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Treatments

Other Available Treatments

Facial Trauma

At Crescent Oral Surgery we are trained, skilled, and uniquely qualified to manage and treat facial injury. Here’s why we’re your go-to team for facial injury treatment:

Hospital Affiliations: We are proud to be on staff at local hospitals, including Scarborough Centenary, Humber, and Mount Sinai. You can trust us to deliver the highest level of care.

Emergency Coverage: Accidents happen, and when they do, we’re here for you. Our team provides emergency room coverage for facial injuries, offering swift and effective treatment.

Conditions We Treat: From facial lacerations to fractured jaws, we’ve got you covered. Our expertise includes:
Facial lacerations
Intra-oral lacerations
Avulsed (knocked out) teeth
Fractured facial bones (cheek, nose, or eye socket)
Fractured jaws (upper and lower jaw)

The Art of Healing: Treating facial injuries requires more than just technical skill. It’s an art that involves understanding how our treatment will impact your long-term function and appearance.

Trust the team with hands-on experience and a commitment to your well-being. Visit us at Crescent Oral Surgery for expert care and support on your road to recovery. Your health and appearance are in good hands!

Impacted Permanent Teeth

If a tooth becomes impacted, every effort is made to help it erupt into its proper position in the dental arch. An orthodontist may treat problem teeth by placing braces to open spaces to allow for proper eruption of adult teeth.

Treatment may require a referral to one of our oral surgeons for extraction of over-retained baby teeth and/or select adult teeth that are blocking the eruption of another tooth.

At Crescent Oral Surgery, we’re here to ensure your smile’s brilliance and functionality. Trust our talented team and book your appointment today!

Exposure and Bond​

These procedures help guide unerupted or misaligned teeth, like cuspids or canines, into their proper place. Our skilled surgeons carefully expose the hidden tooth with a small incision and attach a bracket. This bracket is then connected to your braces, allowing your orthodontist to gently guide the tooth into its correct position.

Oral Pathology

The inside of your mouth should be smooth and coral pink, but any changes in its appearance could be a warning sign for a pathological process, including oral cancer. Stay vigilant and look out for
these signs:
Reddish patches (erythroplasia) or whitish patches (leukoplakia) in the mouth.
Sores that fail to heal and bleed easily.
Lumps or thickening on the skin lining the mouth.
Chronic sore throat or hoarseness.
Difficulty in chewing or swallowing.

These changes may appear on the lips, cheeks, palate, gum tissue around the teeth, tongue, face, and neck. Remember, pain isn’t always associated with oral cancer. It’s essential to perform a monthly oral cancer self-examination and pay attention to any suspicious lumps or sores.

Your mouth is one of your body’s vital warning systems. If you have any oral health concerns, don’t hesitate to contact us.
Your health is our priority.

TMJ Disorders

TMJ Disorder can cause a host of painful symptoms as your compromised jaw muscles work extra hard to function. But worry not! At Crescent Oral Surgery, our skilled oral surgeons offer various treatment options to bring you relief.

For Pain Relief, anti-inflammatory or muscle relaxant may help to relieve symptoms and help with the function of the TMJ (Temporomandibular Joint). In some cases, steroids can be injected directly into the joints to reduce pain and inflammation. Further, TMJ orthotic appliance, night guards, nerve blocks, iontophoresis and Botox can be further added to the pain management protocol.

Stress Management techniques such as biofeedback or physical therapy may be recommended. Self-care treatments can often be effective and include resting the jaw, applying heat, practicing good posture and more.

Surgery or restorative dental work may help correct the issue if your condition is severe.

Has your TMJ Disorder caused problems with how your teeth fit together? Contact us today to find out how we can help you regain comfort and functionality. Your healthy, pain-free smile awaits!

Postoperative Instructions for TMJ Arthroscopy

After your surgery, following post-operative instructions is important to achieve a successful outcome and reduce the chances of complications during recovery. Here are the standard post-operative instructions for patients who have undergone the TMJ arthroscopy procedure.

Wound Care

  1. After arthroscopy the wound may have a stitch in it and will be covered with a small Band-Aid or gauze dressing. This should be left in place for 24 hours. It is normal to see some bloody drainage on the dressings. If bright red blood persists despite elevation and icing, please call your surgeon. The dressing should be removed on the first or second day after surgery. Do not cut any of the visible sutures.
  2. Wounds should be kept dry for 48 hours. You may take a bath, but do not submerge the wound in water. Showering is allowed after 48 hours, but do not to scrub the area. Avoid pools until the sutures are removed.
  3. Icing is very important for the first 5-7 days postoperative to reduce swelling. Ice should be applied for 20-minute periods 3-4 times per day. Care must be taken with icing to avoid frostbite to the skin; it is recommended to place ice cubes in a lockable plastic bag and cover with a dry tea towel.
  4. An upright position (head above the heart) for the first 3-4 days will also help reduce swelling.
  5. A low-grade fever (100.5ºF) is common in the first 24 hours.

Jaw Activity

  1. Full jaw function is advised unless otherwise instructed by your surgeon.
  2. Your diet should consist of soft foods (i.e. fish, pasta, scrambled eggs).
  3. The anesthetic drugs used during your surgery may cause nausea for the first 24 hours. If nausea is encountered, drink only clear liquids (i.e. Sprite or 7-up). The only solids should be soft bread. If nausea and vomiting become severe or you show signs of dehydration (lack of urination, fainting or heart racing upon standing) please call your surgeon.
  4. Range of motion exercises (maximum opening, and right and left jaw shifts for 10 seconds, 5 times in a row, with a 10 second rest between each) are encouraged for the first 7 days after surgery and are to be started the evening of surgery. It is normal to have discomfort during your exercises. While exercise is important, don’t over-do it! Common sense is the rule.
  5. Night-guards/bite splints should continue to be used.

Postoperative Pain

  1. It is common for patients to encounter increased TMJ pain for up to 3 days after your surgery. This is when swelling peaks. Using the pain medication as directed will help control this. Taking pain medication before bedtime will assist in sleeping. It is important not to drink alcohol or drive while taking narcotic medication (i.e. Percocet, Tylenol #3, Demerol, Dilaudid). You should resume your normal preoperative pain medication regimen 2-3 days after surgery.
  2. Keep in mind that the use of narcotic pain medications can lead to constipation. A diet high in fiber, fluids, and walking can help prevent this.

Postoperative Appointment

Your surgeon will need to reexamine you 7-10 days after routine TMJ arthroscopy. Please call the office to schedule a follow-up appointment.

Postoperative Activities

  1. Driving while under the influence of a narcotic medication is extremely dangerous and not advised.
  2. Returning to school or work depends on the degree of postoperative pain and the demands of your job. Pain is generally an appropriate guide.

Sleep Apnea

Obstructive sleep apnea is a serious condition that requires careful attention and personalized treatment. Our oral surgeons at Crescent Oral Surgery may discuss several treatment options, including a CPAP machine, or in more complex cases, surgery at one of
our offices.

CPAP Machine: A nasal CPAP (Continuous Positive Air Pressure) machine delivers pressurized oxygen through a comfortable nasal mask, reducing obstructions as you sleep. It’s efficient and easy to use, ensuring a steady flow of air to keep your airway open.

Surgery: In rare cases where other treatments are ineffective, surgical options can be considered. Procedures like Uvulo-palato-pharyngo-plasty (UPPP) or laser-assisted uvulo-palato-plasty (LAUPP) address obstructions in the soft palate and throat. Radio frequency probe treatment can also tighten the soft palate. For complex cases, orthognathic surgery repositions the upper and lower jaw to enlarge the airway.

Our skilled surgeons can assess your needs and provide personalized care. Book a consultation today and say goodbye to sleepless nights and hello to restful slumber!

3D Imaging

At Crescent Oral Surgery, we embrace cutting-edge technology to enhance your oral health care journey. With our state-of-the-art CS 9600 3D imaging system, we take diagnostics and treatment planning to new heights.

Crystal Clear Digital Images: Our advanced 3D imaging system has the capability of capturing high-resolution images that minimize radiation dose.

Comprehensive Diagnoses and Treatments: Our in-house 3D imaging capabilities enable us to provide a wider range of diagnoses and treatments all under one roof. Say goodbye to multiple visits!

Better Understanding, Better Care: The CS 9600 system’s exceptional visualization of anatomical detail allows us to explain your case with clarity and address any questions you may have.

Collaborative Care: We can easily share 3D images with your referring doctor, fostering collaboration that leads to a seamless treatment experience and positive outcomes.

Our 3D imaging system allows us to conduct a comprehensive array of diagnoses and dental procedures within the confines of our office, thus significantly minimizing the need for multiple visits. Rely on Crescent Oral Surgery for top-tier expertise and innovative techniques to effectively cater to your dental needs.

Schedule Your Consultation Today

Our highly skilled oral surgeons are dedicated to providing personalized and compassionate care, ensuring optimal results for every patient. Discover how our advanced treatments can enhance your oral health and overall well-being.

Sripriya Jayaraman, DDS MPH

Sripriya “Priya” Jayaraman has a DDS degree from the University of California in San Francisco, along with a MPH from Wichita State University. She also finished a two year advanced education program in Orofacial Pain and Dental Sleep Medicine from the University of Kentucky in Lexington, KY. She is a diplomate of American Board of Orofacial Pain and American Board of Dental Sleep Medicine. Her principle areas of interest include TMJ disorders, obstructive sleep apnea, primary headaches, neuropathic pain and restorative dentistry. She is well versed in the fabrication of TMJ orthotics, trigger point injections including Botox, fabrication of oral appliance (mandibular advancement device) for obstructive sleep apnea and nerve blocks. In her spare time she enjoys drawing and painting.

Dr. Oscar Dalmao, D.D.S, M.Sc., F.R.C.D(c)

Toronto born and raised, Dr. Oscar Dalmao received his Bachelor of Science in Kinesiology and then went on to obtain his dental degree from the University of Toronto. After a one-year internship at Sunnybrook hospital, he continued his education and completed his specialized training in Oral and Maxillofacial surgery.

Dr. Dalmao currently provides the full scope of Oral and Maxillofacial Surgery. He has special interest in the areas of dental implants and bone grafting, graftless solutions in implant dentistry, dentoalveolar surgery, orthognathic surgery and reconstructive surgery.

When Dr. Dalmao isn’t at the office he is usually enjoying time with his family and friends or trying to find his next destination, as he is an avid traveller.

Dr. Iona Leong B.D.S., M.Sc., F.R.C.D.(c)

Dr. Leong is an oral pathologist and assistant professor at the Faculty of Dentistry, University of Toronto. In addition to undergraduate and graduate teaching, she maintains a private practice limited to clinical oral pathology and oral medicine in the Department of Dentistry, Mount Sinai Hospital, where she is head of the Division of Oral Pathology and Oral Medicine.

She is also an associate staff pathologist in the Department of Pathology and Laboratory Medicine, Mount Sinai Hospital and the Department of Pathobiology and Laboratory Medicine, University of Toronto.

Dr. Ernie Lam, Oral Radiologist, D.M.D, M.Sc., F.R.C.D.

Dr. Ernie Lam holds a Doctor of Dental Medicine and Master of Science from University of British Columbia as well as clinical specialty training in Oral and Maxillofacial Radiology and a Ph.D. degree in Radiation Biology from the University of Iowa. He is also a tenured full Professor, Graduate Program Director and Head of the Discipline of Oral and Maxillofacial Radiology at the University of Toronto Faculty of Dentistry.

Dr. Lam somehow manages to balance work and teaching with trips to the Canadian Opera Company, cooking and creating cocktails at home, travel and pool time – he’s been active in masters swimming since completing university, and currently swims with the Downtown Swim Club in Toronto.

Dr. Riva Black, Oral Pathologist D.D.S., M.Sc., F.R.C.D. (c)

Dr. Riva Black graduated from the University of Toronto, Faculty of Dentistry in 1998. She completed a general practice residency in Rochester, New York and then entered a combined graduate specialty program where she ultimately received a Masters and Fellowship in Oral Pathology and Oral Medicine.

In addition to Dr. Black’s clinical practice, she is a proud member of the department of Oral Medicine at the Faculty of Dentistry. She also teaches undergraduate and graduate students in the departments of Oral Pathology and Histology. Dr. Black is also involved with the Royal College of Dentists of Canada, and lectures to various general practice and specialty groups in the area of Oral Pathology.

When not working, Dr. Black can be found spending time with her husband Shane and 4 children.

Dr. Marco F. Caminiti BSc., DDS., MEd., Dip OMFS, FRCD(C), FACD

Dr. Caminiti is originally from Montreal and went to McGill University for Undergraduate studies in Anatomy and then completed his dental studies in 1991. He was in the Canadian Armed Forces from 1987-1994 with service with the United Nations in 1993. He came to Toronto for his residency in Oral and Maxillofacial Surgery. After residency he was a Surgical Education Fellow in the division of Surgery at the University of Toronto. He continued as the Walter Lorenz Fellow in Orthognathic Surgery in the Division of OMFS at the Toronto General Hospital.

Marco currently is:

• Assistant Professor, Head and Program Director of Oral and Maxillofacial Surgery at the University of Toronto;

• Head of OMFS at Humber River Hospital

• Surgical Staff at the Cleft Lip Palate Program at Holland Bloorview Kids Rehabilitation Hospital.

Dr. Caminiti’s practice and research is focused on surgical orthodontic virtual planning for the management of patients with facial deformities and the development and assessment of surgical skills.

He associates his private practice with Crescent Oral Surgery and is proud and honored to be part of a wonderful group of people and a superb team that focusses on great patient care.

Dr. Kris Lee, B.Sc., D.D.S., M.D., F.R.C.D.

For Dr. Kristopher Lee, a Bachelor of Science in 1999 from the University of Toronto led to a Dental Degree from the same institution in 2003. After that, he completed a year of Periodontics training at the University of Pittsburgh and a Medical Degree and Oral & Maxillofacial Surgery Certificate at the University of Michigan.

Dr. Lee’s training at the University of Michigan focused on facial trauma, head and neck oncology/reconstruction, cleft lip and palate surgery, orthognatic surgery, dentoalveolar surgery and dental implant surgical treatment with associated alveolar reconstruction.

When he’s not working on his patients, he’s working on his tennis game and tries to play several times a week. As a father of 2 young children (and the early mornings that entails), he’s also developed a passion for great coffee.

Dr. Amir Mousavifar DMD, FRCDc

Dr. Amir Mousavifar has attended both medical and dental faculties at McGill University, where he obtained his DMD degree in 2004. After that, he completed his General Practice Residency at the Carolinas Medical Centre and an oral surgery fellowship in New York at the Mount Sinai Medical Centre in Manhattan, the Elmhurst Hospital Centre in Queens and the VA Medical Centre in the Bronx.

Dr. Mousavifar then completed his Oral and Maxillofacial Surgery training with one year of general surgery at McGill University Health Center, with extensive training in anaesthesia, reconstruction, dentofacial deformity, corrective jaw surgery, facial trauma and complex implant surgical procedures.

He is an active Oral and Maxillofacial Surgeon staff at the state-of-the-art Humber River Hospital in Toronto. He also works as part-time faculty at the University of Toronto and is a fellow in Oral and Maxillofacial Surgery of the Royal College of Dentists in Canada.

A Crescent team member since 2010, Dr. Mousavifar practices across the full range of surgeries at all three locations. He has special interest in applying digital and cone beam CT scan technology for guided complex dental implant and corrective jaw surgeries.

Dr. Mousavifar is a member of Dentsply Sirona’s coveted implant PEERS network-a platform for the exchange of clinical experience, research and science between dental implant manufacturers and key clinical leaders in implantology across the globe.

Dr. Mousavifar has an Advanced Cardiac Life Support certificate, teaches CPR and management of medical emergencies to numerous dental offices and speaks multiple languages. He has been involved in many charities including Operation Smile and UNICEF. He has worked in underprivileged communities in Montreal, Northern Quebec and the Northwest Territories. He has also judged a beauty pageant. The best smile won.

When not adding to his list of achievements, Dr. Mousavifar spends time with his family and enjoys swimming, biking, basketball, soccer and skiing.

Dr. Peter Gioulos B.Sc., D.D.S., M.Sc., F.R.C.D.

The son of Greek immigrants and a Torontonian from birth, Dr. Peter Gioulos received his Bachelor of Science from the University of Western Ontario. He received his Doctor of Dental Surgery training from the University of Toronto. An externship in Oral & Maxillofacial Surgery at Baylor University in Texas soon followed, as did a one-year hospital General Dental Residency at Mount Sinai Hospital in Toronto. He completed his specialty training in Oral & Maxillofacial Surgery at the University of Toronto.

Peter now practices the full scope of his specialty including wisdom teeth & dental extractions, reconstruction & grafting, dental implant placement, pathology, and orthognathic surgery. He has had extensive experience and training in full arch dental implant placement including “All-on-4” treatment as well as placement of specialized “zygomatic” and “pterygoid” implants.

He is an active member of the Canadian Dental Association, the Ontario Dental Association, ITI, and the Asclepius Dental Society. He has hospital appointments at the Holland Bloorview Kids Rehabilitation Hospital and Scarborough Health Network Centenary Hospital

Peter spends as much time outside of work as he can with his big fat Greek family and his lovely wife and three kids – you’ll find them skiing in Ontario Cottage Country or, as often as they can manage it, skiing in the Rockies.

Dr. Brian Rittenberg B.A., D.D.S., M.Sc., F.R.C.D.

A Toronto native, Dr. Brian Rittenberg graduated from the University of Western Ontario in 1992 with a Bachelor Degree in Psychology. He then completed his Dental Degree, specialized training in Oral and Maxillofacial Surgery and a Masters in Bone Biology at the University of Toronto and Toronto General Hospital in 2003.

Since starting his practice, Dr. Rittenberg enjoys teaching dental interns and residents at Mount Sinai Hospital, where he has also cultivated an interest in the surgical management of Temporomandibular Joint (TMJ) Disorders. He is also an attending surgeon in the Regional Treatment Centre for Temporomandibular Joint Reconstruction there.

In addition to having a special interest in the surgical management of TMJ disorders, Brian enjoys practicing all facets of Oral and Maxillofacial Surgery, including the removal of wisdom teeth, the placement of dental implants, the evaluation and surgical treatment of pathology (diseases of the mouth) and corrective jaw surgery.

Dr. Rittenberg has also served as a line officer and ultimately president of the Ontario Society of Oral and Maxillofacial Surgeons, is involved with the Royal College of Dentists of Canada (the national licensing body for all dental specialists) and is a fellow of the ITI – International Team for Implantology.

Outside of teaching and work, Dr. Rittenberg is a runner, hockey player, traveller, enjoyer of good wine and food and, above all, thankful for the time he gets to spend with his wife Lindsay and his daughters Joey and Ruby, up on beautiful Lake of Bays.

Dr. Eddie Reinish B.Sc., D.D.S., F.R.C.D.

Dr. Eddie Reinish (who prefers his patients call him “Eddie”) has been an Oral and Maxillofacial Surgeon since 1997. He completed his training at the University of Michigan. Prior to his surgical training, Eddie completed his undergraduate degree in Physiology and Doctorate in Dental Surgery at McGill University.

Dr. Reinish is currently on staff at Rouge Valley Hospital, Humber River Regional Hospital and Mount Sinai Hospital. He is a fellow of the Royal College of Dentists of Canada and The American Board of Oral and Maxillofacial Surgeons. He is also an examiner for the Royal College of Dentists of Canada in Oral and Maxillofacial Surgery.

Dr. Reinish founded Crescent Oral Surgery in 2002 along with his partner, Dr. Marco Caminiti. An empathetic and compassionate surgeon, Dr. Reinish understands the typical anxieties that accompany a visit to the oral surgeon’s office, and his caring, kind manner consistently puts patients at ease. Dr. Reinish’s practice focuses on dental implants and bone grafting, corrective jaw surgery and removal of wisdom teeth and other minor oral surgical procedures.

Outside the clinic, Dr. Reinish can be found enjoying time with his wife and 3 children or, as an avid cyclist, on one of his several bicycles both here at home and abroad (yes, he travels with them). He is also a downhill skier and loves good wine and food.