At Loudoun Oral and Maxillofacial Surgery, we use the latest technology to provide more effective treatment. We use the most current anesthesia monitoring equipment available and are equipped with state-of-the-art surgical technology for all of our procedures, including Piezo® ultrasonic surgical instrumentation, , the i-CAT cone beam CT scanner, sonic weld bone grafting technology and PRGF (plasma rich in growth factors).


Piezosurgery uses ultrasonic vibrations to make incisions in the bone in a much more controlled and conservative manner than traditional methods.   The ultrasonic energy is directed to the tip of the instrument and can make a cut as narrow as 0.3mm.  The unique and extremely useful feature of this system is that although it cuts bone it does not harm soft tissue.   This means that it can be used to do delicate work around the sinus and nerves of the maxillofacial region.  These procedures can be done much more safely and with more control.   We have found this technology very useful for numerous surgical procedures and will discuss this technology if it is appropriate for your particular situation.

i-CAT Cone Beam Scanner

iCATDr. Bluhm, Dr. Dorsch, and Dr. Vandervort are proud to use the i-CAT cone beam scanner to obtain important diagnostic and treatment planning information. The i-CAT cone beam scanner is a leap above traditional 2D X-rays because it gives us a 3-dimensional, accurate representation of a person’s anatomy. This is the same type of information obtained by medical CAT scanners but with much less exposure to radiation. With our recent iCAT upgrade, we are able to perform full dentition 3D imaging at a dose lower than a 2D Panoramic X-ray with QuickScan+ as well. This information can then be used and manipulated to aid in diagnosis, greatly increase accuracy, and ensure patient safety.

In some cases, we can perform virtual surgery on an exact replica of a patient prior to performing any actual surgical procedures thanks to the i-CAT. Using this virtual surgery, we can create useful surgical guides that can allow a more conservative procedure. It may even eliminate some of the traditional incisions used for surgery.

i-CAT technology will not only aid in diagnosis and treatment planning for reconstruction of the jaw and mouth, but in all types of procedures, including dental implant placement, wisdom teeth removal, trauma, and pathology.

Sonic Weld Technology

For bone grafting, a new technology has been developed which allows for a more predictable result while reducing the need to harvest a patient’s own bone. The sonic weld system combines cutting edge technology with resorbable implants to create a new era in guided bone regeneration. The sonic weld technique uses the thermoplastic properties of resorbable polymer pins and foil to create a stable three-dimensional barrier.  The membrane or “foil” is placed and ultrasonically welded in place to hold the volume of graft material. The increased rigidity increases the predictability of regenerating the desired bone volume. The pins and membrane resorb and disappear over time, which eliminates the need to remove them at a later date.

Plasma Rich in Growth Factors (PRGF) and Leukocyte – Platelet Rich Fibrin (L-PRF)

Plasma Rich in Growth Factors (PRGF) and Leukocyte – Platelet Rich Fibrin (L-PRF) are by-products of blood that are rich in platelets. Thanks to PRGF and L-PRF, our doctors can now help accelerate the body’s natural healing process. PRGF and L-PRF are techniques that use a small amount of blood from your own body. Specific plasma proteins are separated from the blood, and these plasma proteins are used to encourage bone growth, repair soft tissues, and speed the healing process.  Because we’re using your body’s natural resources, PRGF and L-PRF are completely safe, effective, and offers a reduced risk of infection.

Our doctors use PRGF and L-PRF as part of the following treatments:

  • Bone grafting (including sinus lifts and ridge augmentation) for implants
  • Soft tissue grafting
  • Bone repair
  • Tooth extraction

PRGF and L-PRF does not need to be used in all cases, but it can be beneficial in many. If you would like to learn more about PRGF and L-PRF and its benefits, please contact Loudoun Oral and Maxillofacial Surgery in Ashburn or Leesburg today.