Questions Frequently Asked of the Doctor

Will I get local anesthesia when I am sedated or under general anesthesia?

Photo of older patient asking his oral surgeon questions.
Yes as long as there are no contraindications like allergic reactions to local anesthesia. Local anesthesia allows you to wake up pain free and reduces the amount of sedation or general anesthesia that is given. It provides a safer and more comfortable surgical experience.

Do you use dissolvable sutures?

Yes, most of the sutures we use are dissolvable. This type of suture is more comfortable and you do not have to undergo uncomfortable suture removal procedures.

Why do I need sutures?

Sutures are required anytime surgery is done and a wound is created. Sutures allow the tissue to heal precisely. Suturing also prevents post operative tissue movement and decreases post operative pain.

Do you use laughing gas or nitrous oxide?

Not usually. Nitrous oxide is an inhaled analgesic that is ineffective for surgical procedures. It also has a high incidence of nausea and vomiting associated with it. Nitrous oxide creates an environmental hazard in the surgical center due to the exhalation of the gas into the operating room. This exposes the surgical personnel to this agent daily and can cause many ill effects especially to females. Since nitrous oxide is not use in a closed (intubated) environment we have deemed it a historical agent.

Are you a specialist and are you board certified?

Yes we are specialists in Oral and Maxillofacial Surgery this is the surgical specialty of Dentistry. It requires at least four additional years of training after dental school. Drs. Schelkun and Kienle are board certified by both the American Board of Oral and Maxillofacial Surgery and The American Board of Dental Anesthesiology. Dr. Steinkeler is in the process of board certification.

Why are you both a physician and a dentist?

It is important that surgeons possess the best training and qualifications possible. This allows us to provide you with the best personalized comprehensive care. Today with all the complexity of medical and surgical issues it is important that your surgeon is trained in medicine, dentistry and surgery.

Are your surgery centers certified?

Yes, all of our surgical centers are certified by the Joint Commission. The Joint Commission is the national organization that certifies hospitals and health care facilities and is the only one recognized by federal and state governments. We are the only Oral and Maxillofacial Surgical Centers in the Delaware Valley that has earned this accreditation.

Do you do surgery in the office?

All of our offices are fully accredited surgical centers. Most of the surgery we do is performed as an outpatient in our surgery centers. This provides you with a convenient, safe and cost effective environment to undergo many types of oral surgical procedures. Patients with significant medical problems or more complex procedures may need to have their surgery done in the hospital