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Specialized Oral
Surgery Procedures
In addition to our more common surgeries, we also offer a range of specialized procedures to meet your dental needs.

Your Trusted Birmingham, AL Oral Surgeons

At Gonzalez & Maniscalco Oral Surgery and Implant Center, our doctors are committed to providing comprehensive oral surgical care for members of the Birmingham metro area community. While we’ve gained a reputation as a leading provider of dental implants and wisdom tooth extractions in Central Alabama, we also perform many other specialized procedures in our Inverness office. 

If you have any questions about our offerings, or would like to see if we offer another service your primary care physician, dentist, or orthodontist has recommended, feel free to reach out. We’re happy to answer any questions you may have.

Specialized Oral Surgery Procedures

Specialized Oral Surgical Procedures | Oral Surgery in Birmingham - SSP-1

Apicoectomy (Root End Surgery)

If you have had a root canal on a tooth that became reinfected or is giving you additional problems, you may require an apicoectomy. In certain situations, this procedure can save a tooth from extraction by surgically removing the root tip and cleaning out any residual infection around the root tip.

Specialized Oral Surgical Procedures | Oral Surgery in Birmingham - SSP-2

Impacted Teeth

We most often associate impacted, or “stuck,” teeth with wisdom teeth; however, adult canines (also known as cuspids or eyeteeth) can also become impacted in adolescence. These teeth are crucial for biting, chewing, and jaw alignment. Supporting your child’s orthodontist, our state-of-the-art 3D imaging technology gives us the clearest picture of impacted adult teeth so we can give them proper space to erupt. 

Specialized Oral Surgical Procedures | Oral Surgery in Birmingham - SSP-3

Pre-Prosthetic Surgery

Sometimes, before receiving dentures (whether partial or complete), the underlying bone structure may need to be adjusted to ensure maximum comfort. We are able to smooth and reshape bone, remove excess bone or gum tissue, or reduce the bone ridge to give you the best possible fit.

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Bar Attachment

Fixed dentures are a revolutionary way to replace a full set of teeth using four or more dental implants. This "screwed down denture" is more comfortable, more stable, and better for your jawbone than traditional dentures.

Specialized Oral Surgical Procedures | Oral Surgery in Birmingham - SSP-5

Temporary Anchorage Devices (TADs)

TADs are tiny, titanium anchors that we place into the upper or lower jaw when required by your orthodontist. These small posts serve as stabilizers, allowing your orthodontist to encourage the movement of some teeth while keeping others stable. TADs can shorten the time your orthodontic treatment takes, and take the place of bulkier options like headgear

Specialized Oral Surgical Procedures | Oral Surgery in Birmingham - SSP-6


A frenectomy is a surgical procedure that cuts or removes a small band of tissue in your mouth called a frenum. Frenums are the web-like tissues that join the gums to the lips or the tongue to the floor of your mouth. Sometimes, such as in the case of lip-tie or tongue-tie, these tissues don’t develop properly, leading to tightness, limited range of motion, gum recession, and more.

Helpful Oral Surgery Links

Surgical Procedures

In addition to these specialty procedures, we also perform dental implants, wisdom tooth extractions, jaw surgery, and more.

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IV Sedation

If you suffer from dental phobia or anxiety, we can offer IV sedation for oral surgery procedures performed in our office.

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Patient Forms

We offer new patients the option to fill out their new patient paperwork online using a secure portal. Save time with this convenient option!

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Specialized Oral Surgery FAQs

At what age should a frenectomy be done?

The answer depends on what type of issue you or your child is experiencing. Tongue-tie, a condition where the frenum connecting a baby’s tongue to the floor of the mouth is abnormally short, tight, or thick, should be corrected as soon as possible. Correcting this issue can prevent breastfeeding problems and later issues with speech and eating.

A labial frenectomy, performed when the frenum connecting the upper gums to the front teeth is too tight or thick, can typically wait until a child is 11 or 12. There are some situations in which we’ll perform them sooner, especially if the frenum is interfering with speech or eating.

Though frenectomies aren’t performed as often in adults, they do happen. If you feel pain in this tissue, if it is tight enough to pull your gums away from your teeth, or if it interferes with your daily oral hygiene, a frenectomy may be recommended.

What is the difference between a root canal and an apicoectomy?

In an apicoectomy, we treat the very tip of your tooth’s root, whereas a root canal only deals with the part of the root that extends into the crown (the main part of your tooth). Often, apicoectomies are performed after root canals when patients still experience infections, injuries, double roots, or other problems that endodontics cannot treat.

What happens if you leave an impacted canine?

Canines are extremely important for our bite pattern and alignment, as well as for biting and chewing. Left untreated, impacted canines can damage adjacent teeth, and over time may lead to the need for tooth extraction. These “stuck” teeth can also push surrounding teeth out of their natural alignment, form abnormal cysts or tumors, or contribute to gum disease.

Our state-of-the-art 3D CT scanner is one of the few CT scanners FDA Cleared for Use on Children, meaning that we can safely take a crystal clear picture of potentially impacted canines in just 3 to 9 seconds. Then, we can develop the most targeted and effective treatment plan to ensure that your child’s canines can erupt properly!

Reach Out to Our Office

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Phone: (205) 991-9787

Our friendly & helpful staff is standing by to answer any questions you may have.