Dr. George A Maranon

Educating about the dangers of Vaping can save a life.

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. 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 num...ber 9. 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. 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. 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 She is now five years status post implant placement. #georgemaranon #dds #oralsurgeon #oralsurgery #encino #california #dentist #dentalwork #sinus #extraction #surgery #nerve #ctscan #xray #teeth #anesthesia #dentalimplants #implants @ Dr. George A Maranon See more

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. 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. 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. #georgemaranon #dds #oralsurgeon #oralsurgery #encino #california #dentist #dentalwork #extraction #surgery #xray #teeth #anesthesia #wisdomteeth #bonegraft #prf #blood #centrifuge #bloodclots See more

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 throug...hout 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. #georgemaranon #dds #oralsurgeon #oralsurgery #encino #california #dentist #dentalwork #sinus #extraction #surgery #nerve #ctscan #xray #teeth #anesthesia #bonegraft #essexretainer #anthonysclar @ Dr. George A Maranon See more

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. In order to correct the defect, a block bone graft was planned. Becau...se 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. #georgemaranon #dds #oralsurgeon #oralsurgery #encino #california #dentist #dentalwork #sinus #extraction #surgery #nerve #ctscan #xray #teeth #anesthesia #anthonysclar #bonegraft @ Dr. George A Maranon See more

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 too...th number 2. 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. 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. A final option would be to consider would be the extraction of the maxillary right second and third molar teeth. 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. #georgemaranon #dds #oralsurgeon #oralsurgery #encino #california #dentist #dentalwork #wisdomteeth #extraction #surgery #panoramic #xray #teeth #anesthesia #toothtransplantation #invisalign #orthodontics #orthodontist See more

Mini #dentalimplants 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. 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 sin...us. A Caldwell-Luc approach was used to retrieve the dental implant. #georgemaranon #dds #oralsurgeon #oralsurgery #encino #california #dentist #dentalwork #sinus #extraction #surgery #nerve #ctscan #xray #teeth #anesthesia @ Dr. George A Maranon See more

A compound #odontoma is a hamartoma that is comprised of normal dental tissues (enamel, dentin, cementum and pulp tissue) and are usually recognizable as tooth-like structures. 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. As in this case, compound odontomas are in the first and second decades of life and usually occur in the #anteriorm...axilla. This odontoma was interfering with eruption of the permanent central and lateral incisor teeth. #georgemaranon #dds #oralsurgeon #oralsurgery #extractions #pediatrics #babyteeth #decidousteeth #pathology #encino #california @ Dr. George A Maranon See more

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.

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 #veterans 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 #SanFernandoValley. 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 @henryschein 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, #HenryScheinCares. 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 @marines.

This patient presented to my office at the age of 14 years and 2 months on the recommendation of her #orthodontist. 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. After considering her options, it was decided to extract the mandibular second molar teeth and to perform #auto-...transplantation of the third molar teeth into those sites. A #panoramicradiograph was taken prior to her transplantation procedure. The third molar transplantation was performed five months after her initial presentation allowing for more root development. 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. #georgemaranon #dds #oralsurgeon #oralsurgery #encino #california #dentist #dentalwork #extractions #wisdomteeth #thirdmolarsurgery #surgery #nerve #ctscan #beforeandafter #xray #teeth #toothextraction #anesthesia #toothtransplantation @ Dr. George A Maranon See more

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

#WisdomteethWednesday Have your wisdom teeth been bothering you? Call our office and schedule a consultation! ... #georgemaranon #dds #oralsurgeon #oralsurgery #encino #california #dentist #dentalwork #extractions #wisdomteeth #thirdmolarsurgery #surgery #xray #teeth #toothextraction #anesthesia #toothache