is planned before implant placement.

Third molars typically emerge between the ages of 17 and 25. In many patients the jaw does not have sufficient space to accommodate them, leading to impaction, crowding of adjacent teeth, recurrent infection, or damage to neighboring roots. Removal is recommended when eruption is problematic or likely to cause complications if left untreated. The procedure is performed under local anesthesia, nitrous oxide, IV sedation, or general anesthesia depending on the number of teeth, their position, and the patient's preference. Most patients return to normal activity within two to three days.

Tooth removal may be indicated for severe decay, infection, fracture, or preparation for orthodontic treatment. Surgical extractions are needed for teeth that are decayed below the gumline, broken, impacted, or have curved roots requiring sectioning. Tooth extractions can be performed under local, nitrous oxide, intravenous, or general anesthesia. Post-operative instructions cover wound care, diet, and the signs of complications to watch for.

Oral and dental infections most often arise from untreated decay, periodontal disease, a fractured tooth, or complications from prior dental work. Left untreated, an infection can spread into the surrounding jawbone and the soft tissues of the face and neck, cause swelling, and in advanced cases threaten the airway. Evaluation includes a clinical examination, imaging when indicated, and a review of your medical history. Treatment is directed at the source and may involve drainage of an abscess, removal of the affected tooth, antibiotic therapy, or — when the infection has spread — hospital-based care. Patients with significant facial swelling, fever, or difficulty swallowing or breathing should call the office immediately.

When a tooth is lost, the bone that supported it resorbs over time, reducing the volume and density available for an implant or prosthetic. Bone grafting restores that volume using graft material placed at the site. Graft material may be synthetic bone substitute, processed bone, or in some cases bone from another location in the mouth. The site heals over several months as the graft integrates with the existing bone. Timing of implant placement is confirmed once integration is adequate.

The practice offers local anesthesia, nitrous oxide sedation, intravenous anesthesia, and general anesthesia for procedures. The appropriate option is selected based on the procedure, the patient's health history, and the patient's preference. Local anesthesia numbs the surgical area using injections. Nitrous oxide gas provides a relaxed state during the procedure. IV sedation produces a deeply relaxed, semi-conscious state with minimal procedural recall. General anesthesia produces full unconsciousness and is indicated for more complex procedures or patients with significant anxiety. Dr. Preziosi holds hospital privileges at AtlantiCare Regional Medical Center and Shore Medical Center and has published on surgical anesthesia in Hadzic's Textbook of Regional Anesthesia and Acute Pain Management. All intravenous anesthesia is administered and monitored by Dr. Preziosi and a dedicated, qualified RN.

The temporomandibular joints connect the lower jaw to the skull and allow the movements needed for chewing, speaking, and opening the mouth. Pain, clicking, limited movement, or locking of the jaw can result from muscle tension, joint inflammation, bite problems, or structural changes within the joint. The evaluation includes a review of symptoms and health history, clinical examination of jaw range of motion and joint sounds, and bite assessment. Imaging is ordered when structural involvement is suspected. Treatment is discussed at the end of the evaluation visit and ranges from conservative measures — bite guards, physical therapy, anti-inflammatory medication — to minimally invasive procedures or surgery for cases that do not improve with conservative care.

A screening examination evaluates the lips, tongue, floor of the mouth, palate, cheeks, and throat for abnormal tissue. The exam is visual and tactile, requires no anesthesia, and is typically completed in a few minutes. When a suspicious lesion is identified, a biopsy may be needed which removes a small sample of the tissue, or the lesion can be removed completely. The sample is then sent to a laboratory for evaluation. Results return from the pathology laboratory within seven to ten business days. Early identification of abnormal tissue significantly affects the range of available treatment options.

Facial injuries from accidents, sports, or falls may involve fractured facial bones, dental injuries, or soft-tissue lacerations. The evaluation determines the extent and stability of the injury through clinical examination and imaging. Treatment depends on the structures involved. Soft-tissue lacerations and dental injuries may be managed in-office under local anesthesia. Facial fractures may require surgical fixation. Some injuries are best managed at a hospital — call the office to describe the injury, and you will be directed to the appropriate setting for care.