Oral surgery to correct problems with the jaw is known as orthognathic surgery. Jaw issues can result from birth defects, changes due to growth, or injury or trauma to the face. While orthodontics can correct bite problems when only the teeth are involved, oral surgery may be required when repositioning of the jaw is necessary to correct the issue. If you suffer from any of the following concerns, orthognathic surgery may be a consideration:
- Difficulty chewing, biting or swallowing
- Problems with opening and closing your mouth, or with speaking
- Persistent jaw or temporomandibular joint pain
- Clenching or grinding of teeth causing excessive wear to the teeth
- Inability to make the lips meet without straining
- Un-proportional facial appearance or protruding jaw
- Malocclusion, open, or incorrect bite
- Recessive lower jaw and chin
- Sleep apnea and breathing problems
Most jaw surgeries are performed completely in the mouth, so no facial scars are visible. The oral surgeon makes cuts in the jawbone and then moves them to the correct position. Once the jaw is correctly aligned, screws and bone plates are placed to secure the jaw into the new position. Sometimes it may be necessary to add extra bone to the jaw from your hip, leg, or rib.
Orthognathic surgery is performed by an oral and maxillofacial surgeon usually in a hospital setting. Recovery time from jaw surgery takes three to six weeks. Your general or family dentist should be able to refer you to a skilled oral surgeon for a consultation and examination to determine a treatment plan. Jaw surgery can improve not only your facial appearance, but also chewing, speaking and breathing functions.
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Thanks to advances in dental technology, dentures are more natural looking and comfortable than ever before. If you are one of the many adults wearing dentures to replace missing teeth, there are several do’s and don’ts you will want to follow to ensure they maintain their fit and your oral health:
- Do take your dentures out before going to bed, allowing your mouth tissues to rest from wearing them all day.
- Don’t let your dentures dry out. Soak them in mild denture solution or water while you sleep.
- Do clean them daily with either a mild detergent or special denture cleaning solution and a soft-bristled brush.
- Don’t soak them in very hot water, as this could cause them to warp, and they will no longer fit properly.
- Do handle them with care. Dropping your dentures or treating them with strong cleansers or harsh brushes can do permanent damage.
- Don’t neglect your oral care for the rest of your mouth. Even patients with a full set of dentures need to take care of their gums, and if you have partial dentures you should continue to brush and floss your remaining teeth regularly.
- Do pay attention to changes in the fit or feel of your dentures. Problems with fit can lead to irritation and discomfort, and could also be an indication of gum disease.
- Don’t try to adjust or repair your dentures on your own. If your dentures are ill-fitting or damaged in any way, schedule an appointment with your dentist to have them evaluated.
- Do continue to see your dentist for regular checkups to help maintain your best oral health and check your dentures for fit and function.
If you are missing all or some of your teeth, dentures can greatly improve both your appearance and the quality of your life. By following these simple guidelines, you can maintain the beauty and functionality of your dentures for many years.
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You may expect you won’t need dentures because you take good care of your teeth. However, dentures are more prevalent than you may think. The number of adults in the United States needing dentures is expected to increase from 33 million in 1991 to 37 million in 2020. If you are wondering how likely you are to keep your teeth, here are some warning signs that may indicate dentures are in your future.
- You don’t visit your dentist twice a year for regular checkups and routine cleaning. Gum disease and tooth decay are the leading causes of tooth loss; therefore, it is critical to be proactive with dental care to prevent problems that could cause the need for extraction.
- You have gums that are swollen, tender, red, or bleeding which are indications of periodontal disease. Left untreated, gum disease is the primary cause of adult tooth loss.
- Your teeth have become loose, are shifting, or have developed wider gaps between them that can indicate bone loss from gum disease.
- You have severe tooth pain that could be a sign that decay has progressed and is attacking the nerve at the center of the tooth. Once tooth decay has advanced, it is more likely your tooth will need to be removed.
- You are already missing several of your teeth. If you are missing more than two teeth, it is important to replace them with some sort of prosthesis to keep pressure off of your remaining teeth.
- It is difficult for you to eat hard candy or chewy foods, which may indicate a cracked tooth, cavities, or gum disease.
- If you suffer from recurring stomach aches or indigestion, it may be a sign of dental problems. When you can’t chew properly, you end up swallowing larger pieces of food which is hard on your digestion.
Tooth loss does not happen overnight. With proper oral hygiene and regular dental visits, you may be able to avoid or delay the need for dentures in your future.
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Sedation dentistry is often hailed as a solution to all of a patient’s problems regarding dental therapies. It can address anxiety, fear, stress and pain. It can provide a comfortable experience for the dental patient, allowing the dental professional to work safely and quickly. As with any pharmacological agent, there are risks, and before you agree to any sedation dentistry option, it is smart to educate yourself about some of those risks.
While single doses of oral sedatives such as Valium or Halcion are unlikely to harm a patient, there are concerns regarding multiple doses of these drugs that could potentially cause a patient to be overly sedated, or even completely unconscious. Because each patient has a different metabolism, drugs can take between twenty minutes and an hour to become fully effective.
These time-delay issues are not problematic for inhaled sedation or for IV sedation, as these types of sedation dentistry are effective almost instantaneously. For oral sedation, however, a dentist who administers more than one pill could cause an overdose if the medicine kicks in at the same time. Most dentists lack both the equipment and the training to effectively and quickly address an overdose in a patient who is unconscious.
In 2000, a group known as the Dental Organization for Conscious Sedation was launched. Its purpose is to train dentists on sedation dentistry methods such as how to properly monitor a patient during a dental procedure to ensure that their heart rates and oxygen levels are healthy. Despite this, there are still concerns about adverse effects of adults with oral conscious sedation. There have been no reported adult deaths from overdosing; however, some children have died from oral sedation, leading to the practice being recommended only for adults.
If you are about to undergo a prolonged dental procedure, or if you are considering sedation dentistry to address personal anxiety or a dental phobia, look for a dentist who has received training in sedation dentistry and has high levels of experience to ensure that your procedure is as safe and comfortable as possible.
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Are you missing one or more teeth? Dental implants are among the best possible solutions for patients missing teeth. Dental bridges and dentures can fill the gaps left by acute decay or gingivitis, but dental implants have many advantages over these other techniques.
Dental implants are typically made of titanium and serve as an artificial root for a missing tooth. They are fused directly to the jawbone and become an excellent foundation for replacement teeth. They are the best possible substitute for a natural tooth that a dentist can provide.
Dental implant therapy has several benefits, among them:
- Dental implants are very convenient. Bridges necessitate cleaning carefully under and surrounding the bridged tooth, and dentures need to be removed and specially cleaned and can utilize messy adhesives to affix them to your mouth. Dental implants are cleaned exactly as you would clean your natural tooth. Brush and floss normally. There is no slippage or cleaning beneath or between the replacement tooth, which is permanently attached to the gum via the dental implant, which fuses to the bone in a process known as ossification.
- Dental implants look better than other replacement teeth. They are intended to appear and function as your natural tooth would.
- Because they’re fused to your bone, they are more secure than dentures or bridges that can slip in the oral cavity, causing pain, muddled speech and problems eating or drinking. Dental implants are incapable of slippage, leaving you to lead your life with confidence and security.
- Dental implants preserve bone by stimulating the bone in your jaw, something necessary for the health of the bone. Without this stimulation, the bone can begin to shrink.
- Dental implants are very durable and can last for decades, if not for a lifetime, when cared for properly.
- Because dental implants don’t require any alterations to the surrounding teeth, those natural teeth are able to remain intact, lending to your overall good oral health.
We treat patients from Fernandina Beach and the surrounding area
If you are either planning to undergo cosmetic dental procedures or necessary treatments for dental problems, there is a case to be made for considering sedation dentistry. Sedation dentistry refers to the use of medications in varying forms to calm and relax you prior to and during a dental procedure. Just a few reasons to consider dental sedation include:
- Dental sedation can be used for essentially all regular dental procedures. Under sedation, your dentist can accomplish far more in one appointment, meaning less overall time for you in the dental chair. Procedures that may normally take 2 or 3 visits to the dentist can be completed all in one visit with the help of dental sedation.
- Normally, dentists do not like to work on both sides of the mouth at the same time as this requires anesthesia to each side and could cause the patient to bite their tongue. Sedation dentistry allows your dentist to work on both sides of the mouth in one sitting.
- Dental sedation allows you to feel relaxed and free from stress while the actual procedure is being performed. In many cases, even though you are still conscious, you will not remember any of the actual time you spent in the dentist chair.
With sedation dentistry, there is no need to dread dental treatments and procedures. Your fears and anxiety should not deter you from seeking the cosmetic or restorative dental care that you desire. Consult with your dental professional about the options offered for sedation, and schedule your oral care with the confidence that you will have a calm and pleasant experience while improving your smile.
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