Pediatric Oral Surgery

Pediatric Oral Surgery

Pediatric oral surgery, also known as pediatric maxillofacial surgery, is a specialized branch of dentistry that focuses on surgically treating various oral and facial conditions in children. This field encompasses a wide range of procedures, ranging from routine extractions to complex reconstructive surgeries.

Pediatric oral surgeons are skilled professionals who possess extensive knowledge not only in dental medicine but also in child psychology and behavior management techniques. They work closely with other healthcare providers, such as pediatricians, orthodontists, and speech therapists, to ensure comprehensive treatment plans for their young patients.

From addressing congenital abnormalities like cleft lip and palate to correcting traumatic injuries or managing impacted teeth, pediatric oral surgeons play a crucial role in restoring functionality and enhancing aesthetics while prioritizing the well-being and comfort of every child they treat.

Common Pediatric Oral Surgery Procedures


Frenectomy is a common procedure in pediatric oral surgery that involves the removal or modification of the frenulum, which is the small fold of tissue connecting the lips to the gums or tongue. This procedure may be necessary when the frenulum is too tight or short, causing issues with speech, eating, and tooth alignment.

During a frenectomy, one of our skilled oral surgeons carefully makes an incision in the affected area and removes or loosens the excess tissue. The procedure can usually be performed under local anesthesia or sedation, depending on your child's comfort level and age.

After the procedure, it's important to properly follow the post-operative care instructions provided by our oral surgeon. This may include gentle cleansing of the surgical site and avoiding certain foods that could potentially irritate it.

While most children recover quickly from a frenectomy without complications, some discomfort and swelling are normal during healing. If you notice any unusual symptoms, such as severe pain or bleeding after surgery, contact our oral surgeon immediately for further guidance.

Remember that every child's case is unique, so it's crucial to consult with a pediatric dental specialist who can evaluate your child's specific needs and recommend appropriate treatment options. By addressing issues related to frenulum abnormalities through procedures like frenectomy at an early stage, you can help ensure optimal oral health for your child in their formative years.

Extractions for Orthodontic Needs (Under Sedation)

Extractions for orthodontic needs are common in pediatric oral surgery. They are often recommended when a child's teeth need to be removed to create space for orthodontic treatment, such as braces.

During the extraction process, the child will be placed under sedation to ensure their comfort and safety. Sedation allows the dentist or oral surgeon to perform the necessary extractions without causing any pain or discomfort to the child. It also helps to minimize the anxiety and fear that children may experience during dental procedures.

The dentist or oral surgeon will carefully remove the affected teeth using specialized tools and techniques. They will take precautions to ensure minimal trauma and preserve surrounding tissues.

After the extractions, it is important for parents to follow the post-operative instructions provided by the dentist or oral surgeon. These may include guidelines on eating, drinking, and taking medications following the procedure.

Extractions for orthodontic needs under sedation are an essential component of pediatric oral surgery that help pave the way for successful orthodontic treatment outcomes in children.

Removal of Decayed Baby Teeth

Decayed baby teeth can be a common issue among children, and sometimes they need to be removed through pediatric oral surgery. This procedure is necessary when the decay has progressed to a point where it cannot be effectively treated with fillings or other conservative measures.

The removal of decayed baby teeth is important for several reasons. It helps alleviate any pain or discomfort that the child may be experiencing due to the decayed tooth. By removing the affected tooth, the source of pain is eliminated, allowing your child to eat and speak comfortably again.

Additionally, removing decayed baby teeth ensures that permanent teeth have enough space to come in properly. If a severely decayed tooth is not removed, it can affect the alignment and eruption of permanent teeth.

During this procedure, your child will receive anesthesia or sedation to ensure their comfort throughout. The dentist will carefully remove the decayed tooth using specialized instruments and techniques designed specifically for pediatric patients.

After the procedure, it's crucial to properly follow the aftercare instructions provided by our dentist. Your child may experience some swelling or discomfort following the procedure, but these symptoms should subside within a few days.

The removal of decayed baby teeth is a common yet vital procedure in pediatric oral surgery. It ensures pain relief while also ensuring the healthy development of permanent teeth. Always consult with an experienced pediatric oral surgeon who specializes in treating young patients for optimal care and outcomes.


Pediatric oral surgery encompasses a range of procedures aimed at addressing various dental issues in children. One common procedure that may be performed is pathology/biopsy.

During a pathology/biopsy, the oral surgeon examines and removes abnormal tissues or growths from the mouth. This procedure is typically performed to diagnose and treat conditions such as tumors or cysts. It plays a crucial role in preventing further complications and ensuring optimal oral health for children.

The process starts with a thorough examination of the affected area by the oral surgeon. They will carefully assess any suspicious lesions or abnormalities to determine if a biopsy is necessary. If deemed necessary, local anesthesia is administered to ensure comfort during the procedure.

Next, the surgeon takes a small sample of tissue from the affected area using specialized instruments. The sample is then sent to a laboratory for further analysis. Pathologists examine it closely to determine if there are any signs of disease or malignancy.

Based on the results, appropriate treatment plans can be developed and tailored specifically to each child's needs. Early diagnosis through pathology/biopsy allows for prompt intervention and ensures better outcomes for pediatric patients. It's important for parents to understand that while this procedure may sound intimidating, it plays an essential role in maintaining their child's oral health and overall well-being.

How to Prepare Your Child for Oral Surgery

Preparing your child for oral surgery can be a daunting task, but with the right approach, you can help ease their anxiety and make the experience as smooth as possible. Here are some tips to help you prepare your child for their upcoming procedure:

  • It's important to have an open and honest conversation with your child about what to expect during the surgery. Use age-appropriate language and explain why they need the procedure and how it will benefit them in the long run. Answer any questions they may have honestly but avoid sharing unnecessary details that might cause further anxiety.
  • Next, try to create a calm and reassuring environment leading up to the day of surgery. Maintain a positive attitude yourself so that your child feels more at ease. You could also consider distracting activities such as reading books or watching movies together that will take their mind off of things.
  • In addition, following any pre-surgery instructions given by our oral surgeon is crucial. This may include fasting before the procedure or avoiding certain medications in advance. By adhering to these instructions carefully, you can ensure that everything goes smoothly on the day of surgery.
  • Another helpful tip is practicing relaxation techniques with your child beforehand. Deep breathing exercises or visualization techniques can help them relax both before and after surgery. Encourage them to use these techniques whenever they feel anxious or overwhelmed.
  • Don't forget about post-surgery care! Make sure you understand all recovery instructions from our surgeon and follow through accordingly. Stock up on soft foods that are easy for your child to eat while they heal, and provide plenty of fluids to keep them hydrated.

By taking these steps to prepare your child for oral surgery, you're setting them up for a successful procedure with minimal stress or anxiety along the way.

Recovery and Aftercare for Pediatric Oral Surgery

Recovery and aftercare play a crucial role in ensuring a smooth healing process for your child following pediatric oral surgery. Here are some important tips to help you navigate this phase:

  • First and foremost, it's essential to closely follow the post-operative instructions provided by your child's oral surgeon. These guidelines will include information on medication, diet restrictions, and specific care instructions.
  • To manage any discomfort or pain after the procedure, your child may be prescribed pain medication. Make sure you administer it according to the recommended dosage and frequency as instructed by the surgeon.
  • Swelling is common after oral surgery, particularly during the first few days. Applying an ice pack gently can help reduce swelling and alleviate any discomfort. Remember to use a cloth or towel as a barrier between the ice pack and your child's skin to prevent frostbite.
  • Maintaining proper oral hygiene is crucial during recovery. Your child should brush their teeth gently using a soft-bristled toothbrush while avoiding the surgical site. Rinsing with a warm saltwater solution can also aid in keeping the area clean.
  • During recovery, it's important for your child to consume soft foods that require minimal chewing to avoid irritating or damaging their mouth. Offer them plenty of liquids like water or fruit juices but avoid using straws as suction may disrupt blood clot formation at the surgical site.
  • Keep an eye out for any signs of infection, such as increased swelling, persistent bleeding, severe pain, or fever. If you notice any of these symptoms or have concerns about your child's recovery progress, contact our oral surgeon immediately for guidance.

Remember that every case is unique, so consult with our pediatric oral surgeon about specific aftercare measures tailored to meet your child's needs.


Pediatric oral surgery is a specialized field that focuses on providing surgical solutions for children's dental health needs. From frenectomies to extractions, decayed tooth removals, and even biopsies, these procedures are carried out with care and precision to ensure the best possible outcomes for young patients.

Pediatric oral surgery plays an important role in maintaining children's dental health. With advancements in technology and techniques specifically designed for little ones, these procedures are now safer and more efficient than ever before.

If your child requires any type of surgical intervention related to their dental health, don't hesitate to consult with a qualified pediatric dentist who specializes in this field. Remember that early intervention is key to preventing potential problems down the road and setting your child up for a lifetime of healthy smiles!

To learn more about the services we offer, visit Associated Oral & Maxillofacial Surgeons at one of our three convenient locations. You can find our Frederick dental office at 6550 Mercantile Drive E, Suite 101, Frederick, MD 21703, our Hagerstown dental office at 1144 Opal Court, Hagerstown, MD 21740, and our Martinsburg dental office at 1007 Sushruta Dr, Martinsburg, WV 25401. You can also call us for any queries at (301) 694-0870, (301) 733-2500, or (304) 263-0991, respectively.


6550 Mercantile Drive E Suite 101, Frederick, MD 21703

Phone: (301) 694-0870


  • MON7:00 am - 3:00 pm
  • TUE7:30 am - 4:00 pm
  • WED7:00 am - 3:00 pm
  • THU7:30 am - 4:00 pm
  • FRIBy appointments only
  • SAT - SUNClosed
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1144 Opal Court, Hagerstown, MD 21740

Phone: (301) 733-2500


  • MON7:00 am - 4:00 pm
  • TUE7:00 am - 3:00 pm
  • WEDClosed
  • THU7:00 am - 4:00 pm
  • FRI7:00 am - 1:00 pm
  • SAT - SUNClosed
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1007 Sushruta Dr, Martinsburg, WV 25401

Phone: (304) 263-0991


  • MONBy appointments only
  • TUE - WED7:00 am - 3:00 pm
  • THU7:00 am - 4:00 pm
  • FRI7:00 am - 1:00 pm
  • SAT - SUNClosed
Contact Us