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At South Valley Oral and Facial Surgery, you will find we offer a variety of dental services to meet your healthcare needs. Our staff is highly trained and professional, and keeps informed of the latest techniques and technologies through continuing education.

All-on-4 Treatment Concept®

Invasive treatment options were normally all that was available to dental patients. The process was made for the highest in patient satisfaction. This is due to the fact that previous concepts and methods did not work out well for the patient, caused a decent amount of pain and consisted of multiple visits to the dental office, which proved to be costly.

There are currently numerous companies offering this implant technology and which you use depends on your unique factors and the choice of the dentist performing the surgery and treatment plan for you. Evolving over time, it is one of the most loved and used methods for permanent dentures.

The All-on-4® Treatment Concept

The All-on-4® treatment concept uses the newest technology and advances in the dental market to provide patient satisfaction and to cut down on the costs and process it would normally take. This concept is four implants that are placed in the arch of the mouth to hold the implants that they normally wear in place. This not only improves the appearance of the patient’s smile, but it gives them more confidence since the implants are able to stay in place.

Diagram of the All-on-4® Treatment Concept.The safety for each individual patient is also improved, since the process is much less invasive than some of the other processes that would normally be taken. With the right planning process, each and every implant that is put inside the mouth is expertly chosen and placed. There is no guessing involved. With the latest in 3D technology, this can easily be done so that the patient is able to get a more confident smile without the guess-work that they’d come to expect.

The chances of rejection inside the patient’s mouths were also much lower than other implants that are used. This allows the patient to go into the office, expect better results and have all of their teeth implanted at the same time, instead of having to get one or two implants installed into the gums. With just four holes and screws placed into the gums, the entire length of dentures is then attached. This can be done for both the top and the bottom of the teeth.

The concept was made to ensure that patient satisfaction, quality of life and pain management were kept to a minimum; while also being able to provide a beautiful smile overall. By using this concept, the patients have been able to smile better, feel better and get the results they were hoping for. With a 99.6% success rate, this is the implant and denture plan so many are now choosing.

Benefits of Choosing the All-on-4® Treatment Concept

There are numerous benefits for patients and their dental providers that come with this treatment plan. Before choosing this treatment, consider these benefits:

•  Provides a more confident smile that does not slip out of place,
•  Minimally invasive, needing only four implants to hold the entire row of dentures in place.
•  Smile, eat, laugh and talk with more confidence and self esteem.
•  Have only a couple of appointments and treatments with the dental office, instead of a handful or more.
•  More cost effective and affordable to the patient.
•  Provides more stability as a whole inside the mouth.
•  Each treatment time that you go to the office for is shorter than they’
•  d normally be.

Additional Notes to Consider

Please keep in mind that each and every patient is different. There may be additional procedures or processes that need to be performed, depending on each individual patient to have the implants installed correctly. This, however, depends on the dentures, implants and the patient’s gums and medical records. Speaking with the dentist regarding what the process or treatment plan is can provide you with more specific information regarding your own specific plan.

Though the success rate is high, there are many other considerations to be made in the process. These all have to do with your background medical history, your current gum condition and other factors. The implants can fail with time, but in order to provide the best success, it is essential that you speak with a dentist that can evaluate your unique situation regarding the implants.

If you’re considering the All-on-4® treatment concept, speak with our office here at South Valley Oral and Facial Surgery. Dr. McMurray is able to provide the highest in customer satisfaction so you’re able to smile with more confidence and ease. Call them today to learn even more about setting up an appointment and consultation regarding this new treatment plan.


DOC CIRCLE BUTTON University Dental Group Family Dentist Coral Gables Miami FL

Meet Our Team

LINE 192PX University Dental Group Family Dentist Coral Gables Miami FL

Dr. Richard D. Morales and Dr. Rebeca Garcia represent nearly forty years of clinical experience and well over two-thousand hours of continuing dental education including courses at the world renowned Pankey Institute and through organizations such as the Seattle Study Club and the Academy of General Dentistry. Read More About Our Team

Anesthesia / Sedation

Sedation Options Available

Benefits Of Sedation

At South Valley Oral and Facial Surgery, we know that not everyone enjoys having dental work done. Some people get nervous at the thought of having work done on their mouth, which is a very normal reaction that a lot of people have. That is why we make a variety of anesthesia options available to our patient’s, to help them feel comfortable and secure. Your comfort and safety is our number one concern!

Kinds of Anesthesia and Sedation

We offer a number of different anesthesia options, each is designed to ensure your comfort and safety. Of course we offer local anesthesia in the form of different numbing agents. Many procedures can be done using only local anesthesia as it numbs the site to ensure you don’t feel a thing. We also offer nitrous oxide (AKA laughing gas) to patients who have issues with anxiety. Nitrous oxide is great at giving you a feeling of comfort and warmth to take the edge off of the experience. Finally, we offer general anesthesia, which is also referred to as sleep anesthesia because it places you in a state of unconsciousness for the full procedure.

How General Anesthesia Works

General anesthesia allows us to place you in a controlled state of unconsciousness. During this time your brain will not respond to any pain signals that it receives, allowing you to completely bypass feelings of pains of discomfort. General anesthesia is typically administered through an IV but it is also possible to deliver it through a mask.

Is it safe?

We are passionate about your health and safety and would never use a anesthesia method or product that wasn’t backed by clinical studies and research. We have a huge amount of experience with all anesthetic options we provide and will do our best to make sure your stay with us is perfect.

The Process of Receiving General Anesthesia

All procedures start with us gathering some information about you before we begin. It’s important that we know of any allergies or reaction that you have had in the past so that we can properly prepare for your treatment. We will also ask you about any medications that you are or have been taking to ensure everything works well together. Once we have all the info we need we can begin administering the anesthetic.

As mentioned above, general anesthesia is typically administered to you through an IV but if needles make you nervous we also have a facemask that can be placed over your nose to administer the drug. When we begin to administer the anesthetic, before you know it you will be asleep.

In this sleep you won’t feel pain or discomfort, you won’t feel anything and you will be completely unconscious. We will complete your procedure and remove the anesthetic upon completion. Upon waking you will likely feel a light grogginess or nausea, but rest assured this will pass. If you feel off, just let us know and we can help you to get back to a comfortable place. If you can, bring someone with you who can drive you home.

We care about your comfort and hope that you will call us today at San Jose - (408) 479-9449 Gilroy - (408) 479-8788 or Los Banos - (209) 826-4312 to schedule your procedure.

Dental Implants

Dental Implants & My Practice

One of the most evolving technologies on the market, dental implants have been implemented in many patients throughout the years.

This is a dental process that is much more effective, provides even more benefits to the patients and ensures that they're happy with their smiles when it is performed.

Click below to learn more about our dental implant procedures

What are Dental Implants?

Dental implants are screws and placements put in the gums of the mouth that prosthetic teeth are screwed into. This is a process that has to been gone through in steps in order to let the gums and mouth heal with time. Once the process is done, though, the teeth are more permanent than without having the screws and other mechanisms put in place.

Many patients choose to go this route over dentures since they're more permanent, as well as looking real. It is a great alternative to removable dentures that would otherwise slip out of place, or a partial when just a few teeth are missing. Replacing one, two or even three teeth through this method provides the patient with a more confident smile.

Dental Implants Intro

Are You a Good Candidate for Dental Implants?

Crossections of a jaw with a tooth and dental implant.
Not everyone can have dental implants placed in their mouths. The ideal candidate has to have enough bone in their gums to hold the implants in place. This has to be evaluated by the dentist, as well as having a good oral hygiene record. Each patient is taken on a patient by patient basis to ensure that they're the best candidate for the process.

Not only that, but your past and present medical and dental history will be taken into consideration during the process.

If you are considering dental implants, it is important to speak with a dentist regarding the specific steps that need to be taken to find out if you're an ideal candidate.

What Can Dental Implants Do For Me

Dental Implant Consultation

Benefits of Dental Implants

There are numerous benefits that patients are able to obtain through the use of dental implants.

Knowing these benefits will help you make a decision on whether or not they are right for you.

•  Dental implants are long lasting and beautiful. You never have to remove them, they look and feel like real teeth.
•  You have a more confident smile.
•  You can eat, talk, drink and brush your teeth like you normally would since they act just like your actual teeth would.
•  Implants need the same care as your normal teeth, but since they're made out of a specific material, you do not have to worry about cavities or other issues that would arise with your normal teeth.
•  Your teeth that are currently in your mouth will not become ruined because of infection, missing teeth, grinding teeth or any other issues. The implants are supported in the mouth so this does not happen.
•  Dental implants are more reliable and trustworthy than other dental methods on the market, so you can ensure that they will be a long lasting solution to the tooth problem you're currently experiencing.
•  Ideal for younger patients that have lost their teeth, as well to make them feel more confident about being able to have prosthetic teeth that do not have to be removed.

Dental implants are an ideal alternative to having regular dentures. Since they do not slip or move out of place, they provide the patient with more confidence.

They are also an easy solution for when there is a tooth or two missing. Speaking with a dental professional regarding the process and solutions you're looking for is the first step to having a beautiful smile once again.

Oral Surgeons and Dental Implants

Different Types Of Implants

Long Lasting Impressions with Dental Implants

Create long lasting impressions with the use of dental implants. Never look like you're missing teeth, feel self-conscious about smiling or worrying about not being able to chew correctly. With dental implants, you can replace those missing teeth and get back on track to smiling, eating and talking with others. Feel more confident with the teeth that are placed in your mouth, since they're matched to your face shape and other teeth. It will be like you're not missing teeth at all.

If you are considering dental implants in your near future, it is best to call a dentist and office that are able to provide you with the information needed to get started. Here at South Valley Oral and Facial Surgery, we can provide you with a consultation to ensure that you get the best look and feel that you're after, while answering any and all of your dental implant questions in the process. Call us today to book your dental implant consultation.

Orthognathic Jaw Surgery

Orthognathic Jaw Surgery Procedures

What Is Involved In Orthognathic Surgery

Our team, at South Valley Oral and Facial Surgery, can correct both minor and major jaw and dental irregularities to improve your breathing, function, speaking and aesthetics.

Dr. McMurray specializes in oral and maxillofacial acute treatment, emergency care, and long-term reconstruction and rehabilitation.

As an oral surgeon, Dr. McMurray's main concern is to bring comfort to the patient, both physically and emotionally. Facial trauma can be just that, traumatic, and to ease a patient's pain, and restore a patient's function is our goal.

Click below to learn more about our orthognathic jaw surgery procedures

•  Sleep Apnea
•  Bone Grafting
•  Cleft Lip & Palate
•  Jawbone Loss and Deterioration

What is Orthognathic Jaw Surgery?

In dentistry, orthognathic refers to the alignment of a person's jaw. As a medical term, ortho refers to being straight.

Who is a Candidate for Orthognathic Surgery

This is used in words including orthodontia, which refers to straightening teeth. The term -gnathic refers to the jaws. So, we are straightening your jaws, to alter your bite, allowing you to chew, speak, and even breathe better. Some of the common conditions that we see for patients who require orthognathic surgery include:

•  Patients who are unable to fully open or close their jaw.
•  Patients who have difficulty biting with their front teeth to break food off.
•  Patients who have difficulty in chewing their food.
•  Patients who find that they are experiencing problems swallowing.
•  Patients whose facial appearance is off balance, or uneven.
•  Patients who suffer from TMJ.
•  Patients who have excessive wear on their teeth from grinding.
•  Patients who have an open bite, meaning a gap between their upper and lower jaw when their mouth is closed.
•  Patients who have a protruding, or receding jaw.
•  Patients who suffer from sleep apnea.
•  Patients who experienced a traumatic facial injury, could be sports related, or car accident, or violent injury.
•  Patients who were born with congenital defects.
•  Patients who have a difficult time having their upper and lower lips meet together.
•  Patients who are chronic mouth breathers.

Dr. McMurray will evaluate your condition, along with reviewing digital x-rays, to determine what is needed, and if corrective jaw surgery is necessary. It is important that our patients recognize that corrective orthognathic surgery, which will most likely include orthodontics such as braces or retainers, may take several years to complete. The process will most likely be long, but the prize is comfort, function, and health.

Traumatic Facial Injuries

Injuries happen, they happen on sports fields, on playgrounds, in motor vehicles accidents, or from being physically hit. With all of these incidents there can be soft tissue damage or bone fractures. The difficult part of bone fractures in your facial region is that it is not an area commonly casted. After we have located the fracture and determined the severity of it, we may have to stabilize the jaw, helping it heal in a particular way, by wiring the jaws together. In some situations it is appropriate to surgically place small plates and screws to allow for correct healing. This procedure is called rigid fixation. The relatively recent development and use of rigid fixation has profoundly improved the recovery period for many patients, allowing them to return to normal function more quickly.

We want to provide you the relief and function that you need. For more information on orthognathic surgery, corrective jaw surgery, or facial trauma, contact our Oral Surgeon, Joseph C. McMurray, DMD, MBA Inc. His staff is here to assist you. We proudly offer multiple office locations to better serve your needs. San Jose - (408) 479-9449 Gilroy - (408) 479-8788 or Los Banos - (209) 826-4312

Oral Pathology

In a healthy mouth, the inner lining will be covered with mucosa, a special type of skin that is smooth and pink. When changes to the appearance of the mucosa are noted, this could be a warning sign that something is going on with the pathology of your mouth, and the most serious concern is oral cancer. The following signs may indicate a cancerous growth or other pathological process:
•  White patches or leukoplakia in the mouth
•  Red patches or erythroplasia in the mouth
•  A thickening or lump in the skin that lines the inside of your mouth
•  Chronic hoarseness or sore throat
•  Difficulty swallowing or chewing

These changes can be detected in the gum tissue, palate, cheeks, lips, face, tongue, or neck. Pain might occur, but isn't always present, especially with oral cancer. However, if you do notice any oral or facial pain without an obvious reason or cause, you could be at risk for developing oral cancer.

Dentist examining older patient  mature  senior  elderly  dentist

Oral Cancer Screenings

Periodic oral cancer screenings are essential for detecting a problem while it is still treatable. Most dentists will perform an exam of your mouth during a routine dental visit in order to screen for oral cancer, and factors that can increase your risk include:
•  Heavy alcohol consumption
•  Significant sun exposure, as this can increase your lip cancer risk
•  Tobacco use
•  Previous diagnosis of oral cancer

In addition to looking for changes in the color of the inside of your mouth, your dentist may also feel the tissues of the mouth to check for abnormalities or lumps. If you wear dentures that can be removed, your dentist will likely ask you to take them out to better inspect the tissue located underneath them.

Treating Oral Cancer

If you have been diagnosed with oral cancer, you may need one of many treatment options, including: surgery, chemotherapy, or radiation. However, before commencing with the treatment, other oral health issues may need to be addressed. The reason for this is to reduce the likelihood of developing a post-therapeutic complication. Teeth that are in poor health due to cavities and periodontal disease may need to be extracted prior to oral cancer treatment in order to avoid post-radiotherapy surgery. This is essential because post-radiotherapy surgery can impact the blood supply to the jaw bone, and may lead to osteonecrosis, a condition in which the jaw bone loses its ability to repair itself.

We recommend that you perform monthly oral cancer self-exams to look for changes in the color and appearance of the inside of your mouth. Keep in mind that the mouth serves as one of the most important warning systems of the body, so you should always be on the lookout for signs of changes. Never ignore a suspicious sore or lump. If you've noticed a change that you feel could be a sign of a change in your oral pathology, don't hesitate to call us at San Jose - (408) 479-9449 Gilroy - (408) 479-8788 or Los Banos - (209) 826-4312. We'll set up a consultation to find out exactly what's going on in your mouth.

Facial Trauma

At South Valley Oral and Facial Surgery, one of our specialties includes treating and repairing facial injuries. We offer these services to patients experiencing an emergency, as well as those looking to have acute or long-term reconstruction or rehabilitation of their current or past injuries. We understand just how traumatic a facial injury can be, not only physically but also emotionally. When you sustain a serious or deformative injury to a highly visible region of your body it can really take a heavy toll on your emotional well-being. We are passionate about the science and art of treating injuries like these with the highest degree of care and skill to ensure you get the results that you deserve.

Our surgeons are some of the most qualified and skilled in the region and are trained to treat the following issues and more:

•  Fractured or broken facial bones
•  Broken jaws
•  Avulsed teeth (knocked out teeth)
•  Facial lacerations
•  Lacerations within the mouth

Our surgeons are on staff at local hospitals and provide emergency care for facial and intraoral injuries.

The Nature of Maxillofacial Trauma

Maxillofacial trauma is what we specialize in treating. We see issues arise from sports and vehicle accidents, falls, injuries sustained while on the job, as well as interpersonal violence and more. Facial injuries can run the gamut from less severe soft tissue trauma to deeply sustained injuries to the bone and muscle structure. Injuries to regions around the eyes and nose are well within our ability to treat.

Soft Tissue Injuries of the Maxillofacial Region

Woman closed eyes Clutching Jaw in pain
Soft tissue injuries often require suturing to allow for proper healing and minimized scarring. We always keep in mind the cosmetic results of our work and will do everything within our power to give you a treatment that results in as little scarring as possible. We also take great care in treating the underlying structures and systems that may be injured such as salivary glands, facial nerves, and salivary channels. By keeping all of this in mind during your treatment process we are often able to allow you to keep all function of such systems.

Bone Injuries of the Maxillofacial Region

When treating injuries to the bone in the facial region, we do not have the option of applying a cast to immobilize the facial structures the same way as one might treat a broken arm of leg. Instead we must often rely on wiring or plates and screws to aid our patients in recovering from such injuries. In the case of screws and plates, a technique known as rigid fixation, we are able to forgo treatment options like the wiring shut of the jaw. Anytime we treat a bone injury one of our top priorities is to minimally affect the appearance of our patient.

Injuries to the Teeth & Surrounding Dental Structures

Transport of broken or avulsed (knocked out) teeth is one of the most important parts of repairing a tooth that has sustained trauma. When you experience such trauma, try to find the broken tooth and bring it in to us. Handle it only from the crown (chewing surface of the tooth) and avoid touching the broken end. Rinse it in water and place it back into the area that it was knocked out of. You can also transport the tooth in between your lip and gum, or in a container filled with milk.

Call us today at San Jose - (408) 479-9449 Gilroy - (408) 479-8788 or Los Banos - (209) 826-4312 to schedule an appointment.

Sleep Apnea

Patients who live with obstructive sleep apnea (OSA) may not realize the danger they are causing by not treating their condition. If your sleep is being disrupted because of low blood oxygen levels, other problems can arise, including heart problems.

Without enough deep sleep you may be sleepy, lack mental sharpness and be less productive. Long term health effects can be serious, including weight gain, high blood pressure, heart disease and diabetes.

What is Obstructive Sleep Apnea?

Sleep apnea is a condition that limits the amount of oxygen you receive while you sleep. This occurs because your passageway is being obstructed. This condition is often associated with snoring because the sound that your body makes while snoring is a signal to an obstructed airway. When obstructive sleep apnea occurs, the tongue falls to the back of the throat, blocking the upper airway and slowing or stopping airflow. Once the oxygen level in your brain drops, the person sleeping then startles awake to take a breath. This only partially wakes the person, enough to disrupt their sleep, but no so much to fully rouse them. This means that the sleeper is not getting the full rest they need and that they many not be aware of the problem.

Sleep Apnea and Hypertension

Woman unhappy with her husband's snoring.There has been a strong correlation of patients who suffer from sleep apnea and developing hypertension, or heart disease. By experiencing repeated incidents of dips in oxygen, studies have found that there is strong evidence toward developing heart related issues and other cardiovascular problems. When the brain has a dip in oxygen it sends signals through the nervous system telling your blood vessels to tighten in order to increase the flow of oxygen to the heart and the brain, because they have priority in your system. Doing this repeatedly is problematic.

Sleep Apnea and Exhaustion

Exhaustion is a common ailment of patients who suffer with sleep apnea. Even though they do not realize it, their sleep is being constantly disrupted, not allowing them to get the full rest they need. Patient’s who feel like they have slept a full eight hours have really slept a very disrupted eight hours. A common complaint among our sleep apnea patients is crankiness, moodiness, and just overall chronic exhaustion.

Do I have Sleep Apnea?

In most situations, a partner is the first to spot signs of sleep apnea. They are often your best source for details about how you sleep. Signs that you can look for include constant feels of exhaustion, waking with a dry mouth from snoring all night, you frequently wake with headaches, or have problems with high blood pressure. Dr. McMurray can help you spot the signs with an evaluation.

How can an oral surgeon help me with sleep apnea?

There are numerous techniques used to control sleep apnea and get the rest that you need. At South Valley Oral and Facial Surgery, we will evaluate the situation and make suggestions based on each patient. It is always our preference to start out in the least invasive way and then move forward to finding the right procedure for you.

We want to provide you the sound sleep that you need, while still getting the oxygen you need. For more information on sleep apnea, contact our Oral Surgeon, Joseph C. McMurray, DMD, MBA Inc. His staff is here to assist you. We proudly offer multiple office locations to better serve your needs. San Jose - (408) 479-9449 Gilroy - (408) 479-8788 or Los Banos - (209) 826-4312


A tooth extraction is a procedure done to remove a tooth that is damaged beyond repair from its socket in the jawbone. Extractions are also done to remove wisdom teeth that may be impacted or create future problems. At South Valley Oral and Facial Surgery we specialize in tooth extractions of all varieties. Many times we are able to repair a chipped or damaged tooth, and if a tooth has been avulsed (knocked out) we offer many varieties of tooth replacement options including dental implants.

Wisdom Tooth Extractions

Wisdom teeth are the most frequently extracted teeth for a couple different reasons. Wisdom teeth are large and few people have the room in their mouth to accommodate them. Further, wisdom teeth frequently come in at odd angles and are at high risk for being impacted. Tooth impaction refers to a tooth that can’t fully erupt from the gum line because of another structure that is in the way, usually a tooth or the jaw bone. For this reason, we frequently extract wisdom teeth.

There are a few scenarios in which a person can keep their wisdom teeth or may not need them removed. Some people don’t have wisdom teeth or only have one or two instead of all four. Other people have plenty of room in their jaw for their wisdom teeth. As long as the tooth isn’t at risk of damaging existing teeth or structures within your mouth and you have enough room to accommodate them, you can keep them.

Impacted Canines

extracted tooth held next to mirror ThinkstockPhotos 480054442 width of 500 pixels
The maxillary cuspid (upper eyetooth) is the second most likely tooth in our mouth to be impacted, right behind wisdom teeth. These teeth are very important to our bite and have the longest roots in our whole mouth. These teeth are some of the strongest biting teeth that we possess. These are some of the last teeth to erupt from the jaw, usually around age 13. Canines are so important to the bite of your mouth because they are typically longer than the surrounding teeth and help to guide the lower arch into place cleanly.

As with all dental and medical issues, early detection is the key to treating impacted canines. It’s important that you bring your child in to be examined at least twice a year to ensure that we have a good idea of what is in store for their teeth.

Tooth Extractions

We perform tooth extractions for a wide variety of reasons. Sometimes, when a tooth is affected with deep decays and we can’t perform a root canal to save it we will need to extract it. Other times an accidental sports injury will knock a tooth partially out – if we can’t save a tooth that has experienced trauma, we will need to extract it. Whatever the reason, we are highly skilled in the science of tooth removal.

Whenever you have a tooth removed it is important to consider tooth replacement. When you lose a tooth and do not replace it your oral health can suffer greatly. We have a variety of tooth replacement options available. Please call us today at San Jose - (408) 479-9449 Gilroy - (408) 479-8788 or Los Banos - (209) 826-4312 to schedule an appointment.

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