Stapp Brian D DDS - Oral Surgeon

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Oral & Maxillofacial Surgery, Dental Clinics, Dentists

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(281) 499-3294Call Visit WebsiteVisit Website Map & DirectionsDirections5819 Highway 6 Ste 350Missouri City, TX 77459 Write a ReviewWrite Review

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AKA: Oral & Maxillofacial Surgery Associates, SW, PLLC
Other Link: http://www.fortbendoralsurgeons.com
Categories: Oral & Maxillofacial Surgery, Dental Clinics, Dentists, Endodontists, Implant Dentistry, Orthodontists, Physicians & Surgeons, Physicians & Surgeons, Oral Surgery, Prosthodontists & Denture Centers
Other Information: Insurance: Delta Dental PPO, Delta Dental Premier

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Phone: (281) 499-3294

Address: 5819 Highway 6 Ste 350, Missouri City, TX 77459

Website: http://www.fortbendoralsurgeons.com

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Stapp Brian D DDS - Oral Surgeon

Dental Examination
With an oral examination and x-rays of the mouth, our doctors can evaluate the position of the wisdom teeth and predict if there may be present or future 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

Fillings
Crowns
Using the most recent advances in dental implant technology, Dr. Jordan, Dr. Stapp, and Dr. Brotherton are able to place single stage implants. These implants do not require a second procedure to uncover them but do require three months of healing time before artificial teeth are placed. There are even situations where the implants can be placed at the same time as a tooth extraction – further minimizing the number of surgical procedures. Advances in dental implant technology have made it possible, in select cases, to extract teeth and place implants with crowns at one visit. This procedure, called “immediate loading,” greatly simplifies the surgical process.
Bridges
Treatment may also require a referral to an oral surgeon for extraction of over retained baby teeth and/or selected adult teeth that are blocking the eruption of the all-important eye teeth. The oral surgeon will also need to remove any extra teeth (supernumerary teeth) or growths that are blocking the eruption of any of the adult teeth. If the eruption path is cleared and space is opened up by age 11 or 12, there is a good chance the impacted eye tooth will erupt with nature’s help alone. If the eye tooth is allowed to develop too much (age 13-14), the impacted eye tooth will not erupt by itself even with the space cleared for its eruption. If the patient is too old (over 40), there is a much higher chance the tooth will be fused in position. In these cases, the tooth will not budge despite all the efforts of the orthodontist and oral surgeon to erupt it into place. Sadly, the only option at this point is to extract the impacted tooth and consider an alternate treatment to replace it in the dental arch (crown on a dental implant or a fixed bridge).
Dental Bonding

Root Canal Treatment
Occasionally, a root canal procedure will not be sufficient to heal a tooth and surgery is recommended. The most common surgery used to save damaged teeth is an apicoectomy or root-end resection. An apicoectomy procedure can be used to locate fractures or hidden canals that do not appear on x-rays but still manifest pain in the tooth. Damaged root surfaces or the surrounding bone may also be treated with this procedure.
Apicoectomy
An incision is made in the gum tissue to expose the bone and surrounding inflamed tissue. The damaged tissue is removed along with the end of the root tip. A root-end filling is placed to prevent reinfection of the root and the gum is sutured. The bone naturally heals around the root over a period of months restoring full function.

Dentures
Some patients require minor oral surgical procedures before receiving a partial or complete denture, in order to ensure the maximum level of comfort. A denture sits on the bone ridge, so it is very important that the bone is the proper shape and size. If a tooth needs to be extracted, the underlying bone might be left sharp and uneven. For the best fit of a denture, the bone might need to be smoothed out or reshaped. Occasionally, excess bone would need to be removed prior to denture insertion.

Dental Implants
The maxillary sinuses are behind your cheeks and on top of the upper teeth. Sinuses are like empty rooms that have nothing in them. Some of the roots of the natural upper teeth extend up into the maxillary sinuses. When these upper teeth are removed, there is often just a thin wall of bone separating the maxillary sinus and the mouth. Dental implants need bone to hold them in place. When the sinus wall is very thin, it is impossible to place dental implants in this bone.

Oral and Maxillofacial Surgery

Oral Surgery
Please read these instructions carefully. Sometimes the after-effects of oral surgery are quite minimal, so not all of these instructions may apply. Common sense will often dictate what you should do. However, when in doubt, follow these guidelines or call our office any time for clarification.
Jaw Surgery
If you are a candidate for Corrective Jaw Surgery in Sugar Land or Missouri City, our surgeons will work closely with your dentist and orthodontist during your treatment. The actual surgery can move your teeth and jaws into a new position that results in a more attractive, functional and healthy dental-facial relationship
Pre-prosthetic Surgery
Gum Surgery
Shortly after surgery (1-14 days) the patient will return to the orthodontist. A rubber band will be attached to the chain to put a light eruptive pulling force on the impacted tooth. This will begin the process of moving the tooth into its proper place in the dental arch. This is a carefully controlled, slow process that may take up to a full year to complete. Remember, the goal is to erupt the impacted tooth and not to extract it! Once the tooth is moved into the arch in its final position, the gum around it will be evaluated to make sure it is sufficiently strong and healthy to last for a lifetime of chewing and tooth brushing. In some circumstances, especially those where the tooth had to be moved a long distance, there may be some minor “gum surgery” required to add bulk to the gum tissue over the relocated tooth so it remains healthy during normal function. Your dentist or orthodontist will explain this situation to you if it applies to your specific situation.
Maxillofacial Surgery
After completion of her Bachelor’s degree in Biology at the University of Houston, Dr. Brotherton attended The University of Texas Health Science Center San Antonio where she received her D.D.S. degree in 1993. Dr. Brotherton then received her Medical Doctorate from University of Texas Medical School Houston in 1998, completed her General Surgery Internship in June 1999 and continued her specialty training in Oral and Maxillofacial Surgery at the University of Texas Health Science Center Houston in 2000. Dr. Brotherton was an Associate Professor with the Oral and Maxillofacial Surgery Department at UTHSC until August 2001, although she continues to teach Advanced Cardiac Life Support at UTHSC. She began her private practice in 2001. She is from the Clear Lake area and resides with her family in Missouri City, Texas.
Tooth Extractions
Nobody looks forward to tooth extraction. While many teens and adults get their wisdom teeth removed, others may need additional teeth extracted due to different circumstances. Our staff at Fort Bend Oral Surgeons in Sugar Land and Missouri City, TX have years of experience extracting teeth. We make sure you’re as comfortable as possible to lessen the anxiety of undergoing this procedure. If one of our dentists recommended for you to have a tooth removed or are experiencing pain and discomfort in your mouth, call our office today to schedule an appointment.
Bone Grafting
In many cases, we can use allograft material to implement bone grafting for dental implants. This bone is prepared from cadavers and used to promote the patients own bone to grow into the repair site. It is quite effective and very safe. Synthetic materials can also be used to stimulate bone formation. We even use factors from your own blood to accelerate and promote bone formation in graft areas.

Orthodontics
Orthognathic surgery is needed when jaws don’t meet correctly and/or teeth don’t seem to fit with jaws. Teeth are straightened with orthodontics and corrective jaw surgery repositions misaligned jaws. This not only improves facial appearance but also ensures that teeth meet correctly and function properly.
Braces
In cases where the eye teeth will not erupt spontaneously, the orthodontist and oral surgeon work together to get these unerupted eye teeth to erupt. Each case must be evaluated on an individual basis but treatment will usually involve a combined effort between the orthodontist and the oral surgeon. The most common scenario will call for the orthodontist to place braces on the teeth (at least the upper arch). A space will be opened to provide room for the impacted tooth to be moved into its proper position in the dental arch. If the baby eye tooth has not fallen out already, it is usually left in place until the space for the adult eye tooth is ready. Once the space is ready, the orthodontist will refer the patient to the oral surgeon to have the impacted eye tooth exposed and bracketed.

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