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Richmond Oral and Cosmetic Surgeons

Dr Thomas Padgett, DMD

Procedures

To learn more about the oral surgery procedures that we provide, please select a procedure from the menu below:

  • Oral Pathology
  • TMJ Disorders
  • Orthognathic Surgery
  • Wisdom Teeth
  • Dental Implants
  • All-on-4® Treatment
  • Bone Grafting
  • Facial Trauma

Oral Pathology

The inside of the mouth is normally lined with a special type of skin (mucosa) that is smooth and coral pink in color. Any alteration in this appearance could be a warning sign for a pathological process. The most serious of these is oral cancer.

The following can be signs at the beginning of a pathologic process or cancerous growth:

  • Reddish patches (erythroplasia) or whitish patches (leukoplakia) in the mouth
  • A sore that fails to heal and bleeds easily
  • A lump or thickening on the skin lining the inside of the mouth
  • Chronic sore throat or hoarseness
  • Difficulty in chewing or swallowing

These changes can be detected on the lips, cheeks, palate, and gum tissue around the teeth, tongue, face, and/or neck. Pain does not always occur with pathology and, curiously, is not often associated with oral cancer. However, any patient with facial and/or oral pain without an obvious cause or reason may also be at risk for oral cancer.

We would recommend performing an oral cancer self-examination monthly and remember that your mouth is one of your body’s most important warning systems. Do not ignore suspicious lumps or sores, please contact us so we may help.

Initial Consultation

At this visit, your doctor will assess you needs and desires and discuss various treatment options. He will also review your expectations and the probable outcome of treatment. You may be shown several before and after photographs, but remember, results vary with individuals. Your doctor will provide literature for you to review at home and request you return at a later date to finalize the type of procedure you desire and schedule the surgery. At this time, before and after photographs may be taken of the area to document your results. For smaller procedures, a surgery date may be made at the initial visit.


Please assist us by providing the following information at the time of your consultation:

  • Your surgical referral slip and any x-rays if applicable.
  • A list of medications you are presently taking.
  • If you have medical insurance, bring the necessary completed forms. This will save time and allow us to help you process any claims.

IMPORTANT: A parent or guardian must accompany all patients under 18 at the consultation visit.


A pre-operative consultation is mandatory for patients undergoing IV anesthesia for surgery. Please have nothing to eat or drink 6 hours prior to your surgery. You will also need an adult to drive you home.


Please alert the office if you have a medical condition that may be of concern prior to surgery (i.e. diabetes, high blood pressure, artificial heart valves and joints, rheumatic fever, etc.) or if you are on any medication (i.e. heart medications, aspirin, anticoagulant therapy, etc.)


X-Ray

If your physician or dentist has taken X-Rays, you may request that they forward them to our office. If there is not enough time, please pick them up and bring them to our office. If additional films are necessary, they can be taken at our facility.