Scott A. Siegel, MD, DDS, FACS, FICS, FAAP

Northeast Oral and Maxillofacial Surgery, PLLC

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Winner's Section

Posted on March 29, 2014 at 7:20 AM


 

The International College of Surgeons has recognized my commitment to promoting worldwide surgical excellence, which was featured in the Winners section of Newsday this past Sunday, February 2nd.

 My definition of surgical excellence? It's an every century approach. State of the art surgical arts is a given; but as a sole practitioner, I am devoted to delivering personal touch and meticulous follow-through to each of my Oral and Maxillofacial patients, a standard which I will never compromise.

Fast Facts About Tongue-tie

Posted on March 27, 2014 at 10:40 AM

Almost twelve years ago, I was called to a hospital nursery to evaluate a newborn who was having difficulty latching on while breastfeeding. Upon evaluating the infant, the diagnosis was Ankyloglossia- otherwise known as "tongue tie"- where the tissue under the tongue is too short and limits movement of the tongue.


Typically, this condition goes undetected and untreated in infants through adults. Since then and thanks to Dr. Betty Coryllos, who mentored and trained me as an attending physician, I've been treating tongue & lip tie patients of all ages from Long Island, New York, Connecticut, New Jersey, Massachusetts, Pennsylvania and as far as London with a less than five minute, painless tongue tie release surgery: Laser Frenoplasty. This minimally invasive method does not require stitches and is essentially bloodless.


Please review the following fast facts about tongue tie to see what may apply to you or someone you know:

FAST FACTS ABOUT TONGUE TIE:

 

  • Newborns can have significant breast feeding problems due to tongue tie, which can result in failure to thrive.
  • Tongue Tied Toddlers may have speech related issues where they have difficulty with articulating "t, d, z, s, th, n, and l"sounds.
  • School Aged Children and Adults may have social, orthodontic and gum-related problems.
  • Adults can be predisposed to certain types of sleep apnea as a result of undiagnosed tongue tie.
  • Tongue Tie often has a genetic component, can run in families and presents in degrees of severity.

 

 

COPYRIGHT © 2011-13 Dr. Scott A. Siegel




TMJ Pain: Symptoms & Treatments

Posted on March 14, 2013 at 8:00 AM

According to the American Association of Oral and Maxillofacial Surgeons (AAOMS), the temporomandibular joint (TMJ) is the most commonly used joint in the body. The combination of hinge and sliding motions makes this joint among the most unique and complicated in the skeletal system. As an Oral and Maxillofacial Surgeon, my extensive training in musculoskeletal disorders (affecting muscle, bone and joints) and vast experience in treating facial pain conditions of the TMJ is a necessity in proper TMJ diagnosis; yet, what often tells me the diagnosis is careful listening to my patients. Top Five Signs & Symptoms of TMJ Disorder: 1. Pain, particularly in the chewing muscles and/or jaw joint 2. Radiating pain in the face, jaw, or neck 3. Jaw muscle stiffness 4. Limited movement or locking of the jaw, painful clicking, popping or grating in the jaw joint when opening or closing the mouth 5. A change in the way the upper and lower teeth fit together Even when TMJ disorders have become chronic, I start off with conservative/non-surgical therapy, as the majority of TMJ Disorders resolve with conservative and minimally invasive treatments: Conservative Treatments Simple self-care practices, eg. eating soft foods Anti-Inflammatory Pain Medications, eg. short-term use of over the counter or prescription strength drugs (NSAIDs) Night Guard, eg. a plastic guard that fits over the upper or lower teeth, thereby preventing the teeth from clenching and/or grinding Minimally Invasive Treatments Botox™ Although Botox is currently not approved by the FDA for use in TMJ, it is currently used successfully in certain patient populations, eg. severe chronic muscle spasm that is not responding to other treatments. Trigger Point Injections A single or repeated injection of local anesthetic or a corticosteroid-type (anti-inflammatory) into what is known a a trigger point in the muscle that helps break or reduce muscle spasm. TMJ Surgery Failure to respond to conservative treatments does not automatically mean that surgery is necessary. A thorough pre-surgical work-up, including appropriate imaging such as MRI and/or CT Scan, and a detailed explanation of the benefits and risks enables my patients to make an informed decision regarding the need and type of TMJ Surgery. COPYRIGHT © 2013 Dr. Scott A. Siegel


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