Newport Oral Surgery
Having your impacted wisdom teeth removed is a serious surgical procedure, and post-operative care is extremely important! Read on for instructions on how to care for your sore mouth, and how to minimize unnecessary pain and complications.
Immediately Following Surgery
Keep a firm, yet gentle, bite on the gauze packs that have been placed in your mouth to keep them in place. You can remove them after an hour if the bleeding is controlled. If the surgical area continues to bleed, place new gauze for another 30 to 45 minutes.
• Rinse vigorously
• Probe the area
• Smoke (hopefully you don’t!!)
• Participate in strenuous activities
• Brush gently (but not the area)
• Begin saltwater rinses 24 hours after surgery (mix 1 tbs of salt with 1 cup of water). Make sure to swish gently. These rinses should be done 2-3 times a day, especially after eating.
Enjoy some down-time!
Keep activity level to a minimum! Enjoy a day of couch or bed-rest, as being active could result in increased bleeding. Avoid exercise for 3-4 days, and when you do begin exercising again, keep in mind your caloric intake has been reduced so you may feel weaker.
As you’ve just had surgery, some bleeding will occur and it’s not uncommon to ooze blood for 24-48 hours after your procedure. REMEMBER-the blood you see is actually a little blood mixed with saliva, so don’t panic!
If excessive bleeding persists:
1. Try repositioning the packs. They may not be putting enough pressure on the site.
2. Sit upright and avoid physical activity.
3. Use an ice pack and bite on gauze for one hour.
4. You can also try biting on a moistened tea bag for 30 minutes (the tannic acid in tea promotes blood clotting).
5. If bleeding persists, please call our office at 949-760-1661.
Unfortunately, some pain is to be expected after surgery. Try not to let the anesthetic wear off before taking your prescribed pain medication. Dr. Michaelis, Dr. Jui or Dr. Kriwanek will have discussed a plan to manage your pain, make sure you follow these instructions.
Eat nourishing food that takes little effort.
• Extremely hot foods
• Straws (for the first few days)
• Chewing (until tongue sensation has returned)
• Smaller foods that can become stuck in the socket area
• Skipping meals—while eating may seem like a lot of work, you need your nourishment to be able to heal and feel better!
Day 2 and 3 Following Surgery
Swelling is a completely normal occurrence. Keep in mind, swelling will usually be at it’s worst in the 2-3 days after surgery. You can minimize swelling by applying a cold compress (covered with a towel) firmly to the cheek next to the surgical area. Apply the pack with 20 minutes on, and 20 minutes off for the first 24-48 hours. Also make sure to take the medication prescribed by Drs. Michaelis, Jui or Kriwanek. This helps with pain and swelling.
Keeping your mouth clean
Keeping your mouth clean is very important! Continue saltwater rinses as often as you’d like, but at least 2-3 times a day. Begin your normal oral hygiene (remember to brush softly and don’t do anything that hurts)!
Everyone heals differently, but your timeline should look similar to this:
1. Day 1-2 will be the most uncomfortable and you will experience some swelling.
2. Day 3 you should be more comfortable and while still swollen, you should be able to begin a more substantial diet.
3. Day 4 and on you should see a gradual and steady improvement.
Other Normal Things
• Discoloration. Bruising is a normal post-operative occurrence you may notice 2-3 days after surgery.
• Stiff jaw muscles. You may find it difficult to open your mouth wide in the days following your surgery. This is normal and usually resolves itself within a week after surgery. Stretching these muscles may help to speed up recovery.
Since no two mouths are alike, do not take advice from friends (even well-intended advice could cause a healing set-back). The advice given to you from Drs. Michaelis, Jui or Kriwanek and the Newport Oral Surgery team are tailored to fit your needs. Please call us at 949-760-1661 if you have any questions or concerns about your recovery. Happy healing!
Your jaw consists of two parts; the maxilla or upper jaw and the mandible or lower jaw . Sometimes these are misaligned and need to be put back into place for bite reasons, or for aesthetic purposes. Corrective jaw surgery straightens or aligns the jaw, and is often referred to as “orthognathic” surgery; “orthos” meaning to straighten and “gnathic” relating to the jaw.
There are a few different types of jaw surgery, depending on which part of your jaw requires correcting;
• Maxillary Osteotomy (Upper Jaw)
This type of surgery corrects a significantly receded upper jaw, cross bite, or when you have too many or too few teeth showing. It also can adjust an open bite.
• Mandibular Osteotomy (Lower Jaw)
This surgery corrects a significantly receded lower jaw. The surgeon moves the jawbone forwards or backwards depending on the best adjustment and bite alignment.
• Genioplasty (Chin)
A deficient chin often accompanies a severely receded lower jaw. Typically, surgeons can alter the jaw and restructure the chin during the same surgery.
Once your jaw is aligned, tiny screws and plates hold the bone into position. These screws and plates are osseo integrated and are specially formulated to be compatible with your body. They become integrated with your bone over time and do not have to be taken out.
Extra bone can also be added to your jaw if there is insufficient bone. This can be grafted from your hip, leg, or rib.
Often these types of jaw surgeries are performed entirely inside the mouth without any evidence on the skin surface as to what procedure has been performed. There are no facial scars on the chin, jaw or around the mouth.
Often with extensive jaw surgery, the process is carried out after you have had braces, so your teeth are aligned and ready for your jaw to be moved. Braces are placed anywhere from 9 to 18 months before jaw surgery.
Jaw surgery can take up to 2 years to complete, but the results are for life! Know your jaw facts; Talk to us today to discuss your options!
Whether you are missing a tooth, or at risk of losing many, dental implants may be a great solution for you. Dental implants are an increasingly popular fix for missing or dying teeth, and have many benefits.
What is a Dental Implant?
Dental implants are high tech teeth. The root of your current tooth is removed, and replaced with a screw attached to a ‘cap’ that looks identical to a natural tooth. Many people report higher confidence and comfort after receiving their new tooth.
What’s so Great About Them?
The cool thing about implants is that if taken care of, they can last for life. Usually all that needs to be replaced, if anything, is the cap. The other great thing about implants is that they can’t die like natural teeth. You still have to clean and maintain them like your other teeth, but no roots are any longer at risk of causing that tooth to fail. In addition to that, many implants can last a lifetime!
What is the Surgical Process Like?
The process is done either all at once, or in steps. This depends on the recommendations for your particular case. The first step is to remove the root of your natural tooth, and place the implant in its place. If there is not enough bone to place the implant, we may encourage you to have bone grafting first. The gum is then stitched closed and allowed to heal. This can take five to six months. The next step is to reopen the gum and place an abutment on the implant, along with a temporary crown so you can heal while the permanent crown is made for you. You then return to get your permanent crown attached in a few weeks. In other cases, all of these steps can be done in a single visit, but it depends on your specific case.
If you have any questions, please call our office for more information, we would be glad to help!
When it comes to getting your wisdom teeth pulled, you may be stressing about the long list of foods you can’t eat. Don’t worry – you won’t starve! We want your recovery to be as quick and painless as possible, so keep reading for an easy-to-follow guide to eating after your wisdom tooth removal!
- Remember not to drink from a straw during your recovery. Using a straw could rip out your stitches or blood clots, causing dry socket.
- The bubbles in carbonated drinks can also cause dry socket by loosening blood clots, so it’s best to avoid sodas.
- Don’t eat crunchy foods like nuts, chips, and popcorn because they are hard to chew and can easily get stuck in your extraction sites.
- Avoiding acidic foods and beverages can keep you from experiencing pain and stinging.
- Any liquids are fair game, like soups and broths. Lukewarm beverages are best, because you may experience temperature sensitivity.
- Yogurt, pudding, applesauce and Jell-O are some go-to recovery foods: no chewing involved! Stick to these post-extraction staples for the first 24 hours after your surgery before moving on to soft foods that require chewing.
- Mashed potatoes are great for the first few days because you can flavor them with gravy, butter, garlic, sour cream, cheese, the list goes on. Soft, starchy and filling, you won’t feel like you’re missing out on solid foods with these!
- When you’re ready to move on to chewable foods, eggs are soft and can be eaten with just about anything.
- You can even eat pancakes! They’re light, fluffy, and easy on your extraction sites (Tip: you can make breads even easier to chew by letting them sit in your mouth for a few seconds and softening them with your saliva).
- Pasta is totally doable if you prepare it right. Macaroni and cheese is perfect because you can swallow the tiny noodles whole or chew them with your front teeth. You can also overcook your pasta noodles to make sure they are soft and easy to chew.
Your wisdom tooth extraction will be over with before you know it, and as long as you avoid difficult-to-chew foods you’ll be on your way to a speedy recovery!
We are all unique, and so is your mouth! Sometimes, your jaw needs to be beefed up a little, and we’re not talking a hefty workout at the gym.
You may have lost teeth due to gum disease which has resulted in bone loss, or you could just have been “born that way” and need a little help expanding!
Don’t let life get you down! We’ve got these options for you;
Sinus Lift or Sinus augmentation:
A sinus lift is often performed on people who have lost teeth in their upper jaw or are lacking adequate bone density. This procedure adds bone between your jaw and the maxillary sinuses (which are on either side of your nose), the area of your molars and premolars. To make room for the bone, the sinus membrane has to be moved upward, or “lifted.”
The new bone means implants can be placed. This procedure does not affect speech, intonation or cause sinus problems.
Sometimes this procedure is required in the alveolar ridge. The alveolar ridge is the part of the gums immediately behind the upper front teeth. Alveolar ridges contain the sockets, or alveoli, of the teeth. You can feel it on the upper palate if you say words like “tight”, “dawn” because the consonants are made with the tongue tip or blade reaching for this alveolar ridge.
Ridge Expansion or modification: If your jaw isn’t wide enough to support dental implants, bone graft material can be added to a small ridge, or space that is created along the the jaw. Malformation in the lower jaw can result in not enough bone to place dental implants and it can also cause an unattractive indentation in the jaw line near the missing teeth that may be difficult to clean and maintain.
During ridge expansion, the bony ridge of the jaw is increased and bone graft material is inserted and allowed to heal before placing the implant.
Ridge modification has been shown to greatly improve appearance and increase your chances for successful implants that can last for years to come. It can enhance your restorative success both aesthetically and functionally.
Whether you require a lift or expansion, the bone usually will be allowed to develop for about four to 12 months before implants can be placed. However, in some cases, the implant can be placed at the same time the ridge is modified.
What are you waiting for? Ask us today what your implant options can be!
We’ve all had our share of trips, bumps, and even broken bones in our childhood years! (If you haven’t, then you’re very lucky!)
As the saying goes, children are very resilient, and this is actually due to their biology. Children have “bendy bones” which are more likely to bend and crack under pressure rather than break.
The term is referred to as greenstick fractures; similar to when a green branch of a tree bends and cracks, but doesn’t break off.
Considering how much energy children have, pediatric facial trauma is actually very rare! Of all facial trauma, only 15% is pediatric (0-18 years).
The maxillofacial region is related to a number of vital functions, such as vision, smell, eating, breathing and talking. It also plays a significant role in appearance.
When treating children’s maxillofacial injuries, we take into consideration the difference anatomically between adults and children. Facial trauma can range between minor injury to disfigurement that lasts a lifetime if not treated correctly.
Children have much more flexibility in their facial bones, as well as smaller sinuses, multiple fat pads and unerupted teeth. In adolescents an increase in risk-taking behavior and the reduction of parental supervision results in an increase in facial fractures. Contact sports, physical play, riding bicycles, and even road traffic accidents all contribute to pediatric facial trauma.
A full treatment plan is always taken into consideration when we deal with facial trauma. The age of the patient, anatomic site of the trauma, complexity of the injury and how long since the injury occurred is taken into account. Ideally, don’t put off your incident for more than 4 days! This is prime healing time, and if any longer, could extend the healing and complicate the treatment process.
This is why it is very important to always wear protective gear! Remember to always have your children wear seatbelts, and invest in booster or car seats so your children can receive the full protection of seatbelt coverage.
During play, remember shin guards, mouth guards and helmets! Especially when riding a bike!
Play it safe, and if life throws a curve ball (at your face!) give Newport Oral Surgery a call at [PRACTICE_NUMBER]
Are missing teeth causing you difficulty, discomfort or embarrassment? Don’t worry – we have all the facts about tooth replacement treatments and the effectiveness of dental implants as a long-term solution for missing teeth.
What are dental implants?
Dental implants are replacement teeth made of titanium. They are composed of an artificial crown attached to a screw that is surgically implanted into the jaw for stability. Implants are an effective treatment for missing teeth because they maintain the strength of the jaw.
There are a few alternative treatment options, some more lasting than others:
Flippers are temporary, removable plastic teeth. They are attached to a retainer for easy removal. Flippers are one of the most cost efficient tooth replacement methods; however, they are the least durable alternatives to dental implants and are considered short-term solutions until a more lasting treatment can be performed.
Fixed bridges literally “bridge” gaps caused by one or more missing teeth. A dental bridge consists of a false tooth, called a pontic, and two abutment teeth, which are crowns that anchor the bridge to the teeth on either side of the gap. Abutment teeth can be secured to both natural teeth and dental implants; however, anchoring them to natural teeth can cause damage.
Dentures are a common treatment for individuals missing all their teeth in one or both of their jaws. They are made of a removable frame that holds an entire set of teeth.
Removable partial dentures are removable frames that hold a partial set of teeth rather than a full set of teeth. This option is often considered for individuals who are missing some but not all of their teeth in one or both jaws.
Why choose dental implants?
Implants are the longest lasting treatment for missing teeth. With proper care, dental implants can last up to ten years or longer. Because they are surgically anchored into the jawbone, they function like natural teeth.
As doctors, we always weigh the risks and benefits of any procedure or medication therapy. One of the most significant procedures that we perform in our office is orthognathic surgery, more commonly known as “jaw surgery”.
Orthognathic surgery has the ability to enhance a patient’s life, giving him or her the comfort needed to eat properly and, often, the freedom from pain. Because the decision to have jaw surgery is such a serious one, we would like to take a moment to look at the positive side of the procedure in this blog, focusing on the benefits of orthognathic surgery:
- Pain Relief – There are several reasons that a person may experience jaw pain bad enough to warrant orthognathic surgery. They may have unnecessarily been causing excessive wear and tear in the joints over many years and living with constant inflammation. Correcting the alignment of the jaws through surgery is sometimes the only way to set the jaw back on the correct path, reducing strain and therefore pain. Another common scenario occurs with injury to the jaw, often from trauma caused by car and sports accidents. If the jaw is knocked too far out of place or suffers significant trauma, it may not heal on its own and may require resetting through a surgical procedure. These two situations represent occasions where the benefits of orthognathic surgery far outweigh the risks.
- Regular Eating Patterns – A misaligned jaw can make it difficult to chew and swallow, particularly if your teeth do not line up correctly. Often, braces are not enough to correct the alignment issues with the teeth and the jaw itself must be altered. Sometimes, patients don’t even know that they are working too hard to chew because they are used to it always having been that way. Once their bite is corrected through surgery, they are pleasantly surprised to find a significant enhancement in their quality of life.
- Better Overall Health – The health of your body starts in your mouth. Proper nutrition is key to everything from longevity to happiness. Whether your jaws are misaligned from injury or genetics – if your bite is significantly affected, your nutritional habits may be as well, and orthognathic surgery may be the best option for getting your health back on track.
We all want to look and feel our best! In today’s day and age, that often means striving to maintain a youthful look. A popular solution is Botox. Botox has become one of the most well-known, safe, and cost-effective cosmetic procedures used to turn back the clock and achieve a desired youthful look since the 1980’s. There’s tons of information out there, and due to the its popularity, most of us know the basics behind Botox. Here are three facts you may not know about the cosmetic treatment:
1. Botox can help cure acne.
Though Botox has been FDA approved for wrinkle reduction, botulinum toxin can cause a chain reaction when injected into large-pored areas. With large pore areas, like the forehead, when injected Botox can reduce oil production, ultimately resulting in fewer breakouts!
2. Hot yoga may cause Botox to wear off more quickly.
Hot yoga has become a very popular form of exercise. Botox patients who practice hot yoga, or those patients who live active lifestyles, need a Botox touch-up earlier than those patients who are less active. Heavy sweat sessions can prompt the body to metabolize more readily. We’re not encouraging you to give up your active lifestyle, but partaking in less sweat-heavy workouts can increase the duration between Botox refreshes.
3. Botox is a great preventative.
Botox is not just for those facing wrinkles, but also for those looking to prevent wrinkles and aging! Aging is not defined by a number, but my genetics, lifestyle and health habits. Before wrinkles get deep, Botox can be injected into crease-prone parts of the face. By playing offense against aging, you can prevent wrinkles from forming.
Call the office today and explore if Botox is right for you!
Jun 29th, 2016 11:32 am
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Accidents happen! Facial trauma can occur anywhere from sporting events and motor vehicle accidents, to work or home. Something as simple as an accidental fall could leave you with severely damaged teeth – but there’s no need to worry! Oral surgery and cosmetic dentistry offer a world of solutions for traumatic tooth injuries. Take a look at some common tooth injuries and available treatment options!
Broken blood vessels in the tooth’s pulp can cause tooth discoloration. Tooth trauma causes blood to leak into the dentin layer and become visible through the enamel.
Veneers are porcelain shells that are bonded to the front of teeth to improve appearance. They’re designed to match the color of your natural teeth, making them a perfect solution for treating discoloration – chipped teeth, too! Veneers are durable and, if properly cared for, will only have to be replaced after 10-20 years of use.
Whitening is another treatment for trauma-induced discoloration. There are a variety of whitening options to restore your tooth’s natural color, from at-home whitening treatments to in-office bleaching.
Chipped and fractured teeth are among the most common results of sports injuries and falls.
As mentioned above, veneers don’t just treat tooth discoloration – they also fix chips and fractures. However, they’re not always necessary. Bonding is sometimes all it takes to fix minor chips. During a bonding treatment, we etch the surface of the tooth and place a plastic, tooth-colored resin with a bonding liquid to replace any missing tooth fragments.
Crowns are porcelain caps that are secured over damaged teeth and cemented in place to restore appearance and function. They also correct tooth decay and fractured fillings, stabilizing teeth after root canal therapy. Porcelain crowns resemble natural teeth and can last anywhere between 5 and 15 years.
Avulsed (knocked out) teeth need to be replaced to maintain your jawbone health. Without teeth to support, the jawbone deteriorates from underuse.
In some cases, the missing tooth can be reattached. However, this isn’t always an option. Dental implants are artificial teeth that are secured in the gum with a metal screw and serve as placeholders for missing teeth. They look just like real teeth and are equally functional.
Give us a call if you want to transform your smile emergency. We are more than happy to discuss treatment options and get you back on track after your facial injury!