Golden Foothills Oral & Facial Surgery Center

Smile Emergency: Facial Trauma and Cosmetic Dentistry

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!

Tooth Injury:

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.

Treatment

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.

Smile Emergencies Facial Trauma and Cosmetic Dentistry

Tooth Injury:

Chipped and fractured teeth are among the most common results of sports injuries and falls.

Treatment

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.

Tooth Injury:
Avulsed (knocked out) teeth need to be replaced to maintain your jawbone health. Without teeth to support, the jawbone deteriorates from underuse.

Treatment
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!

Dental Implants: High Tech Teeth

What are dental implants? Dental implants are replacement tooth roots that provide a foundation for both fixed and removable replacement teeth. Like roots, dental implants are secured within the jawbone and not visible once surgically placed. Teeth replacement is not new to dental technology. Early civilizations practiced teeth replacements; archaeologists have discovered skulls where teeth have been replaced by cast iron and sea shells. Despite their primitive methods, some of these implants were fused with bone like modern dental implants! However, unlike the ancient cast iron or sea shell implants, modern implants are composed of titanium. Titanium is lightweight, strong, and biocompatible.

Dental Implants-High Tech Teeth

According to the American Academy of Implant Dentistry (AAID), dental implants have the highest success rate of any implanted surgical device — 98%. Dental implants are available in several designs that meet individual needs: single tooth replacement, multiple tooth replacement, implant supported prosthesis (removable), and an implant stabilized denture. Aside from meeting individual needs, there are a few other advantages to having dental implants:

  1. Improved appearance. Dental implants are designed to fuse with bone, and look and feel like your natural teeth.
  2. Improved comfort. Because dental implants become an extension of your natural mouth, implants remove the discomfort associated with removable dentures.
  3. Easier eating. Dental implants act as your natural teeth, allowing you to eat without the pain and discomfort that often accompany slipping of dentures.
  4. Improved self-esteem. Dental implants give your best natural smiling, helping build self-confidence!
  5. Improved oral health. Dental implants are the only proven way to prevent bone loss after the loss of natural teeth. The jawbone needs consistent chewing action to stimulate continual bone growth. Tooth/teeth replacement with dental implants offers a solution to prevent bone loss.
  6. With proper care, consistent brushing, flossing and routine dental visits, dental implants can last 40-years to life.

If you are interested in dental implants, or have any questions regarding the procedure, call the office today!

Orthognathic Surgery: The Post-Surgery Diet

Orthognathic surgery, commonly referred to as “jaw surgery,” is used to correct a wide range of both minor and major skeletal and dental irregularities, often the misalignment of the jaws and teeth. Patients looking at undergoing orthognathic surgery are often faced with an extensive recovery period, as well as a restricted diet in the beginning of their recovery process. Post-surgery patients are discouraged from chewing to allow the bone to heal and stabilize. Due to the fact that adequate healing can take up to 8-12 weeks, patients will initially be on the “swallowing diet” for a number of weeks.

Orthognathic Surgery-Post-Surgery Diet

When it comes to the “swallowing diet,” the name of the game is high calorie, high protein, and low volume. Facing a large volume of liquid each meal that meets both the necessary caloric and protein needs can be overwhelming. Consuming enough calories, as well as enough protein is a necessity to heal in a timely manner. In order to get adequate volume of fluid and nutrition daily, it may require you to eat smaller meals 5-6 times per day, rather than the usual 3 times per day.

Patients who are well prepared for their surgery often have a smoother recovery. Here is an example of smoothie recipe a patient can consume following orthognathic surgery:

Peanut Butter Banana Smoothie

  • 2 chilled bananas, broken into chunks
  • 2 cups milk
  • 1/2 cup peanut butter
  • 2 cups ice cubs
  • 2 tablespoons honey, or to taste

Place bananas, milk, peanut butter, honey, and ice cubes in a blender; blend until smooth, about 30 seconds.

Though patients are faced with a restricted diet post-surgery, it is important to remember to try and maintain a balanced diet. In particular, foods rich in vitamins A and C. According to the Academy of General Dentistry (AGD), plenty of vitamin C is one way post-surgery patients ensure a timely recovery!

No Teeth? No Problem!

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.

No Teeth No Problem

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.

On the Lookout for Oral Cancer

Oral cancer screenings are performed regularly at dental exams, but that doesn’t mean you shouldn’t be paying attention to your dental hygiene between appointments. Taking matters into your own hands is the best way to maintain your oral health. Not sure how to screen for oral cancer? We’ll show you!

What is oral pathology?
This branch of dentistry involves the evaluation and treatment of diseases of the mouth. The most dangerous, but not always the most obvious, of these diseases is oral cancer.

On the Lookout for Oral Cancer

What should I look for?
Keep an eye out for these oral cancer symptoms during your self-screenings:

  • Red or white patches in the mouth
  • Lumps on the tongue or lining of the mouth
  • Mouth sores that won’t heal
  • Unexplained bleeding
  • Chronic throat soreness
  • Difficulty chewing or swallowing
  • Mouth numbness

How do I perform an oral cancer self-exam?

  1. When performing your oral cancer self-screening, be sure to check all areas of the mouth, including the roof, floor, tongue, lips, cheeks and the back of your throat.
  2. Examine your face in the mirror for abnormal asymmetry and irregularities.
  3. Feel your neck and the back of your head with your fingers to look for any bumps or changes in texture.
  4. Examine your throat by placing your fingers around your thyroid cartilage (Adam’s apple) and swallowing.

How often should I perform a self-exam?
Self-exams should be performed at least once a month. Changes to your oral health can occur rapidly, so it’s important to stay on top of things. Treatment is most effective if we detect symptoms early.

Ask us about performing an oral cancer screening when you visit – we’re here to ease your mind and give you the tools you need to maintain your health!

April is Oral Cancer Awareness Month!

Has there ever been a moment in your life where you felt that you should be a part of something bigger than yourself? An organization, a charity, or a non-profit perhaps? Humans are born with the innate desire to help others, so it’s no wonder that we may feel the need to give back to the world in one way or another. And sometimes, it’s the simple acts that yield the most difference. This month you have the opportunity to get involved with a sweeping issue that goes unnoticed too often, and you may help save a life by doing it.

hnca

April is Oral Cancer Awareness Month and we need to stir up some conversation. Oral cancer awareness in the American public is extremely low, with very little acknowledgment of its devastating realities. According to the AAOMS, oral and pharyngeal cancer (cancer of the upper throat and mouth) collectively kills nearly one person of every hour of everyday of the year. Approximately 48,250 people in the US will be newly diagnosed with oral cancer this year. While smoking and tobacco use are still major risk factors, the fastest growing segment of oral cancer patients is healthy, young, nonsmoking individuals. We know this sounds scary, but the truth of the matter is that it is scary, and we need to confront the concern head on.

Awareness is so much more than just knowing about an issue, it’s also about collective, meaningful action. Share this information with your family, friends, and coworkers. Help educate those around you about the importance of regular self-exams and screenings. Oral cancer is not a new phenomenon, but with advancing technologies and the ability to rapidly share information, we can have a new approach. It is possible for fatalities to be avoided! As reported by the AAOMS, the death rate associated with oral and pharyngeal cancers remains particularly high due to the cancer being routinely discovered late in its development. This means our voice can carry the power to make a difference in the world of oral cancers.

April 10-16th is Oral, Head and Neck Cancer Week (OHANCAW).
A message from President Louis K. Rafetto, DMD, mentions that the AAOMS is joining a number of dental organizations in support of the Oral Cancer Foundation’s 17th annual observance this April. This designated week will support free oral cancer screenings and encourage practitioners, patients and other interested individuals (like YOU) to promote head and neck cancer awareness through the use of public service announcements, news releases, talks at middle and high schools, walk-a-thons, and other community-based activities.

As an Oral and Maxillofacial surgical care practice, we have the unique ability to diagnose and treat these conditions. Call us to discuss the steps that you and those within your community can take to help detect early signs of oral cancer.

Get Checked, April is Oral Cancer Awareness Month!

Being that we are entering April, now is the time to be proactive and get yourself checked for oral cancer. According to the American Cancer Society, about 48,330 people will be diagnosed with oral cancer, and an estimated 9,570 people will die from oral cancer in 2016. In the spirit of April’s Oral Cancer Awareness, we urge you to receive regular oral cancer examinations. Remember—early detection saves lives!

Are you at risk?
The sad truth is that oral cancers are more than twice as common in men as in women, and the fastest growing group of oral cancer patients are young, healthy, nonsmoking individuals. It is more important than ever for young adults, as well as older men and women, to get regular screenings whether they think they’re at risk or not.

Get Checked

Knowing the risks can help you make educated decisions about your health. There are several risks that increase your chances of developing oral cancer:
• Smoking and using tobacco products have been a known long-term historic causes of oral cancer.
• Heavy alcohol usage also makes you more susceptible to develop oral cancer.
• The HPV virus, a sexually-transmitted disease, is the leading cause of oropharyngeal (the back part of the mouth) cancer.

What are the signs and symptoms?
The mouth is one of the body’s most crucial early warning signs in the fight against oral cancer. In between regular dental visits, it’s important to be aware of the mouth’s signs and symptoms. Remember, if you see any of these signs or symptoms, schedule an appointment at the office if you don’t see improvement within two-three weeks:
• Hoarseness, chronic sore throat, or change in voice.
• The development of white, red, or speckled (white and red) patches in the mouth.
• Lumps, thickening tissues, rough spots, crusty or eroded areas.
• Difficulty chewing or swallowing, speaking, or moving the jaw or tongue.
• A change in the way your teeth or dentures fit together when you close your mouth.
• Dramatic weight loss.
• Unexplained numbness, loss of feeling, or pain/tenderness in any area of the face, mouth, or neck.
• Unexplained bleeding in the mouth.

Don’t wait any longer. In the spirit of Oral Cancer Awareness Month, be proactive about your oral health, and get checked today!

How to Check Yourself for Oral Cancer

How to Check Yourself for Oral Cancer

The first and most important thing to remember is oral cancer is often painless! The second rule to remember is that if you aren’t sure, ask! Its better to ask now and be sure than to wish you had asked. There are no dumb questions when it comes to looking for oral cancer. And, most importantly: any suspicious area that doesn’t resolve on its own in 14 days should be checked out ASAP.

The key to eliminating oral cancer is to act on it early. Here are some things to check regularly.

Your Tongue
Look for lumps and bumps on the upper and lower surfaces of your tongue. Feel around for odd textures, bumps, discoloration or swelling. Place the tip of your tongue on the roof of your mouth to peek underneath. Don’t limit your search to the red flags above. Use your fingers and your vision.

Your Cheeks
Gently feel your cheeks for bumps and swelling. You can do this by placing your finger on the interior and your thumb outside your cheek. Lightly squeeze and feel around for anomalies.

Your Lips
Take a good look at the interior of your lips with a hand mirror. Keep an eye out for the same signs. Lips are harder to be sure about because they are constantly drying, wetting, and being scraped as we eat and speak. Nonetheless, lips are prone to cancer given that they re always exposed to sunlight. Better safe than sorry.

Your Head/Neck Area
Closely examine your head and neck for lumps and protrusions. A bump or lack of uniformity is absolutely worth checking out. Ask us at your next visit to check out your throat too. Keep an eye out for sensitivity and soreness.

With oral cancer, the key is to keep your eye out for anything out of the ordinary. Anything that seems strange is worth noting and calling our office about.

Call us today for a check up!

After Surgery: What to Feed a Delicate Mouth

After Surgery- What to Feed a Delicate Mouth

There’s nothing like oral surgery to make you appreciate the solid foods and acidic drinks you can’t have right away. Sandwiches, chips, and orange juice should all be avoided after oral surgery such as wisdom tooth removal, dental implant surgery, and orthognathic surgery. Too much chewing can re-open the sensitive areas of your mouth, and can cause bleeding or infection. But don’t worry–we have a few healthy food and beverage recommendations you can use while your mouth is delicate.

First 24 Hours

For the first 24 hours after your surgery, your teeth/jaw will need some time off. Therefore, smoothies, low-fat jello/puddings, and warm (not hot!) soups will be the most beneficial for your healing process. Soft foods are your friends! It is extremely important to refrain from using a straw, as the sucking causes excess strain, which can delay the healing process.

Here are a few recommendations for the first 24 hours:

Banana Shake: A healthy, filling way to start the day after your surgery. Don’t use a straw! Also, bananas help replace electrolytes and maintain fluid balance within your body. Other milkshakes and smoothies work great too, as long as they don’t have seeds in them that can get stuck in wounds.

Applesauce: You can’t eat apples, but this is the next best thing!

Soup: Soup with soft ingredients is a great way to go. Don’t include chunks of food that need lots of chewing. Make sure that it’s the right temperature for your sensitive mouth.

Mashed Potatoes: The softest food around. Mashed potatoes require very little effort from your mouth and have great calories and nutrition. Try different toppings to make things interesting.

Next Few Weeks

Over the next few weeks, you will start easing into enjoying solid foods again. Here are some tasty transitional foods (some can even help the healing process!)

Gnocci: Gnocci is one of the softest pastas there is. Try it with tomato sauce, powdered parmesan cheese and a hearty meat filling.

Hamburger Stroganoff: Minced or finely sliced meat is a good place to start, and cooked mushrooms should be soft enough not to bother you. Added sour cream will give the dish a smooth consistency.

We hope that these recommendations help! We genuinely want you to heal as quickly as possibly while maintaining a healthy lifestyle. Feel free to call us with any questions about the post oral surgery process.

The Miracle of Bone Grafting

The Miracle of Bone Grafting

Bone grafting is something of a miracle. Although you only get one set of bones, it’s actually possible to convince your body to repair itself with new bone material where you need it most. We aren’t talking about growing a whole femur. We’re talking about growing just enough bone material to strengthen weak spots in your jaw.

Why would I ever need this?
Let’s say you need a dental implant. You’re sick of that hole in your mouth where one of your teeth used to be, and you’re ready for a shiny new tooth to fill the gap. The problem is, your bone just isn’t strong enough to support the implant. Maybe you have periodontal disease, and the jaw bone is just too weak. Bone grafting may be necessary.

How does it work?
Simply put, bone grafting is the process of taking a little bone material from another site in your body and placing it where it is most needed. The healthy bone then fuses with the weak bone and encourages your body to grow more bone in the site, rebuilding the area to the point where it can support an implant.

There are a few ways to do this.
Sophisticated sounding terms to impress your friends:

  • Autogenous bone graft: Bone is removed from another site in your body and transplanted to where you need it. If you need just a little bone, it can be taken from another site in your mouth. But if there is not enough good material in your mouth, or you need a sizable amount, it can be taken from your hip, or your shin.
  • Allograft: Synthetic bone can be grown in a lab, or taken from a cadaver bone. This is a perfectly safe, proven procedure, though your best bet is always your own bone material. Your body knows there’s just no place like home.
  • Xenograft: Cow bone. Yes. Your body will accept cow bone. In this scenario, no secondary donor site is needed, so it may be a great option if you are uncomfortable with having bone taken from another site in your body. This is a perfectly safe procedure. Your jaw can be beefed up with bovine bone.

No online article will let you know for sure whether or not you need bone grafting, but it is good to know something about it. Give us a call and come on down for a consultation, and we’ll let you know exactly what we think the best option is for you.