The Regional Center for Oral and Maxillofacial Sur

Facts About Bone Grafting

know the facts Modern bone grafts can be used to fix a number of dental and facial issues and are often required. Dental implants often cannot be placed without first getting a bone graft. If you are considering getting dental implants or think you’re in need of a bone graft, here are some things you may want to know!

Bone grafting is a routine procedure!

Over the years, bone grafting has become a standard and highly-practiced procedure. The procedure is typically performed in the office, depending on each individual case and a local anesthesia or conscious sedation is available if needed in order to block the pain and calm any anxiety you may be feeling!

Bone grafting allows for your body to rebuild itself!

Your body will use your new bone graft as a sort of frame to grow new bone. Over time, the graft will be replaced with new bone that your body has grown during its own regeneration process. Keeping a healthy amount of bone tissue around your teeth is crucial in maintaining great oral health.

If you are in need of a dental implant, have a congenital defect, or have suffered a traumatic facial injury, and you’re wondering if you might need a bone graft, give our practice a call! We can assess your case, answer your questions and come up with the best possible treatment option for you!423-283-4555 

What is a Wisdom Tooth?

cartoon of an impacted toothWe all know that for most people, wisdom teeth need to be removed in order to prevent serious dental problems! But have you ever wondered, what exactly is a wisdom tooth? Wisdom teeth are the third set of molars that typically grow in during a person’s late teens/early twenties.

Why are they called “wisdom” teeth?

Formally known as “third molars”, wisdom teeth developed their name due to the late nature of their arrival, at an age where people are “wiser” than when their other teeth grow in (during childhood).

What is their purpose?

Today, wisdom teeth are no longer needed in order for us to process food. Back in the day, however, when the human diet consisted of tough meats and fibrous vegetables, an extra molar was needed to break down food. Scientists have not discovered a common day use for wisdom teeth, as they are not needed for chewing modern food.

Why do wisdom teeth need to be removed?

Over the years, human jaws have become much smaller, making the space too crowded for wisdom teeth. Therefore, when wisdom teeth start growing in, they push on the teeth that have already established themselves. Once they start pushing on other teeth, the alignment of a person’s mouth is affected. Wisdom teeth can easily become “impacted”. This means that they are trapped underneath a person’s gums and are unable to fully erupt, which can be painful. Since wisdom teeth aren’t needed and can affect your smile and health negatively, we recommend that most people have them removed. For the few people that don’t get their wisdom teeth removed, serious dental health problems can occur down the road.

If you’re curious about the status of your wisdom teeth – contact us today at Johnson City Office Phone Number 423-283-4555 and we will go over your options with you!

Smoking and Oral Cancer

doctor breaking a cigarette in halfOral cancer is a cancer that develops within the mouth or oral cavity. But it doesn’t just affect the mouth, it can involve the lips, tongue, throat, salivary glands, pharynx, larynx and sinuses. There are many factors that can cause oral cancer, but smoking is one of the biggest lifestyle choices that can increase the risk of disease. The Mouth Cancer Foundation found that 90% of those with oral cancer consumed tobacco. When you combine heavy use of alcohol and tobacco, the risk is even greater.

Oral Cancer Statistics

9,750 people die from oral cancer each year in the U.S, and oral cancer represents about 4% of all cancers and 2.2% of all cancer deaths in the U.S. After reading those stats, you might be wondering how you can avoid being a part of these grim numbers.

Preventing Oral Cancer

The first step is to choose a healthy lifestyle. It’s important to eat a balanced diet, exercise, avoid alcohol (or drink in moderation) and avoid tobacco usage altogether. But it’s also important to recognize all the signs and symptoms of oral cancer so that it can be caught early on.

Here are a few oral pathology signs to watch out for:

  • Feeling of a lump or object in your throat
  • Numbness, pain or tenderness in your mouth and tongue
  • Troubling moving your jaw or tongue with chewing, swallowing or speaking
  • Loose teeth with no apparent dental cause
  • Lingering sore throat

If you are experiencing any of these signs or symptoms, contact our office today. In addition to that, we urge you to have regular oral cancer screenings in our office. We offer oral cancer examinations to all our patients. The earlier the cancer it detected, the quicker we can help you. Call our office today at Johnson City Office Phone Number 423-283-4555 to schedule your screening appointment.

Bone Grafting for Dental Implants

model of a dental implantBone grafting and dental implants typically go hand-in-hand, as the loss of a tooth can wear down the surrounding jawbone structure and a dental implant is a common procedure to replace lost teeth. As soon as a person loses a tooth, bone loss begins. In order to place a sturdy, reliable dental implant, a bone grafting procedure is often required in order to rebuild the jawbone. While bone grafting sounds daunting, it is a safe and reliable procedure that prepares the jaw bone for a dental implant, and in most cases, is necessary to build up a sturdy foundation.

In a bone graft procedure, bone tissue taken from another part of the body is grafted into the jawbone. Another method utilizes processed bone from animals, but results in the same regrowth of your jaw. It can take several months for the graft to set and grow into a stable foundation for a dental implant.

Depending on the amount of bone loss, bone grafts can be placed at a variety of times during the implant process. For example, if only a minor bone graft is needed, we may be able to place it at the same time as the dental implant. However, if a larger bone graft is necessary, it will have to rest for months before the dental implant procedure can be performed.

Bone grafting is a very important and often overlooked procedure when it comes to preparing for a dental implant! Dental implants have increased in popularity and effectiveness over the years, as they provide the most reliable replacement for natural teeth. Dental implants look and feel like normal teeth, and if treated properly, can last the rest of a person’s lifetime! Bone grafts and dental implants work together to restore smiles.

Contact us today at Johnson City Office Phone Number 423-283-4555 to schedule your dental implant consultation, and we can talk about your bone grafting options!

FAQs: Wisdom Teeth

Image of a question mark Patients always wonder why it is recommended that they get their wisdom teeth extracted, or why they even have wisdom teeth in the first place! We always want our patients to be in the know and have all of their questions answered. It is important to understand the benefits of having your wisdom teeth extracted.

We invite you to read through our frequently asked questions about wisdom teeth and the extraction process and call us at 423-283-4555 if you have any questions.

Why do we have wisdom teeth?

Ancient humans had a very different diet than we do today. They needed the third set of molars in order to grind up food that was tougher in texture and harder to digest. They also had larger jaws with more room for their wisdom teeth.

Humans today eat softer foods, or cooked foods, that are far easier to chew and digest. Over time, we have evolved to have smaller jaws and teeth, leaving less room for our third set of molars.

Why do I need to have my wisdom teeth extracted?

There are several benefits to having your wisdom teeth extracted. Keeping your wisdom teeth can cause a variety of short-term, as well as long-term, complications.

Impaction: When there is not enough space in your jaw for your erupting third molars, they can become impacted, causing them to grow in at an angle. Impaction may cause pain or discomfort while eating.

Damage to other teeth: Impacted wisdom teeth can cause damage to your other teeth. When they grow in at an angle, they can push against your second molars, damaging them and potentially causing tooth decay.

Disease: Due to impaction, the narrow spaces between molars allows for bacteria to form more easily, putting you at a higher risk for periodontal (gum) disease, cysts, and inflammation.

When is it okay to keep my wisdom teeth?

Sometimes, there’s enough room in your jaw for your third molars to erupt comfortably and without damaging your other molars. If we see that they may grow in healthy and without impaction, we may recommend that you do not have them extracted. If this is the case, make sure you are going in for regular check-ups and closely monitoring your erupting wisdom teeth.

When should I get my wisdom teeth extracted?

Wisdom teeth generally erupt between the ages of 17-25. Many people get their wisdom teeth extracted before they graduate high school. It is recommended that you get your third molars removed as soon as possible. The longer you wait, the more complications can arise. For example, the longer you wait to have them removed, the longer the roots grow. The longer the roots get, the more chance they have of coming in contact with your nerves, possibly causing nerve damage.

If your teen hasn’t yet had his or her wisdom teeth evaluation, please give our office a call at 423-283-4555.

The Most Common Types of Bone Grafting

Image of a jawBone grafting has become so common, most patients have encountered the term at least once before entering our office. But delving deeper into some of the additional types of bone grafting will give you a better appreciation of this amazing procedure.

What is Bone Grafting?
Bone grafting is the process of using natural or synthetic materials to encourage your body to grow new bone. Your jawbone requires regular stimulation from the activities of teeth to maintain its shape. When a tooth is extracted, the jawbone immediately begins to lose mass. In oral surgery, we use bone grafting to build up the jawbone so that we can place a dental implant.

Types of Bone Grafting:
• Socket Preservation: After tooth extraction, the empty socket is filled with bone grafting material to preserve the bone in the site for tooth replacement in the future.
• Sinus Lift: The sinuses lie above the upper jawbone and are filled with air. If the upper jawbone has receded, we lift the sinus membrane and fill the space underneath it with grafting material to bulk up the bone for upper implants.
• Ridge Augmentation: As with socket preservation, ridge augmentation involves the filling the site of an extracted tooth, however, bone loss has already occurred in this case as the extraction was done months or years before.
• Nerve Repositioning: The nerve that gives feeling to the bottom lip and chin is known as the inferior alveolar nerve. Sometimes this nerve must be relocated in order to place a lower jaw implant. The nerve is moved, and the pockets left behind are filled with bone grafting material to prepare for a dental implant.

If you have been told you need bone grafting and aren’t sure what to expect, please give us a call at 423-283-4555.

Why You Should Get Corrective Jaw Surgery

Woman and man sharing foodJaw Surgery, also known as Orthognathic Surgery, is a corrective surgery which is performed in order to realign the structure of a jaw. This surgery can seem frightening and intense but is actually a very useful surgery, having many benefits which would result in the improvement of your lifestyle in a few different ways. Today we are going to discuss a few of the top reasons why you might want to think about getting corrective jaw surgery and how it can benefit you.

You have difficulty chewing, biting or swallowing foods:

If you tend to chew your food with your back molars, this may be a sign that you need jaw surgery. Having corrective jaw surgery can make eating easier on your jaw and a more enjoyable experience for you (which it should be)!

You have an under bite or overbite which makes your smile uneven:

Jaw surgery can improve your smile tremendously and give you the smile of your dreams by making sure the position of your jaws is perfect. Having an under bite or an overbite can make your smile appear uneven or can make the structure of your jaw look off. Jaw surgery can significantly improve the look of your jawline and your smile.

You grind your teeth at night and are subject to constant headaches:

People who have TMJ syndrome, which is a term for pain and/or compromised movement of jaw and surrounding area, tend to grind their teeth at night while they are sleeping. This can result in significant headaches when waking up in the morning. Corrective jaw surgery can stop your grinding, which in turn will reduce your headaches.

These are just a few of the reasons why you should consider getting jaw surgery in order to realign your jaw. Having orthognathic surgery can greatly improve the quality of your sleep, and also the way you chew and eat foods. Contact The Regional Center for Oral & Maxillofacial Surgery, P.C. at 423-283-4555 today for more information about jaw surgery and to see if you are a candidate!

Dental Implants – The Recovery

'dental implant recovery'The recovery time following dental implant surgery tends to vary, but is usually based on the amount of teeth being implanted, whether or not a bone graft was needed and the individual and how well they manage their recovery. Luckily, the science and technology behind dental implants has improved drastically over the last few years, improving post-surgery pain and comfort for patients.

The patient requiring the least amount of recovery time would be one who had a standard, single dental implant placed with no bone grafting. With a simple procedure like this one, there is very little discomfort or pain after the surgery. Mild bruising and soreness can occur, but is typically manageable with over the counter pain relievers. In more severe implant cases, such as those where multiple teeth are implanted or severe bone grafting needed in order to accomplish the implant, the recovery time tends to be longer and the discomfort can be more intense.

In any cases, it is important to keep your mouth clean after surgery, which can be done by rinsing your mouth gently with salt water beginning the day after surgery. You may begin brushing your teeth the night after the surgery, but make sure to keep it light around the surgery area as to not disrupt the healing in that area. It is also important to remember that in the week following your surgery, there should be no smoking and no sucking through a straw, as this can seriously inhibit your healing process. It is important to stick to a diet primarily consisting of soft foods for the first 7-10 days following your surgery before beginning to return to your normal diet.

As you can see, the recovery process after receiving a dental implant is fairly predictable and comfortable. It is important to follow the instructions that we give you at The Regional Center for Oral & Maxillofacial Surgery, P.C., and to always remember that if you have any questions or concerns regarding a procedure or following your surgery, you can always give us a call at Johnson City Office Phone Number 423-283-4555.

How to Take Care of Your Dental Implant

'man flossing teeth'Cleaning and taking care of your implant is just as important as cleaning your natural teeth. Here are some things you should know about caring for your implant.

Your implant and your natural teeth are similar because they both rely on healthy tissue for support and both can build up plaque. It’s important to remove that plaque because it can develop into an infection. If the infection isn’t properly treated, it can result in a loss of bone around the implant which could progress to the loss of the implant itself.

It’s important to get your teeth cleaned on a regular basis so your dental hygienist can get that biofilm off your teeth and keep your teeth infection-free. As always, you should be brushing your teeth and flossing twice a day. Never use your teeth, especially your implant as “scissors” to open anything.

Dental implants are the closest thing you can get to real and natural teeth. They don’t require any special products or treatment. Just a simple brush and floss will do the job. They are also long lasting. If they are properly cared for, they can last a lifetime, avoiding any further dental work down the road.

With a dental implant, you can still enjoy all your favorite foods. It will not loosen or fall out if you are chewing something hard.

Overall, dental implants are meant to make life better and easier, not to add issues or interrupt your life. You don’t have to go out of your way to take care of them – a simple brush and floss will ensure that they improve your overall quality of life for many years to come.

If you think a dental implant may be right for you, call The Regional Center for Oral & Maxillofacial Surgery, P.C. at 423-283-4555 to schedule a consultation with us.

New Trends in Dental Implants

'dental implant'A trending topic right now seems to be the decision to opt for “mini-dental implants” instead of more traditional ones. Below we are going to take a look inside the trend, and lay out some of the benefits and drawbacks so that you can get a better understanding of this exciting trend in dentistry.

Benefits

  • Mini dental implants are usually less expensive than traditional ones, sometimes costing only 1/3 that of regular implants. They take less time to place and are smaller and less invasive, and can be used in small spaces or for those with inadequate bone mass.
  • With mini dentures, smaller dentures can be used, leading to a better tasting experience for the palate than a traditional denture would provide.
  • Mini implants can be placed with minimal recovery time, and usually require very little to no bone grafting.

Drawbacks

Because this is still a fairly new procedure, there are a few downsides. For one, there aren’t enough studies out there on the longevity of these implants, so we don’t know how they hold up over time. A study published in the International Journal of Implant Dentistry in 2016 revealed that traditional dental implant placement has a proven survival rate of 95% or greater. The analysis collected data from over 10,000 implants from 3,095 patients, across three separate private practices over the course of 20 years. For mini dental implants, there isn’t yet enough data to conclude a proper survival rate.

Another concern is that because this is such a new trend there is not as much information or regulation out there. Some practices with claims such as “Dentures-in-a-day” might not do a proper consultation, skipping important steps such as a 3D scan to make sure that you are a good candidate for the procedure.

While it may be some time before this method is perfected and adopted, it is also exciting to see the advancements changing people’s lives in the dental industry every day. Check in with The Regional Center for Oral & Maxillofacial Surgery, P.C. to find out what tooth replacement options may be right for you!