East End Oral Surgery

Whether it was during a consultation in our office or perhaps while you were doing your own research online, you have probably come across the term “dental implant” at some point. A dental implant is a great way, often the best way, to replace a missing tooth.

So how do you decide if a dental implant is the right path for you, or if a more traditional tooth replacement method such as dentures or bridges is the best way to go?

We have been asked this question many times, and have compiled a comprehensive breakdown of the benefits that implants offer over their conventional counterparts. We hope that this guide will help make the decision process easier for you.

Dental Implants vs. Dentures and Bridges: Things to Consider

• Longevity: Dental implants offer a long-term solution (often lasting a lifetime) to missing teeth, while dentures and bridges require replacement every 5 to 10 years. Not only does this mean less hassle, it also means that implants may be more affordable over time.
• Quality of Life:
  • Simply put, dental implants look, feel and function more like natural teeth than do dentures and bridges.
  • With a dental implant, our patients can hardly notice the difference when biting into hard objects. They also look more natural.
  • In addition to that, dental implants are fixed – they are not going to fall out while you are talking or smiling, and you don’t have to put them away each night when you go to sleep. They remain in your mouth, anchored to your jawbone at all times.
• Bone Stability and Health: Just like muscles, bones also need a “workout” in order to maintain their mass and health. So when a tooth is missing from the jawline, the bone underneath the old tooth site becomes atrophied and shrinks. Dentures and bridges do nothing to help this deterioration. However, dental implants actually screw into the bone and integrate with it, actually encouraging new bone growth.
• Overall Health: Because implants allow for a normal range of food choices in the diet (a benefit not afforded by dentures), they encourage you to continue your healthy lifestyle for the rest of your life!

Do you still have questions? As always, we are here to answer any questions you have. Give us a call for more information!

We are always pleased to pass along any oral health information to our patients and their families as we come across it in our various news sources. Simply put: we love it when we find teeth in the news!

While we don’t spend significant time in hospitals ourselves, we were still happy to hear about a recent study that suggests that patients in the intensive care unit (ICU) of a hospital benefit from enhanced dental care in more ways than you would expect!

Typically, in an ICU setting, patients receive routine oral hygiene treatments from the nurse staff. However, when researchers assigned half of the patients to receive enhanced dental care from a dentist that included brushing, tongue scraping, calculus removal and more, they found that those patients were 56% less likely to develop a respiratory tract infection during their ICU stay.

This is significant because hospital-acquired infections such as respiratory infections are not uncommon due to the nature of the hospital environment and can be dangerous for vulnerable patients. You may be wondering “What is the connection between oral hygiene and respiratory infections?” In fact, infections such as these often originate in the oral cavity. Catching them early before they get into the major organs of the body may be one way to combat healthcare-associated infections.

This is just another example of how your oral health affects the health of your whole body! Be sure to employ excellent brushing and flossing habits at home while you are well to avoid additional problems in your body down the road!

One of the most important jobs we have in our practice is to examine, monitor and diagnose head and neck pathology in our patients. What we are really looking for is any sign of oral cancer. Each year, about 42,000 Americans are newly diagnosed with oral cancer. Unfortunately, more than 8,000 of those people will die from the disease because too often it is caught in a late, incurable stage.

To help you stay healthy and educated about your oral health needs, we have compiled a list of the most important things you should know about oral cancer:

• Oral cancer affects more than just the mouth. Any cancer in the mouth, lips, throat or back of the mouth is considered oral cancer.
• Since 90% of oral cancers begin in the surface area of the mouth, tongue and lips, we recommend regular self-exams.
• Largest risk factors: Not surprisingly, tobacco and alcohol use top the list of biggest risk factors for oral cancer.
• Other risk factors: Human papilloma virus (HPV), pre-cancerous oral lesion, betel quid use (common in Asia), excessive UV/sun exposure, certain drugs and genetic syndromes.
• To diagnose oral cancer, we will examine the mouth and neck, ask about your risk factors, and possibly order biopsies and imaging of the head (CT, MRI, etc).
• Pain is not associated with cancer in its early stages. Usually pain does not occur until the cancer has progressed to a later stage.
• The most common oral cancer symptoms warrant a call to our office. They include: sores that don’t heal, lumps inside the mouth, white or red patches on soft tissues in the mouth, bleeding, pain when swallowing or chewing, numbness, difficulty moving the jaw or tongue, lumps in the neck, hoarseness, and more.

Don’t hesitate to us if you are experiencing any of these symptoms of oral cancer.

Did you know that with today’s modern techniques, bone grafting is now considered a routine treatment? A bone graft can fix a variety of facial and dental problems and may be required in some cases. If you’ve been told in the past that you’re not an ideal candidate for getting a tooth implant, call us to ask about how a sinus graft makes it possible for many of our patients to receive dental implants. Here are a few things you should know if you’re thinking about getting a dental implant or think a bone graft could help you.

It’s a routine procedure!

Bone grafting has become a standard practice. Depending on the quantity and quality of jawbone, most procedures take place in our office and we use local anesthesia or conscience sedation to relieve any anxiety.

Bone loss has been virtually eliminated!

The only reason our jaws have the amount of the bone that they do is because of the presence of existing teeth. Complicated procedures were developed in the past to attempt to rebuild jaws that had atrophied due to missing teeth and disuse but with the modernization of bone grafting and dental implants, we can prevent jawbone atrophy all together.

There are a variety of materials that can be used.

The bone grafting material you need could come from a variety of sources. Generally, we use bone taken from your hip, jaw, or lower knee but today we have the ability to grow bone where needed or obtain bone from a tissue bank. We also use special membranes to help protect the bone graft and encourage bone regeneration.

Bone grafting allows your body to rebuild itself.

The human body uses most bone grafting materials as a frame on which it can grow new bone. Over time the graft material will be replaced with new bone through your body’s own process of bone regeneration. Maintaining a healthy amount of bone tissue around your teeth is crucial in keeping up your oral health.

If you have a missing tooth, congenital defect, or have had a traumatic jaw injury, and you’re wondering whether you may need bone grafting, give us a call. We can answer your questions, and present the treatment options that are best in your individual situation.

One of the most common questions we hear from patients when it comes to dental implants is “Why does it take three separate procedures?”

It helps to understand that within the entire dental implant process, there are not just three stages, there are also three important parts to the final product that replaces your tooth. First, there is the implant itself, which is the metal rod that we surgically implant into the bone. Next, there is the abutment, which connects the implant to the artificial tooth. And lastly, the crown (or prosthetic tooth) itself.

The fact that the process has three physical components alone doesn’t tell the whole story though. Here, we explain why the most commonly employed dental implant method is split up into three separate procedures.

Step One: Placing the Implant

The first stage of the dental implant process is to bury the implant in the jaw bone via a surgical procedure. The dental implant replaces the tooth root, and requires healing time. During this healing time, osseointegration (the integration of the bone with the implant itself) occurs. The bone cells actually attach to the implant rod, filling in the spaces to secure the implant in place for permanent residency.   The healing time usually takes from 3-6 months.

Step Two: Placing the Abutment

The abutment is a post that connects the implant to the prosthetic tooth. Essentially, the abutment is a bridge that spans through the gum line so that the implant itself remains buried. As with the implant, the abutment has a healing period of its own. The gum around the abutment must heal and form a cuff or collar around it before the crown can be placed.

Step Three: The Prosthetic Tooth

Once the implant site and abutment have successfully integrated, the prosthetic tooth is fabricated and installed.

If you have any questions about the dental implant process, give us a call!

It used to be that we would see most of our sports-related facial trauma patients in the fall and winter, when sports participation typically reached its highest point. But nowadays, we see a steady stream of sports injuries to the face in our office year-round. Because more children, teens and adults participate in sports in all four seasons (which is great), we see more sports-related facial injuries now than ever before (not so great).

Not only is the face the most vulnerable part of the body during a game, it is also almost always under-protected. Facial injuries account for about 11-40 percent of all sports injuries. Even in a “no-contact” or “less-contact” sport where player-to-player injuries are rare, a person can still be hit by a ball, bat, club or other item and experience trauma to the face.

Two types of sports-related facial traumas make up the majority of cases we see:

1. Soft Tissue Injuries: Lacerations are a common type of injury when playing a variety of sports. In addition to cleaning and suturing the cut, we also pay special attention to providing for the best possible cosmetic result and thoroughly examining any nerves, glands and ducts that may have been injured.
2. T-Zone Fractures: Also very common with sports injuries are fractures of the nose, zygoma (cheek bone) and mandible (jaw).   Because we can’t put a cast on the face, sometimes fractures must be stabilized using wires, screws and plates.

How to Prevent Facial Injuries on the Field and on the Court:

Many of the most common sports-related facial injuries are also preventable. Here are some of the best ways to protect your face when playing any sport where injury to the tooth or face is a risk:

• Mouth Guards: Simple, inexpensive and increasingly mandatory in many sports, mouth guards are the first defense against injury to the tooth, and may even help to lessen or prevent concussions!
• Face Masks: As time goes on, you will see more and more sports, most recently softball, requiring facemasks to protect young players.

If you have any questions about how to protect yourself from sports-related facial trauma, don’t hesitate to ask us!

Wisdom Teeth:  What’s the Big Deal?

Especially with the younger crowd, this is a question we get time and time again in our office!  And understandably so!  To some, removing the wisdom teeth seems like it should be an elective procedure, not a necessary one.

You have probably heard the statistic that 85% of people have to have their wisdom teeth (also called “third molars”) extracted at some point during their life.  But you may be wondering “Why?”  (As in “Why fix it if it isn’t broken?”)

Well, as it turns out, naming these teeth “wise” demonstrates a very questionable use of vocabulary.  “Wisdom” teeth actually turn out to be more like “trouble makers” for most people, and the common removal of them during the young adult years is done as a necessary preventative measure to avoid much bigger problems down the road.

What kind of problems are we preventing? 

One of the problems wisdom teeth present is that often there is no place for them to grow.  The average mouth is designed to accommodate 28 permanent teeth, not 32.  What ends up happening is that the third molars start to grow horizontally, inward or outward or even into the jaw bone, eventually crowding the nerves and causing pain.

In the case of impacted teeth, they may be “stuck” in the jawbone, only able to partially erupt through the gums.  This can create an inlet for bacteria with the potential to cause serious infection inside the mouth and jaw area.  Furthermore, brushing and flossing becomes a problem, which leads to more problems with decay and infection.

Still not convinced as to why we would perform the procedure now instead of just waiting to see if you develop problems later in life?   Great question!  As it turns out, we have a very good reason for that as well:  In a teen or young adult, the removal of wisdom teeth is much easier to perform with less pain and complications simply because the roots have not fully formed yet.  Once those roots set in the surgery becomes more complicated.

We understand your hesitations about wisdom teeth removal, and we’d be happy to answer any other questions you have about your wisdom teeth, give us a call today!

TMJ Treatment:  A Cooperative Approach

As with many dental health procedures, the treatment of TMJ (temporomandibular joint) disorders requires a cooperative approach between you (the patient) and me (the doctor).  Once we have diagnosed the condition and narrowed in on the problem, we have many different treatment options to explore together.   And luckily, most cases of TMJ do not require surgery.

Symptoms of TMJ disorder range from an aching jaw and painful ear to difficulty chewing. Oftentimes there is a clicking noise when chewing.  And occasionally, locking of the joint can even occur.

The causes are just as wide-ranging as the symptoms.  Sometimes TMJ disorder is caused by a lack of cartilage, sometimes by a blow or impact injury, and occasionally it can be caused by excessive teeth clenching or grinding.

Once we have diagnosed (or ruled out) TMJ disorder, we can get to work on developing a treatment plan for you.  Here are some common treatment options that we will discuss in the office, divided up by: things we will do in the office and things you can do at home.

In the Office, we may:

• Administer medications to reduce the immediate pain and relax the muscle.
• Provide you with a splint (night guard).  The purpose of this is to keep your teeth apart during the night, allowing the muscles to relax.
• Provide you with an anterior positioning appliance to keep your jaw forward.
• In EXTREME cases, where the jaw can’t open or is dislocated, surgery may be recommended.

At home, we may ask you to:

• Be mindful of keeping your teeth apart and resting your jaw when not eating.
• Use ice and heat packs to comfort the area.
• Eat soft foods.
• Be aware of your posture.
• Try a stress management routine that might include biofeedback.

Whatever type of jaw pain you are having, please give us a call so that we can help you figure out how serious it is and what to do about it!

Dental Implants:  Changing the Way We Treat Missing Teeth

Dental implants are rapidly becoming the standard of care in how we, as dental professionals, deal with missing teeth.    And while the incidents of adults losing permanent teeth has been declining for decades, there is still a good chance that at some point in your life you too will require treatment for a lost permanent tooth.

The way this was treated in the past was by one of two methods.  The first method was to install a bridge.  The second commonly used method was dentures.  But both of those methods present their own challenges and hassles to patients.  Thankfully, dental implants have improved so much over the years that more often than not they are a better choice for a patient’s oral care plan.

Here are our top five reasons that dental implants have a leg up on their old competitors.

• Almost Natural:  Dental implants are so sturdy that they feel and function just like a natural tooth.  This is achieved by inserting a screw into the jaw which is allowed to bond with the bone in that area.
• Longevity:  Dentures are a long term solution and have the ability to last a lifetime when properly placed and taken care of.  By contrast, traditional bridges last only about 5-7 years.
• Fully Functional:  Unlike dentures, which have a tendency to slip or feel uncomfortable and might even cause worry about possible embarrassments in public, dental implants don’t move when you are eating, talking or moving around.
• Face Shape Protection:  When a permanent tooth is lost, over time the face and smile can sag.  Dental implants fill in those spaces and allow you to keep your natural face shape longer!
• Keeps your Jaw in Shape!  Dental implants actually stimulate natural bone growth when set in the jaw.  Without them, the jaw gets lazy and can deteriorate.

If you have a site in your mouth where you are missing a tooth and have been wondering what to do about it, give us a call today for a consultation to see just how great dental implants can be!

Could Diamonds be an Oral Surgeon’s Best Friend?

We routinely replaces missing teeth with dental implants here in our office.  Dental implants are artificial tooth “roots” made of titanium, used to anchor dental prostheses, including crowns, and implant supported bridges and dentures. One of the largest factors in successful dental implant placement is adequate, healthy bone density to anchor the post.

Unfortunately, not all patients have the proper bone in their jaw to support a dental implant. Some patients suffer from Osteonecrosis, a disease caused by reduced blood flow to bones. When there is not enough blood flow, bone can start to die and break down. This makes dental implants for these patients particularly susceptible to becoming loose or failing. Osteonecrosis can be a side effect of chemotherapy.

Scientists from the UCLA School of Dentistry have discovered that nanodiamonds could be used for stronger dental treatments. Nanodiamonds are much smaller than those traditionally used in jewelry.

Currently, standard bone repair operations include inserting a sponge surgically to administer proteins that promote bone growth.  This new study, led by Dr. Dean Ho, may have uncovered is an easier way to deliver these proteins. Nanodiamonds, which are invisible to the human eye, bind rapidly to the materials needed for bone growth. This process can be done through injection or an oral rinse, rather than surgery.

“This discovery serves as a foundation for the future of nanotechnology in dentistry, orthopedics and other domains in medicine,” said No-Hee Park, dean of the School of Dentistry. “Dr. Ho and his team have demonstrated the enormous potential of the nanodiamonds toward improving patient care. He is a pioneer in his field.”

Results from the study will most likely pave the way for more study. Either way, stay tuned to find out how diamonds are playing a role in oral health care.

Read the full article from UCLA’s newsroom here: http://newsroom.ucla.edu/portal/ucla/nanodiamond-encrusted-teeth-248066.aspx