The wisdom teeth are the final four teeth to erupt from the gums – usually sometime between age 17 and 25. Ideally, the teeth emerge without complication. But according to the American Association of Oral and Maxillofacial Surgeons, as many as 9 in 10 Americans have at least one wisdom tooth that is impacted. Even if the teeth all erupt normally, they may cause overcrowding or grow in at an angle that can be problematic in the future. For that reason, many people elect to have their wisdom teeth removed to prevent infection, crowding, and other complications.

Did you know…

that wisdom teeth may need to be removed even if they have not yet caused any problems? Even wisdom teeth that erupt normally may still be vulnerable to decay over time. Because of the location of wisdom teeth at the back of the mouth, many patients find it difficult to clean and floss all surfaces of the teeth each day. Although complications may not appear immediately, wisdom teeth may begin causing problems in middle to late adulthood.

Frequently Asked Questions

Do I need my wisdom teeth removed?

You may need your wisdom teeth removed if you have one or more impacted wisdom teeth or if you are having difficulty adequately cleaning those that have emerged. It is recommended that all young adults be evaluated by an oral and maxillofacial surgeon. A consultation and x-ray can reveal impaction, damage to neighboring teeth, signs of decay, gum disease, or perceived complications with future wisdom tooth eruption.

What should I expect during a wisdom teeth removal?

Your wisdom teeth removal will likely be performed in your oral surgeon’s office. Most removals take only minutes to perform, but you’ll be under anesthesia or sedation to prevent discomfort. Once the teeth are removed, the gums are sutured shut. Keep in mind that you will need a responsible driver to take you home following the extraction, as it will not be safe for you to drive after being heavily sedated.

Will I need to follow any special instructions following my wisdom teeth removal procedure?

Yes. You’ll need to keep the extraction site clean and free of debris for the first couple of weeks after the wisdom teeth removal. You’ll also need to take all medications exactly as prescribed by your surgeon. Avoid sucking through a straw for the first several days after surgery, and notify your surgeon if you experience fever or discomfort that worsens after a few days.

Offered at both of our Laguna Niguel and Covina offices, Cone Beam 3D Imaging is an advanced dental imaging technology that allows for an illimitable view of the teeth and supportive structures within the face. With Cone Beam 3D Imaging, a dentist can capture panoramic views of the maxillofacial area in just 10 seconds. Cone Beam 3D images offer an enhanced view of the face that can be examined and evaluated from multiple viewing angles. A single image can reveal the associative relationship between the hard and soft tissues of the mouth, which can aid in treatment planning and administration.

Cone Beam and 3D Imaging

Did you know…

that Cone Beam 3D images are similar to the images available through CT scans? The difference is that there is far less radiation exposure, it takes less time, and the images can easily be obtained in a dental office. Cone Beam 3D images can also be stored digitally for future reference or for easy transfer between providers.

Frequently Asked Questions

How can Cone Beam and 3D Imaging help me?

Unlike x-rays, which are not detailed and only reveal hard tissues, Cone Beam 3D Imaging reveals the entire craniofacial structure and connective tissues. While your dentist is making plans for oral surgery or dental treatment, the images can be dissected and manipulated to ensure accuracy and precision.

What should I expect from Cone Beam and 3D Imaging?

Your Cone Beam 3D Imaging experience should be quick, taking approximately 10 seconds to do a complete scan. The image produced will differ from traditional two-dimensional imaging, in that it will be a three-dimensional view of your entire head and face.

What should I expect after I’ve had a Cone Beam 3D scan?

Cone Beam scans are completely painless. There is no pre-scan consultation required or after care instructions.

Dental implants are surgical-grade root devices that support permanent tooth prosthetics that are manufactured to last a lifetime. These artificial roots are anchored in the bone beneath the gums where they become fused into the jaw. A crown is mounted atop the implant for a long-lasting and natural looking smile. Many dentists and patients prefer dental implants because they offer the same function as natural teeth and also help prevent bone atrophy in the jaw. Dental implants may be used to replace a single missing or damaged tooth or to restore an entire smile.

Did you know…

that approximately 30 million people live with no natural teeth in one or both jaws? But more and more dental patients are opting for dental implants as a means of tooth replacement. The American Academy of Implant Dentistry reports that 3 million people currently have dental implants – a number that is rapidly growing by about 500,000 per year. Modern titanium implants were first developed in the 1950’s, but archeologists have determined that ancient Egyptians and Mayans were the first cultures to implant artificial teeth.

Frequently Asked Questions

Are dental implants right for me?

You may qualify for dental implants if you have missing, broken or severely decayed teeth and are in relatively good overall health. The only way of determining your eligibility for implants is to consult with an oral care provider to identify whether you have adequate bone support and healthy gums that will support the new tooth structure.

What should I expect if my dentist and I decide dental implants are right for me?

The placement of dental implants is a multi-step process that typically takes between 6 and 9 months to complete. It begins with a surgical procedure during which a titanium rod is placed where a previous natural tooth root once was. The gums are sutured shut over the implant, where is will stay for several months while it heals and begins fusing with the surrounding bone. Due to the nature of implant placement and its average procedure time of between 1 and 2 hours, you’ll be sedated and/or anesthetized for the duration of the treatment. At the conclusion of the healing period, you’ll return to be fitted for permanent crowns and have them placed.

What type of post-treatment care will I require?

It is normal to experience some discomfort, including bruising and swelling following a dental implant procedure. However, inflammation and pain may be managed with over-the-counter medications, hydrocodone, or codeine. You may be asked to eat only soft foods for approximately 2 weeks until the surgical site heals.

There are many different types of sleep apnea, including obstructive sleep apnea (OSA) and central sleep apnea (CSA). In obstructive sleep apnea, a child struggles to inhale properly because the airway is partially collapsed. In central sleep apnea, a child’s brain fails to send signals to breathe, resulting in short periods of sleep when he or she is unable to breathe at all.

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Did you know…

between 1 and 4 percent of all children have sleep apnea? Though it can occur in kids of any age, it is most common in children between the ages of 2 and 8. Children who are overweight or have enlarged tonsils or adenoids are at the greatest risk of developing OSA, which is the most common type of sleep apnea in children. However, some kids with OSA also develop central sleep apnea – a condition known as mixed sleep apnea.

Frequently Asked Questions

How do I know if my child has sleep apnea?

A child with sleep apnea will show signs of labored breathing. Often, this includes snoring, pauses between breaths and gasping. During the day, a child with sleep apnea may be drowsy or have difficulty staying awake due to restless sleep during the night.

What should I do if I think my child has sleep apnea?

Prolonged pauses between breathing can be a serious problem in children. Bring your child to a pediatric pulmonologist for a complete evaluation and diagnosis. The doctor will examine your child and may take x-rays of the upper respiratory tract to identify any potential obstructions. In some cases, an overnight sleep study may be necessary to confirm a diagnosis.

What are the treatments for sleep apnea?

Treatment for sleep apnea varies depending on the type of apnea a child has. For example, obstructive sleep apnea is typically easily resolved with continuous positive airway pressure (CPAP), which is administered at night using a specialized mask. Central sleep apnea, however, is more complicated and may require oxygen supplementation or assisted breathing to treat.

Periodontal Bone Graft

Most cases of periodontal disease are treatable using minimally invasive procedures, such as scaling and root planing or gum surgery. However, a periodontal disease that has been allowed to progress can result in the deteriorated bone beneath the gums. When bone is destroyed by gum disease, it can no longer adequately support the teeth, eventually leading to total tooth loss. In these cases, a periodontist may recommend bone grafting – also known as regenerative surgery. During this procedure, a prepared graft is placed in the areas where bone should be, which encourages the body to rebuild the areas lost to periodontal disease.

Did you know…

that periodontal bone grafting is not just for advanced periodontal disease patients? In fact, more and more patients are undergoing bone graft procedures to gain enough bone structure to support dental implants. Bone beneath the gums naturally deteriorates following tooth loss. Bone grafting rebuilds these ridges and makes it possible for many patients to get permanent tooth prosthetics instead of dentures.

Frequently Asked Questions

Will I need periodontal bone grafting?

The only way to know if you are a candidate for periodontal bone grafting is by scheduling a consultation with your periodontist. An exam will reveal the condition of your teeth, gums, and the supporting bone beneath. Based on your evaluation, your periodontist will make a recommendation for treatment.

What should I expect during a periodontal bone graft treatment?

If bone grafting is the right treatment for you, you’ll visit your periodontist’s office, where you may undergo a scaling and root planing treatment to remove disease-causing bacteria and help prevent additional complications in the future. Prior to the grafting procedure, you’ll be given a local anesthetic to minimize procedural discomfort and possibly sedated for your comfort. The gums will be separated from the teeth, and a graft placed near the underlying bone. A synthetic or organic barrier will be used to ensure the gums do not grow into areas the regenerated bone will eventually occupy.

Will I need to follow any special instructions following a bone graft procedure?

Yes. Bone graft surgery will leave you with sore and swollen gums, so expect to eat only soft foods in the days following your procedure. You may be given pain medications or antibiotics to be taken according to your periodontist’s instructions. It may take up to nine months for your body to make new bone to fuse to your graft.

 

 

NITROUS OXIDE AND INTRAVENOUS SEDATION
Because of the advanced training of our doctors and staff, we are able to provide nitrous oxide and intravenous sedation (IV) in order to make your surgery as comfortable and stress-free as possible.
All of our surgeons have had extensive training and experience in the administration of nitrous oxide and IV sedation, and are certified in Advanced Cardiac Life Support. Our operating room is equipped with state of the art monitors and equipment for the safe use of anesthesia. If you wish to have nitrous oxide or IV sedation for your procedure, it is customary to see you first for a consultation. The doctor will review your medical history and discuss the different anesthetic options with you. At this time a determination will be made if you are a candidate for nitrous oxide or IV sedation. Safety is always our primary concern.
LOCAL ANESTHESIA Topical anesthetics are applied to mouth tissues with a swab to prevent pain on the surface level. Topical anesthetics are used to numb an area in preparation for administering an injectable local anesthetic.
Injectable local anesthetics, such as Novocaine, prevent pain in a specific area of your mouth during treatment by blocking the nerves that sense or transmit pain and numbing mouth tissues. They cause the temporary numbness often referred to as a “fat lip” feeling.

 

Tooth extractions are routine dental procedures used to remove decayed, damaged, or otherwise problematic teeth. Dentists usually make every effort to preserve natural teeth, although sometimes an extraction is necessary. Although the procedure is performed in a dentist’s or oral surgeon’s office, it is considered surgery. Depending on which teeth are removed, they may be replaced with a dental implant or another oral prosthetic.

There are several reasons why you could need a tooth extraction.

The most common cause of tooth extractions is severe tooth decay and cavities. However, many patients also undergo extractions for impacted teeth, particularly wisdom teeth. Other causes for extraction include advanced periodontal disease, cracked teeth, and teeth that are severely malformed. Although many circumstances that require extraction are unavoidable, some could be prevented with regular visits to the dentist for exams and cleanings.

Frequently Asked Questions

Do I need a tooth extraction?

Only your dentist can tell you if you need a tooth extraction. However, you may be a candidate for the procedure if one or more of your teeth are decayed so severely that fillings or other restorations are not a possibility for treatment.

What should I expect during my tooth extraction appointment?

If you and your dentist decide to extract one or more teeth, you will be scheduled to return for oral surgery at a later date. You will be given a local anesthetic to prevent pain during the procedure, and you may be prescribed medications to help manage pain in the hours following your extraction. Depending on the nature of your extraction and other factors, such as whether your teeth are impacted, you may also be sedated or given general anesthesia during your procedure.

What type of post-treatment care will I need to follow?

Post-operative care following a tooth extraction is essential for healing and preventing complications. You will be instructed to avoid certain foods and also to keep the surgical site clean at all times. If you are prescribed an antibiotic, it is important that you complete the course of treatment to prevent infection. Finally, you may be advised to avoid smoking or drinking through a straw, as doing so may delay the healing process and cause a condition known as ‘dry socket.’

Botox injections are used not only for therapeutic purposes but for cosmetic ones too. Unlike other fillers, which are superficially injected just beneath the skin, Botox is injected directly into the muscle. Because Botox is made of a neurotoxin, it blocks signals between the muscle and the brain, ultimately preventing muscle contraction in a localized area. When the muscle relaxes, wrinkles smooth out and soften. Performed correctly, these injections only affect targeted muscles while still allowing for facial expression. Botox can be used for any type of wrinkle that has not been caused by sun damage or stretching of the skin due to gravity. Results are usually best on expression lines, such as those around the eyes and forehead.

Did you know…

that 11 million women have undergone Botox? In fact, the American Society of Plastic Surgeons reports that it is the most common cosmetic treatment requested in America, with numbers at an all-time high. More than a million treatments are performed every year, and it isn’t just the rich and famous indulging in the liquid facelift. People of all economic backgrounds get Botox because of its affordability.

Frequently Asked Questions

Am I a candidate for Botox treatments?

If you are between the ages of 18 and 65, consult with your dermatologist to find out if Botox is right for you. The best candidates for cosmetic Botox treatments are usually men and women bothered by facial lines and wrinkles – particularly those along the forehead and between the eyes. You should not get Botox injections if you are pregnant or breastfeeding, or if you suffer from any type of neurological disease.

What should I expect when getting Botox?

Botox injections are in-office procedures performed in just a few minutes. In fact, you can schedule a Botox injection for your lunch hour or on your way home from work. Injections use a very fine needle, which is inserted into the facial muscles. There is very little discomfort during the injection, and anesthesia is necessary.

Are there any special instructions I will need to follow after getting Botox?

There is a minimal recovery period of approximately 48 hours after getting Botox. During this time, you may experience bruising or headaches. Avoid rubbing your face in areas treated with Botox, and do not lie down for the first few hours after the injections. Keep in mind that results from Botox – though significant – usually begin to fade within 4 to 6 months. You’ll need to return for retreatment periodically.

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