Dr. George A Maranon

12/25/2025

10/24/2025

What an incredible night! Thank you to everyone who joined us for our CE dinner event and to all who helped make it such a success.

09/27/2025

Celebrating Dr. D’s special day with the team. Wishing you all the best in the year ahead!🎉🥳

08/19/2025

Precision. Teamwork. Patient care. Behind every successful oral surgery is a dedicated team working in harmony.

03/19/2022

Highly recommend all parents to watch with their teens. Awareness and communication can help prevent loss of life.

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Important information ALL parents should know about how fake pills are killing our kids.

Learn about how the drug landscape has changed since you were a kid and the risks today’s kids face. Featuring 3 families who have lost kids to fake prescription pills and what they wish they had known.

10/11/2019

Educating about the dangers of Va**ng can save a life.

The number of cases has risen weekly. So far, 19 deaths have been confirmed, and health officials say more are being investigated.

04/02/2019

This patient was a 30-year-old female who presented to my office concerning a previously extracted tooth number 8. She had an implant placed in this site while she was living in New York. She allowed enough time for the implant to be integrated and restored prior to her wedding.
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Unfortunately, the implant failed integrate and needed to be removed. After the removal of the implant, the level of the marginal labial gingiva was superior to that on the adjacent tooth number 9.
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Clinically it appeared that there was only a slight anterior-posterior alveolar ridge width deficiency. A CBCT demonstrated the real extent of her alveolar ridge atrophy. A muco-adhesion removable partial denture was fabricated for aesthetics during her wedding.
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After her honeymoon, the patient returned and underwent labial alveolar ridge bone and connective tissue grafting using a particulate mineralized bone allograft and a tenting screw.
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Five months later she returned for the placement of the dental implant in the edentulous space of tooth number 8 with an immediate screw retained fixed provisional restoration
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She is now five years status post implant placement.
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@ Dr. George A Maranon

03/04/2019

We have been using Leukocyte Platelet Rich Fibrin (L-PRF) for some time now. Using a specific centrifuge, a concentrate of the patient’s own platelets and white blood cells is prepared. Nothing is added to the blood in this process. Only 2 ounces of blood is needed to fabricate the concentrate. This concentrate platelets and white blood cells also contains key proteins and growth factors.
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These proteins and growth factors recruit the patient’s own stem cells to the surgical site and stimulate bone and soft tissue growth, which accelerates bone and soft tissue healing. These growth factors also speed recovery and shorten healing time. This process is frequently used with bone grafting procedures that we perform in the office. We use it as a matter of routine during our third molar (wisdom tooth) and other tooth extraction procedures.
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This technique and our atraumatic extraction protocols have further helped to speed the recovery of our patients. Our incidence in alveolar osteitis (dry socket) has historically been very low. The addition of L-PRF has led to a further reduction in this and other common postsurgical complication.
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02/07/2019

Post-surgical CB CT scan images of the reconstruction of a 42-year-old male with a composite hard and soft tissue vertical and horizontal defect. You can see in the CB CT scan the outline of the block bone grafts and the fixation screws. You can also note the dimensional reconstruction of the vertical and horizontal defect. The prosthetic teeth in the Essex retainer demonstrate the amount of vertical and horizontal augmentation achieved. The patient will be followed throughout this initial healing phase. In approximately four months he should be ready for the placement of dental implants in the reconstructed edentulous spaces of teeth numbers 10 and 12. These implants will be used to support a three unit fixed partial denture for the replacement of teeth numbers 10, 11 and 12.
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@ Dr. George A Maranon

02/06/2019

Following the protocol, the site was exposed using full thickness labial and palatal mucoperiosteal flaps. The labial flap incision margins were widely undermined and cut back incisions were placed to extend the base of the labial flap to allow for tension-free closure at the end of the procedure.
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Sharp palatal subepithelial dissection is started at the distal aspect of the maxillary second bicuspid tooth and is carried anteriorly to the mesial aspect of the canine region. The VIP-CT flap was then divided at the distal aspect of the subepithelial dissection. The flap is then rotated anteriorly and used to cover the recipient site. Hard tissue reconstruction started with preparation of the recipient site for the block bone allograft. The block bone allograft is then modified to fit the recipient site. The graft is then mortised into the recipient site and stabilized using three 1.5 mm titanium fixation screws placed in a lag fashion.
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Additional particulate bone allograft is then placed around the periphery of the block bone graft. The VIP-CT flap was then advanced over the graft and sutured to the vestibular periosteum. A labial flap is then advanced over the VIP-CT flap and closed primarily.
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A provisional Essex retainer is used to replace the dental component of the defect to keep pressure off the graft site. The following post will show his post-surgical CB CT scan images.
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02/06/2019

The patient is a 42-year-old male who suffered the loss of his maxillary left lateral incisor and first bicuspid teeth due to an impacted ankylosed maxillary left canine tooth. He presented with a composite hard and soft tissue vertical and horizontal defect at that site. His medical history was significant for aplastic anemia. The patient underwent a bone marrow transplant in January of last year.
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In order to correct the defect, a block bone graft was planned. Because of his medical history and the preference of the patient, the decision was made to not perform an autologous block bone graft. A block bone allograft was planned to correct the hard tissue defect. The soft tissue defect would be corrected using a technique developed by Dr. Anthony Sclar called a Vascularized Interpositional Periosteal-Connective Tissue (VIP-CT) flap. This technique allows for simultaneous hard and soft tissue site development. The VIP-CT is an anteriorly-pedicled vascularized random-pattern flap used to transfer a large volume of connective tissue. These are the patients presenting CT scan images and pre-op photograph. Follow our next post to see the reconstruction.
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@ Dr. George A Maranon

02/05/2019

I would like my orthodontic colleagues to comment on this case! This 15- year old patient presented to our office to evaluate extraction of her third molars and to surgically upright tooth number 31. Her case presents a dilemma. The patient is in the final stages of her Invisalign treatment and is at a halt due to the position of tooth number 31. Unfortunately,due to the angulation of this tooth, uprighting it would bring it into traumatic occlusion with the super erupted tooth number 2.
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Treatment options include, intrusion of tooth number 2 or significant coronoplasty. This could still result in an open bite situation. The resulting angulation of the repositioned tooth number 31 would likely still be unfavorable.
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A second option might be to allow for further development of the third molar teeth and to consider the extraction of tooth number 31 and transplantation of tooth number 32 into that site.
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A final option would be to consider would be the extraction of the maxillary right second and third molar teeth.
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As a surgeon,this is an example as to why it is important to have orthodontic consultations and examination earlier in development. If the patient had started her orthodontic treatment at a younger age, the re-positioning of tooth number 31 might have been much more manageable. I ask that my orthodontic colleagues to comment on if Invisalign orthodontic treatment was the most appropriate way of managing this case and possible treatment alternatives.
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