Dr. David Goubrial
After completing his University Degree, Dr. David Goubrial undertook his Oral Surgery training in the Oral and Maxillofacial Unit at the Royal Dental Hospital of Melbourne. Dr Goubrial also undertook his training in the Special Needs Department and was working at the Northern Hospital Dental Unit managing immunocompromised and special needs patients.
Dr. Goubrial's particular interests are:
- impacted third molar surgery
- pre-prosthetic alveolar reconstructive surgery
- and the management of immunocompromised patients.
David operates out at the St. John of God Hospital and the Ballarat Day Procedure Centre. Dr. Goubrial also consults and operates in Warragul.
Dr. Goubrial is passionate about sharing his knowledge; he teaches and demonstrates Oral Surgery at the University of Melbourne to the senior dental students. He also teaches to other general dental and medical colleagues.
In his spare time, David enjoys basketball and gardening. He also enjoys spending time with his beautiful wife and baby boy.
In this section
Surgical Removal of Teeth
Removal of teeth can be straight forward sometimes; however in some patients, this may not necessarily be the case. In some instances, your dentist will refer you to our Dental Surgeon, for what may seem like a simple extraction. There may be several reasons for this, including the position of your tooth, the remaining tooth structure present, proximity to various structures within the jaw, adjacent teeth, medical history or the root structure which may
indicate that the tooth/teeth be surgically removed.
You may also be referred to a surgeon in order to have the procedure performed under general anaesthesia if you are nervous about undergoing the procedure while you are awake.
If your surgeon deems that the procedure requires a general anaesthetic, than this will be carried out at the Ballarat Day Procedure Centre.
Pre-Prosthetic Alveolar Reconstructive Surgery
In some instances, your dental technician or dentist will refer you to our Dental Surgeon to have some bony growths (called tori or exostosis) removed from your jaw prior to fabrication of a removable denture to allow proper seating of your denture. If these bony growths are left inside your jaw and a denture is fabricated, it may make seating of the denture very uncomfortable as this can lead to pain, ulcers and rubbing against the gums.
Dr. Goubrial will work closely with your referring dentist or technician to plan your surgical procedure, including the timing. During the consultation, Dr. Goubrial will discuss with you whether this procedure is suitable to be performed in the chair or if it will require a general anaesthetic.
Wisdom Tooth (Third Molar) Surgery
Wisdom teeth are the third and final set of molars that most people get in their late teens or early twenties. Sometimes, the wisdom teeth can be a valuable asset to the mouth when healthy and properly aligned, but more than often, they are misaligned and require removal.
Sometimes your wisdom teeth can be impacted (misaligned) and not develop properly in the mouth. Impacted wisdom teeth can lead to pain, swellings, infections, cysts or damage to theadjacent teeth.
During the consultation, Dr. Goubrial will discuss all the options, risks, costs and questions you may have related to your procedure. Depending on the case, the procedure can be performed under local anaesthetic or under general anaesthetic at the local hospital. If your procedure is performed at a local hospital; it is usually a Day Surgery you will be discharged on the same day.
A frenum is a muscular attachment in the mouth. In your mouth there are two frenums. The labial frenum which connects the top of your gums to the inside of your upper lip and the lingual frenum which connects the underside of your tongue to the bottom of your mouth.
A prominent frenum can restrict tongue and lip movement leading to difficulty with speech and eating. The frenum can sometimes attach between the middle front teeth resulting in a diastema (midline spacing between the front middle teeth).
A frenectomy is a surgical procedure in which the frenum is surgically removed to eliminate tongue and lip restriction. This is a relatively simple procedure and can be performed under local or general anaesthetic.
Exposure of Teeth
Some teeth do not erupt correctly into the jaw arch. This may be due to ectopic (improper) eruption, variance in tooth angulation or even a lack of space. When this happens, the tooth will require surgical exposure so that an orthodontic appliance or chain can be used to pull the tooth into the arch. Dr. Goubrial will work closely with your referring orthodontist or dentist to plan your procedure.
Just like any other part of the body, the mouth, gums, tongue and jaws can have various abnormalities. These abnormalities can vary from simple benign cysts/tumours to malignant (cancer) masses.
In order to determine what the lesion (abnormality) is; your surgeon may order special tests such as 3D imaging and blood tests. A biopsy may also be required in which the specimen is analysed under a microscope in a laboratory setting.
Depending on the location, size and invasiveness of the lesion, your surgeon will discuss with you if treatment is best performed under local anaesthetic or under general anaesthetic in a hospital setting.
Dental implants are an option for patients who have missing teeth or gaps and would like to have a fixed replacement solution. Your dentist may refer you to Dr. Goubrial to assess your suitability for dental implants.
A dental implant is a titanium screw that threads into the jawbone to allow for stability. Once the implant is placed and is stable in your jaw bone, an artificial tooth can be fitted to the implant. If multiple implants are being placed, then a denture or bridge can be fitted to the implants.
Once the implant is secured into the jaw bone, your referring dentist will fabricate the prosthesis to be attached to the implant. Upon request, Dr. Goubrial can also help with this step.
During the consultation, Dr. Goubrial will answer any questions you may have regarding the proposed procedure.
In some instances, the jaw bone may need to be reinforced to aid with stability of your dental implant. Grafting is the term used to describe this procedure. Grafting can be performed using a combination of your own bone and medically approved bone products.
Depending on the case, Dr. Goubrial may be able to graft and place your implant simultaneously. In some cases, the procedure may need to be staged in which the graft is placed first and then the implant is placed once the site has healed. Additional scans might be ordered to determine if grafting is required or not. Soft tissue (gum grafting) may also be required in some cases.
Most grafting procedures can usually be performed under local anaesthetic. However, major grafting procedures may require a day surgery.
During the consultation, Dr. Goubrial will discuss your procedure in detail and answer any questions you may have.