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Trauma Reconstruction Boynton Beach

Trauma to the face, mouth, and jaw — from accidents, injuries, military service, or violence — can leave patients with missing teeth, fractured bone, damaged soft tissue, and lost facial structures that fundamentally change how they eat, speak, and live. Trauma reconstruction through maxillofacial prosthetics restores function and appearance using prostheses and restorations designed for the specific changes each patient’s anatomy has undergone. At Ocean Breeze Prosthodontics in Boynton Beach, Dr. Nicholas Goetz provides trauma reconstruction as a fellowship-trained maxillofacial prosthodontist, one of approximately 150 in the United States with this credential — and one who has treated trauma patients in both military and VA Medical Hospital settings.

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What Trauma Reconstruction Involves

Trauma reconstruction through maxillofacial prosthetics addresses the oral and facial consequences of injury that persist after acute surgical management. Where surgery stabilizes bone and closes wounds, maxillofacial prosthetics restores what surgery cannot \u2014 missing teeth, lost ridge volume, compromised bite function, and facial structures that were removed or damaged beyond surgical repair. The goal is to return the patient as close as possible to pre-injury function and appearance using prostheses and restorations designed for the specific anatomy the trauma has created.

The role of maxillofacial prosthetics in trauma care is recognized across military, VA, and civilian hospital systems. According to the U.S. Department of Veterans Affairs, dental and prosthetic care for service-connected oral and facial injuries is a recognized benefit for eligible veterans. At Ocean Breeze Prosthodontics, Dr. Goetz draws directly on his clinical experience treating trauma patients at U.S. Army and VA Medical Hospital settings to guide his approach to every reconstruction case in Boynton Beach.

Types of Trauma We Treat

Porcelain veneers are thin ceramic shells — typically 0.3 to 0.5mm — custom-fabricated to bond to the visible front surface of a tooth. They are a minimally invasive solution for patients who want to improve appearance without significant tooth reduction. The porcelain material resists staining, reflects light naturally, and integrates with surrounding teeth in a way that composite alternatives cannot replicate long-term.

Veneers are well-suited for correcting a wide range of cosmetic concerns, including tooth discoloration that doesn’t respond to whitening, chips or cracks affecting the front teeth, minor gaps between teeth, teeth that appear uneven in length or shape, and worn enamel that has changed the look of your smile. According to the American Dental Association, candidates should have good underlying gum health and sufficient enamel before placement — Dr. Goetz evaluates both before recommending any veneer treatment.

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The Prosthetic and Restorative Approach

Trauma reconstruction is tailored entirely to what the injury has affected and what has already been done surgically. Dr. Goetz reviews the injury history, prior surgical interventions, current anatomy, and functional deficits before designing a rehabilitation plan. The prosthetic and restorative work is sequenced to complement any planned or ongoing surgical care and designed to restore as much function and normal appearance as the altered anatomy allows.

Dental and Oral Trauma

Traumatic injury to the mouth commonly results in avulsed, fractured, or subluxated teeth; alveolar bone fractures; and soft tissue damage affecting the gingiva, lips, and tongue. After acute surgical management, Dr. Goetz addresses the restorative consequences — replacing missing teeth with implants, bridges, or removable prosthetics designed for the altered ridge and bone volume. For patients with significant alveolar bone loss following trauma, CBCT imaging guides implant placement to maximize use of available bone and avoid critical anatomical structures.

Facial Bone and Jaw Trauma

Mandibular and maxillary fractures, orbital floor fractures, and zygomatic injuries can result in altered jaw relationships, bite changes, and bone defects that persist after surgical fixation. Dr. Goetz evaluates post-surgical anatomy to determine what restorative and prosthetic interventions are needed — including repositioning of the occlusal plane, reconstruction of lost ridge volume, and implant-retained prosthetics where teeth and bone have been lost. For patients with significant mandibular or maxillary defects, coordination with the oral surgeon on reconstruction planning is standard.

Facial Soft Tissue and Structure Loss

When trauma results in loss of an ear, nose, eye, or other facial structure — whether from the injury itself or from subsequent surgical debridement — Dr. Goetz fabricates custom silicone facial prostheses to restore appearance. These prostheses are designed for the specific post-trauma anatomy and retained using medical adhesive or osseointegrated implants. See our dedicated pages on auricular prostheses, nasal prostheses, and orbital prostheses for more detail on each type of facial prosthetic rehabilitation.

Veterans and Military Trauma Patients

Dr. Goetz’s clinical background includes service as a civilian maxillofacial prosthodontist with the U.S. Army and VA Medical Hospital — environments where combat and service-related facial trauma reconstruction was a central part of daily practice. That experience treating active-duty service members and veterans with complex ballistic, blast, and injury-related facial deficits informs his approach to every trauma reconstruction case at Ocean Breeze. Veterans in Palm Beach County and surrounding communities who require maxillofacial prosthetic care following service-related trauma are welcome to schedule a consultation at our Boynton Beach office.

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Meet Dr. Nicholas Goetz

Trauma reconstruction demands a clinician who understands post-surgical anatomy, can coordinate with surgical teams, and has firsthand experience with the types of injuries that create the most complex rehabilitation challenges. Dr. Nicholas Goetz completed his Maxillofacial Prosthodontics Fellowship at UCLA and went on to serve as a civilian maxillofacial prosthodontist with the U.S. Army and VA Medical Hospital \u2014 environments where facial and oral trauma rehabilitation from combat and service-related injuries was central to the clinical workload.

Dr. Goetz holds a DMD and MS from the University of Florida, where he completed his Prosthodontic Residency. He is one of approximately 150 board-certified maxillofacial prosthodontists in the United States. That background \u2014 clinical training at UCLA followed by direct experience treating trauma patients in military and VA settings \u2014 is what he brings to every trauma reconstruction case in Boynton Beach, whether the patient is a veteran, a civilian accident survivor, or anyone whose injury has left unresolved oral or facial rehabilitation needs.

  • Maxillofacial Prosthodontics, UCLA
  • DMD, MS, and Prosthodontic Residency at the University of Florida
  • Civilian Maxillofacial Prosthodontist with the U.S. Army and VA Medical Hospital
  • Among a select group of 150 maxillofacial prosthodontists in the United States
Learn More About Dr. Goetz

Your Trauma Reconstruction Process at Ocean Breeze

1

Evaluation and Surgical History Review

Dr. Goetz reviews the complete trauma and surgical history, including operative reports, imaging, and any prior prosthetic or restorative work. A comprehensive clinical examination and CBCT imaging establish the current anatomy and identify functional priorities — including bite relationship, bone availability, soft tissue condition, and any ongoing surgical care.
2

Treatment Planning and Sequencing

Trauma reconstruction is frequently staged — interim prosthetics provide function while surgical healing proceeds, and definitive restorations or prostheses are placed once anatomy has stabilized. Dr. Goetz develops a phased treatment plan that addresses immediate functional needs first and sequences definitive work to follow surgical milestones.
3

Fabrication and Delivery

Whether the rehabilitation involves implant-supported dental prosthetics, a facial silicone prosthesis, or a comprehensive full-mouth reconstruction, Dr. Goetz oversees all stages of fabrication and verifies fit, function, and aesthetics at each delivery appointment. Interim prosthetics are adjusted as healing progresses, and definitive solutions are introduced when anatomy is stable.
4

Long-Term Monitoring and Adjustment

Post-trauma anatomy can continue to change over time — particularly when bone grafting, tissue healing, or ongoing surgical stages are involved. Dr. Goetz monitors rehabilitation outcomes at regular follow-up appointments and updates prostheses and restorations as the patient’s anatomy evolves. For facial prostheses, replacement is typically planned every one to three years as silicone ages.

Dental and Prosthodontic Financing Available

We believe financial concerns shouldn’t keep you from treatment that can change your daily life. Ocean Breeze Prosthodontics offers flexible financing options so the path to a complete smile feels manageable from the very first visit.

While we are not in-network with insurance companies, we’ll still help you get the most out of your plan. We file claims on your behalf and assist you in securing any reimbursement your PPO plan allows.

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FAQs

Trauma Reconstruction FAQs

How long do porcelain veneers last?

Trauma reconstruction through maxillofacial prosthetics addresses both oral and facial consequences of injury. Oral reconstruction focuses on replacing missing teeth, restoring bite function, and rehabilitating alveolar bone loss using implants, bridges, or removable prosthetics. Facial reconstruction addresses lost or damaged facial structures — ears, noses, eyes, or combined zones — using custom silicone prostheses. Many trauma patients require both tracks of care, and Dr. Goetz coordinates them together at Ocean Breeze.

It is generally best to begin prosthetic rehabilitation planning as soon as possible after acute surgical management, even if definitive prosthetics cannot be placed until later. Interim prosthetics can provide function during healing, and early involvement allows Dr. Goetz to coordinate with the surgical team on reconstruction approaches that will support the best prosthetic outcome. The sooner rehabilitation planning begins, the more options are available.

Yes. Veterans with service-related facial or oral trauma are welcome to schedule a consultation at our Boynton Beach office. Dr. Goetz’s background treating active-duty service members and veterans in Army and VA Medical Hospital settings means he is familiar with the types of injuries and the clinical challenges common in this population. Coverage options for veterans may include VA benefits in addition to private insurance — our team assists with claims on your behalf.

Yes. Dr. Goetz coordinates with oral surgeons, plastic surgeons, ENTs, and other specialty providers involved in a patient’s trauma care. Prosthetic and restorative planning is most effective when it is integrated with the surgical reconstruction plan from the beginning — and Dr. Goetz communicates directly with your care team to ensure the prosthetic approach complements the surgical pathway.

Trauma reconstruction may be covered under medical insurance, dental insurance, or both — depending on the nature of the injury and the specific treatment. For accident-related injuries, auto or personal injury insurance may also apply. Veterans may have VA benefit coverage. Ocean Breeze Prosthodontics is a fee-for-service practice and files claims on your behalf with all applicable plans. Flexible financing options are also available.

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Schedule Your Trauma Reconstruction Consultation in Boynton Beach

Dr. Goetz is one of approximately 150 board-certified maxillofacial prosthodontists in the United States, with fellowship training at UCLA and hands-on clinical experience treating trauma patients in U.S. Army and VA Medical Hospital settings. Patients come to Ocean Breeze Prosthodontics from throughout Palm Beach County and surrounding communities for trauma reconstruction care that requires this level of specialist training and background.

Schedule your consultation at our Boynton Beach office today, or call (561) 265-1998 to speak with our team.

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