Oral Surgery Procedures

Our oral & maxillofacial surgery expert in McLean, VA, Dr. Gocke performs surgical procedures to improve, restore and enhance your complexion from orthognathic and corrective jaw surgery to wisdom teeth extractions and facial reconstruction. These procedures are done all under one roof and for all ages.


Click on the photo to learn more about our treatments.


The average adult mouth is made to hold only 28 teeth. It can be painful when 32 teeth try to fit in a mouth that holds only 28 teeth. These four other teeth are often crammed in around the age of 18 and are your third molars, also known as “wisdom teeth.”

The Problem

Wisdom teeth are the last teeth to erupt within the mouth. When they align properly and gum tissue is healthy, wisdom teeth do not have to be removed. Unfortunately, this does not generally happen. The extraction of wisdom teeth is necessary when they are prevented from properly erupting within the mouth. They may grow sideways, partially emerge from the gum, and even remain trapped beneath the gum and bone. Impacted teeth can take many positions in the bone as they attempt to find a pathway that will allow them to erupt successfully.

Our Solution

In most cases, the solution to remove wisdom teeth is performed under local anesthesia, laughing gas (nitrous oxide/oxygen analgesia), or general anesthesia. Because of the complications that can derive from this procedure (such as sensory nerve damage, sinus complications, tooth fragments left behind), it is wise to choose an oral and maxillofacial surgeon to perform the surgery for you or your teenager.

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As a father of three young children, Dr. Gocke knows children require special attention and care when it comes to their oral healthcare.

As parents ourselves, we understand how worrisome it is to have your child undergo any surgery. We assure you our medical staff and hospital-like operating rooms are up-to-par with the most advanced health institutions.

  • We thoroughly explain every procedure to you, the parent, and to your child in a way he or she can understand.
  • All of your questions and concerns will be answered.
  • We will build trust with your children to make them feel comfortable.

In addition to his extensive training in oral and maxillofacial surgery, Dr. Gocke is PALS (Pediatric Advanced Life Support) certified. Kylie, our Lead Surgical Assistant, also has several years of experience working with infants and children at a pediatric dental office. We vow to safeguard their smiles as if they were our children.


To be in need of a tooth extraction is a VERY painful way of living. Thanks to his advanced training in IV and local anesthesia, Dr. Gocke can perform tooth extractions and tooth eruption procedures completely without pain. Our methods can even locally numb the area for three days so you can recover faster and be more comfortable.

Some teeth are extracted because they are severely decayed; others may have advanced periodontal disease or may be broken beyond repair. Other teeth may need removal because they are poorly positioned in the mouth, blocking your way to a beautiful smile during your orthodontic treatment.

Other teeth never came out during adolescence because they were impacted or “stuck” under the gumline. An easy surgical procedure is performed to give that tooth the little nudge it needs to erupt and fill your smile’s potential.

Of course, many serious complications can result if these surgical procedures are not performed properly. It is advisable to seek an expert like Dr. Gocke who is trained to perform sensitive oral and facial surgeries.


Oral and maxillofacial surgeons are trained, skilled, and uniquely qualified to manage and treat facial trauma. Injuries to the face and jaw fractures, by their very nature, impart a high degree of emotional and physical trauma to patients. The science and art of treating these injuries require special training, involving a “hands-on” experience and an understanding of how the treatment provided will influence the patient’s long-term function and appearance as well as a smooth recovery.

Dr. Gocke meets and exceeds these modern standards. He is on staff at local hospitals and delivers emergency room coverage for facial injuries, which include the following conditions:

  • Facial lacerations
  • Intraoral lacerations
  • Avulsed (knocked out) teeth
  • Fractured facial bones (cheek, nose, or eye socket)
  • Fractured jaws (upper and lower jaw)

Only a physician with this level of expertise can restore your self-image cosmetically and functionally.


Orthognathic surgery is needed when jaws don’t meet correctly and/or teeth don’t seem to fit with the jaw. Orthodontics straighten teeth and corrective jaw surgery repositions a misaligned jaw. This improves facial appearance and also ensures teeth meet correctly and function properly.

Dr. Gocke uses modern computer techniques and three-dimensional models to show you exactly how your surgery will be approached. Using comprehensive facial x-rays and computer video imaging, we can show you how your bite will be improved and even give you an idea of how you’ll look after surgery. This helps you understand the surgical process and what to expect from the treatment prescribed. Our goal is to help you understand the benefits of orthognathic or corrective jaw surgery.


This surgical procedure is performed when we need to prepare or restore optimal conditions of the mouth before the placement of your prosthesis.

To ensure the maximum level of comfort, some patients require minor oral surgical procedures before receiving a partial or complete denture.

Remember: A denture sits on the jawbone ridge, so it is critical the bone is the proper shape and size. If a tooth needs to be extracted, the underlying bone might be left sharp and uneven. For the best fit of a denture, the bone might need to be smoothed out or reshaped. Sometimes, the excess bone would need to be removed before denture insertion.

One or more of the following procedures might need to be performed to prepare your mouth for a denture:

  • Bone smoothing and reshaping
  • Removal of excess bone
  • Bone ridge reduction
  • Removal of excess gum tissue
  • Exposure of impacted teeth

Over time, if there are no teeth fixed to your jaw, the jawbone begins to lose its strength and deteriorate. This often leaves a condition in which there isn’t enough bone suitable for placement of dental implants. In these situations, dentists cannot help patients because it requires an expert with the right training.

Thankfully, an oral and maxillofacial surgeon like Dr. Gocke has that expertise. With advanced biological technology, we have the ability to grow bone where needed.

We can cosmetically and functionally restructure your jawbone and facial bones and help them to grow back, no matter how many years it’s been! This affords the opportunity for placing dental implants to look and function as naturally and beautifully as the teeth you were born with.


See what Clare (age 9) has to say about her pediatric oral surgery experience with Oral & Maxillofacial Surgeon, Dr. Gocke.

Full Menu of Oral & Maxillofacial Surgical Procedures


We believe no one should live in pain or feel embarrassed to smile, laugh, speak, or eat. With credentials beyond the norm and experience performing all kinds of oral & facial surgery, Dr. M. Timothy Gocke is eager to restore your smile and help you live pain-free.

Experience the oral healthcare everyone in Virginia is smiling about.

View the smile and facial restorations we have completed for others like you.


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