Facial Trauma: Avulsed (Knocked Out) Teeth Treatments | Hunstville The term dental avulsion refers to the complete removal of a tooth from its socket after a traumatic injury. Front tooth injuries during childhood are fairly common. When the tooth is completely knocked out of its socket (avulsed), it is a severe injury.

The maxillary central incisors are the teeth which are most impacted by avulsion injuries. Permanent teeth that have not yet matured have less mineralized bone structure. Furthermore, the periodontal ligamentum structure in such teeth is looser which causes these teeth to be less resistant against extrusive forces.

Therefore, children between seven and nine years of age typically suffer from avulsion in case of dental trauma. Experienced surgeon Dr. Landon D. McLain provides treatments for facial trauma to patients in Huntsville, Madison, Florence, Decatur, Scottsboro, Cullman, Athens, Alabama, and surrounding communities.


Replanting the Natural Tooth

Replanting the tooth as soon as possible is usually the best option. This holds true only in the case of permanent teeth. After the tooth is replanted, it can heal in two ways if properly managed. In ideal circumstances, the ligament around the tooth reforms and the longevity of the tooth is the same as any other tooth. This is called “periodontal healing.”

In cases of excessive ligament damage, the healing takes place by bony replacement. Effectively, bone replaces the tooth and is lost over a few years. This is known as “bony healing.’


Patient Guidelines

  • The patient should remain calm.
  • Locate the tooth, and lift it by the white part (crown). Do not touch the root.
  • In case the tooth appears dirty, wash it briefly for around ten seconds under cold running water and place it in its position. The patient or parent should try to replant the tooth. The patient should be made to bite on a handkerchief to hold the tooth in place.
  • In case this is not possible, store the tooth is an appropriate medium such as a glass of milk or a special storage unit available for knocked out teeth (for instance, saline or Hanks balanced storage medium). The tooth can be transported in the mouth as well by placing it between the molars and the inside of the cheek. However, if the patient is very young, they may swallow the tooth. Therefore, it is perspicacious to ask the patient to spit in a container and store the tooth in it. Do not store the avulsed tooth in water.
  • Seek immediate dental treatment.

In case the tooth is replanted before the patient reaches the oral surgeon’s office, the surgeon will typically undertake the following:

  • Let the tooth remain in place
  • Cleanse the area with saline, water spray, or chlorhexidine
  • Suture gingival lacerations if required
  • Assess the normal placement of the replanted tooth clinically as well as with an x-ray
  • Place a flexible splint for up to two weeks
  • Systematically administer antibiotics with tetracycline being the first choice. If the patient is young, the surgeon may administer phenoxymethyl penicillin (Pen V) or amoxicillin at suitable a dosage on the basis of the patient’s weight and age as an alternative to tetracycline.
  • In case the avulsed tooth has been in contact with contaminants such as soil and if uncertain of tetanus coverage, refer to a physician for a tetanus shot.
  • The surgeon will also initiate root canal treatment between seven to ten days of the replantation and prior to the removal of the splint.

Dedicated surgeon Dr. Landon D. McLain receives patients from Huntsville, Madison, Florence, Decatur, Scottsboro, Cullman, Athens, Alabama, and nearby areas for facial trauma treatments.

McLain Surgical Arts is a leading cosmetic plastic surgery practice headed by Dr. Landon D. McLain MD, DMD, FACS in Huntsville, AL. Dr. McLain is a double board certified cosmetic and oral & maxillofacial surgeon, offering a variety of procedures such as dental implants, wisdom teeth extraction, breast augmentation, liposuction, rhinoplasty, tummy tuck, facelift, Botox, and laser skin resurfacing. For more information or to schedule a consultation call 256.429.3411 or click here.

Now taking patients from Huntsville, Scottsboro, Decatur, Madison, Athens, Florence, Cullman, AL and surrounding areas.

Juvederm | Dermal Filler | Cost | Huntsville | Cosmetic SurgeonJuvederm injectable dermal filler is one of the most popular, FDA approved facial fillers designed to reduce the signs of aging and volumize thinning facial skin. During the initial consultation, the cosmetic surgeon will discuss all aspects of Juvederm, inform about other treatment options, and apprise the patient about the estimated costs of Juvederm.

Dr. Landon McLain of McLain Surgical Arts is a double board certified cosmetic and oral & maxillofacial surgeon providing cutting edge surgical and non-surgical aesthetic procedures. Dr. McLain provides Juvederm filler to suitable candidates seeking facial rejuvenation without surgery. He receives patients from Huntsville, Alabama and surrounding areas.


Price Comparison  

Juvederm dermal filler can not only prove to be a more remarkable, impressive, and wonderful anti-aging solution, but also more cost-effective in comparison to various other surgical and non-surgical treatment options. The procedure can be performed without any need for general anesthesia or IV sedation. The cosmetic surgeon can perform Juvederm injections as an in-office procedure, unlike a facial surgery which must be performed at a hospital, surgical center, or a private surgical suite.

Even when compared to certain non-surgical procedures involving laser, ultrasound or radio frequency technologies, or even some advanced chemical peels, the cost of Juvederm injections may turn out to be more competitive. Downtime involved in Juvederm treatment is minimal, which means the patient will not require much time off from work.

No prior allergy tests, post-operative appointments, or prescription medications may be needed for Juvederm. All these are cost saving aspects, which make Juvederm a more affordable facial anti-aging treatment in relative terms. Double board certified cosmetic and oral & maxillofacial surgeon Dr. Landon provides Juvederm facial filler to patients in Huntsville, Alabama and nearby locations.


Financial Factors

The dollar cost of Juvederm procedure can vary from one practice to another, and also from one patient to another at the same practice in some cases. Where the practice is located will make an important difference to the costs. The monetary amount of the living index varies from one region to another, which will have an impact on the average cost of most types of products and services, including aesthetic treatment such as Juvederm.

The quality standards of the practice, the training and experience of the staff members, the level of personalized care and services will influence the overall sticker price of procedure to some extent. Face is aesthetically the most important part of the body, and patients should ideally choose a well-recognized practice for safe and best results.


Extent of Treatment  

Some patients may need only minimal treatment in a certain area of the face to reduce mild to moderate wrinkles, while others may need treatment over a larger surface area of the face. The practice may charge the price according to the quantity of Juvederm gel or injection vials used for treatment.

Some patients may combine Juvederm with other aesthetic procedures, leading to a rebate on the overall impact of this treatment on your checking account. Patients should also consider various financing options to pay for the procedure in convenient and affordable monthly installments.

McLain Surgical Arts is a leading cosmetic plastic surgery practice headed by Dr. Landon D. McLain MD, DMD, FACS in Huntsville, AL. Dr. McLain is a double board certified cosmetic and oral & maxillofacial surgeon, offering a variety of procedures such as dental implants, wisdom teeth extraction, breast augmentation, liposuction, rhinoplasty, tummy tuck, facelift, Botox, and laser skin resurfacing. For more information or to schedule a consultation call 256.429.3411 or click here. Now taking patients from Huntsville, Scottsboro, Decatur, Madison, Athens, Florence, Cullman, AL and surrounding areas.

Practice Overview

McLain Surgical Arts, led by double board certified cosmetic and oral and maxillofacial surgeon, Dr. Landon D. McLain, is a premier practice providing cutting edge procedures in aesthetic as well as oral and maxillofacial surgery. The practice offers the dual benefits of cosmetic surgery as well as oral health procedures under the same roof.

As an experienced cosmetic surgeon, Dr. McLain provides customized treatments that are tailored to meet the specific health and aesthetic needs of a patient. The practice is equipped with latest technologies to help deliver the safest and most effective outcomes in every procedure. Dr. McLain receives patients from Huntsville, AL and surrounding communities.

Oral and Maxillofacial Procedures

McLain Surgical Arts provides a comprehensive range of oral and maxillofacial procedures, including the following:

Wisdom Teeth Extraction

Wisdom teeth are also called the third molars. Very often these teeth may come in impacted, requiring extraction. Dr. McLain is highly trained and experienced in performing this procedure with satisfying and sustainable results for his patients.

Dental Implants

Dental implant surgery is a complex procedure, but it is by far the most effective procedure for teeth replacement. Dr. McLain provides advanced dental implants to restore both function and aesthetics.

Jaw Surgery

As a leading double board certified oral and maxillofacial surgeon, Dr. McLain specializes in procedures that repair jaw related irregularities, improve bite and breathing ability, and enhance orthodontic outcomes. He provides this surgery to patients in Huntsville, AL and nearby areas.

Facial Trauma Surgery

Dr. McLain puts his extensive training in dental, medical, and cosmetic surgery to full use when performing advanced and complex procedures such as facial trauma surgery. He can achieve corrective results while maintaining the aesthetic balance at the same time.

Aesthetic Surgery Procedures

McLain Surgical Arts is fully equipped to provide the latest and proven aesthetic surgery procedures. Dr. McLain is a trained and experienced cosmetic surgeon providing these procedures.


Breast augmentation, breast lift, breast reduction, breast augmentation with lift, and breast revision are some of the key breast cosmetic surgery procedures offered by Dr. McLain.


Major body contouring procedures performed at McLain Surgical Arts include liposuction and tummy tuck surgery. Liposuction is the most popular cosmetic surgery procedure in the US today. Both women and men can benefit equally from these procedures.


With his strong training background in oral and maxillofacial surgery, Dr. McLain is in the perfect position to provide facial cosmetic surgery as well as oral and maxillofacial procedures.


A number of non-surgical skin rejuvenation procedures are also provided at Dr. McLain’s practice. These may be performed independently or in conjunction with facial plastic surgery procedures. The procedures include Botox, dermal fillers, laser skin resurfacing, and other aesthetician and skin care services and products.

Dr. McLain practice is based out of Huntsville, AL, and serves Birmingham and Decatur, AL, as well as parts of Georgia and Tennessee. Dr. McLain is a recognized leader in the field, who is involved in multiple lecturing, training, and research activities, in addition to providing cutting edge treatments to his patients.

Medical Spa Services Huntsville, Alabama

Recently, we significantly expanded our menu of medical spa services and welcomed a licensed aesthetician, Leslie Ware, to complement our Cosmetic surgery treatments . The decision to broaden the services enables us to meet the cosmetic needs of more patients in the Huntsville, Alabama, area.

Non-surgical treatments

Non-surgical treatments are increasingly sophisticated and require a trained and experienced aesthetician to get the best results, whether a patient is looking to minimize the earliest signs of aging or wants to maintain the results of a past surgical procedure. We are extremely fortunate to have Leslie join our team. She is one of the most sought-after aestheticians in the Huntsville area and has been seeing patients at her own clinic for years.

We feel it’s important for patients to receive these types of treatments in a medical setting with a licensed practitioner, rather than in a salon or day spa setting. Even though procedures such as chemical peels, acne treatments, and dermaplaning are non-surgical, they should only be performed by an experienced professional.

A sampling of the med spa services we now offer includes:

  • Customized facials that include cleansing, exfoliation, and massage
  • Enzyme peels, which are a mild alternative to chemical peels
  • Microdermabrasion for skin rejuvenation with no downtime
  • Laser hair removal using the latest technology

Leslie is the ideal person to perform these added services. She started working in the beauty and skin care field at the age of 19 and immediately knew she’d found her calling. Leslie specializes in the treatment of pigmentation conditions, signs of aging, and teen and adult acne. She’s also a Huntsville native and a mom of 3 teenagers.

We’re excited to offer these expanded services and hope you’ll come in to meet Leslie and ask about all our new treatments. We also have professional-grade skin care products so you can maintain your results at home.

For more information on Cosmetic Plastic Surgery, Medical Spa,  Oral & Maxillofacial surgery procedures and treatments, please contact the Huntsville, Alabama office of Double board-certified Dr. Landon D. McLain MD, DMD, FACS  at  256.429.3411 or click here to contact the team.

Link to Business Insider Article

I recently came across this online article on Business Insider, about what physical features make men attractive to women.  Below are the 5 features discussed in the article.

  1. Facial Symmetry  which is an indicator of good genes and health.  This is a common feature of attractiveness in both sexes.
  2. Voice–  deeper voices were more attractive to women.  This clearly explains the fascination of many women and Barry White love songs.
  3. Jaws  large, well defined jawlines were deemed to be a good indicator of reproductive health.  Certainly, a more prominent and well defined lower jaw has been pretty ubiquitous to Hollywood’s leading men over the years
  4. Eyes  the outline of the colored portion of the eye is termed the limbal ring.  A prominent limbal ring, which is only visible in lighter eye colors, signals health and youth.  Advantage to the blue-eyed beaus.
  5. Height–  a recent study showed men with kids were, on average, one inch taller than men without kids.

None of this is very earth-shattering and follows most of our assumptions about male attractiveness.   Interestingly, there is only one feature that can be “easily” altered.   And, no, I’m not suggesting we all go and get colored contact lenses with prominent limbal rings.  Those look pretty fake once your within 3 feet of a person wearing them.  I’m referring to the jaw or jawline more specifically.  The good news is, there are several procedures that can increase the prominence of the lower jaw and render a more attractive appearance.  Consider these options before buying platform shoes or having leg lengthening surgery.

Neck Liposuction

As men (and women for that matter) age, especially with a little weight gain, the fat pockets underneath the chin and jaw may enlarge.  This hides the once prominent jawline that was so well defined in our youth or when we were more physically  fit.  Liposuction to the neck is one of the easiest cosmetic procedures to undergo and has a very high satisfaction rate with minimal downtime.

Chin Implants

For those who have a small retruded chin, placement of a anatomically contoured chin implant can make the world of difference.  Despite what you may have seen in the movies, most chin implants are very natural looking without any stigma of surgery.  There are even implants to improve the angle of the jaw.  These solid silicone implants are very safe and most types can be easily removed if the patient desires.

Jaw Surgery

Otherwise known as orthognathic surgery, which is primarily intended to improve the patient’s bite and function.  The “extra” benefit to this procedure is that in many situations we are moving the lower jaw forward, creating more prominence to the jawline and significantly improving the patient’s appearance.  This procedure is almost always combined with a period of braces applied by an orthodontist before and after the surgery and although this has a bit more recovery, the results are lifelong.


This is the gold standard in facial rejuvenation.  With the passage of time, the soft tissues of the face and neck descend and literally hide the chin and jawline even if your bone structure is ideal.  If you are in your fifties or sixties, you most likely know what I am referring to.  A facelift or rhytidectomy, addresses the sagging tissues and restores a more youthful contour to the jawline.

Many times, some of the aforementioned procedures are combined to yield an even more significant result.  If you are interested in improving your jawline or any other aspect of your appearance, please contact our office by phone or email.  While we cannot make you a Hollywood’s A-lister, we can definitely improve your attractiveness.

-Landon McLain MD, DMD

Contemporary Rhytidectomy (Facelift Surgery)

Facial cosmetic surgery has become an increasingly promi­nent tenant of oral and maxillofacial surgery training and in practice. This is no doubt due to not only the increasing social acceptance and demand for rejuvenative procedures (both surgical and nonsurgical) but also with the contemporary oral and maxillofacial surgeon’s unique training and focus on esthetics. Esthetic demands are innate in dentistry and the precision, technical demands, and attention to detail involved in even the most basic dental procedures are the exact same qualities required to excel in the arena of facial cosmetic surgery. We all remember the painstaking time and effort required to shape, contour, and color even simple dental restorations in dental school. This is not dissimilar to the basic principles required in cosmetic facial surgery. Moreover, the additional hospital-based medical and surgical training impart a singular advantage to the oral and maxillofacial surgeon who desires to include cosmetic surgery as part of his/her daily practice. Few, if any, other surgical specialties involve such a variation of hard tissue and soft tissue management as oral and maxillofacial surgery. Typically, oral and maxillofacial surgery training is very trauma heavy, which requires complete anatomic and physiologic knowledge of the face and neck, as well as sound surgical principles and judgment. Other tradi­tional surgical procedures, such as orthognathic surgery, have an inherent esthetic component. Thus, the ever-increasing presence of facial cosmetic surgerytraining in residencies and beyond is quite logical. It is my opinion that facial esthetic procedures should be as common for the oral and maxillofa­cial surgeon as it is for the otolaryngologist, plastic surgeon, dermatologic surgeon, and ophthalmic surgeon.

Facelift Techniques

In the surgical arena, the rhytidectomy or “facelift” is the workhorse of facial rejuvenation and must be mastered to have a complete facial esthetic surgery practice. Truth be told, rhytidectomy techniques have evolved very little in the last few decades. It is the addition of complementary and more minimally invasive techniques that has truly advanced the procedure in recent years. Yet, the nomenclature sur­rounding these procedures can be quite confusing, even among surgeons. Perhaps the most precise terminology is to categorize the lift or rhytidectomy by location and degree. For example, the most common “facelift” performed would be correctly termed a lower face and neck lift. This is the procedure that is the focus of this text.

The goal of this issue is to offer the reader an introduction to the most common rhytidectomy techniques used today, as well as some of the most common complementary pro- cedures that should be an integral part of any lower facial rejuvenation plan. Although many of these techniques are congruent, the reader will notice some conflicting opinion among the articles. This is due to the fact that no two surgeons
are the same and different techniques perform differently in different hands. I thank all the authors (all accomplished and reputable surgeons with an exceptional dedication to facial cosmetic surgery) and it is my sincere hope that this text will contribute to the reader’s expanding knowledge and interest in the rhytidectomy as well as esthetic surgery as a whole.
Landon D. McLain, MD, DMD, FMCS
McLain Surgical Arts
2045 Cecil Ashburn Drive
Suite 101
Huntsville, AL 35802, USA

E-mail address: IdMcLain@yahoo.com