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Facial Trauma Repair

Facial injuries can happen in an instant — from a car accident, a fall, a sports collision, or an act of violence. When they do, getting the right care quickly makes a real difference in how well you recover. Our surgeons are trained in the full scope of facial trauma treatment, from fractures to soft tissue repair.

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Common Types of Facial Trauma

Facial injuries vary widely in type and severity. Our team has experience treating all of the following:

  • Bone Fractures: Fractures can occur in the jaw, cheekbones, nose, or eye sockets. Each location presents its own implications and requires a specific surgical approach to restore alignment and function.
  • Soft Tissue Injuries: Cuts and lacerations to the face or inside the mouth, as well as damage to facial nerves, ducts, and muscles, require careful repair to minimize scarring and preserve long-term function.
  • Dental Trauma: A hard impact can break, loosen, or knock out teeth entirely. Prompt treatment gives the best chance of saving the affected teeth — and when that’s not possible, replacement options like implants can restore what was lost.

Why Early Treatment Is Critical

When it comes to facial trauma, timing matters. The sooner you’re evaluated, the better the chance of restoring both function and appearance with the least disruption to your recovery.

Delaying care can lead to complications that are harder to correct later — chronic jaw pain, misalignment, difficulty chewing or speaking, and increased scarring. Bones that begin healing in the wrong position may require more complex intervention down the road. Early treatment gives your surgeon the best opportunity to stabilize the injury, protect the surrounding structures, and set you up for the smoothest possible recovery.

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Treatment Options for Facial Trauma

Treatment is tailored to the nature and severity of your injury. Depending on what your evaluation reveals, your care may include one or more of the following:

  • Bone Fracture Repair: Fractured facial bones are often stabilized using internal fixation — small plates and screws that hold the bone securely in place while it heals. This approach allows for precise repositioning and a more predictable outcome.
  • Soft Tissue Repair: Lacerations are carefully closed with attention to both function and appearance. When nerves or ducts are involved, your surgeon works to protect their integrity throughout the repair.
  • Dental Trauma Treatment: Injured teeth are assessed and treated as quickly as possible. If a tooth can be saved, it will be. When replacement is necessary, options like dental implants restore both the look and function of your smile.
  • Reconstructive Surgery: For more complex injuries, reconstructive surgery may be needed to restore the structure and appearance of the face. This type of care draws on both the surgical and aesthetic training that oral and maxillofacial surgeons are uniquely prepared for.

Diagnosis and Evaluation

Understanding the full extent of a facial injury is the foundation of an effective treatment plan. Your evaluation will include a thorough review of your medical history and how the injury occurred, along with imaging — X-rays, CT scans, or 3D imaging — to assess the bones, soft tissues, and dental structures involved.

This comprehensive picture allows your surgeon to identify injuries that may not be immediately visible and plan the most precise approach to repair.

Experience That Makes a Difference

Facial trauma requires a surgeon who understands both the structural and aesthetic demands of repair. Our team brings specialized training in maxillofacial trauma — treating complex injuries with the precision and care needed to restore not just how your face functions, but how it looks and feels.

From your first evaluation through your final follow-up, we’ll keep you informed, supported, and moving toward the best possible outcome.

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Common Questions About Facial Trauma Repair

If you’re experiencing heavy bleeding, difficulty breathing, loss of consciousness, or severe swelling that’s affecting your airway, go to the emergency room immediately. Once you’re medically stable, an oral surgeon should evaluate any facial fractures, dental trauma, or injuries to the jaw and surrounding structures. In many cases, our team works alongside emergency physicians to coordinate your care from the start.

Facial fractures don’t always look the way you might expect. Swelling can mask the extent of an injury, and some fractures cause surprisingly little visible bruising. Signs that warrant an evaluation include pain with chewing or opening your mouth, numbness in the face, vision changes, a feeling that your bite has shifted, or visible asymmetry in the jaw or cheeks. Imaging is often needed to confirm a diagnosis.

Whenever possible, incisions are placed inside the mouth or along natural contours of the face to minimize visible scarring. Your surgeon will explain the approach specific to your injury and what to realistically expect during healing. Most patients find that scars fade significantly over time with proper aftercare.

It depends on the type and severity of the injury. Soft tissue repairs often heal within a few weeks. Bone fractures typically require six to eight weeks for the initial healing phase, though full recovery — including the resolution of swelling and the return of normal sensation — can take several months. Your surgeon will monitor your progress throughout and let you know what to expect at each stage.

Sometimes, yes — but timing is critical. If a permanent tooth has been knocked out, handle it carefully by the crown, rinse it gently without scrubbing, and try to keep it moist. Getting to a dental or surgical provider as quickly as possible gives you the best chance of reimplantation. When a tooth can’t be saved, dental implants are a reliable long-term option for restoring your smile.

Dr. Brian Krost slider image | Center for Oral & Maxillofacial Surgery

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OUR SURGEON

Brian S. Krost, DMD

A founding presence at the Center for Oral & Maxillofacial Surgery, Dr. Brian Krost specializes in the full range of oral and maxillofacial surgery with particular focus on TMD treatment, reconstructive and cosmetic surgery, laser surgery, and dental implants. He is affiliated with Monmouth Medical Center and is proud to practice alongside his son, Dr. Daniel Krost.

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TESTIMONIALS

Patient Testimonials

The best measure of our care is the experience of the people we treat. Read what patients across New Jersey have to say about their time with our team.

What a great practice this place is! Dr Krost is amazing! He knows his stuff, he’s funny too! His staff is unreal! Sooo attentive and kind. Very professional and understanding. Not your usual office if you know what I mean.
Excellent place; the doctors and staff are amazing too. I had an absolutely best experience ! Thank you
Do you want your oral surgery to be swift and done extremely well? Look no further. I had a mucocele on my lower lip and was DESPERATE to get it out. When no other oral surgeon would take me for over a week, COMS took me within 24 hours. And Dr. Anderson just NAILED this operation. I understand it’s routine, but there was a calmness and a professionalism that he brought with him that you can’t find many places. Front desk staff was extremely helpful, too. Have to give them some love. They were quick and had me checked in and ready to go in no time. Thank you, COMS!

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