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Your Trusted Oral & Maxillofacial Surgery in Delaware
First State Oral & Maxillofacial Surgery has been serving patients in Delaware since 2002 with advanced surgical solutions for dental and facial conditions. Our team of board-certified oral surgeons specializes in dental implants, corrective jaw surgery, and complex extractions using state-of-the-art technology. We maintain hospital privileges at Bayhealth Medical Center and offer three convenient locations in Dover, Seaford, and Rehoboth Beach. Our practice combines extensive surgical expertise with personalized care to address conditions ranging from impacted wisdom teeth to facial trauma.

We utilize 3D imaging and computer-guided surgery to ensure precise treatment planning while prioritizing patient comfort through comprehensive anesthesia options. Our commitment to continuing education ensures we remain at the forefront of oral surgical advancements while maintaining strict adherence to clinical excellence and patient safety standards.
Services
Dental Implants Teeth In A Day Wisdom Teeth Extraction Orthognathic Surgery Oral Pathology Sleep Apnea Treatment Bone Grafting TMJ Treatment Facial Trauma Emergency Dental Services
Highlights and features
  • We offer 3D imaging and computer-guided surgical planning for precise treatment
  • Our surgeons maintain hospital privileges at Bayhealth Medical Center
  • Three convenient locations with specialized oral surgical teams
  • Comprehensive anesthesia options for patient comfort
  • Board-certified surgeons with advanced training in maxillofacial procedures
What people say
Experienced surgical assistants Courteous and supportive Successful outcomes Advanced technology Emergency procedures handled well
Services
Dental Implants
Dental implants provide permanent tooth replacement solutions that look, feel, and function like natural teeth. Our board-certified surgeons use advanced imaging technology to ensure precise implant placement. Patients benefit from restored chewing functionality and facial structure preservation through these titanium root substitutes that integrate with the jawbone.
Teeth In A Day
Teeth In A Day offers immediate full-arch tooth replacement using strategically placed implants. This minimally invasive procedure allows patients to receive permanent prosthetic teeth in a single appointment. The treatment provides stable, functional replacement teeth without requiring multiple surgical visits or temporary dentures.
Wisdom Teeth Extraction
We specialize in removing impacted or problematic wisdom teeth using advanced surgical techniques. The procedure addresses overcrowding, infection risks, and alignment issues caused by emerging third molars. Patients receive personalized care plans and appropriate anesthesia options for optimal comfort during extraction.
Orthognathic Surgery
Corrective jaw surgery addresses misaligned jaws and bite issues through precise bone repositioning. Our surgeons use 3D imaging to plan complex procedures that improve both function and facial aesthetics. The treatment resolves difficulties with chewing, speaking, and breathing while enhancing overall facial symmetry.
Facial Trauma
Our team manages facial injuries including fractures of the jaw, cheekbones, and orbital structures. Emergency treatment follows established protocols for both soft tissue and bone injuries. We employ rigid fixation techniques and minimally invasive approaches to restore facial function and appearance after traumatic incidents.
People
Douglas Ditty
Oral and Maxillofacial Surgeon
Dr. Ditty completed dual training in dental medicine and medicine at the University of Pennsylvania. He brings integrated expertise in complex oral surgical procedures and patient care.
Rhae A. Riegel
Oral and Maxillofacial Surgeon
Dr. Riegel earned her dental and medical degrees at the University of Pennsylvania with specialized training in facial trauma and reconstructive surgery during her residency.
Franklin X. Pancko
Oral and Maxillofacial Surgeon
Dr. Pancko completed his oral surgery residency at Montefiore Medical Center after serving in the Army Dental Corps, bringing military precision to his surgical practice.
Nicholas J. Alcorn
Oral and Maxillofacial Surgeon
Dr. Alcorn trained at the University of Pennsylvania and Temple University Hospital, specializing in implantology and reconstructive oral surgical techniques.
Questions
What dental implant options are available?
We offer single implants, implant-supported bridges, and full-arch replacements using the Teeth In A Day technique with 4-6 implants for permanent tooth replacement.
Do you treat emergency dental trauma?
Yes, our surgeons handle facial injuries including jaw fractures, knocked-out teeth, and soft tissue lacerations with immediate evaluation and treatment available.
What technology do you use for surgical planning?
We utilize 3D CT imaging, computer simulation, and Anatomage Table technology for precise treatment planning and surgical guide fabrication.
Are sedation options available?
Yes, we provide local anesthesia, nitrous oxide, and general anesthesia options tailored to each patient's needs and procedure complexity.
How should I prepare for wisdom teeth removal?
Patients receive detailed pre-operative instructions including fasting requirements and post-operative care guidelines for optimal recovery after extraction.