Nerve Repositioning Gaithersburg MD
The inferior alveolar nerve which gives feeling to the lower lip and chin may need to be moved in order to make room for placement of dental implants to the lower jaw. This procedure is limited to the lower jaw and indicated when teeth are missing in the area of the two back molars and/or and second premolar, with the above-mentioned secondary condition. Since this procedure is considered a very aggressive approach (there is almost always some postoperative numbness of the lower lip and jaw area, which dissipates only very slowly, if ever). Usually other, less aggressive options are considered first (placement of blade implants, etc.).
Typically we remove an outer section of the cheek side of the lower jaw bone in order to expose the nerve and vessel canal. Then we isolate the nerve and vessel bundle in that area, and slightly pull it out to the side. At the same time we place the implants, we’ll be tracking the neuro-vascular bundle. Then the bundle is released and placed back over the implants. The surgical access is refilled with bone graft material of the surgeon’s choice and the area is closed.
These procedures may be performed separately or together depending upon the individual’s condition. As stated earlier, there are several areas of the body that are suitable for attaining bone grafts. In the maxillofacial region, bone grafts can be taken from inside the mouth, in the area of the chin or third molar region or in the upper jaw behind the last tooth. In more extensive situations, a greater quantity of bone can be attained from the hip or the outer aspect of the tibia at the knee. When we use the patient’s own bone for repairs or addition, we generally get the best results.
In many cases, we can use allograft material to implement bone grafting for dental implants. This bone is prepared from cadavers and used to get the patient’s 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.
These surgeries are performed in the out-office surgical suite under IV sedation or general anesthesia. After discharge, bed rest is recommended for one day and limited physical activity for one week.
Aesthetic Laser Periodontics & Dental Implants
Patient Testimonial
I wish I could award Dr. Hadeed and Tracie more than 5 stars for the exceptional care and expertise I've received over the course of two separate, intensive treatments to restore my gum health. I was initially nervous, but from the moment I met them, I felt safe and knew I was in capable hands. Dr. Hadeed took the time to explain my condition and treatment options in a way that was easy to understand and tailored to meet my needs. This same care and attention carried through each treatment, during which Dr. Hadeed and Tracie explained each step as it was happening, what to expect, and what comes next. This is so reassuring. I felt like a full partner in the process and knew they were solely focused on a positive outcome for me. After treatment, they stayed in contact daily, checking in on me and monitoring progress until our next office appointment. Dr. Hadeed is an exceptionally gifted periodontist. He is not only skilled, but also compassionate and understanding. Tracie is a powerhouse, anticipating my needs, making sure I was comfortable before, during, and after the procedure and answering all my questions patiently. The results of my treatment have been amazing and I'm so grateful for the care I received. I am a patient for life and trust them to take care of my family too. I only wish I met them sooner. If you're thinking about it, go ahead and make the appointment. They are truly unique and exceptional.
- Maryam A
Patient Testimonial
What an exceptional trio of Dr. Hadeed, Tracie, and Thalma – or rather, an exceptional family. From the moment I stepped into their practice, I felt embraced as part of their close-knit unit. Facing numerous complex dental issues, I approached Dr. Hadeed with apprehension. However, at every juncture of my treatment and recovery, Dr. Hadeed's reassuring demeanor instilled confidence in me. Through three oral surgeries, addressing bone grafting due to periodontal bone loss and extraction of troublesome wisdom teeth, Dr. Hadeed's surgical expertise shone brilliantly. Tracie, with her gentle and supportive assistance during each surgery, aided in calming my nerves at every stage. Their dedication extended beyond the operating room, with thoughtful evening check-ins via texts or calls to ensure my well-being. Tracie's proficiency as a Dental Hygienist elevated my dental cleaning experience to a new level. Dr. Hadeed meticulously explained post-operative care, underscoring their commitment to my holistic dental health. Choosing Dr. Hadeed based on the glowing testimonials of fellow patients was undoubtedly a wise decision. I'm sharing my "Love at First Visit" encounter here, aspiring to provide fellow patients like me with a valuable point of reference.
- Punam S
Patient Testimonial
When gum recession which I had ignored for too long became tender, I consulted with a well known periodontist in Friendship Heights who said he’d graft it with tissue carved from my palate, and did I have any questions. And charged me $200. Then friends recommended Dr. Hadeed and Tracie. After a no-charge consultation, Dr. Hadeed brought me in to his office, displayed my x- rays, and explained in detail his plan to make an incision to free up “donor” gum tissue from a neighboring location, reposition the tissue to partially cover the recession, then patch both spots with regenerative collagen membrane, rather than taking material from my palate. Since friends had reported that lingering palate sensitivity was the worst part of the procedure, even with a protective shield, I was relieved to learn there was an alternative. Dr. Hadeed demonstrated professionalism in his explanation, making sure I understood the plan perfectly. On the morning of the graft, Tracie calmed my nerves with soothing words and heartfelt warmth. During the procedure, she assisted as Dr. Hadeed skillfully repaired my gum recession, checking with me periodically as to how I was doing. After the graft, I had no pain, truly. Just some discomfort, and careful consumption of smoothies, soup, etc. I followed instructions, and a week later, the gum had healed nicely. Post-surgery follow-up via phone and texting was incredible. Dr. Hadeed saw me the very next day, then at one week, at two weeks, and at six weeks. Now, six weeks post-surgery, my gum looks and feels truly perfect. I am thrilled. Add me to the fan club!
- Lisa S
Patient Testimonial
I’m beyond impressed with everything that happened at my appointment. A relatively straightforward procedure kept uncovering more problems. Everyone was kind, gentle, attentive and, actually…fun. I will never go to another practice when I have dental problems or needs. I received an unplanned root canal, crown prep., and root Lengthening along with an unplanned bone graph - with no more discomfort than you experience after having a cavity filled. I kept waiting for pain and discomfort -but it never came. No matter what the procedure, there’s no one in the world I’d trust more. Next time I have a problem, I’ll RUN to them rather than trying to put it off. Not only are they highly professional, they are also friendly, comforting, and reassuring. Weirdly enough, it was a great experience. I feel as if I made new friends A plus!!!!
- Jeannie F
Patient Testimonial
I just started going to see Dr. Hadeed & Tracie a week ago and in that short time they were able to identify, plan, treat and progress iteratively with feedback as to my next steps and treatment plan. They are just wonderful people to go see. Tracie did such a phenomenal job cleaning my teeth and doing the deep cleaning scaling of underneath the gums. She really took her time and gets in there to make sure she does a thorough job. Dr. Hadeed also did a great job numbing me up so the cleaning went smoothly. Even their Pina Colada numbing cream was excellent and helped. Plus you get the added bonus of hearing your favorite band while all this is happening in a very safe and clean environment. When you visit them, you don't just feel like the next patient in an assembly line of patients. There is a hospitality about everything they do as they remain professional and kind. You feel like a welcomed guest in there home and instead of a house it's their office and instead of a patient you are FAMILY. The knowledge, kindness, respect, empathy and emotional intelligence they show just adds to the wonderful service you receive here. They make you feel like you've known them for years, even if they just met you that day. There is a warmth about them both that cannot be faked. They genuinely care about you, your situation, and most importantly your health. Well what are you waiting for? Don't delay, contact them today on your journey to a healthier mouth. That's word of mouth you can count on -DeAndre'- A current patient whose only regret is that I didn't know about them sooner! Do yourself and your mouth a favor and schedule an appointment to a better smile
- DeAndre J
Patient Testimonial
I am so elated to have found Dr. Hadeed as my periodontist. I Had several experiences regarding my gums with pervious practitioners. The end result after spending thousands of dollars was no different in stopping the recessions. After I consulted with Dr. Hadeed, he listened to me and what I was concerned about and in spite of limitations he found a way to do the surgery so meticulously and masterfully that I am unable to demonstrate that with words. I only can say Dr. Hadeed and Tracie are a superb team that will give you every confidence in this world to trust their professional diagnosis.
- Sattar N
Patient Testimonial
Tracie and Dr Hadeed scheduled me for an emergency appointment on the same day and followed up the next day. I really appreciated how they went out of their way to help me and see me at such short notice. They were both very kind and compassionate. The treatment they gave was fast, effective, and a success. Overall a very positive experience and highly recommend this office.
- Jared B
Patient Testimonial
Unfortunately, I have had awful experiences with many dentists, hygienists, and periodontists in the past, but Dr. Hadeed and Tracie have been the best I have had in years! They are kind, and always make your feel so happy and at peace when you come in. I love that they take their time to explain everything and truly have your best interest at heart. They are both professional, knowledgeable, experienced, kind, and friendly. I HIGHLY recommend Dr. Hadeed and Tracie, you couldn't be in better hands!
- Sophia M
Patient Testimonial
I don't believe anyone relishes going to an appointment regarding their teeth and oral health, as a matter of fact, it can rate right up there with death and taxes. The Dr.Peter Hadeed office and dental experience is beyond measure in it's efficiency, organization, knowledge, skill, openness, levity and kindness. The staff ensured and arranged every detail to safeguard and protect my needs and concerns. Dr Peter and Tracie Hadeed spent as much and more time than was required to instruct and inform me of my oral condition. I have not experienced this degree and excellence in the medical/dental world. It is rare for one's doctor to not only spend whatever time is needed but also possess the highest regard in listening skills and instruction. I have deep gratitude for their care in creating a safe, protected environment with levity in my journey of self care.
- Susan F
Patient Testimonial
I cannot say enough good things about this practice. Dr. Hadeed is an exceptional doctor and a very kind man. He cared about my dental implant but also cared about me as a person.
- ELLEN K
Patient Testimonial
My experience with Dr, Hadeed was remarkable. I knew him to be outstanding before my trip to his Gaithersberg office. My first experience occurred in Bethesda where he explained, as a consultant, my problem. We talked several times and I was impressed with the time he took ridding me of my anxiety. He explained in great detail just what my problems were before my surgery. He makes a point of returning calls and and he never made me feel rushed. Just as importantly, he listens. He exhibits concern for the whole body and this is greatly appreciated, I am sure, by his senior patients. Tracie is fantastic. They worked so well together I became more and more relaxed being there. Tracie seemed to anticipate my needs and exhibited such a caring and friendly attitude during the procedure. It is immediately evident that she is well trained. They make a fantastic team. I got a warm feeling when I first arrived. There is even a warm and soothing effect by the office itself. I just left there feeling great. Dr. Hadeed works WITH his patients not ON his patients.
- Zinnette L
Patient Testimonial
The minute I walked into Dr. Hadeed's office, I was greeted with warmness and kindness unparalleled to any other medical offices. He took the time to explain why my procedure was necessary and what to expect in a very empathetic manner. I never felt judged and my fear of the "dentist" is now a distant memory. As a physician myself, I can attest that Dr. Hadeed is exceptional at his profession, stays up to date on literature, and always does what is best for his patients. His wife Tracy is a rockstar. She is the glue that holds the office together and just an exceptionally wonderful person. Together they make an extraordinary team and I am looking forward to my next appointment and all the funny jokes, stories, and music I will get to enjoy.
- Sarah R
Patient Testimonial
Dr. Hadeed and his surgical assistant Tracie are WONDERFUL. They take great care of their patients and work flawlessly in sync with each other which makes procedures run smoothly. Their combined knowledge, experience and attention to detail is unmatched. The staff is super personable and will do anything they can to ensure that you are comfortable and satisfied with the end result. I highly recommend this office to anyone trying to achieve a healthier smile.
- Alicea
Patient Testimonial
Dr. Hadeed and Tracie are truly one of a kind. Not only are they the best at what they do, but I have never had a more pleasant experience in a medical facility. They are so kind and understanding and strive to ensure that their patients are as happy and comfortable as possible. Their positive attitudes are contagious and I feel valued by them and not like just another patient. I HIGHLY recommend this practice for all of your dental needs.
- Amneris M
Patient Testimonial
Dr. Hadeed and Ms. Tracy (his assistant) are simply the best!! Dr. Hadeed was the only periodontal surgeon in the area (and I went to the others as well) who didn't try to dismiss me by referring me to other specialists. I had a failing implant and even though it was done about 12 years ago abroad with unknown abatement, he found a way to save it. I am very happy to have my implant recovered. Along with his professionalism in dental surgery, I would also like to acknowledge his way of treating patients with respect. He talks to you like to his equal and listens to your complaints and Internet search ideas instead of looking down and showing superiority like other dentists that I came across. I would highly recommend him. I will be bringing now my whole family to him. I am sure that if he cannot treat the condition, he will refer us to a great specialist. Thank you Dr. Hadeed and Ms. Tracy!
- Inna B
Patient Testimonial
If there is a dental surgeon who is more naturally gifted, more highly educated, better trained, and has more experience I would be very surprised. Dr. Hadeed performed two very complex extruding molar extractions like he was presenting a masterclass on the subject. And indeed it was a masterclass, because while he was performing the surgery, he explained exactly what he was doing, from the numbing to the extractions to the preserving the sinus membrane to the bone grafting to the final stitching. He made the entire surgery look very easy - for him. And no review of Dr. Hadeed would be complete without mentioning his wife and surgical assistant TRACIE, who is extremely knowledgeable and skilled, and knew exactly what the doctor needed before asking for it. They're very much a team - more like a well-oiled machine - and it was a marvel to behold. But TRACIE also assisted me the patient at the same time, reassuring me, and anticipating my questions: "your gonna feel slight pressure on your front teeth" - felt the slight pressure - "you might hear a slight crack, that's normal" - heard a slight crack, etc., like she has ESP or something. And finally, I have to mention Dr. Hadeed's excellent son, aspiring dental student CAMERON, who observed during the procedure and helped with post-op instructions. I felt taken care of by the entire Hadeed family, as if I too were a beloved member of the family. They knew I was nervous (had delayed this necessary surgery for at least ten years) and were incredibly compassionate and reassuring. I could go on, but will conclude by saying I never should have delayed going to Dr. Hadeed because he and TRACIE and CAMERON are the best. Ten Stars! -Jim M., Attorney
- Jim M
Patient Testimonial
I went in for 2 extractions. My overall experience was so pleasant and easy that I didn't have any pain. I would highly recommend this practice to any one. I personally have never met a doctor or staff that was so wonderful, patient and informative. I asked a million questions and they stopped to answer every one of them. In my opinion, there is no better than Dr. Hadeed and his staff.
- Lois S. S
Patient Testimonial
Who knew that going to a periodontist could actually be fun? Dr. Hadeed makes great conversation-- as well as being kind, conscientious and a master of his profession. He also followed up by phone nearly every day (kind of like a Jewish mother) to see just how I was doing. And I would also like to applaud Tracie, his hygienist, who's clearly reached the height of her craft. Together, they made what I thought would be horror show into a pretty happy time.
- Lisa Y
Patient Testimonial
Dr. Hadeed and Tracie are a truly unique and phenomenal team. My first interaction with Tracie was when she gave me her personal cell phone and was willing to speak with me (many times) outside of their regular office hours. Dr. Hadeed explained in great detail all facets of my condition and what needed to be done. He truly believes in educating his patients and empowering them to make the best possible decisions. His care is extaordinary and his sense of humor puts patients at ease. I was so impressed by his level of expertise, I brought the rest of my family in to see him as well. I have never known anyone in the medical field who put such care into their patients as Dr. Hadeed and Tracie.
- Eleni
Patient Testimonial
Dr. Hadeed and Tracie are two of the kindest, most patient, and professional dental practitioners I have ever encountered. I had an incredibly positive experience at their office and I am so grateful to them. Having endured some unnecessarily traumatic dental procedures recently in my life, they restored my faith and trust in dentistry. They took the time and care to explain my treatment plan completely and addressed all of my concerns with patience and empathy. Dr. Hadeed called me (and sat with me) numerous times to explain the ins and outs of my case, what might work well, and the different scenarios that might present themselves during my procedure. The attention was EXCEPTIONAL! I felt so tucked in and cared for by this team. During the procedure, they talked me through each of the steps so I knew exactly what to expect and Tracie would even gently stroke my shoulder to ease my stress and reassure me. !!! I love them! Thank you from the bottom of my heart!
- Mari M
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