Cirugía Oral y Maxilofacial El Señorial

Cirugía Oral y Maxilofacial El Señorial is a dedicated oral and maxillofacial surgery practice located in the El Señorial district of San Juan, Puerto Rico, led by Dr. Raúl Colón Nieves, D.M.D., M.D. — a dual-degree specialist with training in both dentistry and medicine. The clinic is located at 200 Avenida Winston Churchill, Suite 201, San Juan, Puerto Rico 00926, within the El Señorial commercial and medical area on the southern side of San Juan. Dr. Colón Nieves completed his undergraduate degree in General Sciences at UPR Río Piedras, his medical degree at the University of Puerto Rico School of Medicine, and his Doctor of Dental Medicine degree at UPR's School of Dental Medicine, followed by a residency in oral and maxillofacial surgery at San Juan Medical Center and associated University of Puerto Rico hospital facilities. This exceptional dual-degree background — holding both a D.M.D. and an M.D. — places Dr. Colón Nieves among the most comprehensively trained oral surgeons practicing in San Juan.

As a specialty oral surgery practice, Cirugía Oral y Maxilofacial El Señorial in San Juan handles the full clinical scope of oral and maxillofacial surgery — from routine procedures such as wisdom tooth extraction to advanced surgical interventions including corrective jaw surgery, dental implant placement, and bone grafting. Dr. Colón Nieves's dual medical and dental training enables him to manage complex cases involving both dental structures and the surrounding hard and soft tissues of the face, jaws, and neck. The practice is equipped to administer intravenous (IV) sedation in-office, allowing patients who require surgical procedures to undergo treatment in a comfortable, controlled state of sedation without the need for a hospital setting in most cases.

Treatments & Specialties

Cirugía Oral y Maxilofacial El Señorial in San Juan provides the complete spectrum of oral and maxillofacial surgical care:

• Dental Implants: Surgical placement of titanium implant posts into the jawbone to anchor permanent prosthetic teeth — a primary service of the practice, with expertise in single, multiple, and full-arch implant cases.
• Wisdom Tooth Extraction: Removal of impacted, partially erupted, or symptomatic third molars, performed under local anesthesia or IV sedation for patient comfort.
• Bone Grafting: Augmentation of jawbone volume using graft materials to prepare sites for dental implant placement in patients with bone loss, including sinus lift procedures for the upper jaw.
• Corrective Jaw Surgery (Orthognathic Surgery): Surgical repositioning of the upper jaw, lower jaw, or both to correct significant skeletal discrepancies affecting bite function, facial balance, and airway patency.
• TMJ (Temporomandibular Joint) Disorders: Diagnosis and treatment of TMJ dysfunction, including management of joint pain, limited mouth opening, and joint degeneration.
• Facial Trauma Management: Surgical repair of facial fractures and traumatic injuries involving the bones of the face and jaw.
• Facial Pain Diagnosis and Treatment: Evaluation and management of complex facial pain conditions including trigeminal neuralgia and myofascial pain disorders.
• IV Sedation: In-office intravenous sedation to ensure a comfortable, anxiety-free experience for patients undergoing surgical procedures at the San Juan clinic.
• Pre-Prosthetic Surgery: Surgical preparation of the oral cavity for dentures or other prosthetics, including alveoloplasty and soft tissue procedures.

Technology & Facilities

The facilities of Cirugía Oral y Maxilofacial El Señorial in San Juan are equipped with the surgical and diagnostic technology required to support a comprehensive oral and maxillofacial surgery practice. Cone beam computed tomography (CBCT) or advanced digital radiographic systems enable three-dimensional imaging of the jaws, sinus cavities, and dental structures — essential for precise surgical planning in implant placement, bone grafting, and orthognathic surgery cases. Surgical instruments and implant systems of international quality standards are used throughout the clinic. The practice's capability to administer IV sedation in-office is supported by the monitoring equipment and trained personnel required for safe sedation delivery, providing a hospital-quality surgical experience in an outpatient setting in San Juan. The modern office at El Señorial in San Juan has been designed to accommodate both the clinical and patient comfort requirements of a surgical specialty practice.

Why Choose Cirugía Oral y Maxilofacial El Señorial in San Juan

Patients in San Juan and across Puerto Rico are referred to Cirugía Oral y Maxilofacial El Señorial for its specialist-level expertise, led by one of Puerto Rico's dual-credentialed oral and maxillofacial surgeons. Dr. Colón Nieves's combined D.M.D. and M.D. degrees mean he approaches complex surgical cases with both dental and medical perspectives — a critical advantage for patients with systemic health conditions or those requiring procedures that bridge dental and medical domains. For patients requiring dental implants, Dr. Colón Nieves's surgical expertise in implant placement and bone grafting ensures optimal outcomes even in anatomically challenging cases. The availability of IV sedation in-office is a significant benefit for patients with dental anxiety or those undergoing multiple surgical procedures in a single session in San Juan. The El Señorial location in southern San Juan is easily accessible from Río Piedras, Caguas, and other southeastern areas of the Puerto Rico metropolitan region.

Patient Experience

Patients referred to Cirugía Oral y Maxilofacial El Señorial in San Juan by their general dentists and specialists consistently note the professionalism and clinical competence of Dr. Colón Nieves and his team. Surgical patients at the clinic in San Juan benefit from clear preoperative consultations that explain the planned procedure, expected outcomes, and postoperative care instructions. The availability of IV sedation means that even complex surgical cases can be completed with minimal patient discomfort and anxiety. Postoperative follow-up is thorough, with the clinical team in San Juan monitoring healing and managing any concerns that arise during recovery. Dental colleagues who refer patients to Cirugía Oral y Maxilofacial El Señorial frequently commend the quality of surgical outcomes and the smooth communication between the oral surgery practice and referring general dentists in San Juan and across Puerto Rico.

Location

Cirugía Oral y Maxilofacial El Señorial is located at 200 Avenida Winston Churchill, Suite 201, San Juan, Puerto Rico 00926, in the El Señorial area. Avenida Winston Churchill is a major road in southern San Juan, providing convenient access from Río Piedras, Caguas via PR-52, and other southern and eastern parts of the metropolitan area. The practice is open Monday through Friday from 8:00 a.m. to 5:00 p.m., with alternate Saturday availability from 8:00 a.m. to noon, accommodating patients who require weekend surgical appointments in San Juan.