About Experts Sitemap - Group 40 - Page 8 2016-07-19

Oral Surgery: Possible Lawsuit - Need Second Opinion, oral and maxillofacial surgeon, cheek bone
oral and maxillofacial surgeon, cheek bone, burning tongue: William - I am so sorry to hear about what you have been through. There is obviously a problem created through the surgery. Your attorney is correct in suggesting that you should seek a second opinion. From the type of treatment you underwent, it is important...

Oral Surgery: Ranula, warm salt water, ent doctor
warm salt water, ent doctor, ent surgeon: Fatima - I disagree with the ENT doctor. Saliva is being discharged, but its saltiness might be due to a continued irritation. My suggestion, rather than giving up on the area, is to immediately begin a regimen of warm salt water rinses for about 3-5 minutes,...

Oral Surgery: Still having pain after tooth extraction redux, bone graft, oxygen treatment
bone graft, oxygen treatment, lack of oxygen: Ann - This is a very difficult question to answer. If is not neurological in origin the only other cause of pain when there is no infection could be a lack of oxygen to the area. It could like when we sit in a position too long and our food falls asleep....

Oral Surgery: Swelling after lower jaw surgery around plate, Jaw
Jaw: Hi Sarah, Some swelling and numbness is expected. I would be concerned if the swelling returns. That is a sign of infection, loose screw or small loose bone particles. If the swelling is not severe, then you could wait until Tuesday. But if it is extending...

Oral Surgery: Tonsil, tonsil tissue, pillar
tonsil tissue, pillar, diagnosis: Kim - I have to tell you that in the picture I do not see any creamy white appearance. In the future, if you have concerns, having your husband examined is a much better diagnosis that sending me pictures that do not tell the whole story. So if you have...

Oral Surgery: Tooth extraction site, wisdom tooth extraction, warm salt water
wisdom tooth extraction, warm salt water, cancer sores: Nicole - First of all, that area on the socket is not a canker sore, but rather it looks like an area of the extraction was traumatized during the extraction. That area will eventually heal, but to speed the healing, immediately begin a regimen of warm salt...

Oral Surgery: Tore skin between upper lip and gums, oral and maxillofacial surgeon, high rocks
oral and maxillofacial surgeon, high rocks, exact area: Scott - Depending on the exact area of the laceration, there can be exposure of areas that should be covered with the tissue. Do yourself a favor and have the area evaluated by an oral and maxillofacial surgeon preferably, but if one is not available, a regular...

Oral Surgery: treatment for KCOT, columbia presbyterian hospital, columbia presbyterian hospital new york city
columbia presbyterian hospital, columbia presbyterian hospital new york city, general hospital boston: Kristin - The length of time until there is a shrinkage of the lesion is quite variable. The pain, if the procedure is reducing internal pressure, should resolve shortly. Usually there is not too much pain. I wish I would know the size of the tumor. The...

Oral Surgery: Ulcer?, gargle salt water, swollen glands
gargle salt water, swollen glands, brushing my teeth: Hello Scott, There are substancial differences between benign ulcers and oral cancer. Ulcers are self healing and will disappear in matter of days. I would not use salt directly but would use oral rinses and gargles. Keeping a good hygien and avoid smoking...

Oral Surgery: Unhappy with face shape after Jaw Surgery, Jaw surgery
Jaw surgery: Hi Josh, I am sorry to hear that you are not happy with the results. I think the best thing to do is talk to your surgeon. If not, then you should seek another oral surgeon who does orthognathic surgeries to get xrays and clinically evaluate you. Hope...

Oral Surgery: White ulcer on Tonsil, ear nose and throat doctor, oral and maxillofacial surgeon
ear nose and throat doctor, oral and maxillofacial surgeon, ulcer on tonsil: Scot - I am not sure if that white ulceration is the same or if it has changed since the salt was directly applied. My suggestion is that you make an appointment with an ear, nose and throat doctor. I think that it is viral, bacterial or inflammatory, but...

Oral Surgery: Abscessed Tooth & Bactrim, streptococcus bacteria, oral infections
streptococcus bacteria, oral infections, bactrim: Drew - Bactrim is an antibiotic that helps to eliminate or reduce infections, but is not usually used for oral infections. The most common cause of infection is streptococcus bacteria and Bactrim does not work well for Strep. Sorry to tell you that but the...

Oral Surgery: bad tooth, exact diagnosis, bad tooth
exact diagnosis, bad tooth, foul odor: Alicia - without directly examining your mouth or, at least, seeing pictures and xrays of the teeth it is difficult for me to come up with an exact diagnosis. What you describe could simply be from decay, infection or inflammation. Most likely, with the...

Oral Surgery: Bump on Palatopharyngeal arch, oral and maxillofacial surgeon, biopsy
oral and maxillofacial surgeon, biopsy, wart: Nikki - It could be a wart, but it could also just be blockage of a gland. My suggestion is to make an appointment with a board certified oral and maxillofacial surgeon or ENT doctor for an evaluation. A biopsy might be warranted to fully diagnose the area....

Oral Surgery: caldwell luc surgery, caldwell luc procedure, cleft lip and palate repair
caldwell luc procedure, cleft lip and palate repair, cleft lip and palate: Donna - Without examining you, it is difficult for me to predict how long the procedure will take and how long till you can perform normally again. In general, a Caldwell Luc and removal of foreign material should be about 1-1 1/2 hours, but it depends on...

Oral Surgery: chewing tobacco/mouth cancer, mouth cancer, chewing tobacco
mouth cancer, chewing tobacco, relative risk: David - Similar to those individuals who stop smoking, the chance of a cancerous development from the tobacco greatly reduces each year that the mouth tissue is not exposed to the tobacco. So you are probably fairly safe. Of course, even people who never...

Oral Surgery: chronic osteomyeolitis jaw w/oral antral fistula, joel berger, dr berger
joel berger, dr berger, antral: Anita- I am the wrong doctor to speak with Dr. Berger. I have never examined you and the doctor will not address your case with me. As I previously suggested, The Foundation should be able to help. Another possible assistance is to go to a major medical...

Oral Surgery: corrective surgery for a receding chin, jaw bone, overbite
jaw bone, overbite, corrective surgery: Amber - If your bite is correct and stable and you have a receding chin, the chin can be moved forward on its own. If, however, the lower jaw bone is small or the upper jaw is too large compared to the lower, surgery can correct the problem. Along with...

Oral Surgery: after I and d abcess has entered sinus, sinus cavity, maxillary sinus
sinus cavity, maxillary sinus, amoxicillan: Patricia - First of all, the doctor must determine the type of bacteria in the area and then prescribe a specific antibiotic to calm the area. The key test you don t mention is - does water come out of your nose when you drink it? Hopefully not, if it does...

Oral Surgery: Dental Implants and Osteoporsis meds, jeffrey, bressman
jeffrey, bressman, glenview: It depends on which osteoporosis medication you are taking. Some are worse then others with regards to the risk of osteonecrosis. In general, the oral bisphosphonates have a very low risk profile of complications. To whatever extent you can do your dental...

Oral Surgery: dental implants teen - need for bone graft, jeffrey, bressman
jeffrey, bressman, jeff: I would say that each surgeon has their own preferences based on a number of factors including their understanding of the research literature, their clinical experience and their level of comfort with different surgical procedures. Obviously, I can not give...

Oral Surgery: Earache after Wisdom Tooth Extraction, wisdom tooth extraction, extraction of wisdom teeth
wisdom tooth extraction, extraction of wisdom teeth, uncomfortable sensations: Danita - the earache you feel is not uncommon after the extraction of wisdom teeth. This is usually due to inflammation of the jaw muscles near the extraction site. These muscles attach in front of the ear and often cause an earache and clogged sensations...

Oral Surgery: Help!! Am terrifired!, implant placement, jaw bone
implant placement, jaw bone, dental problems: Sandra - A replacement for the teeth that need removal can be a very expensive treatment. Implants are very expensive. A good approach is extraction of the teeth, denture on the upper and lower teeth and a couple of implants of each upper and lower to add...

Oral Surgery: Impacted Wisdom Tooth, wisdom tooth, skilled surgeon
wisdom tooth, skilled surgeon, jaw line: Melissa - Although a dentist might not be a skilled surgeon or a skilled orthodontist, a general dentist is legally allowed to extract a wisdom tooth or perform orthodontics on a patient. The important thing is that all dentists need to provide an informed...

Oral Surgery: implant, skilled surgeon, spinal tap
skilled surgeon, spinal tap, epidemiologist: Elaine - I, of course, do not know your dentist or know his skills, but it is obvious that he was not secure with his treatment. Rather than have an attitude, he should have suggested that you see an epidemiologist physician, is skilled in arriving at the...

Oral Surgery: Jaw surgery, nasal passage, jaw surgery
nasal passage, jaw surgery, drying agent: Elizabeth - I am assuming that your upper jaw was the site of the surgery. In that type of surgery, the bone is cut and entrance into the sinus is common. Once the sinus has been entered via the bone cut, drainage of the normal mucous within the sinus is...

Oral Surgery: Lesion on hard palate, punch biopsy, upper palate
punch biopsy, upper palate, hard palate: Jo- this is a difficult question for me to answer without examining you. It is not uncommon or inappropriate to remove the entire lesion to submit it for biopsy. If the lesion is large, then initially a punch biopsy or only a small piece should be taken...

Oral Surgery: Maxillofacial surgery, class3 malocclusion, hollywood face
class3 malocclusion, hollywood face, initial surgery: Christopher - I just don t know. From what you describe, the initial surgery was done incorrectly and the doctor is trying to compensate now. I wish I could tell you that the compensating surgery is correct, but I would need to know much more information....

Oral Surgery: Orthognathic surgery, new york presbyterian, oral and maxillofacial surgeons
new york presbyterian, oral and maxillofacial surgeons, new york presbyterian hospital: Shannon - There are other doctors, but I only advised you of doctors who I know have a history of ability and success. The best I could co was to recommend these doctors. There are probably many more, but it is most important that whichever doctor you see...

Oral Surgery: requring mandibular debrinement following tori removal, rare bone disease, warm salt water
rare bone disease, warm salt water, local anesthetic: Kerri - The procedure could be done under general or local anesthesia. Once the area is numb via an injection there should not be discomfort, but if you are apprehensive the general anesthesia will make you more comfortable. So the decision is yours and...

Oral Surgery: Front teeth, gum tissue, distal aspect
gum tissue, distal aspect, periodontal problems: Kim - The frenum attachment has been in its present position since his permanent teeth erupted. The tissue is the distal aspect of the frenulum. It should stay the same, but just like anywhere in the mouth, if he does not meticulously keep the area clean,...

Oral Surgery: torus palatinus removal surgery, skilled surgeon, pain medication
skilled surgeon, pain medication, healing time: Paula -Most patients choose to use a pain medication to overcome the discomfort that is associated with this type of surgery. If the impressions of the area are taken accurately and the dentist is a skilled surgical doctor, then the result should be without...

Oral Surgery: Buccal exostoses, mandibular tori & TMJ issues, Jaw
Jaw: Hello, The exostosis and tori is unrelated to TMJ pain. So you don t have to worry about that. The exostosis is a very slow growing mass. If it has suddenly grown, it should be looked at by an oral surgeon soon, specially if it is painful. These may go under...

Oral Surgery: Cheek swollen 3 weeks after wisdom teeth extraction, wisdom teeth extraction, warm salt water
wisdom teeth extraction, warm salt water, strict regimen: Julia - It is not totally unknown to have infection or inflammation after the extraction of teeth, even not being impacted. Bacteria and food can become trapped during the healing, percolates infection and produces the symptoms you describe. My suggestion...

Oral Surgery: CHIN PLATE REMOVAL, oral and maxillofacial surgeon, orthodontist
oral and maxillofacial surgeon, orthodontist, thanks in advance: Paul - Of course, without examining you I cannot be completely sure, but a recontouring of the chin can be done and if the cause of the unnatural appearance is the plate, it can be removed. So you need to find a board certified oral and maxillofacial...

Oral Surgery: Complications after apicoectomy, sinus pain, fear of the dentist
sinus pain, fear of the dentist, root canals: Amber - It is, of course, a little difficult for me to fully evaluate what went on or what is going on now. First of all, suturing to the cheek is not usually normal, but if the tissue was tight, suturing to the cheek to close the wound might be appropriate....

Oral Surgery: dispersed infection
Bob - Hyperbaric would be incorrect since your problem does not seem to develop from a chronic bone problem. It sounds more so, especially with the negative scan results, that he situation is periodontal in origin. It might be a good idea to have yourself...

Oral Surgery: Exposed jaw from tooth extraction, Wisdom teeth
Wisdom teeth: Hi Aidan, Sometimes even oral surgeons have a hard time removing a tooth. Sutures falling out in 3 days, is a little unusual and bit early. If the bone is exposed, you should call your dentist and see them quickly. Although it will heal eventually, re-suturing...

Oral Surgery: Extra tooth extraction
Jacqueline - The formation and extraction of an additional tooth or teeth is not totally uncommon. Many children develop them and they are usually extracted to prevent a normal eruption of their permanent teeth and to help assist in preventing the erupting...

Oral Surgery: Jaw surgery, Jaw surgery
Jaw surgery: Ok. Great. If you are interested in coming to NYC to have the procedure done, you could come in for a consultation. I do these surgeries routinely. You could send me your photos or lateral ceph prior so i could get an idea. By the way, it seems like that you...

Oral Surgery: Left lower eight, Wisdom teeth
Wisdom teeth: Hello Bakhtawar, You should see an oral surgeon to remove them quickly. The longer you wait, the more chance of getting infection and pain. Also, if the roots of the teeth are not developed, they would be easier to remove. Good luck! Regards, ...

Oral Surgery: mini residency, university of buffalo, dental schools
university of buffalo, dental schools, extractions: William - I wish I knew of such programs. I am no longer in practice and I am away from the schools. My suggestion is to get a list of schools and call. Close to you in the US is the University of Buffalo Dental School./ An excellent program and they...

Oral Surgery: pain
Valentine - sorry about the name mistake (very busy and I am not perfect). I am glad that the warm salt water seems to have helped, but if your problems develop from a situation where you have pockets in the gums where bacteria can collect the problem will...

Oral Surgery: Pain after final restoration, oral and maxillofacial surgeon, tooth bridge
oral and maxillofacial surgeon, tooth bridge, abutments: Shay - It really doesn t matter between those two materials. They are both good. I too wonder why the pain suddenly began after the bridge was placed. It is possible that the process of placing the bridge might have damaged the implant. The bridge might...

Oral Surgery: Sores on cheek-from mouth cancer?, mouth cancer, chronic irritation
mouth cancer, chronic irritation, leukoplakia: Matt - Of course, without examining you I cannot be sure what the area of your palate looks abnormal. In general, most of us has some whitishness along the line where our upper and lower teeth come together. The act of chewing irritates the cheek tissue....

Oral Surgery: TMJ Issues, disc displacement, cervical vertebrae
disc displacement, cervical vertebrae, jaw muscles: Shane - if you truly have a stuck disc, irrigating the joint can often reduce stickiness and allow a more normal functioning of the joint. If, however, the disc is fixed in place an incision and entrance of the joint might be necessary. In that situation...

Oral Surgery: White gums around teeth, warm salt water, sodium bicarbonate
warm salt water, sodium bicarbonate, white gums: Kristin - The whiteness of the gum tissue in the area of the surgery is not totally uncommon with the excess number of novocaine injections, the cutting of the tissue and the exposure of the tooth. The color will return, but it is extremely important for...

Oral Surgery: Appearance of lips after jaw surgery?
Kate - of course every situation is different and not all muscles relax completely after the surgery. Often physical therapy is used to relax the lips and allow them to resume a more normal appearance with an easy closure. That is all true if the planning...

Oral Surgery: Draining Sinus & Breathlessness
Rebecca - I am so sorry to hear how you have been suffering. I, of course, cannot be sure without examining you or seeing your xrays, but the upper front teeth do not have contact with or directly drain into the sinus. If that tooth was infected and draining,...

Oral Surgery: Extraction healing, Bone graft
Bone graft : Hi Becky, Seems like everything is healing fine. I think the important part is that you don t have any openning up there (a sign of oroantral communication). The softness is just lack of bone underneath. Of course it is hard to say without seeing you,...

Oral Surgery: Formed hard knots after BMP procedure
Lacey - At this point, the only way to fully determine if bleeding continues either to reopen or just do a measurement of the size of the area on a regular schedule. The last way is not perfect, but it is an indication. After surgery swelling occurs naturally,...

Oral Surgery: Genioplasty gone wrong?, Open bite, chin surgery
Open bite, chin surgery: Hi Katherine, After 5 weeks, this could not be due to swelling. At this time the position of the chin and soft tissue is final. I think you should discuss this with your surgeon and possibly reverse the procedure. The labiomental fold should have a nice...

Oral Surgery: Glandular Odontogenic Cyst
Hello Ray, I think as long as you accept the high risk of recurrence rate and accept those risks in your informed consent, there is NO reason why you should not be treated conservatively with very close follow up. I would even leave the 2 molars after endodontic...

Oral Surgery: Lingual nerve damage
Dana - The good news is that from your description, that you do not say that you are numb, it usually means that the nerve was more traumatized than actually cut. If you were numb, the nerve would days or a few weeks, while some never heal (those are usually...

Oral Surgery: oral bone graft
Bethany - In my opinion bone grafts should never be placed if there is a pre-existing infection in the same location. That is my opinion and the opinion of many surgeons who work with bones. It the tooth adjacent to the graft was not previously involved...

Oral Surgery: oral surgery anesthesia for 13 year old
Tanya - The necessity for anesthesia is usually based on the position of the teeth and the doctor s perception of how cooperative your daughter will be and/or how scared she might be. If the teeth are just in the gums, then local anesthesia should be sufficient,...

Oral Surgery: sorry to keep asking but i need your opinion
Barb - Specifically, the doctor who comes to see you cannot rush through with the treatments. He needs to be skilled in surgery and takes his time and he needs to remain with you until there is no continued bleeding. Simply that is all that is needed...

Oral Surgery: tonsil
Mark - I m sorry, but the picture you provided does not really look very inflamed or infected. There might be a very slight swelling, but minimal. Your symptoms of the post nasal drip, achy tonsil and with a stretch to your ear is not uncommon and can occur...

Oral Surgery: Tooth extraction - 48 hours later, more pain
Julie - Of course, without directly examining you, I cannot be completely sure, but from the pictures you provided, it shows that there is definitely inflammation in the area. I don t know what instructions you were given on how to take care of the socket,...

Oral Surgery: wisdom teeth
Randy - Of course, without examining you, I cannot determine if there is any inflammation associated with the gum tissue around the wisdom teeth, but I usually recommend that the removal of inflammatory debris around teeth, by a good cleaning, will usually...

Oral Surgery: Wisdom Teeth Extraction Site
Cristal - Of course, not being there during the surgery, I cannot be completely sure, but it looks like during the extraction the doctor seems to have taken a piece of the gum and some bone along with the tooth. This can unintentionally happen, but the doctor...

Oral Surgery: Wisdom tooth or molar
Nikki - What you describe is not uncommon. The loss of that tooth may allow the wisdom tooth move forward, but usually by tipping over into the space. That tipping over can produce gum infection problems due to the tipping over and bacteria being trapped....

Oral Surgery: Bone graft, sinus lift and implant
Michele, Thank you for your question. After a procedure like this, you can expect some pain and discomfit for a few days. If you are still feeling pain after 3 and 1/2 weeks, there is definitely something wrong. Brushing the gums harder will not clear an infection....

Oral Surgery: Extractions w/Anethesia
Bonnie, Thank you for your question. You should not be concerned about this. All formally trained Oral and Maxillofacial Surgeons are fully trained in general anesthesia. Anesthesia rotations with anesthesia residents in the hospital setting any where from...

Oral Surgery: Facial Pain after Extraction
M - I have found a doctor that must recommend, but he is in Denver. I know that I told you previously I would find a doctor a distance from you, but the doctor I am going to recommend is located in Denver and at the Denver Health Medical Center. Dr. Mark...

Oral Surgery: Lower teeth numbness
Jeje - the lack of sensation from the lower anterior teeth is not completely unusual with a sliding genioplasty. The nerves providing sensation to the lower lip, chin and teeth are all branches of the same nerve, but different forces are applied to each of...

Oral Surgery: post extraction pain
bob - I m glad that your wife is seeing the surgeon soon. A recurrence of pain, like your wife is experiencing, usually means that some type of active process is ongoing. If it is not a dry socket, then the surgeon will have to completely evaluate the area...

Oral Surgery: question
H - What you are asking is not a question that can be answered. There is no general answer for your questions. Specific physical and anatomical differences guides the choice for both the surgical and orthodontic answer. So every doctor who might treat these...

Oral Surgery: removal of BCC from face
Bolton - It is very important that you have yourself examined as soon as possible. Inflammation of the area may not be anything, but a direct exam very soon is important to prevent a problem if there were trapped bacteria in the wound or internal tissues...

Oral Surgery: Severe jaw pain and stiffness
Katherine - From your description of the treatments your husband underwent for the cancer, which ended about six months ago, your husband had the extractions done a short time before the cancer treatments. In this situation, if the area had not fully healed...

Oral Surgery: Anesthesia for wisdom tooth extraction
Staci, MTHFR is contraindicated for Nitrous Oxide inhalation. It is not a contraindication for general anesthesia however. There are many medications that you Oral and Maxillofacial surgeon have in their arsenal that will provide you enough anesthesia so you...

Oral Surgery: antibiotics for bone graft
Cheryl - Of course, I do not know your entire medical history, but in general if there is a span of time after a previous use of an antibiotic, a new antibiotic can be prescribed. The question is whether failures are from antibiotic ineffectiveness, graft...

Oral Surgery: dry socket
Justin, Dry socket symptoms develop usually around 2 to days days after the extraction. The most common area is the lower wisdom teeth. I would not wait in fear for symptoms to occur. If the pain does not seem to get better with each day then there is a concern....

Oral Surgery: genio revision
Oral Surgery: genio revision

Oral Surgery: Nerve injury, terrible pain in right lower molar region
Oral Surgery: Nerve injury, terrible pain in right lower molar region

Oral Surgery: sliding genioplasty revision
Oral Surgery: sliding genioplasty revision

Oral Surgery: genio revision, jaw surgery
jaw surgery: Hello, I am sorry for your bad experience. I do see some problems with your profile and we may be able to do something with chin to make it more feminine. But I would like to look at the face as whole and see if anything should be done on the top jaw...

Oral Surgery: help
Barbara - I you are placing more than one teaspoon of salt in the glass of warm water, it can be slightly irritating, but not that much. You should be aware of the amount you are using to help reduce an excess irritation. The nurse practitioner does not...

Oral Surgery: Implant complications
Kim - I, of course, cannot be sure without examining you, but the swelling is usually indicative of an infection. If the implant is loose, an infection or a bone fracture. I really don t understand why the surgeon said that your symptoms sounded like...

Oral Surgery: implant component
Wendy - I am not quite sure what the surgeon is billing you for, but the $400 fee is indicative of the abutment, but depending on the type of implant placed, the abutments need to be custom made. My suggestion, is to have your dentist speak with the surgeon...

Oral Surgery: Implants(+10 yrs old) bone chips from gum
Jon, Its tough to say if you will loose the implant. When pieces of bone come out this late after implants have been placed. The bone that ws most likely used was hydroxyapetite. This material sometimes may never get resorbed by the human body. If this bone...

Oral Surgery: implants, Root canal, Endodontist
Root canal, Endodontist : Root canals are fine. I would recommend that you see a board certified Endodontist as they are specialist in properly completing root canal treatment. When you have proper dental care and follow up every 6 months for dental hygiene and maintenance a root...

Oral Surgery: Mandibular Nerve Injury Following Jaw Tumor Surgery
Cindy - I am glad for you that the nerve was not permanently injured. Depending on the type and intensity of the trauma to the nerve, numbness and the secondary effects of pins and needles, burning and shocks can last 6 months. Usually it calms down quicker,...

Oral Surgery: Mis-aligned Implant
Vincent, This is a tough question to answer because I don t know what the implants look like. I would really need to see the angulation and the space. This is why I suggested that you ask the restorative dentist about it. I am happy to take a look if you can...

Oral Surgery: Misaligned Implant, Implant dental
Implant dental: Implants are not required to be parallel. My best advice would be for you to have your case thoroughly reviewed by board certified oral &maxillofacial surgeon and prosthodontist. It is nearly impossible for me to give specific advice about your particular...

Oral Surgery: Nerve injury, terrible pain in right lower molar region
Mehel, All of the procedures you are describing that you went through are not acceptable treatments in the US for the problem you are describing. It sounds as though you might have had osteomyelitis from the onset which was causing the pain. Extracting the...

Oral Surgery: Right Central Incisor Mishap
Audrey, Thank you for your question. When the apex of the implant is hitting the gum tissue, the discomfort may be coming from that area. Place you finger at the location of the apex of the implant and see if there is any discomfort. If there is, you may...

Oral Surgery: root canals
Don - A root canal treatment, when done properly, can last a long time. I had root canal done on a couple of teeth when I was much younger and before I was a dentist and the teeth are still good. I cannot say that the amount of tooth structure remaining...

Oral Surgery: sliding genioplasty revision
Hopeless - I fully understand the obvious frustrations you are enduring subsequent to the poorly planned surgery. I, of course, cannot be 100% sure without a direct exam, but from the pictures you provided and the xray picture it seems that the surgeon did...

Oral Surgery: TMD non reducing disc, jaw surgery
jaw surgery: She should be seen by an experienced orthognathic surgeon. There is a condition that may occur on females between ages of 12-16 and then disappears. This causes problems in the TMJ area and the bite (class II). She may then be referred to an orthodontist...

Oral Surgery: tooth infections
Emily - I am in New York, but I have found a facility in Massachusetts south of Boston. Northwoods Medical Center (Tanuton) 2007 Bay St. Suite B110 Taunton, MA 02780 508-823-7323 This facility is a Tufts facility and has dental...

Oral Surgery: Wisdom tooth removal
Dave - if the opening is very small, the opening may heal on its own. At this time, the area is fragile and any rinsing that gains entrance into the sinus might keep the area open. So the surgeon is correct that you need to be careful. No blowing of your...

Oral Surgery: Broken drill bit stuck in root canal on dead nerve
Stacy, This is a wonderful question. Difficult to answer however. Each physician will have their own policy regarding this. One one hand, since there was an error in the procedure (which happens unfortunately), I do not think the dentist would charge you for...

Oral Surgery: Dentist attempted to "fix" bite
Emily - You are correct in being wary of the adjustments your dentist has done and might try again. You did not provide a film from the side showing your profile, but often the overbite that you do show, can occur due to teeth growing in wrong or it could...

Oral Surgery: Dentist tried to
Emily, The following is the reply from Dr. Orbach: Good morning James, I would not do any more shaving or reshaping of teeth from now on. This is an orthodontic case that involves mal-aligned teeth and a fairly deep Overbite. When the patient bites down,...

Oral Surgery: Implant in #14 without sinus lift?
Julie - Of course I can t be sure without examining you or seeing your xrays, but if the teeth on either side of the space, where the implant would go, are very stable and aolid, then there is really no reason why a new bridge can t be made. Dentists now...

Oral Surgery: Jaw/ Sinus problems
Jenny - The red area with a white spot is a local infection. Besides needing an antibiotic and cleaning of the area, you should immediately begin warm salt water rinses for about 2-3 minutes, 4-5 times a day. The rinsing will encourage a drainage of the...

Oral Surgery: Mini implants
Lem, Thank you for your question. I personally do not place mini implants. There are very specific uses for mini implants. I do not believe they work as well as traditional implants. The solution for you would be an over-denture. This is a denture on the lower...

Oral Surgery: Is it normal to have sore gums 4 months after Bone graft surgery?
Audrey - Of course, without directly examining you I cannot be completely sure, but just looking at the picture of your front teeth, I see a thickening of the gum tissue over the right central incisor. I cannot tell without feeling that tissue, but it looks...

Oral Surgery: red mouth sore that won't heal
Kate - I, of course, cannot fully determine what that lesion is. It could be from your root canal treatment that might be failing (I am not saying it is but it is possible) from a tooth infection. It could be chronic irritation lesion called a granuloma....

Oral Surgery: Red tongue tip
Steve, again...it does not look like cancer. I am not able to answer the other specific questions without actually looking and examining you. Geographic tongue does not stay in one place. It moves around. Additionally, there is not pain, soreness or changes...

Oral Surgery: Root canal
Debbie if you had to have ancillary dental treatment to save the teeth after the root canal, the dentist should have definitely told you in advance. If the dentist did not tell you, you should contact the state or local dental society and complain to them....

Oral Surgery: Soreness over gums 4 months after Bone Graft
Dear Audrey I understood the whole history. Assuming that you had placement of the implant and the graft in a prior way, there should not be any reason why you are still sore. In addition, I would have avoided bovine bone specially in the anterior region....

Oral Surgery: Tongue
Steve - the area of redness seems to me to be a fairly common phenomenon called geographic tongue. It is a fairly common lesion and fortunately it is not dangerous, cancerous of infectious. So relax and listen to all the doctors you have seen. That...

Oral Surgery: Tongue
Steve - I cannot be sure, but the yellow area could be a yeast accumulation. Those cells could be dead but my suggestion is to see the surgeon and have him take a swab of the area and send it to a lab to evaluate what is there. I could also be a stain from...

Oral Surgery: Tongue
Steve - You should only take the fungal pills if the doctor who prescribed it took a culture in you mouth to confirm the fungal infection. The magic mouthwash is quite benign and only is used to reduce soreness and to coat the tongue to prevent food to irritate...

Oral Surgery: Tongue issue
Hello Steve, I want to reassure you that you have NO serious issue with your tongue! This kind of yellowish brown color easily disappear if you simply brush your tongue and use some peroxyde mouth wash at 10% mixed with 50% with water. I would not try...

Oral Surgery: Tongue prob
Steve - I don t understand how Dr. Saxe can eliminate geographic tongue as a possible diagnosis. Seeing a surgeon is not a bad idea for a knowledgeable doctor to diagnose it in person. Make sure that the surgeon you do see is a board certified oral and...

Oral Surgery: torus mandibularis
Rebecca - There are quite of few highly skilled board certified oral and maxillofacial surgeons in Louisville. I do not know their insurance affiliations, but contact the offices and I am sure they can guide you. 1) Dr. Steven Cherry - (502) 423-7822...

Oral Surgery: wisdom teeth extraction
Joy - It does not matter if the treatment was the extraction of a wisdom tooth, the placing a filling in a tooth or simply cleaning of the teeth, all professionals need to be attentive to their patients apprehensions and attempt to calm them. The doctor...

Oral Surgery: wisdom tooth extraction and complications since
Brandy - Well the symptoms you now describe are indicative of a common problem that occurs after the removal of wisdom teeth. The earaches, the feeling of swelling and pain in all the teeth, is indicative of muscle spasms. With the removal of wisdom teeth,...

Oral Surgery: 2nd molar pain after wisdom tooth extraction
Kathy_ of course without examining your son or viewing trays I cannot be completely sure, but he may have sustained trauma and injury to the tooth the bone around the tooth or realignment that holds the tooth to the bone. The doctor needs to examine the area,...

Oral Surgery: ameloblastoma
Felicia - I am sorry to hear about the ameloblastoma. A resection is probably correct, a surgeon might temporarily stabilize the sectioned bones to retain facial shape, but repair needs to wait until the doctors are sure. I am personally not familiar of...

Oral Surgery: Benign Cyst
Karen the recovery time is based on the size of the cyst, its position in the bone, the type of tumor and the difficulty of the surgery. If the cyst is simple to get to and peels easily off of the bone, there should be minimal pain. If, however, the surgeon...

Oral Surgery: blood clot
Eric - if the clot was removed, and that is what it sounds like, just bite again on piece of gauze for about 10 minutes and everything should heal well. You should not get a dry socket just from the lost of that clot. Just don t smoke or eat hard food for...

Oral Surgery: Bottom wisdom teeth and 12 y/o molar extraction
Cassandra - I, of course, cannot be sure, but if the 1st lower molars cannot be properly uprighted and aligned correctly they might be very vulnerable to being lost prematurely for periodontal reasons from a loss of bone supporting the teeth. So you need...

Oral Surgery: Chronic osteomyoplitis of the jaw
Blair - I am not an expert nor am I familiar with doctors in Massachusetts, but with a problem, such as your father has developed, one of the main causes of a perpetuation of this problem is a lack of oxygen to the tissues, preventing them from healing. For...

Oral Surgery: Continued pain at tooth extraction site
David - I, of course, cannot be sure without examining you, but it sounds like your problem might be due to inflammation of the sinus. My suggestion is that you only have yourself by a board certified oral and maxillofacial surgeon. I do not personally...

Oral Surgery: dentist
Cindy - the doctor is correct. If you have an existing infection, starting with a double dose to attack the infection is correct. Subsequently, medication should be taken for a minimum of 7-10 days to arrest any bacteria trapped in tissues and bone is important....

Oral Surgery: Extractions after TMJ surgery
Hello Madison, Anybody skilled enough really can do it as long as there is NO trauma to the TMJ like staying mouth open for a long time. If your dentist feels comfortable about it and can guarantee that it will take him minutes to do it, it s OK! Another...

Oral Surgery: How to help promote nerve regeneration in lower lip and jawline post surgery
Isabelle - Numbness after suffering a fractured mandible occurs usually just due to trauma. The numbness your husband has might have occurred from the surgeon applying excess pressure causing the fracture or he could have cut the nerve during the fracture....

Oral Surgery: Lumps in tongue
Leanne - I wish I could be more specific and helpful as to the cause. You need to see a doctor who is more versed in this type of problem. You need to be examined by an oral and maxillofacial surgeon, an Ear, Nose and Throat doctor or a head and neck surgeon....

Oral Surgery: misaligned dental implant
Cheryl - I am so sorry to hear what you ve been through. I was not there during the surgery or during the planning phase, but if preparation was done properly, the surgeon should have been aware of the density of the bone and the possible necessity of a sinus...

Oral Surgery: muscle
Shahan - I would like to help resolve the problem, but I need some additional information as to better define what muscles are causing the pain. Is the pain in the temple, in front of the ear, near the eyes, the jaw, the neck or any other possible locations....

Oral Surgery: Neck stiffness and pain post bone bone graft
Sarah - It is, of course, a little difficult for me to tell you what is actually going on, but pain is a bad sign. First of all, the dentist who extracted an infected tooth and placed a bone graft at the same time is totally wrong. What he has done is bad...

Oral Surgery: nerve pain post tooth extraction
Cathy-I of course cannot be sure without examining you or seeing trays of the area, but a neurologist is the wrong type of doctor for a necessary second opinion. You should instead see a board certified oral and maxillofacial surgeon. It might be continuation...

Oral Surgery: Numbness in lips and chin
Mark -without examining you I of course cannot be sure, but it seems that there was some direct trauma to the point where the nerves exit the bone. The good news is that tingling and fuzziness is more an indication of a traumatic effect, versus a cut to...

Oral Surgery: possible periapical cemtifying osseos dysplasia
Christy - from the trays alone, the dark areas appear very circumscribed and do not appear very pathologic. Does it require a biopsy? That is a difficult question to answer because of the appearance of the dark areas. I think observing the areas for a few...

Oral Surgery: Post wisdom teeth extraction pains
Hello Tim, Unfortunately wisdom teeth can sometimes hurt a LOT without necessarily having a dry socket specially in your case where it was a difficult extraction. Pain should be decreased by now but can remain up to a couple of weeks off and on. There is...

Oral Surgery: Pre Post work
Steve - Good or bad depends on the cause of the bleeding. Could you please tell me where exactly the bleeding occurs. Does it come around that white filling? Does it come from the gums? Does it come from anywhere else? So please tell me where exactly...

Oral Surgery: Rhinoplasty and corrective jaw surgery
Amina - Facial appearance can change with bite changes. If, however, the relationship of your teeth and jaws in the bite is due to bone position orthodontics will not correct the problem. Orthodontics or jaw surgery can apply forces to the outside of each...

Oral Surgery: Screw in Jaw
Carrie - There are a number of possible causes for the pains you are now experiencing. Ideally seeing the surgeon is probably best, but there are probably other surgeons near you that should be able to define the causes of the problem. If you are unaware...

Oral Surgery: Could TMJ Cause Ear Thumps?
Hello Arnold, You obviously self diagnosed your problem and TMJ problems can appear like ear problems. I would suggest to see an Oral Surgeon specialized in TMJ ( a general dentist would not help much). With a thorough clinical diagnosis and perhaps an...

Oral Surgery: TMJ Causing Ear Thumps?
Arnold - First of all for your type of symptoms a regular dentist and TMJ specialist might not be a good pathway to discover what is really occurring. My suggestion is that you have yourself examined by a board certified oral and maxillofacial surgeon. This...

Oral Surgery: Bi-Maxillary advancment
Melanie - it is not only the 4mm movement that produces the effects, the overlying soft tissues, like muscles and the skin will have a dramatic effect with the seemingly minimal bone movement. Think of a door opening on a hinge. A minimal movement of the...

Oral Surgery: Bone growth sticking out of gums after extraction, dissappeared recently. Should I be worried?
Johnny - The surgeon should have immediately got you into the office to examine this area. It most likely was a piece of bone that the doctor broke off while extracting the tooth. This does not happen often, unless the doctor was careless and did not fully...

Oral Surgery: Bone protrusion out of gum below #30
Diane- it is a little difficult for me to give you an exact answer without having evaluated the area. I hope the dentist who filed the bone sent it to a pathology lab to be evaluated. This type of situation does not often come from anything other that an...

Oral Surgery: Brace activation
Savio - I really am at a loss. I m not sure what you should do. The fact that the orthodontist is not doing much might mean that you should find a new one. As far as the surgery, there is a possibility, now that time has passed that it can be redone. ...

Oral Surgery: Cyst in roof of mouth of my 28 month old granddaughter, jaw
jaw: Good morning Harve, This is most likely an Eruption cyst. The mucosa might be slightly blue. There is no treatment usually necessary, unless the cyst slows down the eruption of the tooth. Then a slight cut over the lesion would resolve the issue. Obviously...

Oral Surgery: drysocket, Jaw surgery
Jaw surgery : Hi Diana, Dry socket developing from extraction of upper teeth is very rare. You might want them to open up the gums and trim some of that bone. But do this only if it is currently hurting you. I would wait 6 weeks until the final denture is made. Regards,...

Oral Surgery: Effects to jaw with extraction vs retreatment
Jessie - the surgeon is correct that the teeth do not fall backwards. The only area that needs a tooth or treatment to prevent drifting of teeth is #30. You have two options there. The dental implant is one and a bridge is the second. The bridge is good,...

Oral Surgery: elective mandibular tori surgery
Maria - First of all, if the removal of the tori is done by a board certified oral and maxillofacial surgeon it should go fine without complications. Yes there will be some soreness, but if done properly, it should heal fine with soreness for a week or so....

Oral Surgery: implant
Kay - The discomfort you are feeling with heat is not normal. Sure there can be some sensations felt, but if the implant has healed properly and the surgeon exposed it properly one week ago there should be no sensation to hot or cold. You need to speak...

Oral Surgery: Infected tooth
Hello Alla, I think your problem is way too complex to be treated over an email. I don t understand why you cannot see an Oral surgeon on an emergency base. Yes teeth infection can lead to a variety of disorders including eye problems known as uveitis...

Oral Surgery: missing molors
Furnette - Molar teeth are the pillars of the bite. Once lost, they produce a collapse of the facial structure. This collapse often produces severe episodes of spasms of the jaw muscles. With time a continued collapse occurs and can affect more than just...

Oral Surgery: Oroantral fistula recovery
tk - the most important aspect of a successful surgery is for the surgeon to obtain complete closure of the wound to produce a complete water tight seal, where no saliva from the mouth can gain entrance into the sinus. As far as the polyp, I am not quite...

Oral Surgery: pain after intervention
Polly - there is one additional possibility. It may not be the root canal, but the tooth may have a crack. If that crack extends to the root or even just below the gum, out of site, that can produce intense pain. So if it does not get better the tooth...

Oral Surgery: Post-Op Benign Cyst Removal
Karen - A problem with opening after the removal of the tumor on your lower jaw depends on the location of the tumor and the depth of the tumor in the bone. If the tumor was towards the back of the jaw, the surgeon probably had to cut some of a jaw muscle...

Oral Surgery: Supernumerary teeth
Shahan - I wish I could be helpful with the difficulty of the extraction, because xrays are only in two dimensions so the depth laterally is impossible to predict without examining you. Usually this type of extraction is not very difficult as long as the...

Oral Surgery: terrified of dry socket
Lacey - Relax, a dry socket often does not happen even with a number different things that might alter the blood flow to the area. Most dry sockets occur from an internal irritant that is only exaggerated by irritants. So leave the area alone and beginning...

Oral Surgery: tongue, no room in my maxillary arch
Hello John, Your case seems to be too complex to answer in one sentence. You really need to be assessed seriously by an expert Oral & Maxillofacial Surgeon and to judge if all treatments were done according to the latest techniques. In very rare instances,...

Oral Surgery: tongue, no room in my maxillary arch
John - But that is really part of the problem. A palatal expander placed on an adult does not expand the palate, but actually just wrongly tips the teeth. That makes the bite seem correct, but the movement is not stable and the teeth will eventually return...

Oral Surgery: Tooth #30 - Apicoectomy vs Extraction
Chris - Whether the area of infection at the crotch between the two roots, where they are attached to the crown, is from a crack in the tooth, a hole placed in the root from the root canal treatment or just an infection from a microscopic nerve canal, the...

Oral Surgery: Tori and Overjet
Donna - I, of course, am not able to define if you actually have an over jet that needs to be corrected. The tori removal is usually necessary to provide a situation where the denture will sit properly, without being loose, and if you do have an overjet that...

Oral Surgery: tori removal
Kim - I have been questioned about Piezo Surgery for a few years. Yes it is a less traumatic surgery for the soft tissue, but the skill of any doctor using this technique necessitates that he is trained in surgery. I have been asked to review quite a few...

Oral Surgery: Upper Jaw disenigration during mult. teeth extractions, Jaw
Jaw: Hello Jenn, I am sorry to hear you are going through such difficult time. Post op pain and agony for two weeks, although rare, can still occur. Occasionally teeth become bonded to the bone,which causes small fractures during extraction. If you still have...

Oral Surgery: wisdom teeth, Jaw surgery
Jaw surgery: Hi Randy, The quoted fee is about right. However, Oral surgeons go by how difficult the extraction is. For example an erupted wisdom tooth has a different code and price than a full bony impacted tooth. This is the fee I would charge for 4 wisdom teeth...

Oral Surgery: biopsy of salivary gland
Roxy - Again, as I said the last time, a small incision in the lower list just behind the vermillion border (the drier part of the lower lip on the border of inside and outside of the lip). That is a location where a high percentage of minor salivary glands...

Oral Surgery: will crowns prevent double jaw surgery
Sherry, Thank you for your question. There is no reason that crowns and caps would prevent you from having double jaw surgery. They may need to be adjusted to make sure the bite fits correctly but this is something that the surgeon looks at during the final...

Oral Surgery: Lingual nerve damage
April - With the symptoms you now describe, seeing a board certified oral and maxillofacial surgeon now is important to define the problem and correct it. The tightness sounds muscular, but there is a combination of problems that need to be evaluated by a...

Oral Surgery: Panoramic x-rays
Peter - For just determining the need for finding decay, panoramic xrays are not necessary, but with patients who have dental implants or who will, the dimensional evaluation from a panoramic xray is important. It shows the complete anatomy of the jaw in...

Oral Surgery: puffy feeling in gums 5 weeks after upper root canaled molar extraction
Sue - With your history of doing the warm salt water rinses and the recurrent episodes of puffiness and pain, you need to be examined immediately. The oral surgeon needs to be more aggressive is determining the cause and correcting the problem. If the surgeon...

Oral Surgery: removal of upper molars
Juffie - It is always better to save teeth if possible. If the decay has damaged the teeth greatly and filling after removing decay cannot be done for some reason, then extractions are probably the best course of treatment. The question I have is the extent...

Oral Surgery: Sarpe surgery!
Savio - I cannot be completely sure without examining you, but if you only had an expansion of one side, most likely the mid-palatal suture was not completely cut. For that reason and to better control the pace of expansion and the extent of expansion, it...

Oral Surgery: tmj
Joyce - Of course I have never examined your daughter or even seen pictures of her, but with the TMJ symptoms, especially of the muscles and the sleep apnea, here symptoms usually indicate a discrepancy of the upper to lower jaw. Usually these symptoms indicate...

Oral Surgery: tmj
Joyce - I, of course, cannot be sure, but from the symptoms you describe it can definitely be muscular in origin. Seeking a second opinion is not a bad idea, but make sure that any oral and maxillofacial surgeon you see is board certified. A board certified...

Oral Surgery: tongue numbness
Kim - You have a little time. If by the end of May there is no change, then seeing a board certified oral and maxillofacial surgeon to properly evaluate you situation. So you have a little time to allow natural healing, but don t forget the problem and...

Oral Surgery: Wisdom teeth extraction recovery
Jodi - Depending on the position of the wisdom tooth, sometimes the tooth lays more towards the cheek. If that was the situation, closing of the wound will actually pull some of the cheek tissue over the socket to close the wound. So what was done was not...

Oral Surgery: 23 year old with lingual nerve damage!
Cynthia - Let me first tell you that I am a very conservative doctor and the repair of nerve injuries should be done as soon as possible. Saying that, initially after the injury, it is important to wait almost two months before any active treatment is advised....

Oral Surgery: Dentures
Amy, Thank you for your question. You will feel better when the dentures are not in. The issue with not wearing them immediately after the extractions is that the tissue will swell and the dentures will not fit well until the swelling goes away. If the swelling...

Oral Surgery: 23 year old with lingual nerve damage!
Oral Surgery: 23 year old with lingual nerve damage!

Oral Surgery: IVRO surgery, Jaw surgery
Jaw surgery: Hello Jeremy, IVRO as you know has mixed reviews, particularly regarding TMJ issues. I do not know if you have jaw deformity as well or not. So therefore no to BSSO. Usually there is no need for blood transfusion. I am not sure why they would shave your...

Oral Surgery: Lingual
April -I need to bring this all together. What was done to cause this problem. Just so you know, just like any nerve within the body, it can heal if the original damage was not too great and there is not a continued irritation to the nerve. The original...

Oral Surgery: Lingual nerve damage
Jon - It is a little early after the extraction to do any active treatment. The tingly spasms are actually a good sign that the nerve is not completely cut. The nerve is either truamatized, irritated or inflamed. These can all produce the altered sensations....

Oral Surgery: Oversized adult tooth
Robyn, Thank you for your question. The radiograph helps tremendously. Yes this condition is rare. It is called Macrodontia. There are three types of this condition. The first is True Generalized Macrodontia in which all the teeth are larger than normal...

Oral Surgery: wisdom teeth removal
Porsher, Thank you for your question. First and foremost, you should not sleep with gauze in your mouth. If you are actively bleeding, you should place gauze until it stops and you should not sleep if you are actively bleeding. With respect to the needles,...

Oral Surgery: birth control pills
Mindy, Thank you for your question. This is a very good question. The current thought is that estrogen plays some role in the risk of enveloping a dry socket. I do not think that stopping birth control will decrease your risk however. The most important things...

Oral Surgery: bump on inner left mandible
It is possible that this lump may be the result of mild trauma to the floor of your mouth that has resulted in a small lymph node. It is impossible for me to confirm this or even continue to guess what this may be, even with your detailed description I would...

Oral Surgery: Exposed bone after extraction
Jason - I wish I could tell you of a simple solution. For orthodontics, when the appliances and wires cut into the lips and tongue, they use a wax. That wax is often sold in large pharmacies, like Walgreens and CVS, an try it and see if it helps. If not,...

Oral Surgery: extraction of former root canal
Melissa - the removal of that root should be less intricate and than the extraction of an impacted wisdom tooth. Gagging should not be a problem, but it is important to advise the surgeon in advance so he can make sure not to stimulate a gag. It is also...

Oral Surgery: Hard pellet bump, lower right lingual mandible
Scottie - Of course, I cannot be oompletely sure without examining you, but what you describe could be tori, but it could also be bony anatomical sites of attachment of muscles and/or ligaments. At those sites, the bone will slightly extend out for the attachment....

Oral Surgery: Headaches after wisdom teeth extracted
Mohamad - Of course, without examining you I cannot be sure, but after the extraction of wisdom teeth it is very common to develop the muscular spasms you are describing. Yes a mouthguard can help reduce the spasms, but it must be a hard acylic appliance...

Oral Surgery: Lower Jaw Surgery and saxophone
Lauren - You are wise to inquire if the surgery will affect you normal activities. It takes a minimum of 6 weeks for the bone to heal after the surgery. Even at that point, the new bone is flexible and the forces applied during saxophone playing, early in...

Oral Surgery: Lump on floor of mouth
Falzan - Of course, I cannot be sure without examining you. If the area is firm or hard, it could be a stone in a gland duct. If soft, it could be an area where irritation occurred. That irritation could happen simply from eating food that gently stuck...

Oral Surgery: Mucuos cyst
Pierce, If you are talking about a mucocele (salivary cyst on the lower lip) then if it is not removed, there is a high probability it will come back. If you are talking about another type of cyst, I will need more information to answer your question. Can...

Oral Surgery: Oral Antral Fistula Complications
Greg - Of course, not being there during the surgery to correct the opening, I cannot be completely sure, but it sounds like the surgeon made one major mistake. Although a membrane is not a bad technique, but it is imperative that before the actual closure,...

Oral Surgery: Root canal tooth extraction
Mary - First of all, what part of the tooth remaining that you can see, is probably just the tip of the iceberg. The majority of the remaining tooth is most likely its roots and they are the most difficult to remove. It is very important, especially if...

Oral Surgery: Small hard bump, right lingual mandible, Jaw
Jaw: Good morning, Growth on inside of the jaw is very rare. Most common thing is Tori, which is a normal bone. I think the best thing to do is to make an appointment with an oral surgeon who can perform a clinical exam and put your mind at ease. Regards...

Oral Surgery: suegery
Renjith, Root canal therapy on the teeth will not interfere in any way with orthognathic surgery. Orthognathic surgery is usually performed on young adults but there are many instances where orthognathic surgery is performed on more mature adults also. The...

Oral Surgery: Worried about bleeding after surgical extraction
My best advice would be to see a board certified hematologist to review the details of your health history and order the appropriate labs prior to any surgical intervention. Then that doctor can appropriately convey instruction to your board certified oral...

Oral Surgery: chronically inflamed granulation tissue
Clary, Thank you for your question. 1) I am not really familiar with this diagnosis. If fact, if the infected tooth that was causing the abscess has been extracted the inflammation should resolve very soon. Not in 2 or 3 years. The source of the infection...

Oral Surgery: Dental grafting
Mark - First of all, not every tooth that needs extraction and a subsequent implant placed, needs a graft. If the surgery did not damage the surrounding bone and there was no present infection, a graft might not be necessary, unless bone was damaged by previous...

Oral Surgery: Dentist or Neurologist
Lynn, thank you for your question. I think there is enough evidence to support that there is an issue with the tooth. I would suggest seeing a board certified oral and Maxillofacial surgeon. They will be able to diagnose the difference between a wisdom tooth...

Oral Surgery: infection/bone graft
Diane - Yours is a very good question. This situation is often ignored by dentists whose major goal is not the health of the tooth and the patient. but to both get the situation over with and to make some money. I know that sounds rather weird, but it is...

Oral Surgery: Jaw Surgery At 38 Year Old
Melania - doing double jaw surgery is a procedure, if appropriate to correct certain skeletal situations and if done by a skilled and experienced board certified oral and maxillofacial surgeon, and is planned correctly, can produce a significant change. That...

Oral Surgery: Jaw surgery without real teeth?
Fion- first of all, the surgery is not any more riskier if it is planned correctly, just like any surgery. The surgeon just needs to be prepared for the differences. The procedure is not simpler. Yes the pre-surgical orthodontics is consuming, but the...

Oral Surgery: Lower Wisdom Teeth Extraction
Bob - The following doctors are highly skilled and associated with oral and maxillofacial surgical residency programs. They are skilled and have a history of surgical knowledge. 1) Dr. Pushkar Mehra - (617) 414-4816 2) Dr. Maria Troulis - (617) 726-8222...

Oral Surgery: Possible dry socket developing after wisdom teeth extraction?
Joe, Thank you for your question. Dry sockets usually start to develop at around 36 to 48 hours. Discomfort or pressure 15 hours after surgery is totally normal. Just follow your surgeons recommendations. You will feel many different things during the healing....

Oral Surgery: post root canal pressure and swelling
Vikki - Especially since you sustained trauma producing the death of the nerve within the tooth, necessitating root canal treatment, the dentist made a mistake cementing that crown early. The root canal should have been done and the crowns should not have...

Oral Surgery: Radiolucency on dental x-ray
Cara- You did a good job including that xray. There is definitely an area at the end of the root, but I cannot be sure what it is. The surgeon s 3D might help, but it is difficult for me to tell you if anything needs to be done. I know, if I did not have...

Oral Surgery: Splint
Jessica-unfortunately, infiltration will not fully numb bone. Yes the surface might be affected, but the medullary bone, below the dense surface, will not be numb. The torus is not just superficial. The removal penetrates the medullary bone and the sensations...

Oral Surgery: ?? about sub periosteal abscess
Julie - Having been an oral and maxillofacial surgeon for over 30 years, this is the first time that I have heard of not using warm salt water for this type of a situation. The combination of salt and water draws the infected fluids out from the abscess....

Oral Surgery: treatment for root canal cavities on tooth extractions
Elizabeth - bone graft placement is not always necessary after extractions. If there is not excessive bone loss from chronic infections or periodontal disease, the implants can be placed when the doctor is sure that all signs of inflammation are not present....

Oral Surgery: apico
Dianne - First of all, just like regular fillings in a tooth for decay, the fillings that the dentist placed at the end of the cut root and into the nerve canal to seal it can eventually leak. This is not completely common, but it does occasionally happen...

Oral Surgery: Extraction pain
Valerie-I can t be completely sure without examining you, but the combination of pain, bad taste and sensitivity with rinsing usually indicates that you are developing or have developed a dry socket. It is important to get back to the doctor, or if he is...

Oral Surgery: Floor of Mouth
Carey, The MRI may or may not pick up stones. Depends on the stage of the stone development. Again, it is a possibility not necessarily what you have. It also could be a slight infection in Wharton s duct that is causing the inflammation. Hydration, antibiotics...

Oral Surgery: Floor of mouth
It may be possible that you have a salivary gland stone which could feel the way you describe. Please see a board certified Oral & Maxillofacial Surgeon in your area to determine the exact diagnosis and treatment. It is nearly impossible for me to give you...

Oral Surgery: Mesiodens surgery
Julie- if the doctor was a skilled board certified oral and maxillofacial surgeon he should have known the position of the residents. If he wasn t completely sure he should have known not to proceed with the surgery. So again, if he wasn t sure, he should...

Oral Surgery: in the middle of tooth implant
Jill -I fully understand your questions and apprehensions about what has occurred and what the future might be. Jumping into the potential episodes of your treatment, depending on what transpires after the treatments that already have been performed, is a...

Oral Surgery: Numb Tongue/Lingual Nerve
Laura - The development of the tingling is a good sign that shows that the nerve was not completely cut. It does not mean that there was extensive trauma to the nerve, but being that it is only one week after the surgery, do not rush into any conclusions....

Oral Surgery: Post Extraction Questions...
Dear Amber, Most likely you will be fine and do well. The foam was placed probably because you were bleeding too much during extraction. But this has to be confirmed with your surgeon. It is fine to rinse gently with salt water. I would avoid mouth wash...

Oral Surgery: sub periosteal abscess part 2
Julie - I wish I could give you a more specific answer as to why your daughter has had a recurrence of the infection. The most common cause is debris remaining after the initial I&D. I hope this treatment works, but my recommendation is the same as I initially...

Oral Surgery: Sarpe problem, SARPE
SARPE: Dear Savio, In my opinion, the problem is not the screw or the device. I think there is a possibility that the during the surgery the non expanding side was not cut and separated properly. In these situations, the surgery on that side should be re-performed....

Oral Surgery: SCAR TISSUE AFTER REVERSE GENIOPLASTY, Chin
Chin : Hi Doug, Sorry for your experience. I think at this point, it is best to bring the chin forward as you said about 5 mm. The surgeon can hopefully open up the scar tissue and reposition the muscle maybe to relieve the pressure. Of course it is best to evaluate...

Oral Surgery: Supplements help for lingual nerve damage
April - I am not a pharmacological expert, but since I had nerve damage myself about 8 years ago, I am somewhat experienced with the use of Vitamin B 12. I have found that it quieted the numbness and burning sensation I felt after my injury. I also take...

Oral Surgery: TMJ and face and head tingling after lingual nerve damage from wisdom tooth surgery
April - It is a little difficult to tell you if your symptoms, besides the tongue situation, is a TMJ related problem. It is possible, I have seen this before, that with the tongue problem, the jaw function is altered, not due to damage, but in response...

Oral Surgery: Bone spurs?
Joe - Of course, without visualizing these bone spurs coming out of the tissue on the tongue side of the lower jaw, I cannot be completely sure what I might do. Without examining you I cannot tell if the bone spurs are still attached to the jaw bone or are...

Oral Surgery: damage to salivary glands
Joshua - Not seeing an xray of the area or examining you now I cannot be sure, but since oil of clove relieves some of the pain, it usually indicates that you are now suffering from inflammation of the bone. It might be a dry socket or a more significant...

Oral Surgery: never ending third molar extraction complications
Julie - I am a little concerned with her surgeon s apparent lack of concern for a continuation of, what I think you are indicating, as a fistula (a site of drainage from infection). If that fistula still exists after the length of time she has endured, then...

Oral Surgery: extractions & alveoplasty,pain meds
Brenda, The best advice I can give you under these circumstances is to find a dental school near you and they will most likely discount the fee s and be able to treat you appropriately. I am sure you will be able to find one near you. I hope that helps...

Oral Surgery: Herbst device and Orthodontics treatment
Jackie - you are completely correct to make sure that whatever choice you do make is correct for your son. My suggestion is for you to see a board certified oral and maxillofacial surgeon for a second opinion. You are fortunate to be living in Oregon. There...

Oral Surgery: Jawbone spurs?, Wisdom teeth, bone spur
Wisdom teeth, bone spur, saxe: Occasionally when wisdom teeth are removed one can experience small pieces of bone working there way out of the gum tissue. This is a result of recent extraction or it may happen several years later. This is usually the result of a normal occurance when the...

Oral Surgery: Lower left dry socket, lump, and numbness
Kate- let me tell you that I am a little uncomfortable with the technique of your surgeon giving you medication to place in the sockets and not examining you in between. I am not sure what medication was used, but besides, the surgeon should have examined...

Oral Surgery: scar band
Bonnie - from Gettysburg, you have two choices. One would be to drive to Philadelphia and the University of Pennsylvania or south on Rte 15 to Rte 70 to go to Baltimore. In Philadephia, the Univ of Pennsylvania School of Dental Medicine - (215)662-6176...

Oral Surgery: Crooked sliding genioplasty
Hi I am puzzled as to the problem. The bone segment that was cut must be against the remaining bone so I do not understand your referral to a gap. If the chin point is tipped then the bone cut was not made straight but angled. Usually the bone is held...

Oral Surgery: Filling post wisdom tooth extraction painful
Sandra - Unfortunately, prednisone pills pills will not help reduce the tooth problem. The nerve is contained within the tooth and prednisone does not often bridge that blood barrier within a tooth. You are correct is changing dentists in the future. He...

Oral Surgery: Genioplasty complications
Jeje - Not knowing the exact amount of damage to the nerve, I cannot tell you if any change will occur, but most likely since it has been some time since the surgery, any change in position will not make the numbness better It could make it worse or it could...

Oral Surgery: Genioplasty Reversal / Ptosis
Thank you for your question. (Why would the muscle become unattached from its origins or droop?) When the chin is advanced, the mental is muscle is cut at its origin. When the tissue is closed after the attachment, the muscle is sutured back together and...

Oral Surgery: Growth in inner cheek
Allison - Let me first tell you that the area on your cheek does not seem bad. The whitish area is usually indicative of a chronic irritation with a thickening of the tissue there (almost like a callous). The second possibility is that area is an exit site...

Oral Surgery: Irritation
Steve - The sides of your tongue look completely normal. If I were to take a picture of my tongue, and I m not going to do that, I have more furrows on the sides and top of my tongue than you. My tongue is normal and I have had those furrows for years....

Oral Surgery: Lingual tonsil and taste bud
Steve - If you are really concerned, see an oral and maxillofacial surgeon to biopsy your tongue or see and epidemiologist. Stop looking and driving yourself crazy with the tongue that you are magnifying any appearance by keep looking at it. The more you...

Oral Surgery: Listerine
Steve - I agree with the ENT, but the last picture showed more growth than now and that is why I suggested a culture of the area. Wait for the results and if it is not fungus, it is then a normal growht of bacteria on the tongue, which we all have. Some...

Oral Surgery: Look at this
steve - that is bacteria accumulation on the surface of the tongue. You need to be brushing your tongue a minimum of twice a day with regular toothpaste, then rinse with Listerine for 30 seconds twice a day. Nothing to eat or drink for 30 minutes minimum...

Oral Surgery: Max size of crown on single implant?
Koyan - Of course, without examining you I cannot be completely sure, but if after the extraction of a single tooth and the space created, usually the space used by the extracted tooth is what is usually attempted to fill with a new implant. If the space...

Oral Surgery: Pain on the left side of the tongue
Chantal - I, of course, cannot be sure what you are experiencing, but you are fortunate to live in a state where there are three schools of dental medicine. At each of these schools, there is a department of oral medicine and oral pathology. You did not...

Oral Surgery: More pics
Steve - So what you are seeing appears normal and you should just allow it to be. Important, every day, everybody should and I recommend it to everyone, needs to very gently brush our tongue, after we brush our teeth. The main reason is to remove bacteria...

Oral Surgery: Re occurring white lesion on tongue
Simon - I am sure that you understand that I cannot be sure without examining the area on your tongue, but the symptoms you describe are common with a condition called apthous ulcerations. These lesions are not dangerous or contagious. There is a possibility...

Oral Surgery: salivary gland tumor or something else?
Maria - It does not look like cancer. It looks like a gland blockage or small infection due to trapped bacteria. The fact that it comes and goes, usually indicates a blockage of a gland that builds up pressure to a point and then releases on its own. What...

Oral Surgery: Sinus lift procedure IRaise
Julie - I am not sure that this technique is being used in the US, but my suggestion is to call the following number. This is is Maxillent Corporate Headquartes +972-9-9534500. This company should know who they sell to in the US. It might not be directly...

Oral Surgery: small fleshy bump in my mouth?
Delaney - the small growth is not cancer, but it looks like a small gland blockage. Nothing serious and not related to the flu. You can wait a while, but if the area remains after two weeks, have it checked. Don t worry about it. A good idea to reduce...

Oral Surgery: Tongue question
Steve - As I said in my previous response, it looks like the areas are due to the normal functioning of chewing, talking and swallowing everyday. So during the day normal functions are what creates these minor irritations that you see on your tongue. This...

Oral Surgery: Tongue and redness question
Steve the areas get redder just through normal function. If your bite was perfect there still might be some spots of irritation with normal opening and closing. So you just need to relax and listen to the doctors who have examined you. So you do appear...

Oral Surgery: Bone spurs in TMJ
Amy - Let me just tell you that I don t disagree that some TM joints recontour and heal or at least feel better with time. Some however do not, in fact, some joints progress going down hill and the joint freezes and the patient will not be able to open and...

Oral Surgery: What is causing my TMJ? Will orthodontics help?
Lily - A balanced bite is very important to allow full relaxation of the jaw muscles. When the bite is off stress and spasms of the jaw muscles occur. Spasms of these muscles throw the bite off more. In addition, jaw muscle spasms can produce pain in the...

Oral Surgery: Maxillo ffacial surgery
I am not sure what particular survey you have had completed. But that does not seem normal by your description. Your best bet would be to bring all of your records and study models to a board certified oral and Maxillofacial surgeon in your area for a second...

Oral Surgery: MRI
Amy - I cannot tell you that the mouth piece will definitely be sufficient, but I would suggest beginning with it and discovering any improvement. If only the muscles relax and the jaw joint is still inflamed, then further treatment might be necessary. ...

Oral Surgery: Oral cancer fear
Fran - A red spot could mean just about any kind of inflammatory situation. It is a little difficult from those pictures alone to say that the area is a problem. From its overall appearance, it does not seem to be an area of bad pathology, but I cannot...

Oral Surgery: Not responding to antibes
Veronica, antibiotics can definitely help in taking care of infections, if the cause is removed. If not, then the area will become re-infected over and over again. Your surgeon should be rather aggressive in discovering the cause. The aggressive approach...

Oral Surgery: Scar tissue
Desirai - It is not normal for scar tissue to form pimples and become inflamed. Usually when this happens, it indicates that the doctor who removed the sutures did not completely remove them and some of the material is left below the scar tissue. It might...

Oral Surgery: Today
I agree that it is mechanical. For that reason you need to be properly evaluated by a knowledgeable dentist and oral and maxillofacial surgeon or team of dentists and surgeons at a major oral and maxillofacial surgeon residency. You are fortunate to live...

Oral Surgery: Wisdom Teeth Woes
Callie - From your description of what you are experiencing since the extraction, it sounds like some inflammation exists in the area. Is it an infection? That I cannot determine without examining you, but the picture does not give an indication of swelling,...

Oral Surgery: wisdom tooth removal
Fraidycat - it is a little difficult for me to tell you how much pain and discomfort you might have after and during the extraction of your wisdom teeth. The amount of discomfort from extractions is based on the shape of the roots, how brittle the roots...

Oral Surgery: Cavities and tooth decay
Chantel - the pictures show large areas of decay. This decay has eaten through the enamel of the teeth and has entered the dentin layer that that extensive nerve endings and any stimulation can produce pain. You need to see a dentist to clean the decay...

Oral Surgery: Extraction, bone graft, and pain
Sharon - I am so sorry to hear about your experience with a doctor who never admits to a problem created by him. From what you are describing, it sounds like you have developed a condition called a dry socket. This condition can occur with anyone, but when...

Oral Surgery: Green spot on gum after molar extraction
Remrov - It is a little difficult for me to tell you what the green area is. It could be food debris stuck in the area. But it also could be an accumulation of bacteria and fungus cells. The important thing is that no matter what it is, it is important to...

Oral Surgery: Jaw problem
Hello It sounds like you have some TMJ problems with probably disk displacement. Wheter or not this is in relation with your muscle atrophy remains to be ascertained by an oral surgeon after a thorough evaluation and an MRI of the TMJ s. Sometimes when...

Oral Surgery: lingual tori
Brian - the cost of removing bilateral tori varies depending on their size and position on the lower jaw bone. Every different location has their own fees, but in general, each torus will cost between 500-750 dollars to remove them and smooth the bone. ...

Oral Surgery: Oral Sugery/Cyst Removal
Rick a simple and correct way to rinse and prepare the warm salt water, is to use about 8 ounces of warm water and add one teaspoon of salt. Take a spoon and gently mix it to dissolve the salt then rinses by swishing the salt water a few times in your mouth,...

Oral Surgery: Oral Surgery and Piercing
Cheyenne - I cannot be completely sure without examining you, but there really should be no problem with the pierced small jewelry in your lip. The only possible problem would be if the doctor needs to stretch your lip excessively to gain access to the impacted...

Oral Surgery: Post 6 day 3rd molar extraction
Anthony - A picture of a socket does not define or even help determining if the socket is suffering as a dry socket. If, besides pain, there is a very bad taste in the patient s mouth along with a very bad breath, then the pain associated might define it...

Oral Surgery: yet another problem
Lexy - obviously I cannot say anything about the xrays without seeing them. But if there were pieces of root and tooth left, it would definitely show on an xray. I m not sure they faked the xray of just did not accept what they saw on the xray. Getting...

Oral Surgery: Sarpe surgery
Hi Marc Neither the RPE nor the mandibular advancement should affect your nose shape unless the palatal expansion is important in the anterior region; in that case, your surgeon will place a cinch suture to avoid widening of the lower part of your nose....

Oral Surgery: swollen chin
Peace - Swelling under the chin could occur for a few reasons. It could simply be from an infection of the lower front teeth and or their gums. It could be from a blocked salivary gland under your tongue. It could be from an inflamed lymph node. No...

Oral Surgery: Tongue
Steve it definitely does appear that you have a bite imbalance. It might have an effect on your tongue. You should see a skilled dentist in TMJ. You should probably start with a fully balanced bite appliance. Many dentists are not skilled in proper TMJ...

Oral Surgery: What treatment option to go for?
Lily - From what you are describing, getting a crown on the super erupted tooth with a large filling makes the most sense. Not only is it a simple procedure, it will allow a stabilization of your bite once the lower molar will also have a crown placed. One...

Oral Surgery: What does it look like to you
Like any sensory gland in the body, it goes through periods of increased and lower stress. During the increased stressful times, the body reacts with increased blood flow along with inflammatory reactions. The combination can produce an enlargement of glands...

Oral Surgery: Neti pot?
Steve - first of all, if your TMJ is truly bothering you, producing headaches in the temple, difficulty opening and closing your jaw, the slips to one side or the other on opening and closing or you do not feel as if the jaw is not closing straight and the...

Oral Surgery: Question
Fissures of the tongue are not uncommon and do occur without episodes of geographic tongue. I know this because I personally have fissures but do not have episodes of geographic tongue areas. I have seen many who have both independent of each other and some...

Oral Surgery: Tmj
If you find a skilled TMJ only doctor it can definitely be treated. As I have told you previously, you should seek a TMJ specialist at a dental school. That is where specialists dwell and help patients. They see more patients with your situation and that...

Oral Surgery: Wisdom tooth extraction
Margaret - The nerve damage will not directly produce swelling, but because the muscles of the lip are not aware of what they are doing, very often the lip will be flaccid (loose and floppy in appearance). This flaccidness can be viewed by some as swelling...

Oral Surgery: molar broken below gum line, Implant
Implant: You seemed to be well educated in Dentistry you ask some very good questions. I believe that the procedure that your dentist is suggesting may not cause any imminent harm for the short term. It will not prevent bone loss if the area is not hygienic allowing...

Oral Surgery: Redo of Implant/no communication, Nerve damage
Nerve damage: Cutting the nerve on purpose falls well below the standard of care. You should contact your local dental society to have a peer review of your case, meanwhile I would suggest that you see a board certified Oral & Maxillofacial Surgeon in your area immediately...

Oral Surgery: Any situations where the dental implant cannot be inserted ?
Dorothy - First of all, crown lengthening involves removing bone and shifting the gum tissue downwards surgically. This exposes more tooth structure and often it is below the level where enamel is present on the tooth. Depending on the amount of lengthening...

Oral Surgery: Sjogrens
Steve - I cannot tell you without further examination and immunological testing. What I do know about the appearance of your tongue, it that is appears to be overstimulated. That means you are touching, stretching and looking at it too much. Do yourself...

Oral Surgery: Surgery to remove osteochondroma in infratemporal fossa
Sam - The removal of this benign lesion in the infratemporal fossa is a tedious procedure because of the important anatomical structures within and adjoining the infratemporal fossa. A skilled surgeon with a knowledge and experience working in that region...

Oral Surgery: Tongue
Steve - I am really not sure from the pictures alone. If you want a complete diagnosis, you need to either see and oral and maxillofacial surgeon or ENT to take a culture from the tongue and possibly a small biopsy. That would be the best way to make sure...

Oral Surgery: Tongue
Steve - In my experience what you have is not cancer, but again without seeing a biopsy results I cannot be completely sure. Have you been brushing your tongue twice a day like I suggested? I cannot tell you what a biopsy will show, and that is why a...

Oral Surgery: toride removal
I m not sure of the surgeons opinion on what was accomplished if I just took in consideration what you have told me it obviously sounds like a screw up . I can t make an educated decision without reviewing all the details. I recommend that you follow up...

Oral Surgery: wisdom teeth extraction and migraine headaches
Stacey - Of course, without an examination of your daughter I cannot be completely sure, but from the symptoms you are describing, it sounds like she is suffering from jaw muscle spasms. One of the main areas of jaw muscle spasms is the temple. There are...

Oral Surgery: wisdom teeth removal & surgically upright tooth
You can t upright the tooth while the wisdom tooth is present. 12 is very young to have the procedure done. Depending on the position of the tipped tooth it may be more prudent to remove it and allow the wisdom tooth to erupt normally in a few years and remove...

Oral Surgery: cellulitis
Ana - When an infection has spread into the bone, often antibiotics will not gain access to the bacteria in a high enough concentration and an infection will continue to exist. Even a correct antibiotic might have a difficult time if the majority of the infection...

Oral Surgery: Circumvallate papillae
It does look like a circumvallate Padilla. They are usually not equal from side to side. Because it sticks above the level of the tonguesurface, the natural rubbing of swallowing cleans the surface making it nude. Both sides are not equal because the swallowing...

Oral Surgery: dental implants with retained baby tooth
Hi Shirley, Thank you for your question. It is really hard to discuss pricing. First and foremost it is entirely impossible to determine what needs to be done and the complexity without a clinical exam and radiographic interpertation. Pricing structures are...

Oral Surgery: Extraction
Shari - I hate to tell you this, but just because the swelling has reduced, it does not mean that the source of the problem has gotten better. The antibiotics have not cured the problem. It has just limited the effects causing swelling. So the tooth itself...

Oral Surgery: Pain and numbness after Maxillo-Mandibular Surgery
Debbie - You are fortunate to be in or near San Antonio. One of the best surgeons is there. He is the Chairman and Program Director at the University of Texas Health Science Center in San Antonio. He is Dr. Edward Ellis. I suggest you call - (210) 567-3460....

Oral Surgery: sinus lift
Myonghee - I would suggest that you do no sinus rinses until you have the surgeon who did the sinus lift evaluate your sinus. I, of course, have not examined you or viewed your xrays, but in some sinus lift surgeries, that natural drainage spot of the sinus...

Oral Surgery: Sinusitis or Upper Molar infection?, tooth
tooth: Hello Chris, I hope you did well over the weekend. In these kind of situations, it is better to have the tooth removed as soon as possible to avoid severe infections. I think the the red/hot cheek might be from the tooth, since sometimes the root of the...

Oral Surgery: sore tongue - orabase
Jason - you are experiencing a similar situation that many undergo. Kenalog in orabase, depending on the severity of the lesion, can be applied 1-3 times a day. If once daily, apply a bedtime. It is important to apply a fairly thin amount. If the lesion...

Oral Surgery: tongue dysplasia
Lee Anne - the miracle mouthwash is made from a combination of different substances. This has been used for many years to soothe and help calm lesions of the tongue or the mouth. This product is made up of a solution of Maalox, Benedryl (antihistamine)...

Oral Surgery: Tongue mark
Steve - Of course, without examining you I cannot be completely sure, but it appears to be a very common situation that occurs in many. It is by normal rubbing of the tongue against the upper front teeth in swallowing. Relax, this is normal. Just leave...

Oral Surgery: Ulcer in palate
Carol - Of course, I cannot be sure without examining you, but it sounds like the cyst had perforated the floor of the nose. The floor of the nose sits above the roots of the upper front teeth. If there is now an opening, the surgeon who removed the cyst...

Oral Surgery: 1 month after wisdom teeth removal
Karl - What you are experiencing is not normal. There is a possibility that during the initial healing, debris was caught in the socket and it is now producing an infection. There is another possibility that the doctor left debris of bone or the tooth in...

Oral Surgery: Bone Graft
Hi Kat, I would advise you to see the surgeon for a review as you are still in pain and having bad taste., it might be infected. There are other factors that I don t know about you such as smoking, diabetes, immune suppression etc... Good luck Rez...

Oral Surgery: Crater-like ulceration on hard palate and alveolar ridge mucosa
Eugen - from the pictures, you have a severe inflammatory condition that is destroying the gum tissue in the area. This is a problem that needs to be examined quickly. My suggestion is for you to make an appointment with Institute of Oncology in Chisinau....

Oral Surgery: gum mass
Mary - First of all, the area does not look like a tumor. It is pink, though lighter, than the surrounding tissues. I do not personally know a dentist in your area. My suggestion is for you to see Dr. Earl Freymiller. He is the chairman of oral and maxillofacial...

Oral Surgery: Maxillofacial Surgery Reversal
Aida - One of the places where I can recommend is New York Center for Orthognathic and Maxillofacial Surgery. There are a number of qualified surgeons there, I would suggest that you request and evaluation by Dr. Stephen Sachs. Their number is: 212.308.9200...

Oral Surgery: RE:
Jason - if with time, there is a change for the better in lesions, I usually allow natural healing to occur after I remove any stimulants that might be initiating the situation. Like your teeth rough spots and diet causing the areas, minor irritations are...

Oral Surgery: RE:
Jason - there is a reason that I have tried to answer your questions as best I can. The main reason is that my tongue looks like and seems to feel similar to yours. Mine is normal and from your pictures and descriptions of what you have, it also seems normal....

Oral Surgery: Wisdom Teeth Removal
Hi Mary, Difficult to see from these photos, but usually I advise my patients that the first 4 days it will be rather tender, swollen. I would advise you of taking 1g paracrtamol and 400mg ibuprofen 3 times a day and irrigate your mouth couple of times daily...

Oral Surgery: wisdom tooth removed
Gwen - Without seeing the xray of the tooth, it is a little difficult for me to see the relationship of the tooth and the nerve. First of all, the nerve you are speaking of is the mandibular nerve. If it is injured, paralysis will not occur, but there will...

Oral Surgery: anesthesia
Ritu - There might be inflammation, but that does not mean infection. Unless infection is present, an antibiotic will not help. What you are experiencing is fortunately not very common, but every doctor with experience at least one of them in his practice...

Oral Surgery: Better pic
Steve - It is really minor irritation from its appearance. It could be a geographic lesion, but it is definitely not a lesion that appears to be dangerous. Just leave the area alone and it will resolve. You might have oral habits when sleeping that might...

Oral Surgery: Corrective Dental Implant Plan
Alexis - I m not sure what can done without directly examining you. I can t say say that something can or cannot done. If you are not satisfied with the responses as to what can be done, the only way to arrive at an unbiased answer is to get an opinion at...

Oral Surgery: Drooping lip after genioplasty
Vic - The nerve testing is very simple and has to do with you mouth movements and testing for a lack of sensitivity is some areas to a stimulation like an ice cube or a pinprick. Poor alignment means that the doctors, in attach the bone after movement,...

Oral Surgery: herbst appliance
Debbie- I am so sorry to hear about what your daughter is going through. I have expressed a number of times, on this site, that I am not a supporter of the Herbst appliance and the associated procedures. I have repeatedly seen and many on this site have...

Oral Surgery: Implant bone graft
Anna - If the dentist inserted an excess amount of bone in the location for a dental implant, it should be reduced. If left the way it is, it stretches the overlying gum tissue which can weaken it. So if the doctor is hesitant, make an appointment with...

Oral Surgery: Importance of pre-surgical bite registration
Dear Aura, Bite registration is important because it relates your maxilla and your TMJ and your lower teeth to your upper. If you re jaw is small, probably centric relation bite is the best to get the most advancement of the jaw. You might want to get a second...

Oral Surgery: Jaw asymmetry after surgery
It is very difficult to answer your question without examining you, reviewing your X-rays to determine what has happened as a result of your surgery. Your best bet would be to see a board certified oral and Maxillofacial surgeon in your area. Good Luck...

Oral Surgery: Morning pic
Steve - The surface irregularity, especially of color is due to bacterial and debris accumulation on the surface. Like I have advised previously, you need to use a gentle brushing of the surface of your tongue with a toothbrush and toothpaste. It still...

Oral Surgery: Pre-surgical bite registration
Aubrey - The presurgical bite registration is very important. The best way I can describe its importance is that it helps to establish a proper bite similar to a building s foundation. The way the upper and lower jaw come together is critical to create...

Oral Surgery: RE:
Jason - those areas do not look pathologic. If anything, they appear to be areas of a healing minor irritation. The white areas are just a thickening of the thin tissues in the area during healing - NORMAL. So as I have explained to you, you need to leave...

Oral Surgery: RE: Bite registration pre-surgery
Aura, Yes I do agree that this is quite complex and need good planning, In my country, we are not as Maxillofacial surgeons use to allow other professions to do the planning for us. All planing to do with surgery is done by ourselves. I know the fact that...

Oral Surgery: Tongie
Syeve - Oral and maxillofacial surgeons are highly trained in pathology, we are not pathologists. We study the surgical approach, yet pathologists are knowledgeable in diagnosis and determining the cause of pathological lesions or areas. As far as your...

Oral Surgery: Tongue follow ups
Steve - It is probably from a not perfect alignment of the front teeth and every time you swallow the tongue goes forward and rubs against the front teeth. That is a common cause for what you complain of. If so, it is normal and unless your dentist wants...

Oral Surgery: Tongue follow ups
Steve- I completely understand your frustration. I do not know where you live, but if it is in a large city or near one, see if there is a dental school there. If so ask to be evaluated by an oral pathologist on staff. Your other option is to find a dental...

Oral Surgery: tooth extraction
Gwen - If that tooth is broken below the gum line, it is usually cannot be saved. Sometimes, however, that break is above the bone line and just below the gum. If that is the situation, the tooth can be saved with a crown and possibly root canal treatment....

Oral Surgery: Bony spicules. Dentist's carelessness?
Divya- Without examining the extraction sites it is a little difficult for me to tell you what is left. It could be that the dentist extracted the teeth quickly and did not adjust irregular bony borders left after the extractions. It could be that he left...

Oral Surgery: Bottom Wisdom Tooth Coming In, Wisdom teeth
Wisdom teeth: Hello, This is called pericoronitis. It is as a result of partially erupted lower wisdom tooth and erupted upper tooth pressing on the Lower gum. I really cannt guarantee if it would be alright for next few weeks if you don t do anything about it. Might...

Oral Surgery: Dental fistula
Dan - of course I cannot be sure without examining you. A simple cause of the numbness could be the the numbing injection by dentist before the extraction. So a simple injection or a minor infection in the area is enough to cause the numbness. If there is...

Oral Surgery: Extraction of two molars after Reclast infusion
Ronnie - The main problem is the Reclast. Most dentists will only extract teeth on patients taking Reclast if the patient is fully aware that the extraction of the tooth may precipitate a severe degeneration of the bone surrounding the teeth to be extracted....

Oral Surgery: impacted wisdom teeth
Deborah-I am not familiar with U Care, but my suggestion is that you contact U Care and ask them for the names of oral surgeons near where u live. They may be able to assist you getting an oral surgeon to see you as soon as possible. Good luck, I wish you...

Oral Surgery: postextraction infection
Ritu - It is difficult for me to know why, but this to occur the next day should have nothing to do with the antibiotic. I again suggest that the patient immediately begin warm salt water rinses for 3-5 mintutes, 4-5 times a day. I cannot tell you if the...

Oral Surgery: Question
Steve- the red dots could be from GERD. Any medication to decrease the acid release in the stomach, will reduce some of it but not all. It does not look like lichen planus. It is not from breathing, but from an irritant. If the areas are sore, you can...

Oral Surgery: Ridge Expansion / Augmentation for later implants
Dear Kay, It s hard to advise on that but in general the oral&maxillofacial surgeons are the ones with longest training in this field, but I m sure that there are very skill full General dental practitioners as well It s not a good prognosis on height preservation...

Oral Surgery: Ridge Expansion / Augmentation
Kay - A periodontist is a dentist who is trained to keep the periodontal tissue and its bone healthy. In doing so he performs cleaning of the teeth, scraping of the teeth and cleaning periodontal pockets. Where the patient has more advanced gum disease with...

Oral Surgery: Sinus perforation
Noemi - If there is a continued perforation to the sinus, it is important to keep the patient on antibiotics until the hole is closed. It is dangerous to stop and that may allow bacteria to grow in your sinus producing a severe infection. You doctor should...

Oral Surgery: Strange sensation in temple after wisdom teeth extraction
Well first I would like to commend you knowledge of anatomy but I honestly don t believe that removal of an erupted upper wisdom tooth would be responsible for an injury as you portray. You probably have some swelling that has tracked up your temporalis muscle...

Oral Surgery: Tongue spot
Steve - I, of course, cannot be sure without examining you, but the area looks like a mild inflammation, from either trauma or something you placed in your mouth. The toothpaste is fine, but no better than any other type, unless you have a medical problem...

Oral Surgery: wisdom tooth
Jared - If the wisdom tooth, even though it is a partially impacted tooth, is not always difficult to extract. If the roots of the teeth are straight and enough of the tooth can be held on to, the extraction can be done by a general dentist. If the tooth...

Oral Surgery: 3 piece Lefort I
Alora - I would have been more than happy to evaluate you, but I am retired and no longer even examine patients. If you wish, you can tell me where you live and I can tell you the names of doctors near you who are board certified and skilled to examine you....

Oral Surgery: Dental surgery
Humair - If the doctor was accurate with the injection, the tooth and its surrounding none will become numb. If properly done, the patient will have no pain, but the patient will feel pressure. If the extraction is difficult for the dentist and excess forces...

Oral Surgery: Genioplasty failure
Jeje - the results of the sliding genioplasty performed on you, most likely, was performed by a doctor not properly trained or skilled. You need to see a skilled doctor. I am sure that I do not know your doctor, but I am sure there is an oral and maxillofacial...

Oral Surgery: Growths in throat pain when swallowing
Shirley- without directly examining you I cannot be completely sure, but, like you, I have GERD. The acid from the stomach leaks into the esophagus and with GERD there is an ex less amount of acid that goes upwards beyond the esophagus into the pharynx and...

Oral Surgery: Herbst Appliance
I m afraid that I ve to refer you to visit the doctor in charge, as I don t know your daughters case and background. If she stop using this appliance and don t get offered an alternative option then, yes most lolly she will have her overbite which can possibly...

Oral Surgery: implants in top jaw
James - Because the dentist did not properly prepare you for what might happen good and bad, that is not what is called informed consent . That is not correct. My suggestion is for you to contact the local dental society and tell them about the dentist....

Oral Surgery: MMA Surgery
James - The surgical techniques for this surgery is performed by many oral and maxillofacial surgeon. MMA is not done by many because the results of the surgery are not always consistant with the presurgical expectations. All surgeons are trained, but only...

Oral Surgery: old pictures
Steve - the pictures you have sent me are quite common. A high percentage all get changes on the surface of the tongue. Having examined thousands of people during my many years in practice, I never saw anyone who did have a perfect tongue. That is because...

Oral Surgery: More pics
Steve - You live in Rhode Island. In Boston there is Mass General Hospital. That hospital has a wonderful oral and maxillofacial surgical residency. I suggest, for you peace, you should make an appointment there. The doctors there are highly skilled and...

Oral Surgery: Red spots??
Steve - so the red areas are just from irritation, probably a grinding or chewing habit that irritates the tongue. I have told you this so many times, but you need to leave your tongue alone. It looks healthy, but repeated searching for problems accentuates...

Oral Surgery: right facial numbness after root canal
Thomas - there are a couple of reasons for numbness, but the most common is excess pressure placed on the nerve tissue. This pressure can be from infection or just inflammation. It would be a good idea to have your wife evaluated by a specialist if the numbness...

Oral Surgery: Surgery
Ed - I am not personally from Kentucky, but there are not many surgeons there that do perform MMA surgery and have the credentials and experience necessary. From my research, Dr. Wayne Collin, Lexington, KY - (859) 258-4371 - is a DMD, MD - had extensive...

Oral Surgery: Upper gum and palate numbness
Eleanor - The xray appearance of the bone and teeth around the type of surgery is not always normal. There can be changes of both the bone and the teeth. The dentist is not knowledgeable or skilled to determine if there are changes in screw position. The...

Oral Surgery: Zoomed in pic
Steve - those furrows in your tongue are normal. Their purpose is to allow your tongue to widen and expand during its functioning. Again RELAX - your tongue is normal and your are creating any irritations that occur. You need to speak with a psychotherapist...

Oral Surgery: Apicoectomy before travel?
Alice it is a little difficult for me to tell you if there might be a problem for you on vacation. My suggestion to increase the chance that no problem develops on your vacation is to have either the endodontist or oral surgeon give you a prescription for...

Oral Surgery: ASO for Protruding Lips
Usually a tooth is removed posteriorly and the surgeon cuts out a block of bone in that region extending to palate on both sides. This way room is made to push back the pre-maxilla/teeth and gums. Proper diagnosis is very important to make sure maxillary...

Oral Surgery: bone and part of tooth left in
Lexy -I cannot be sure with examining you but for the dentist to leave pieces there of tooth and bone and knowing it was there, the dentist is all wrong. He is obviously non-caring and not professional. He better bend over backwards and not charge you to...

Oral Surgery: Method of Sedation with Wisdom Teeth Removal
Devin- from the pictures of the X-ray and the plan, I would agree that all three of those teeth need extractions. From what I see, I agree that they need extracting. As far as the sedation, it can be done with just Novocaine, but be prepared for the pressure...

Oral Surgery: Note the differences
Steve- Your tongue does not display any areas of geographic tongue. It looks normal. Almost everyone has episodes of losing area of papillae on their tongue. Those areas can be due to minor irritation from just eating or they can be from a rubbing that...

Oral Surgery: oral-antral fistula
David-this is a difficult question for me to answer without, at least, viewing an Xray of the area. The dentist should have warned you in advance of the difficulty of the extraction, the possibility of injury to the sinus and any other possible problem that...

Oral Surgery: Questions about NCR
Audra - Changing the jaw positions and size surgically is not done primarily for cosmetic results. Most are done to enhance function to reduce the chances or cure situations like and open bite with mouth breathing to create a situation where a seal occurs...

Oral Surgery: what is strange
Steve - you have to sto this. No skin, no wyes, no voice, no smell is the same for different people. That is why we are all different people and not clones of each other. So stop looking all the time, you are creating problems that you are enducing...

Oral Surgery: One last thing to consider
Steve - All of us have the back lower molars touching the side of the tongue. That simple touching produces a change in the shape of the back of the tongue. You need a dentist skilled in occlusion. I would like to say that all dentists have the ability...

Oral Surgery: Tongue
Steve - You are right. A lesion produced by irritation will resolve unless it is repeatedly irritated. Saying that, the most common irritations on the tongue are provided by normal functioning of the tongue and the teeth. Unfortunately, rough surfaces can...

Oral Surgery: Tongue
Steve- Due to the TMJ development and subsequent irritations on your tongue, I suggest that you make an appointment with a knowledgeable dentist or prosthodontist to balance your bite. A properly balanced bite with greatly reduce grinding of the teeth and...

Oral Surgery: Tongue
Steve - the kenalog in orabase should not be used without a direct examination by the doctor prescribing it, a minimum of once a month. The kenalog if used too long can cause lesions due to its ability to reduce the body s chance to heal. I still say,...

Oral Surgery: Tongue in afternoon
Steve- the excess use of any form of cortisone in excess can make the body more susceptible to infections and some autoimmune diseases. So although the topical application is not as problematic, but both bacterial and fungal infections can develop or get...

Oral Surgery: Tongue worse
Steve- I cannot tell you the cause, but if you were examined a dentist should be able to determine the cause of your areas by watching you chew, speak, swallow and other habits, such as tongue thrusting. There are so many causes and they cannot be determined...

Oral Surgery: Tooth extraction surgical (molar #31) 48 hours
Lori-it is, of course, a little difficult for to completely diagnose what you are going through, but let me try by asking a few questions. Is the are of the extraction throbbing or just an intensive ache? Has the pain increased a couple of days after the...

Oral Surgery: Wisdom Teeth Extraction Surgery
Hello, You do not need sedation if you are not anxious. I usually offer it to patients because is so much more pleasant. You will not feel the shots and wake up and everything is done. If dental shots do not cause you stress, then could have only local...

Oral Surgery: Wisdom teeth removal recovery
Ryan - four days after surgery is a little soon. Not that you will actually fall or bang the area, but the facial expressions we all make during sports or any physical activity can cause the sutures to release a little early and it could open the wound. ...

Oral Surgery: black tongue
Cheryl - black tongue is usually not dangerous, but it is an accumulation of debris on the surface of the cells on the surface. Usually black tongue can be reversed by being sure to brush your teeth and your tongue at least twice a day with toothpaste. In...

Oral Surgery: bump in mouth
Robert - I can only tell you from what I see in the pictures. Those areas are in the place where the salivary gland ducts would normally be. The fact they are on both sides of your mouth, it indicates even more that they are duct openings. Of course, this...

Oral Surgery: Cracked root
Taury - First of all, both implants and a three unit bridge. The key factor on which is best is the quality of the dentist and his knowledge. Neither replacement technique is good, but I question the dentist s ability after screwing into the tooth hard...

Oral Surgery: Failed implant and sinus perforation
Sharon - It is a difficult question to answer. I don t know your surgeon and how attentive he is to his preparations. You would not know if there was an opening at the time of the implant insertion. The insertion will create a tight seal to the opening...

Oral Surgery: Mandibular tori / bruxism / tongue thruster / overbite / TMJ
Marie - The most important thing to make you comfortable is to have a solid bite, where adjustments have been made so the stimulus for grinding of the teeth is reversed. The problem is that many dentists and orthodontists don t want to attack this situation....

Oral Surgery: Mechanical
Steve - the good news is that what you are experiencing does not appear to be dangerous or malignant. It is definitely nothing serious at this time. As far as the nightguard, if the purpose was to relax the jaw muscles to reduce pressure on the jaw and...

Oral Surgery: Side
No - orthodontics will not completely help. Probably the best way would be for you to work with a speech therapist. These specialists train individuals to use their tongue in speech, but also help with patients who have tongue thrusts. I have never examined...

Oral Surgery: Thank you
Leave it alone or see a psychotherapist to help. I know that these medical specialists, can help you focus on normalcy and forget your impressions of normal. I know this, cause my wife is a psychotherapist and I have referred many to her. So seek a psychotherapist...

Oral Surgery: Tongue marks
Steve- you need a doctor who sees you frequently, takes pictures of your tongue and tries to create a sequence history of the changes in your tongue and you what might be going on in your private life. Then and only then can any changes be determined. ...

Oral Surgery: Vertical maxilliary defficiency
Miroslav - there are a few techniques, but the simple alignment of the upper and lower jaw models, along with appropriate xrays, define what the appropriate technique. The key factor in any success for elongating the upper jaw is determining the appropriate...

Oral Surgery: Cyst Removal
Christine - it is definitely too early after the surgery to determine the extent of nerve damage. Inflammation, excess bleeding within the bone and the surgery itself are all possible causes, but unless the surgeon, who visualized the area, realized that...

Oral Surgery: To Extract a tooth or Not?
There are two options. The tooth can be saved with a procedure called an apicoectomy. If not an exraction would cure the problem. Are you having symptoms of pain with that tooth or throbbing? The infected area is quite small and if you are having no pain,...

Oral Surgery: putrid smell around base of implant
Yes for the sake of not losing the implant, I would suggest taking Augmentine 500mg (spanish name for amoxicillin and clavulonic acid) 2 tabs am and pm until you get back home and have a cone beam CT done for diagnosic purpose and see whether or not you have...

Oral Surgery: Straws- Dry Socket
Vanessa - If by ten days a dry socket has not developed, the chances of a dry socket now is minimal. Your surgeon should ;eave the teeth alone and not treat them, other to irrigate them if he sees debris within the tooth sockets. What you should do, to...

Oral Surgery: TMJ
Amy - It is true that there can be an accommodation of the jaw to changes within the temporomandibular joint. Many who have sustained arthritic changes has existed with these changes for many years without complications. Unfortunately, a significant number...

Oral Surgery: TMJ?, TMJ
TMJ: Hello, Eventhough the MRI shows all the deformities, it seems like the issue that is troubling you currently has a musculoskeletal source. For that I would visit a surgeon to fabricate a night guard. This is the most conservative non surgical treatment of...

Oral Surgery: TMJ/TMD
Sonny - Sorry for the delay, but I ve been ill. TMJ problems with disc position problems sometimes resolves on its own. A soft diet and an attempt to reduce any stress placed on the joint can sometimes resolve the entire situation. Look it just happens...

Oral Surgery: Tooth extraction
Kay -it is definitely preferable to not use the gel foam if there is an infected present. The use of the foam might have been necessary to stop bleeding. In that situation, the use of the foam is imporant, but the doctor must to prevent infection by having...

Oral Surgery: wisdom tooth pulled
Anne - of course it is a little difficult for me to be sure, but you could be suffering from a combination of problems. The ulcer on your tongue could be from surgical trauma or it could have developed with stress to your body. The fact that you have little...

Oral Surgery: black spot under tooth on xray
Fernando - I am not personally familiar with these doctors, but I contacted a dentist in South Florida and a surgeon on the west coast. The following are the names that both suggested. 1) Dr. Anthony Scalar - (305) 661-5297 2) Dr. Todd Sawisch - (954)...

Oral Surgery: Canker sore scar?
It is impossible to tell you what you have in this medium. You should follow up with a board certified Oral and Maxillofacial Surgeon in your area for a possible biopsy. If you have no family history of head and neck cancer no history of smoking or drinking...

Oral Surgery: Correction of asymmetry, Jaw surgery
Jaw surgery: Hi Audrey, Its hard to say that you have a mid face deficiency without seeing your profile picture. When evaluating for orthognathic surgery, we check the midlines of the face,chin, nose, teeth and etc. From this picture, I believe most of your Asymmtery...

Oral Surgery: Facial numbness
Mark - of course without examining you I cannot be sure, but with the sensations you describe, it does sound like nerve damage. That damage. Would be from the trauma and or the surgery you underwent for this trauma. You say that it is two years since the...

Oral Surgery: oral
Thyma - there are a number of options, depending on the position of the permanent teeth. Surgical exposure of those teeth and, if there is any mobility to the teeth, a wire can be attached to pull the teeth down. If the teeth are fused to the bone the options...

Oral Surgery: Oral Frenectomy Question
Mario - I assume you are taking about the lingual (tongue) frenum. The cutting of the lingual frenum will have no effect whatsoever on the position or actions of the tongue. So don t worry. It will not cause your tongue to fall back. So have it removed....

Oral Surgery: reversing double jaw surgery, jaw surgery
jaw surgery: I am sorry about your experience. You have to be seen by the same surgeon or another orthognathic surgeon. This consultation has to be done in-person in order to discuss your need in detail. Orthognathic surgery is all about planning. Xrays should be taken...

Oral Surgery: reversing double jaw surgery
Hannah - Any changes in trying to reverse the surgery is not totally predictable. Will you have a better appearance? I don t know. A surgeon needs to do a very exact presurgical evaluation. The surgeon needs to know what the outcome will be for each change...

Oral Surgery: Tooth extraction.
Anil - I fully understand your apprehension, especially with her history of developing an infection after having a decayed tooth extracted. First of all, a skilled surgeon should be able to extraction the wisdom tooth you describe without any problems,...

Oral Surgery: Tooth Pain After Extraction and Bone Graft
Emily - I can t be sure what is actually occurring. I wish you well and hope you can find a dentist near you to help you. If your dentist cannot find the reason, I suggest that you might be better seeing a board certified oral and maxillofacial surgeon...

Oral Surgery: Wisdom tooth extraction spreads to sinus
Leslie - First - I do not know an ENT doctor in Chicago, area. Sorry I don t know what you ve been told as to the cause, but, and of course I cannot be sure without see preoperative xrays and postoperative xrays, but it sounds like your son suffered...

Oral Surgery: Afraid/Suspect of Dry Socket
Gash - I can t be sure just by looking at that picture, but if it is a dry socket, you will have pain, but a bad odor from your mouth and a bad taste is a way to define what there. If the pain does not resolve, you need to get back to the dentist and the...

Oral Surgery: Alveoloplaty
Maureen - A torus can have an alveoplasty done to it after removal. A torus is an area where there is a roundish growth of bone sticking out from either on the lower jaw, on the tongue side of the lower jaw, a roundish growth of bone on the palate (the roof...

Oral Surgery: Excruciating pain
Hi I hope the pain has subsided. Post op pain also depends in whether patient is a smoker or drinks alcohol. If non of these then you might have infection or dry socket. I believe first thing you should do is contact your dentist or surgeon who took this...

Oral Surgery: frenulum tear!
Billy - the upper frenulum is considered a vestigial attachment of the upper lip to the upper jaw. In historic times, when facial expression was much more than how humans use it now. Historic humans, homo sapiens, did much more with their facial expressions...

Oral Surgery: Jaw,chin
Jale-I see that there is a jaw discrepancy of the way the upper and lower jaws come together. There are a few different potential causes, but I would need appropriate xrays of your jaws to arrive at a cause and method to appropriately fix the relationship...

Oral Surgery: Oral surgery
Anthony - an oral surgeon is actually consider an oral and maxillofacial surgeon. As such, many of the treatments provided by an ENT can be provided by a skilled and educated oral and maxillofacial surgeon. Likewise, some ENT doctors try to treat dental...

Oral Surgery: reversing jaw surgery
From your description alone I feel that you have a very unfortunate and unusual situation. There is little you can do to reverse a procedure. My best advice would be to see a board certified Oral & Maxillofacial Surgeon in your area to speak to your orthodontist...

Oral Surgery: SARPE
Hi Ben, No I do not believe in orthodontic treatment. After age of 14, ortho can not fix a true crossfire. It sounds like you may need to get braces and have jaw surgery to bring the jaw forward. I understand you are not interested BU I wouldn t do anything...

Oral Surgery: 3 teeth with tooth pain, one a repeat RC and Apico
Hello Nicole I would certainly NOT go for implants as a first choice. You seem to be taking good care of your teeth and you will need a good endodontic treatment achieved with microscope. Your surrounding bone is pretty good too so I suspect implants will...

Oral Surgery: Hemisection
Tony -you are correct, that after the hemisection the oral surgeon should have followed you with a follow up examination. Not only that the area healed well, but that the remaining portion of the tooth was stable enough to support itself. Without a follow...

Oral Surgery: Lingual Nerve Symptoms
Chris - I wish I could answer the question, but without any stimulation directly to the area, I just don t know. If the numbness is still present, you should see a neurologist to evaluate the nervous system in that area. I wish you well - I wish I could...

Oral Surgery: Parsinusitis??
Hello Sandy Obviously your sinus infection comes your infected molar which needs to be removed. It just does not make sense that you have 2 surgeries. The Oral surgeon should be able to perform your sinus surgery at the same time than extracting the tooth...

Oral Surgery: reversing both jaws back to hiw it was before
Hello Well reversing to your initial state is not something easy. Hard to give you any advice without previous and current photos and precise surgeries done. But a second surgery is always possible to improve your facial appearance. Sincerely, ...

Oral Surgery: simple removal of bone graft enough to address infection in jaw?
Audrey - if the problem has extended to #18, you definitely should see the surgeon this Thursday. The source needs to be corrected before other problems develop. My suggestion, until you see the surgeon, begin warm salt water rinses for 2-3 minutes, 4-5...

Oral Surgery: Swelling on once side of face 10 days after impacted wisdom teeth removal
Praveen - sorry for this delay but I never received this question. What you are asking about is a common complaint of extractions where there is excessive bleeding I initially and then it is corrected. Blood and other fluids most likely accumulated deeper...

Oral Surgery: Wisdom tooth removal
All sedation will lower your blood pressure. Having sedation is not completely necessary to have an extraction. You should follow up with a board certified oral and Maxillofacial surgeon in your area to address your concerns. Your blood pressure is continuously...

Oral Surgery: Antibiotic and Extractions
Mary - Unless the doctor finds that there is a non-contained infection spreading into the surrounding tissues and bones, associated with the teeth for extraction, there is no reason to prescribe an antibiotic. Another reason would be if you have a medical...

Oral Surgery: Bit my tongue
Michael - the purple area is just like a bruise. A bruise is actually bleeding from small blood vessels under the surface skin. In your situation, the area of the bruise is an area where there are many blood vessels. So you had leak from blood vessels...

Oral Surgery: Hard Palate Lump
Max - I, of course, cannot be completely sure without examining the area ( I know your realize that), but first of all, torus lesions on the palate do not always exactly on the midline. In fact, a displacement off of the center for a torus is common. I have...

Oral Surgery: implant too close too adjacent tooth?
Mike I am sorry. I can t give you a yes or no with just the xray picture. I see a little darkness of the bone next to #29, but that can t definitely be defined by the picture alone. The darkness usually indicates a decrease in density of the bone. That...

Oral Surgery: Jaw surgery or no?
Gina, This is a very difficult question to answer with out a long discussion. Generally speaking, if your growth has not completed, the orthodontist should be able to move or guide the growth of your jaws. Once growth has completed surgery is usually the...

Oral Surgery: Nerve damage after implant placement
Hi Mike, The implant probably does not need to be removed at this time. IT seems it is away from the nerve. Most likely the drill did the damage. I suggest seeing a nerve specialist as soon as possible and follow up with them. Some nerve repair might...

Oral Surgery: nerve damage after implant
Mike - After having viewed the xray, to me it looks like the bone of the canal where the nerve lies was violated. If this occurred, hitting the nerve is not necessary to produce damage to the nerve. Bleeding into the canal can put pressure on the nerve and...

Oral Surgery: One other question
Steve - Yes you need to keep it clean with salt water rinses, but more so, you need to only eat foods that do not require chewing. You should pick up Ensure supplement. Use this as food. No chewing. Continue the warm salt water after everything you eat...

Oral Surgery: Removal of tooth 31
Cherie - There is a possibility that the collagen plugs might be the cause of the pain. The pressure of the collagen or collection of bacteria from saliva could be inflaming the socket. It is five days since the extraction; at this stage of healing an inflammation...

Oral Surgery: tightness in teeth
Mike - there can be a number of causes for inflammation. I, of course, cannot tell you if the altered feelings are due to the implant or the surrounding teeth are producing inflammation. it is important for the surgeon to continue to follow and examine you....

Oral Surgery: Tongue
Steve - the appearance is common to traumatic injuries that affect the mouth. How they occur varies from intentional to subconscious or without any knowledge. You just need to take care of it to allow the area to heal. You also might benefit from seeing...

Oral Surgery: Tongue
Not really. It looks like a chronic irritation and, as such, the nerve tissues are not completely exposed. The healing that occurs from the lack of consistent trauma actually begins to quietly heal the area. The healing protects the nerve endings, which...

Oral Surgery: Tongue
Steve - good news! Dramatically different from the last pictures. Healing is definitely occurring. Yes there are still furrows and redness, but healing is occurring. There is new surface cell growth. So there is no fresh irritation. So whatever you have...

Oral Surgery: tongue bite
Mike, It appears to be normal. You may have lacerated a blood vessel under the surface and that is why there is a lot of bruising. It should resolve over the next week or so. If it gets bigger or lasts longer than that, you should see your dentist. Are you...

Oral Surgery: Close up
What you are showing is equivalent to scar tissue developing. You are lucky, because scars in the mouth and tongue repeatedly have forces placed on them that stretches them and allows them to be stretched. That scar tissue will eventually not be there...

Oral Surgery: A few questions
Jafar - the slight retruded maxillary effect is displayed by the angle of the base of your nose to your upper lip. That angle is about 90 degrees, but yours is more than that. That angle is indicative of a slight retrusion of the maxilla. In addition with...

Oral Surgery: Genioplasty questions
Damien- I m not sure what specifically can be done, but dramatic and simple changes can be performed. I wish I could be more specific, but without examining you it is a little difficult to be specific. As far as the lip, the position and bulkiness of...

Oral Surgery: Implant #30 tooth
Kay - If the surgeon correctly sized the implant and the proper drill bit to drill the hole, there should not have been excessive force needed to place the implant. It sounds like the surgeon did an appropriate treatment. So now you need to just follow...

Oral Surgery: Jaw reconstruction
Dear Brooke, I don t believe the problems with plates and screws manifest themselves in that area. Also, jaw surgery does not shift glands. My suggestion is to see an Oral and maxillofacial surgeon and take a panoramic xray. If it is not the plates, they...

Oral Surgery: having your jaws repositioned to how it was before jaw surgery
Hi Sara - I m so sorry to hear that you have had a bad experience. It is possible for the procedure to be reversed. To give you a better more detailed answer, I would need you to send me pictures (photographs of before and after) and radiographs of before...

Oral Surgery: oroantral communication
With a small opening of this nature. Just inform the patient that it will usually close by itself. It may take 6 months to fully close. Avoid nose blowing and straws for that time. No need to place anything in the socket at all. Have her follow up in 8 weeks...

Oral Surgery: Possible "growth" in location of wisdom tooth extraction
Betsy - I am sorry to tell you that I do not see anything dramatic. I know that is good, but the xray only shows an irregularity to the bone contour and I see not pathology. Seeing the xray directly might be more revealing, but I don t see much on the xray...

Oral Surgery: Question about ceph superimposition
Taylor I don not do this type of procedure. My suggestion is that you contact a dental radiologist at a dental school near you. I believe you live in Indiana. In that state there is a dental school in Indianapolis. It is the Indiana University Hospital....

Oral Surgery: Question about ceph superimposition
Taylor, It may be worth while to contact the orthodontic department or the oral surgery department at Indiana University. They may do this free of charge as they like to look for growth patterns. Someone at this dental school will enjoy this very much and...

Oral Surgery: had titanium implant last Thursday the 9th June
Ian -some patients feel pressure from the implant placed in the bone if the hole drilled by the dentist was not large enough, and that can last for 5-7 days. I don t know what post operative instructions you were given, but a good and healthy technique to...

Oral Surgery: Tongue
Steve - with the recurring ulcerations of your tongue, there is a possibility that you are dealing with immunological lesions. I am not an immunologist, but it might be a good idea to seek an evaluation at a major hospital. Probably near you it would be...

Oral Surgery: Tongue
The loss of the tooth has affected the balance of your bite. When that occurs, the jaw is subconciously directly to find a balance of the bite. When that does not fully exist, it s like searching in a dark room for something that was lost. You can search...

Oral Surgery: Tongue
Steve - Just keep doing what do and it should improve. As to the eating as a cause or an exacerbation of the problem, my suggestion is to try and not eat anything for about 3-5 days and see if there is a dramatic improvement. That would probably be the...

Oral Surgery: Tongue pics
There is evidence of trauma and areas of healing. I cannot say from this picture that the trauma is recent or is it previous trauma. So from the pictures there is evidence of a healing wound. I cannot say how long it has been present. But the type of trauma...

Oral Surgery: tooth extraction
Scotth - it is not totally unusual for the teeth on either side of an extraction to be a little sensitive, but by 2 weeks that sensitivity should have resolved. It means the doctor probably applied excessive forces to the tooth next to the extraction and...

Oral Surgery: ear ache and tooth extraction
Laurie - What you are describing with the earache is usually indicative of spasm of the jaw muscles. Some of the tongue muscles attach to the bones in the area and they often link with some muscles that attach near the ear. This combination often produces...

Oral Surgery: Extraction & Bone Graf
Hello, Yes the socket naturally fills in with bone eventually. Once you take the tooth out, the bone that was supporting the tooth disappear and the width and height of it reduce. Therefore, we always suggest having a bone graft in the socket to preserve...

Oral Surgery: little headaches in the afternoon everyday
Melissia - I assume your headaches have begun to occur since the extraction of tooth #30. With the loss of a molar, often the entire structure of the mouth changes. The molar teeth are the foundations of the bite, your jaws and your entire facial structure....

Oral Surgery: Post bone grind bleeding
Janice - If the dentist tore a small blood vessel during the extraction, the only way to stop the bleeding is with excess pressure to the area, sutures to the area or the surgeon burns the area. What I am saying is that you need to get back to the dentist....

Oral Surgery: Tongue
That is why your bite needs to be evaluated by a skilled dentist. That doctor needs to evaluate your bite and when you chew to see if you are functioning correct or is there a bite imbalance that is producing the tongue lesions you repeatedly suffer from....

Oral Surgery: Tongue
What your situation is telling you is that you need to be evaluated by a board certified oral and maxillofacial surgeon and/or a skilled occlusion dentist to determine if there is a discrepancy in your bite that is producing trauma to your tongue. So you...

Oral Surgery: Wisdom tooth extraction,throat cancer
Cindy - your questions are very good. It sounds like there was complete lack of or minimal communication between the oral surgeon and the doctor prescribing treatments for your cancer. Without viewing X-rays or directly examining the surgical site, I cannot...

Oral Surgery: 24 and have 2 molar baby teeth, adult teeth, permanent teeth
adult teeth, permanent teeth, canine teeth: Stacey - The dentist who spoke with you is all wrong. The permanent teeth will no longer fully erupt on their own at age 24. You will need the baby teeth removed and the permanent stimulated by wiggling them to hopefully allow them to erupt. If they don...

Oral Surgery: 2nd Jaw Surgery, oral and maxillofacial surgeons, orthognathic surgery
oral and maxillofacial surgeons, orthognathic surgery, westlake ca: Matthew - First of all, getting the correct insurance is a tough question. In this day and age, the insurance companies are quite difficult to predict. They fight against procedures that only a few years ago were deemed as necessary. So who do I recommend?...

Oral Surgery: 2nd Oral Surgery of lower jaw, oral and maxillofacial surgeon, oral and maxillofacial surgeons
oral and maxillofacial surgeon, oral and maxillofacial surgeons, growth plates: Rita - First of all, I want you to know that whomever does the surgery now or in the near future needs to take xrays of your son s long bones (legs and arms) to check your son s growth plates. When the growth plates have fully turned to bone your son s growth...

Oral Surgery: 3 weeks S/P lower molar extraction, molar extraction, plastic syringe
molar extraction, plastic syringe, food debris: Laura - Three weeks after an extraction is a time when healing should be progressing to reform bone in the socket. As such, you do not need to worry about developing a dry socket now. The accumulation of food debris and the growth of bacteria in the...

Oral Surgery: 3rd molar extraction healing, molar extraction, warm salt water
molar extraction, warm salt water, tough ridge: Ashley - When there is a little swelling during the healing area and you are biting down, the biting can accentuate the swelling. It is important to do as much warm salt water rinsing as possible. The warm salt water rinsing helps to pull out excess fluids...

Oral Surgery: 6-19-07, sinusotomy, antrostomy
sinusotomy, antrostomy, wisdom tooth: Earl - I don t know what was done by the surgeons, but when the opening into the sinus was closed ( if it really was) the surgeon needed to perform a sinusotomy and maybe a nasal antrostomy. These two procedures done concurrently with the closure of the...

Oral Surgery: #7 adult molar extraction 11 year old, molar extraction, wisdom teeth
molar extraction, wisdom teeth, tooth position: Lisa - In my years of practice I have only seen one or two situations where 2nd molars were extracted and had to do with excessively poor position of those teeth. I am not quite sure I fully understand with the orthodontist s feeling that the top teeth and...

Oral Surgery: Absessed gum, wisdom tooth, periodontist
wisdom tooth, periodontist, dental procedure: Jacki - The major thing I question is why any dentist would only prescribe an antibiotic for infection for 2 days. That is so wrong and can only increase the chance for the bacteria in your mouth to become resistant to penicillin. Secondly, if you had...

Oral Surgery: Additional question, wisdom tooth, tooth socket
wisdom tooth, tooth socket, panorex: Shirley - The swelling that is sore could be a hematoma. That is a collection of blood from the surgery that forms a pocket filled with blood. This swelling can develop quite a bit of inflammation and can be sore. It may not be a bad idea to drain this...

Oral Surgery: Alveolopathy needed, alveoplasty, surgeon fees
alveoplasty, surgeon fees, alveoloplasty: Linda - The variability of the difficulty and proper treatment of any alveoplasty varies greatly. I can only give you an approximate financial range due to the significant differences in treatment that could be faced by the surgeon. Fees would range from...

Oral Surgery: Alveoloplasty, alveoplasty, bone anatomy
alveoplasty, bone anatomy, tissue work: Linda - The gingivoplasty that was done along with the alveoplasty I assume is to tighten the soft tissue against the trimmed bone. If the soft tissue is not sutured tightly, blood will pool under the tissue and can distort the new bone anatomy. Alveoplasty...

Oral Surgery: Apico Needed, oral and maxillofacial surgeon, front teeth
oral and maxillofacial surgeon, front teeth, peroxyl: Laurie - Because the infection is located at the ends of the roots of the teeth which had root canal, it is important to get the apicoectomies done as soon as possible. The infection is eating away at the bone at the end of the roots and can spread to more...

Oral Surgery: Apicoectomy surgery, nerve inflammation, nerve fibers
nerve inflammation, nerve fibers, upper molar: Christine - From your description of what you experienced 10 days after the surgery, there is only two reasons that I can think of that may have caused this problem. First, and not totally uncommon on upper jaw surgeries, the apicoectomy may have caused...

Oral Surgery: Apioectomy, upper molar, molar tooth
upper molar, molar tooth, gum line: Rich - First of all let me say that replacing a molar with a mini implant is absolutely incorrect and just setting you up for failure. My second concern is the tooth itself. If the endodontist attempted an apicoectomy on an upper molar tooth, the surgery...

Oral Surgery: Arachnoid_cyst, surface region, 22 years
surface region, 22 years, spinal cord: Tammy - You don t say where they found the cyst, but in general they are cerebrospinal fluid filled sacs that form in the surface region of the brain or spinal cord. I am not a neurosurgical specialist and as such I hate to give you an opinion, but in...

Oral Surgery: abcess, warm salt water, absess
warm salt water, absess, abbess: Stephanie - Look, the chances of dying from it are not high, but I have seen patients during my many years of surgery practice who, when infections were left untreated, have suffered severe problems of the brain. It is not worth waiting. I cannot tell you,...

Oral Surgery: abnormal swelling, swollen gum, warm salt water
swollen gum, warm salt water, wisdom teeth: Mike - A reoccurrence of swelling nine days after the extraction, especially combined with pain, may be a sign of an underlying infection. This can occur if blood was trapped in the healing area and bacteria has been growing. If you have stopped, restart...

Oral Surgery: allograft safety, bone resorption, immune diseases
bone resorption, immune diseases, autograft: Karen - There is a difference of opinion related to the use of an allograft in a location where there is existing infection. I personally do not like to use a material like this that may serve as a site for bacteria to hibernate. If an autograft is anticipated...

Oral Surgery: antibiotics after oral surgery??, local anesthetics, oral surgeon
local anesthetics, oral surgeon, molars: Lisa - I agree that you should stay away from ice in that area. Ice will slow the healing and allow retention of inflamed fluids in the area for a longer period of time. The best thing you should do is warm salt water rinses to accentuate the drainage and...

Oral Surgery: antibiotics, wisdom tooth extraction, oral and maxillofacial surgeon
wisdom tooth extraction, oral and maxillofacial surgeon, antibiotics: Joanne - Must is not always true, but if there is even the slightest inflammation in the area then antibiotics can significantly prevent an infection in an area that can produce bad infections. So have the oral and maxillofacial surgeon evaluate the surgical...

Oral Surgery: apical cyst in right mandibular jaw, cindy cindy, mandibular nerve
cindy cindy, mandibular nerve, cystic lesion: Cindy - When a cystic lesion at the end of the root of a tooth encroaches on the mandibular nerve, there is a possibility the reoccurrence of the numbness may be due to small cystic cells which may have remained and are now forming a new lesion and putting...

Oral Surgery: apico, incision and drainage, oral and maxillofacial surgeon
incision and drainage, oral and maxillofacial surgeon, time jody: Jody - An apicoectomy can be a very simple procedure if the tooth being done is a front tooth or a more complicated procedure if it is being done on a molar. An apicoectomy involves making a small incision in the gum above or below the tooth (depending...

Oral Surgery: apicoectomy, root canal treatment, endodontist
root canal treatment, endodontist, apico: Barbara - If there is a fracture, whether vertical or horizontal, it is often difficult to discover unless an incision is made, a window of bone made and the fracture uncovered. Well, that incision is the same as would be made to perform an apicoectomy....

Oral Surgery: apicoectomy query, elbow grease, pain thanks
elbow grease, pain thanks, front teeth: Judy - Of course not being at surgery it is a little difficult for me to state if the surgical incision was a little excessive. What I can tell you is that the normal incision should be either an inverted C shaped incision to expose the end of the root or...

Oral Surgery: apicoectomy, root canal treatment, gum line
root canal treatment, gum line, simple signs: Jewel - Of course without an examination or xray of the area I can only go on what you describe. I m not sure about the thing that formed in your gum line. If you could tell me what you describe as gum line, Is it the part that touches the tooth or above...

Oral Surgery: apiectomy, sinus cavity, oral and maxillofacial surgeon
sinus cavity, oral and maxillofacial surgeon, upper molar: David - From your description of your infections and pain, it does sound like the root canal tooth is infected and causing the problem into the sinus. If the infection has been there for a period of time, the infection can eat its way through bone to a point...

Oral Surgery: apioectomy or implants, oral and maxillofacial surgeon, apioectomy
oral and maxillofacial surgeon, apioectomy, apicoectomy: Lori - I am an oral and maxillofacial surgeon who puts hundreds of implants into the jaws each year. I am also a surgeon who believes that if you can save your own tooth then that is better. The problem with the infected tooth that is draining, is that...

Oral Surgery: apioectomy and root canal, root canal treatment, mandibular nerve
root canal treatment, mandibular nerve, apioectomy: Kristen - Calcification of the canal within a tooth is not totally uncommon when there is a history of chronic inflammation to the nerve within the tooth. When this occurs, as I am sure you are now aware, the endodontist is unable to remove all of the inflamed...

Oral Surgery: What is $ approximate fees for cyst removal, bone graft, approximate fees
bone graft, approximate fees, pallet: Linda - Without seeming like I am avoiding an answer, it is a little difficult for me to actually comment about the fee. What I can say is - wow. If you had a cyst and it alone was just removed and nothing else was done like cleaning the sinus or a bone...

Oral Surgery: BABY TEETH EXTRACTIONS, tongue function, speech impediment
tongue function, speech impediment, pediatric dentist: Nichole - After removal of the teeth your son may develop a slight speech impediment that should fully resolve when the permanent teeth erupt. An alternative after the extractions is for the pedodontist to fabricate a bridge to replace the teeth. This will...

Oral Surgery: Baby molar, pediatric dentist, inflammations
pediatric dentist, inflammations, molar: Muriel - First of all, the eruption of any one tooth can go through many different minor inflammations during the eruption. These can show up as the swelling, but in most instances it is nothing to worry about. Of course, the tooth may not be erupting straight...

Oral Surgery: Baby tooth, baby tooth, eye tooth
baby tooth, eye tooth, latley: Jennifer - I m not sure from your description if the permanent eye tooth is sitting above the baby tooth and cannot be seen or can it s crown also be seen. Depending on which is the situation a couple of different solutions are possible. So please get...

Oral Surgery: Bad Breath after oral surgery, ear nose and throat doctor, removal of wisdom teeth
ear nose and throat doctor, removal of wisdom teeth, oral and maxillofacial surgeon: Jane - Bad breath can be a result of surgery in the mouth if in the healing process there developed a pocket between the last tooth still present and the spot where the tooth was. Bacteria, present in everyone s mouth in saliva, can congregate there along...

Oral Surgery: Biopsy - common practice to cut small nerves?, inferior alveolar nerve, nerve tissue
inferior alveolar nerve, nerve tissue, nerve bundle: Nicole- I fully understand both the lack of pain that would be attained via a neurectomy and the long term annoyance that permanent numbness would cause. I worry that the long term repercussions with the numbness of neurectomy can be just as devastating as...

Oral Surgery: Blood Clot, warm salt water, minimal pain
warm salt water, minimal pain, blood clot: Aly - What you are describing is not a bad situation. The blood clot allows for a rapid ingrowth of bone and rapid healing. So seeing the black clot is actually not bad at all. Some people lose their clots and everything heals, but a little slower. The...

Oral Surgery: Blood clot - when should it fall out?, dry sockets, lots of bubbles
dry sockets, lots of bubbles, dry socket: Lindy - First of all, do not worry. If you are not having pain 8 days after the extraction, you will not get a dry socket. Dry sockets all occur and produce pain early on in the healing. Blood clots do not always fall out. Some do and others don t ....

Oral Surgery: Blood clot after removing wisdom teeth, wisdom teeth, tea bag
wisdom teeth, tea bag, blood clot: Sarah - When a blood clot forms that extends out beyond the socket where the tooth was, it should be removed. The dentist should remove the excess and if any small amount of bleeding occurs, just biting on a moist tea bag will stop the bleeding. So contact...

Oral Surgery: Blood clots and dry socket, warm salt water, dry socket
warm salt water, dry socket, wisdom tooth: Betty - Don t worry. Just dislodging the blood clot does not cause a dry socket. Direct trauma to the bone of the socket during surgery is what causes a lack of a clot and a dry socket. So keep the area clean with warm salt water rinses and don t worry....

Oral Surgery: Board Certified Oral Surgeons, oral and maxillofacial surgeons, oral and maxillofacial
oral and maxillofacial surgeons, oral and maxillofacial, health care professional: Servin - The American Board of Oral and Maxillofacial Surgeons is located in Chicago, Illinois. If you contact them and ask for names of surgeons who are board certified in the area you are looking they should be able to give you a list of names. If you...

Oral Surgery: Bone Chips from Jaw, oral and maxillofacial surgeon, occasional cigar
oral and maxillofacial surgeon, occasional cigar, bone fragments: Scot, If you had already had bone fragments prior to this time, this is very unusual. Do you have any bone that is constantly exposed? I suggest you go to another oral and maxillofacial surgeon and get another opinion. Without seeing xrays of the jaw or...

Oral Surgery: Bone chips after wisdom tooth abstraction, bone chips, wisdom teeth
bone chips, wisdom teeth, wisdom tooth: Ryan - Osteomyelitis rarely occurs, but when it does, it can last for a long time. As the bone dies, and that usually occurs slowly, the body rejects the bone. Over many years of practice, I have seen only a couple of osteomyelitis episodes that were...

Oral Surgery: Bone Fragments after wisdom teeth extraction, wisdom teeth extraction, tooth fragment
wisdom teeth extraction, tooth fragment, bone fragments: Christine - What you describe is not normal if the extraction was done correctly. You need to go back and have the area evaluated. It might be a loose piece of bone or tooth or it could just be an irregular border of bone. Either way, the area needs to...

Oral Surgery: Bone fragments years after wisdom tooth extraction, wisdom tooth extraction, oral and maxillofacial surgeon
wisdom tooth extraction, oral and maxillofacial surgeon, bone fragment: Krystal - I could be that the bone fragment never really went away before or there is another situation developing. That could be a periodontal situation. I would suggest that you make an appointment to see a local board certified oral and maxillofacial...

Oral Surgery: Bone Graft, bone graft, wisdom teeth
bone graft, wisdom teeth, extraction pressure: Matt - First of all, let me tell you that I cannot answer whether the graft was necessary or not. What was the doctor s reason he gave you? If you can tell me I can better answer the question of necessity. As far as the numbness, I hope the dentist advised...

Oral Surgery: Bone Grafts for Wisdom Teeth Extraction, wisdom teeth extraction, bone grafts
wisdom teeth extraction, bone grafts, dry sockets: Lila - I hate to say this, but in my opinion there really is no need to place a synthetic graft into the tooth socket after extractions. Yes, dry sockets occur less if the blood forms a clot into the socket, but a synthetic graft does not assist. So, in...

Oral Surgery: Bone Piece after wisdom extraction, wisdom teeth, doctor who
wisdom teeth, doctor who, bad idea: Bill - It is not a bad idea to have the area evaluated. Often it can be left alone, but in some situations it can produce inflammation and infection. So contact the doctor who extracted the teeth and have it evaluated. Any further questions, feel free...

Oral Surgery: Bone splinter (?), back bottom, emergency clinic
back bottom, emergency clinic, jaw bone: Jo - Unfortunately, you need to get back and have that bony area smoothed or removed if necessary. Leaving this exposed bone can cause a severe abrasion of your tongue and also the exposed bone itself can lose its blood flow and die off. So you need...

Oral Surgery: "Bony" swelling, warm salt water, gum tissue
warm salt water, gum tissue, wisdom teeth: Emily - What you describe could be bone, but more likely you had some bleeding under the soft gum tissue and formed a clot. This clot organizes and form a hard bony/fibrous structure. My suggestion to help reduce the area is to start warm salt water rinses...

Oral Surgery: Braces/overbite, harvard school of dental medicine, edward selden
harvard school of dental medicine, edward selden, mass general: Alexander - The following are names of board certified surgeons in your area who should be knowledgeable to give you the information you need. Dr. Bruce Donoff is the Dean at Harvard School of Dental Medicine - I don t know if he still sees patients, but...

Oral Surgery: Broken Jaw post 3rd Molar Extractions, minor distraction, warm salt water
minor distraction, warm salt water, wisdom teeth: Tom - Unfortunately, you do need to be wired. The act of just opening and closing your mouth allows the muscles that help the opening and closing to place stress on the bone. This stress can cause microscopic movement of the fractured area without displacing...

Oral Surgery: Broken teeth, oral and maxillofacial surgeon, gum line
oral and maxillofacial surgeon, gum line, broken teeth: CJ - First of all, a regular dentist would have difficulty removing the roots and would probably remove excessive bone in trying to remove the roots. You should have an oral and maxillofacial surgeon do the root removals. Excessive gum and bone removal...

Oral Surgery: BUMP IN GUMS AND PRESSURE AFTER EXTRACTION, root canal treatment, calcium hydroxide
root canal treatment, calcium hydroxide, temporary filling: Lex - Sorry for delay in answering. I have been away and Allexperts knew this and did not advise people asking questions. Of course without a direct exam it is a little difficult to be sure, but if the treatments caused bone perforation, not uncommon with...

Oral Surgery: baby tooth with no permanent tooth beneath, wisdom teeth, baby tooth
wisdom teeth, baby tooth, permanent tooth: Sandi - As long as the baby tooth that is there does not show a sign decay or infection and there is no mobility to the tooth, there really is not a reason to remove it at this time. In most cases, the baby teeth that retain until adulthood are usually extracted...

Oral Surgery: baby tooth that never came out, wisdom teeth, baby tooth
wisdom teeth, baby tooth, baby teeth: Katie - Actually you will need both an orthodontist and an oral surgeon. The surgeon will have to expose the tooth and place a bracket and the orthodontist will put traction on the tooth to pull it into position. So ask your dentist for a recommendation....

Oral Surgery: bad breath after extractions?, american dental association, oral bacteria
american dental association, oral bacteria, horrible breath: Roxanne - The cause of the bad breath is a combination of the normal oral bacteria in saliva attacking the surface of the blood clot in the tooth socket. Also the blood itself can give off an odor. My suggestion to you is to begin a twice a day regimen...

Oral Surgery: bad breath, wisdom teeth, brushing my teeth
wisdom teeth, brushing my teeth, mouth wash: Katherine - It is not unusual after extraction of teeth for a proliferation in the bacteria in saliva. This proliferation can produce the bad odor and taste you speak of. My suggestion to you is to begin a warm salt regimen even now for 3-4 times a day...

Oral Surgery: bad root canal????, gum line, endodontist
gum line, endodontist, mouth guard: Kristy - You have gone through an episode which is not that uncommon in dentistry. We find many specialists and practitioners are unable to step back and fully evaluate a situation. They often support what they ve done without correctly addressing the problem...