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Oral Surgery/extractions & alveoplasty,pain meds


hello,i was secuduled  for the removal of the rest of my teeth on the 9th. was referred to this surgeon because i have to b put to sleep[severe fear of dental} last min.he says i should get the alveoplasty,but i have dent-cal & said they donít cover i need to come up with$500 witch i donít have.i agree this is a good thing being that i canít go thru this stress again.the pain meds get me very sick is there always going to be severe pain with this procedure is there anything else that should be done while Iím under?can you recommend a program that can help pay for this as Iím on ssi fixed income. is there another surgeon you recommend to do this procedures as i donít feel comfortable with this surgeon. it was very hard for me to get this far.ive never been able to smile meet people ect. i was diag. with diabetes last year so eating proper is very hard.keeping my levels at a healthy range is getting better but the stress of all this is bad please help.thank you

Brenda, The best advice I can give you under these circumstances is to find a dental school near you and they will most likely discount the fee's and be able to treat you appropriately. I am sure you will be able to find one near you. I hope that helps.

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James M. Ryan. DDS, MS; Board Certified Oral and Maxillofacial Surgeon


Dr. Ryan's expertise is in the field of Oral and Maxillofacial Surgery. Specifically, Dr. Ryan is an expert in Orthognathic Surgery. He holds uniques experience as the former Assistant Program Director of the Oral and Maxillofacial Surgery Residency Training Program at Washington Hospital Center where he trained residents to perform these complicated surgical procedures. Additionally, Dr. Ryan also has a tremendous amount of experience in reconstruction of the maxillofacial skeleton related to trauma and tooth loss. Dr. Ryan is an expert in 3 dimensional treatment planning for Orthognathic Surgery, Dental Implant Surgery and Wisdom Teeth removal. To learn more about Dr. Ryan, his full profile can be seen at


Diplomate of the American Board of Oral and Maxillofacial Surgery with current hospital affiliations at: Washington Hospital Center Holy Cross Germantown Hospital National Institute of Health/NIDCR

American Dental Association. American Association of Oral and Maxillofacial Surgeons. District of Columbia Society of Oral and Maxillofacial Surgeons. District of Columbia Dental Society. American Board of Oral and Maxillofacial Surgeons. Health Volunteers Overseas.

Journal of Oral and Maxillofacial Surgery Journal of The American Dental Association

S.U.N.Y @ Stony Brook- B.S. in Biochemistry, Stony Brook, NY. Northeastern University- M.S. in Perfusion Technology, Boston, MA. D.D.S.- New York University College of Dentistry, New York, NY. Certificate and Chief Resident- Washington Hospital Center, Washington, DC. Clinical Fellow- The Johns Hopkins Hospital, Baltimore, MD.

Awards and Honors
Dr. Ryan has received numerous awards including: 2006 American Association of Oral and Maxillofacial Surgeons Dental Student Award, Washington Hospital Center 2008 Nurses' Choice Physician Collaboration Award, 2009 Resident Research Summit Scholarship Award, and the 2011 Outstanding Surgical Attending in the Department of Oral & Maxillofacial Surgery at Washington Hospital Center. He has also authored/coauthored and published several journal articles and held several teaching positions,including assistant professor, while at NYUCD.

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