Oral and Maxillofacial Surgery requires up to six additional years of hospital-based surgical and anesthesia training. Dr Guttenberg manages a wide variety of problems relating to the mouth, teeth and facial regions. Dr. Guttenberg practices a full scope of oral and maxillofacial surgery with expertise ranging from cosmetic facial surgery to corrective jaw surgery and wisdom tooth removal. He can also diagnose and treat facial pain, facial injuries and TMJ disorders, and perform a full range of dental implant procedures.Dr. Guttenberg's staff are trained in assisting with IV sedation within a state-of-the-art office setting. Patients are continuously monitored during and after surgery. In addition, general anesthesia provided by a board certified Anesthesiologist is available within our facility.The surgical staff at the Washington Institute are experienced, certified oral and maxillofacial surgical assistants, who assist in administration of IV sedation and surgery. We also have a trained registered nurse (RN) to assist in surgery. All staff are CPR certified and are informed administrative personnel, well-versed in health and insurance policies.