Diagnostic

• Dental Examination
  With an oral examination and x-rays of the mouth, Drs. Topf, Bournias, Murphy or Bolten can evaluate the position of the wisdom teeth and predict if there are present or future potential problems. Studies have shown that early evaluation and treatment result in a superior outcome for the patient. Patients are generally first evaluated in the mid-teenage years by their dentist, orthodontist, or by an oral and maxillofacial surgeon.
• X-rays

Restorative

• Crowns
  A natural tooth consists of a root and a crown. If you compare natural teeth to implant-supported replacement teeth, you’ll see they have the same basic parts. Both have a crown (the visible part used to chew food). Both have a root that holds the tooth securely under the gum and is anchored into the jaw. The difference is that the implant is made of titanium – the same time-tested material used by surgeons for artificial joints. When you lose a tooth, you lose both the root and the crown. To replace the tooth, the surgeon first replaces the root with a small dental implant.
• Bridges
  There are several reasons: A dental bridge can sacrifice the structure of surrounding good teeth to bridge the space of the missing tooth/teeth. In addition, removing a denture or a “partial” at night may be inconvenient, not to mention dentures that slip can be uncomfortable and rather embarrassing.
• Restorative Dentistry
  These jaw defects can create major problems in performing restorative dentistry whether your treatment involves dental implants, bridges, or dentures. Jaw deformities from tooth removal can be prevented and repaired by a procedure called socket preservation. Socket preservation can greatly improve your smile’s appearance and increase your chances for successful dental implants.

Periodontics

• Periodontal Surgery

Prosthodontics

• Dentures
  If bleeding occurs, place a gauze pad directly over the bleeding socket and apply biting pressure for 30 minutes. If bleeding continues, bite on a moistened black tea bag for thirty minutes. The tannic acid in the black tea helps to form a clot by contracting blood vessels. If bleeding occurs, avoid hot liquids, exercise, and elevate the head. If bleeding persists, call our office immediately. Do not remove the immediate denture unless the bleeding is severe. Expect some oozing around the side of the denture.

Implants

• Dental Implants
  Missing teeth over a period of time can cause your jawbone to atrophy, or resorb. This often results in poor quality and quantity of bone suitable for the placement of dental implants, as well as long-term shifting of remaining teeth and changes to facial structure. Most patients, in these situations, are not candidates for dental implants.

Oral and Maxillofacial Surgery

• Oral Surgery
  Michigan OMS understands that sometimes the thought of oral surgery prevents people from achieving a confident smile and the ability to eat the foods they love. Our kind and caring staff want to assure you that each one of our locations offers our patients a comfortable, safe atmosphere to diagnose and treat your oral or facial condition. We are one of the few offices in Michigan with the ability to provide in-office IV sedation for those treatments and patients that require it. With referrals from Michigan's leading dentists, orthodontists and physicians, Michigan OMS is a name you can trust to get amazing results.
• Jaw Surgery
  Orthognathic surgery is needed when the top and bottom jaws don’t meet correctly and/or teeth don’t adequately fit within the jaw.
• Maxillofacial Surgery
  Following graduation from the Medical College of Virginia, Dr. Topf completed a four-year residency in Oral and Maxillofacial Surgery at Sinai Hospital in Detroit.
• Tooth Extractions
  After tooth extraction, it’s important for a blood clot to form to stop the bleeding and begin the healing process.
• Bone Grafting
  Bone grafting can repair implant sites with inadequate bone structure due to previous extractions, gum disease, or injuries. The bone is either obtained from a tissue bank or your own bone is taken from the jaw, hip or tibia (below the knee). Sinus bone grafts are also performed to replace bone in the posterior upper jaw. In addition, special membranes may be utilized that dissolve under the gum to protect the bone graft, as well as encourage bone regeneration. This is called guided bone regeneration, or guided tissue regeneration.

Orthodontics

• Orthodontics
  Teeth are straightened with orthodontics, and corrective jaw surgery repositions a misaligned jaw. This not only improves facial appearance, but also ensures that teeth meet correctly and function properly.
• Braces