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                  Mid-Hudson Oral and Maxillofacial, PC

117 Marys Avenue | Suite # 104 | Kingston, NY 12401    


                                                                                             (845) 340-1962

Oral/Maxillofacial Trauma

The Oral and Maxillofacial Surgeon performs treatment of facial injuries. These professionals must be well versed in emergency care, acute treatment and long-term reconstruction and rehabilitation – not just for physical reasons but emotional as well. Oral and maxillofacial surgeons are trained, skilled and uniquely qualified to manage and treat facial trauma. Injuries to the face, by their very nature, impart a high degree of emotional, as well as physical trauma to patients. The science and art of treating these injuries requires many years of special training, beyond dental school,  involving a “hands on” experience and an understanding of how the treatment provided will influence the patient's long term function and appearance.

Dr. Matthew Hilmi is one of the only Oral and Maxillofacial Surgeons to provide facial trauma reconstruction surgery in the Mid-Hudson Valley Region. His skills where acquired at a Level 1 Trauma Center and perfected with over eighteen years of post-graduate surgical practice. He is one of only two Oral and Maxillofacial Surgeons in Kingston, NY to have been formally credentialed to practice in and admit patient to a hospital setting.  

Dr. Matthew Hilmi is fully versed  in modern techniques used to treat facial injuries. The doctor has spent several years at a level one trauma center undergoing residency  training for reconstruction of these types of complex injuries.  There are a multitude of situations that can lead to facial injuries. He is trained and uniquely qualified and certified to manage and treat facial trauma. As a credentialed surgical staff member, the doctor provides emergency room on-call coverage for Health Alliance Hospital in Kingston, New York for oral and maxillofacial injuries.

  • Fractures involving Facial Bones:

Fractures of the bones of the face are treated in a manner similar to the fractures in other parts of the body. The specific form of treatment is determined by various factors, which include the location of the fracture, the severity of the fracture, the age, and general health of the patient. When an arm or a leg is fractured, a cast is often applied to stabilize the bone to allow for proper healing. Since a cast cannot be placed on the face, other means have been developed to stabilize facial fractures. 

One of these options involves wiring the jaws together for certain fractures of the upper and/or lower jaw. Certain other types of fractures of the jaw are best treated and stabilized by the surgical placement of small plates and screws at the involved site. This technique of treatment can often allow for healing and deletes the necessity of having the jaws wired together. This technique is called "rigid fixation" of a fracture. The relatively recent development and use of rigid fixation has greatly improved the recovery period for many patients, allowing them to return to normal function more quickly. 

The treatment of facial fractures should be accomplished in a well planned and predictable manner. Most importantly, the patient's facial appearance should be minimally affected. An attempt at accessing the facial bones through the fewest incisions necessary is always made. At the same time, the incisions that become necessary, are designed to be small and, whenever possible, are created in such a manner as to reduce scarring.

Injuries To The Teeth & Alveolar Structures (supporting structures): 

 Isolated injuries to teeth are not uncommon and may require the expertise of various dental specialists. Oral surgeons usually are involved in treating fractures in the supporting bone or in replanting teeth that have been displaced or knocked out. These types of injuries are treated by splinting (stabilization is achieved by wiring or bonding teeth together). 

If a tooth is knocked out, it should be placed in salt water or milk. Minimal handling of the tooth structure is very

important.The sooner the tooth is re-inserted into the dental socket, the greater the chance of longterm success. Therefore, the patient should see a dentist or oral surgeon as soon as possible. Never attempt to wipe the tooth off, since remnants of the ligament that hold the tooth in the jaw are attached and are vital to the success of replanting the tooth. 

Other dental specialists may be called upon such as endodontists(root canal specialists), who may be asked to perform root canal therapy, and/or restorative dentists who may need to repair or rebuild fractured teeth. In the event that injured teeth cannot be saved or repaired, dental implants are often now utilized as replacements for missing teeth.

The proper treatment of facial injuries is in the realm of specialists who are well versed in emergency care, acute treatment, long-term reconstruction, and rehabilitation of the patient.

Soft Tissue Injuries Of The Facial Region :

When soft tissue injuries such as lacerations occur on the face, they are repaired by suturing. In addition to the obvious concern of providing a repair that yields the best cosmetic result possible, care is taken to inspect for and treat injuries to structures such as facial nerves, salivary glands, and salivary ducts (or outflow channels). Dr. is  a well-trained oral and maxillofacial surgeon and is extremely proficient at diagnosing and treating all types of facial lacerations.

-Facial lacerations  ( cuts and abrasions on face/lips)  

-Oral lacerations      (cuts and abrasions in mouth) 

Causes Of Maxillofacial Trauma  

There are a number of possible causes of facial trauma such as motor vehicle accidents, accidental falls, sports injuries, interpersonal violence, and work-related injuries. Types of facial injuries can range from injuries of teeth to extremely severe injuries of the skin and bones of the face. Typically, facial injuries are classified as either soft tissue injuries (skin and gums), bone injuries (fractures), or injuries to special regions (such as the eyes, facial nerves or the salivary glands).

Reasons for Repair:

Restoration of form and function are the major reasons that one would seek treatment for oral and maxillofacial injuries.







KINGSTON DENTAL SURGERY. Dr. Matthew Hilmi provides comprehensive oral and maxillofacial surgery to residents of the following areas: Dutchess County, Ulster County, New Paltz, Stone Ridge, Hudson, Catskill, German Town, Hyde Park, Accord, Warwarsing, Ellenville, Wapingers Falls, Coxsackie, Ghent, Chatham, High Falls, Ulster Park, Esopus, NY.


Oral and Maxillofacial Surgeons treat a lot more than  wisdom teeth.