Steps to Take Before Receiving Anesthesia

If our doctors at Oral Surgery Consultants of Pennsylvania have reached the conclusion that you need an oral surgery procedure, then it’s important to know what steps to take before arriving at the office. To ensure that everything goes smoothly, there are certain requirements that need to be obeyed by the patient. If you do not comply, we may or may not be able to proceed.

We understand that it’s hard to fast, but you may not eat or drink anything for eight hours prior to the appointment. For your oral surgery procedure, it’s important to have a friend or family member accompany you to your appointment to drive you home, as you may experience some after effects of anesthesia. It is also recommended that you dress comfortably in loose-fitted clothes and low-heeled shoes. For ladies, nail polish shouldn’t be present at the time of surgery and all jewelry will need to be removed.

If you have questions or concerns about oral surgery, please give us a call. To learn more about the services we provide, visit www.oralsurgerypa.com for more information. To schedule an appointment with one of our doctors at Oral Surgery Consultants of Pennsylvania located in Philadelphia, call 215-463-4141.

Diabetes and Implants

American Diabetes Month is observed in November, and we at the Oral Surgery Consultants of Pennsylvania want to send it off with a word about implants. Placing implants is one of our specialties which makes the biggest positive difference in patients’ lives, but people with diabetes were not always sure whether they could receive them.

Diabetics are at increased risk for gum inflammation (gingivitis) and periodontal disease. This means they are at increased risk of losing jaw bone structure and would benefit from implants, which help to stabilize other teeth. But implant failure was long associated with chronic inflammation and people with uncontrolled blood sugar take longer to recover from wounds. Placing implants requires surgical incisions, which led doctors to question diabetic patients’ candidacy.

In recent years, the American Dental Association has taken steps to resolve this problem by surveying the available scientific studies. Their conclusion is that diabetic people do not have higher rates of implant failure than the general population. In people with uncontrolled diabetes, the longer recovery time and need to control inflammation are important factors to consider, but fixed prosthetics are not off-limits to them.

Drs. Bahram, Richman, Mohan and Dieu operate at Oral Surgery Consultants of Pennsylvania at 2546 S. Broad Street, Philadelphia, Pennsylvania, 19145. To schedule an appointment, call 215-463-4141 or visit OralSurgeryPA.com and fill out a contact sheet.

 

Risks Associated with Impacted Wisdom Teeth

Depending on the patient, wisdom teeth can cause a variety of complications. Most of us know by now that wisdom teeth are the final set of molars that develop between the ages of 17-24. Most of the time, they remain impacted, which means that there isn’t enough space in the mouth for them to grow and blossom into teeth that are useful. Warning signs of impacted wisdom teeth can include frequent headaches that can cause tension in the neck. If your wisdom teeth are causing you discomfort, it may be time to contact the Oral Surgery Consultants of Pennsylvania.

Wisdom teeth extraction isn’t always necessary, but it’s highly recommended. This is because wisdom teeth, especially impacted ones can increase a patient’s risk of developing an infection. Headaches may develop as a result of tension and irregular pressure in the jaw due to wisdom teeth development. When left untreated, impacted wisdom teeth will do more harm than good. If you don’t want to live with a permanent toothache, it’s important to consider extraction.

If you have questions or concerns about oral surgery or post-op care, please give us a call. To learn more about the services we provide, visit www.oralsurgerypa.com for more information. To schedule an appointment with one of our doctors at Oral Surgery Consultants of Pennsylvania located in Philadelphia, call 215-463-4141.

Cheek Swelling After Extraction

The worst part of extraction is over - the anticipation, the anxiety, and of course, the procedure itself. It’s time for our doctors at Oral Surgery Consultants of Pennsylvania to send you home with post-op care instructions that tell you how to eat, how to manage pain, and how important it is to resume your oral hygiene routine after surgery. It’s important to know that you may notice some swelling in the cheek area, so don’t be surprised if you have “squirrel cheeks” for a few days.

For the first 24 to 48 hours post-op, you’ll want to reduce as much swelling as possible. Don’t be embarrassed that your cheeks are a little swollen, that’s perfectly normal. To reduce swelling, apply an ice pack for several minutes, several times a day. This will calm the inflammation and assist in the healing process. Swelling should subside after four days, if it persists more than seven days, please give us a call so that we can address the situation.

If you have questions or concerns about oral surgery or post-op care, please give us a call. To learn more about the services we provide, visit www.oralsurgerypa.com for more information. To schedule an appointment with one of our doctors at Oral Surgery Consultants of Pennsylvania located in Philadelphia, call 215-463-4141.

Alcohol and Oral Cancer

Oral cancer is one of our top concerns at the Oral Surgery Consultants of Pennsylvania. We strive to educate the public about risk factors, including tobacco use and HPV and to recognize signs of pathology, such as soreness and discoloration. Recently, the American Society of Clinical Oncology released a statement which warned that alcohol is also a major risk factor for many cancers, including oral cancer.

Why alcohol causes oral cancer is still unclear. Current understanding of the evidence indicates that alcohol breaks down the lining of the mouth and that when it rebuilds, its DNA is damaged, causing the tissue to be deformed. Distinguishing alcohol effects from tobacco effects had been a problem for a long time, but scientists are now confident that alcohol in any amount increases cancer risk. Heavy drinking and drinking combined with smoking are still more dangerous, but the type of alcohol consumed is irrelevant.

There is some good news. The same study also found that when people stop drinking, their risk of oral, oropharyngeal, and other aerodigestive tract cancers declines to the level of non-drinkers.

Drs. Bahram, Richman, Mohan and Dieu operate at Oral Surgery Consultants of Pennsylvania at 2546 S. Broad Street, Philadelphia, Pennsylvania, 19145. To schedule an appointment, call 215-463-4141 or visit OralSurgeryPA.com and fill out a contact sheet.

 

Caries in Seniors

The high rate of tooth decay among seniors makes it especially important for our patients to understand how to properly clean implants. According to information from the Centers for Disease Control, one in five seniors has untreated tooth decay. Since it’s not just natural teeth that are vulnerable, people need to understand why seniors have the second-highest rate of caries after children.

That caries commonly develop in seniors who had good health earlier in life implies that their increased tooth decay is due to a change in lifestyle, instead of being a generational feature. Seniors often have dexterity and motor control issues that make it difficult for them to maintain thorough oral hygiene. They also often change their diets to focus more on soft food which gets stuck between their teeth more easily and tend to be high in sugar. Lots of medications cause dry mouth as a side effect, and this makes it harder to remove food debris and fight the growth of decay-causing bacteria colonies. Other issues are that seniors may not have coverage for regular cleanings or simply forget to brush and floss.

These issues are important to take into account when assessing patients for implants, but they are also all fixable. Potential implant patients should discuss how to clean implants and dentures properly with their dentist.

Our doctors at Oral Surgery Consultants of Pennsylvania at 2546 S. Broad Street, Philadelphia, Pennsylvania, 19145 would gladly evaluate you for a dental implant.  To schedule an appointment, call 215-463-4141 or visit OralSurgeryPA.com and fill out a contact sheet.

 

Reducing Children's Anxiety

Children are commonly anxious around strangers, and at the Oral Surgery Consultants of Pennsylvania, we’re aware that particular care needs to be taken psychologically while preparing them for tooth extractions. There are things parents can do to help calm their child, but we first want to establish that we are happy to answer all their questions about what exactly will happen during the surgery and recovery.

Children usually take their cues from their parents, so we hope that if the parents feel they have a good understanding of the procedure, they will demonstrate calm and optimism. We don’t do extractions lightly and want to ensure that each child understands why they are necessary. Although we are skilled in safely applying IV sedation, it is often the case that only local anesthetic is necessary for simple extractions. Knowing that they will be free of pain, but not completely out of control is a great comfort.  Another thing parents can do to keep their child in a positive mindset is focus on planning for post-operation care. This includes things like preparing soft meals and coming up with things to do if the child misses a day of school.

Our doctors at Oral Surgery Consultants of Pennsylvania at 2546 S. Broad Street, Philadelphia, Pennsylvania, 19145 will be happy to treat your child.  To schedule an appointment, call 215-463-4141 or visit OralSurgeryPA.com and fill out a contact sheet.

 

Oral Cancer Screening

The doctors of Oral Surgery Consultants of Pennsylvania have seen many oral cancer cases, and want you and your family to be aware of the risk. Heavy smoking and drinking do increase the risk of oral cancer, but oral cancer can still occur if someone never smokes.  The human papilloma virus (HPV) was recently found to be responsible for most oral cancers that originated in the back of the mouth. 

Because there is no way to predict cancer, you should ask about an oral cancer screening with each dental checkup.  You can also watch out for warning signs on your own.  If you notice red or white patches or a lump on the inside of the mouth, have difficult time chewing or swallowing, or experience a sore throat that doesn’t go away, come see us for a screening. For an oral cancer screening in office, your dentist will conduct a visual exam, and may use an ultraviolet light to see any irregularities inside the mouth. Always contact us if you notice any inexplicable pain, swelling, or numbness in your throat or jaw.

To learn more about oral cancer screening and all the services we offer, visit www.oralsurgerypa.com for more information. To schedule an appointment with one of our doctors at Oral Surgery Consultants of Pennsylvania located in Philadelphia, call 215-463-4141.

Benefits of Dental Implants

Are you afraid to smile in photos because you’re embarrassed by missing teeth? If so, dental implants are an option for you. Missing teeth can not only make a person frown, but it can make them look older in appearance due to sagging skin. A dental implant is a titanium post that resembles a tooth root and is surgically positioned into the jawbone beneath the gum line that allows our doctors at Oral Surgery Consultants of Pennsylvania to mount replacement teeth in the affected area.

To receive dental implants, a patient must have healthy gums and adequate bone structure to support the implant. Once you are deemed a candidate, there are many benefits to reap from dental implants. Not only will you notice a boost of self-esteem, but the ability to eat and speak will be improved. Implants are very durable and can last over 30 years with proper oral hygiene. If you have missing teeth, give us a call to discuss your treatment options.

To inquire about dental implants or to learn more about the services we provide, visit www.oralsurgerypa.com for more information. To schedule an appointment with one of our doctors at Oral Surgery Consultants of Pennsylvania located in Philadelphia, call 215-463-4141.

Foods to Eat After Oral Surgery

You’re sitting at home, and you’re starving after an oral surgery procedure. Perhaps our doctors of Oral Surgery Consultants of Pennsylvania gave you a list of foods to eat, but you don’t have a taste for anything on the post-op menu. Well, don’t worry because we’re here to offer some suggestions to you and to remind you how important it is to eat soft foods after oral surgery.

We understand that a soft food diet may have you feeling a little foolish, but eating soft foods prevents stitches from coming undone after a procedure. To encourage a smooth recovery, get creative with applesauce, ice cream (no sprinkles), soup, mashed potatoes, and yogurt. These foods will not only provide you with relief, but they can give you plenty of nutrients when chosen wisely. Additionally, oatmeal and smoothies can fill you up and keep your smile healthy.

To inquire about foods to eat after oral surgery or to learn more about the services we provide, visit www.oralsurgerypa.com for more information. To schedule an appointment with one of our doctors at Oral Surgery Consultants of Pennsylvania located in Philadelphia, call 215-463-4141.

Apicoectomy

Many dentists perform root canals to save and repair teeth that are badly damaged or infected.  During a root canal, a dentist removes any inflamed or infected tissue and thoroughly cleans the root canal system. In about 90% of cases, the tooth heals and doesn’t require further treatment. When an infection won’t go away or the canals become re-infected after root canal treatment, our doctors can perform an apicoectomy.

An apicoectomy is also called a root-end resection and is performed to remove damaged tissue and seal a tooth’s root from any further infections.  The procedure involves a small incision in the gums, followed by removal of any infected tissue and finally the end of the root tip itself.  A root-end filling is placed there to act as a seal, preventing reinfection. The gum is sutured, and most patients only feel slight discomfort or swelling during healing.  If you have a tooth infection lingering after a root canal gone wrong, please contact us to discuss your treatment options.

To learn more about the apicoectomy procedure and all the services we offer, visit www.oralsurgerypa.com for more information. To schedule an appointment with one of our doctors at Oral Surgery Consultants of Pennsylvania located in Philadelphia, call 215-463-4141.

Thank You for Your Positive Testimonials!

The doctors and staff of Oral Surgery Consultants of Pennsylvania appreciate feedback from our patients because it teaches us how to improve as a team. Our staff would not only like to thank Sherrise Pritchett for this five-star review, but we would like to thank her for being an excellent patient. If you recently experienced exceptional service from us, please let us know!  

From the moment we walked in the door the staff was very welcoming. Also, like so many times at other physicians’ offices, we didn't have to wait forever to be seen but only about 10 minutes. Thank you for that, I have a really bad back so sitting for a long time is very painful. The nurse who took my x-rays and blood pressure was very hospitable as well as informing. The doctor was very professional yet friendly and caring. The person with regard to payment and cost for future work was very professional and kind and we so appreciated the doctor's kindness in giving us a break on the cost for the day and the future visit. Once we know that we have obtained the monies for the procedure we will call for an appointment. Again, thank you." –Sherrise Pritchett

To leave a review or learn more about the services we provide, visit www.oralsurgerypa.com for more information. To schedule an appointment with one of our doctors at Oral Surgery Consultants of Pennsylvania located in Philadelphia, call 215-463-4141.

Headaches and Wisdom Teeth

Do you suffer from frequent headaches? Have you ever had your wisdom teeth removed? If not, your wisdom teeth may be the reason your headaches won’t let up. Wisdom teeth are the third molars that erupt between 17 and 22. When they don’t erupt and stay impacted (under the gum) this can affect the nerve that causes headaches. When this happens, our doctors at Oral Surgery Consultants of Pennsylvania may suggest wisdom teeth extraction.

Wisdom teeth cause problems regardless of what stage they’re in. Aside from frequent headaches, common symptoms of impacted wisdom teeth include throbbing pain in the back of the mouth, swollen or tender gums, and/or swelling around the jaw. Impacted wisdom teeth can damage the teeth around them. If you are experiencing any of these symptoms, you will benefit from a tooth extraction. Extracting wisdom teeth means extracting the problems that come with them and our doctors at Oral Surgery Consultants of Pennsylvania want you to have a healthy and pain-free smile.

If you have questions or concerns regarding oral surgery, please give us a call. To learn more about the services we provide at our practice, visit www.oralsurgerypa.com for more information. To schedule an appointment with one of our doctors at Oral Surgery Consultants of Pennsylvania located in Philadelphia, call 215-463-4141. 

What is a Bone Graft?

Bone grafting is a common procedure for the doctors at Oral Surgery Consultants of Pennsylvania.  Bone graft is the term for harvesting bone material from a healthy location and grafting it to a location that is broken or weakened.  For oral surgeons, this procedure is limited to a small graft on the jaw bone.  Missing a tooth for any amount of time can leave the jaw bone vulnerable and compromise its structure over time.  When a patient needs an implant to replace a tooth, a bone graft can reinforce the jaw bone so it is strong enough to handle the placement of an implant. 

It is helpful if the bone graft is placed at the time of the tooth extraction.  The bone graft will be then monitored over the course of months.  When the jaw bone has strengthened enough to handle the placement of an implant, your dentist can move forward with your plan of care.

To learn more about bone grafting and all the services we offer, visit www.oralsurgerypa.com for more information. To schedule an appointment with one of our doctors at Oral Surgery Consultants of Pennsylvania located in Philadelphia, call 215-463-4141.

Smoking after Oral Surgery

You may think about reaching for a cigarette after oral surgery, well our doctors at Oral Surgery Consultants of Pennsylvania have one word for you – DON’T. Smoking after tooth extraction can not only reopen stitches, it can cause complications that lead to infection and a longer recovery time. Allow us to explain more reasons why you shouldn’t smoke after oral surgery.

We aren’t here to give you a lesson on putting the pack down; instead, we are here to warn you. Smoking after oral surgery delays the healing process and can increase the risk of painful dry sockets. A dry socket can expose underlying bone and nerves and will be extremely painful once developed. Generally speaking, smoking increases the risk of infection so it’s important to refrain during recovery. We understand that this may be challenging, but at the same time, hope that surgery can be a starting point for you to quit.

If you have questions or concerns regarding oral surgery, please give us a call. To learn more about the services we provide at our practice, visit www.oralsurgerypa.com for more information. To schedule an appointment with one of our doctors at Oral Surgery Consultants of Pennsylvania located in Philadelphia, call 215-463-4141. 

Thank You For Your Reviews!

The doctors and staff of Oral Surgery Consultants of Pennsylvania appreciate feedback from our patients because it teaches us how to improve as a team. Our staff would not only like to thank Diana for this five-star review, but we would like to thank her for being an excellent patient. If you recently experienced exceptional service from us, please let us know!  

"I've been to Dr. Richman a few times.  I have bad dental problems, and he is the only doctor I trust. I actually went out of my way to see him a few years ago, I’d never see anyone else!  No worries here-he is kind, understanding, and makes you feel at ease (I’m a very ‘nervous nellie’) I promise you won't be disappointed!"

To leave a review or learn more about the services we provide, visit www.oralsurgerypa.com for more information. To schedule an appointment with one of our doctors at Oral Surgery Consultants of Pennsylvania located in Philadelphia, call 215-463-4141.

Post-Operative Lip Swelling

As specialists in tooth extractions, we at the Oral Surgery Consultants of Pennsylvania regularly give patients local anesthetic. This has the advantage of having the fewest side effects, but there is one common complication, which is the swelling that occurs if the patient bites their lip shortly after the surgery.

Because of how the nerves of the mouth are structured, numbing the extraction site requires numbing most of the mouth. Regardless of what kind of anesthetic is used, the effect may last for several hours. Because of this, it is easy for patients, especially children, to bite down on their numbed soft tissue. When this happens, the tissue commonly swells up to several times its normal size and turns white.

While the swelling is unpleasant to look at and may be uncomfortable, it is usually something that goes away after a few weeks without causing any lasting harm. Over-the-counter painkillers are usually all that are necessary or appropriate. However, if the patient continues to chew on the ulcerated tissue, it could develop an infection, which would result in a fever. This is why it is important for the caregivers of children undergoing wisdom tooth or other extractions to do their best to make sure their child knows not to chew their numb lip.

Drs. Bahram, Richman and Dieu operate at the Oral Surgery Consultants of Pennsylvania at 2546 S. Broad Street, Philadelphia, Pennsylvania, 19145. To schedule an appointment, call 215-463-4141 or visit OralSurgeryPA.com and fill out a contact sheet.

 

Stress and Tooth Damage

Some common causes of enamel erosion include periodontal disease and acid reflux, but the public is increasingly becoming aware of how stress can contribute to tooth damage.

There are two ways in which stress is known to harm oral health: by worsening periodontal disease and by causing bruxism. When people are stressed, their immune systems don’t function as well. This prevents the body from fighting off infections, allowing bacteria to increase their activity in the gum pockets. In turn, they create plaque, leading to tooth and gum decay, and in the worst cases, damaging the jaw bones.

Bruxism, also known as teeth grinding or clenching, can be caused by many things, but stress is one of the most common contributors. As people put strain on their teeth, the enamel wears off or becomes cracked. It is also possible for the teeth to shift out of alignment as a result of prolonged pressure, which weakens their gum and bone support.

Many dentists try to limit the effects of bruxism with night guards. But our specialty office offers implants for people who have suffered the worst damage, including those who have suffered cracked roots.

Dr. Ramin Bahram operates the Oral Surgery Consultants of Pennsylvania at 2546 S. Broad Street, Philadelphia, Pennsylvania, 19145. To schedule an appointment, call 215-463-4141 or visit OralSurgeryPA.com and fill out a contact sheet.

 

Cleaning Fixed Bridges

Our focus on prosthetics at the Oral Surgery Consultants of Pennsylvania doesn’t mean we don’t value preventive care. In fact, our patients need to know how to adjust their hygienic practices so that their replacement teeth will last them a long time. We recently discussed cleaning single-crown implants; now let’s turn to fixed bridges.

Anybody who has ever worn braces should understand the basic idea of cleaning a bridge. When the bridge rests on reshaped natural teeth with artificial crowns, patients are advised to thread a strand of floss underneath it and rub the underside of the bridge in the same way they do the sides of their teeth. The floss may be looped around using a threader, which is a flexible device which pulls floss like a needle pulls thread. Some specialty floss is manufactured with a stiffened end so it may be pulled directly.

An implant-supported bridge is cleaned much the same way, except there may be a larger gap between the gum line and the prosthetic crowns. This may afford patients the opportunity to use a proxy brush, which is also known as a Christmas tree brush. A higher-tech option is a waterpick with a tip designed for use on implants.

Dr. Ramin Bahram operates the Oral Surgery Consultants of Pennsylvania at 2546 S. Broad Street, Philadelphia, Pennsylvania, 19145. To schedule an appointment, call 215-463-4141 or visit OralSurgeryPA.com and fill out a contact sheet.

 

Oral Care for Implants

If you’ve had missing teeth replaced with dental implants it’s important to practice proper oral hygiene as if you were born with them. Cleaning dental implants are very similar to the way you would clean your natural teeth with one exception – they require just a little extra attention. Maintaining a rigorous oral hygiene routine is vital, before, during, and after placement. Allow our doctors at Oral Surgery Consultants of Pennsylvania to explain why.

Healthy gums are a firm and pale pink, and if you’ve received dental implants your periodontal health should already be in tip-top shape. Cleaning implant-supported tooth replacements are just as important as cleaning natural teeth because you want to keep the surrounding tissues healthy to maximize the potential of the implants. When cleaning your dental implants, be sure to choose a toothbrush that has been given the American Dental Association (ADA) Seal of Acceptance. You should brush your teeth at least twice a day and floss at least once a day.

If you have questions or concerns regarding dental implant oral care, please give us a call. To learn more about the services we provide at our practice, visit www.oralsurgerypa.com for more information. To schedule an appointment with one of our doctors at Oral Surgery Consultants of Pennsylvania located in Philadelphia, call 215-463-4141. 

Impacted Wisdom Teeth

Wisdom teeth are the third and last molars on each side of the upper and lower jaws. These teeth usually emerge between the ages of 17-25. When wisdom teeth are impacted, however, they will not erupt and put the patient at risk for infection. If this is the case, our doctors at Oral Surgery Consultants of Pennsylvania will likely suggest extraction. Allow us to explain the consequences that impacted wisdom teeth may cause.

Impacted teeth usually don’t bring upon symptoms, so yours may be impacted without you even knowing. In some cases, impacted wisdom teeth will cause pain and because they are hard to clean, they become prone to tooth decay and periodontal disease. If wisdom teeth are impacted and extraction is suggested, our oral surgeons will discuss the extraction procedure with you in full before performing the surgery.

If your wisdom teeth are causing you pain, please give us a call to discuss your treatment options. To learn more about the services we provide at our practice, visit www.oralsurgerypa.com for more information. To schedule an appointment with one of our doctors at Oral Surgery Consultants of Pennsylvania located in Philadelphia, call 215-463-4141. 

Anesthesia Side Effects

There are two types of anesthetics that we utilize here at Oral Surgery Consultants of Pennsylvania – local and general. Local anesthesia provides a temporary loss of sensation including pain in one part of the body produced by a topically applied or injected agent without distressing the level of consciousness for the patient. General anesthesia, on the other hand, is controlled by the doctor and sedates the patient for an extended period of time. Anesthesia produces side-effects for some patients that we’d like to take the time to explain so that you can prepare for your next appointment.

Tooth extraction is one of the most common procedures that require anesthesia. Side effects of anesthesia may occur during a surgery or procedure, or afterward when you are recovering. Side effects may include nausea and vomiting, a sore throat, muscle aches, or even confusion as the anesthesia wears off. While these symptoms may cause discomfort or frustration, it’s important to know that they won’t last long. Every patient is different and depending on what kind of anesthesia is administered you may have no side effects at all. If you have a procedure scheduled that requires anesthesia, we encourage you to discuss any questions or concerns you have before it begins.

If you have questions or concerns about tooth extractions or anesthesia please give us a call. To learn more about the services we provide at our practice, visit www.oralsurgerypa.com for more information. To schedule an appointment with one of our doctors at Oral Surgery Consultants of Pennsylvania located in Philadelphia, call 215-463-4141. 

What is an Alveoplasty?

Alveoplasty gets its name from the alveolar bone, which is the spongy portion of the jaw bone that includes the tooth sockets.  The goal of an alveoplasty procedure is to smooth or reshape the jaw bone.  For some patients, this is done to ensure a smooth, even surface for dentures to fit over.  This is also performed in combination with certain tooth extractions, in anticipation of an implant to replace the tooth.  Oral Surgery Consultants of Pennsylvania is happy to help these patients with an alveoplasty.

The procedure begins by delivering local anesthetic, but some patients may opt for sedation.  After creating flaps in the gum tissue, the doctor is able to reach the jaw bone.  To trim the jaw bone we utilize a Piezosurgery unit, the advanced technology behind this tool allowing for precise contouring of the bone.  Once the surface of the jaw bone has been corrected the gum flaps are stitched, and healing is monitored by the dentist until the jaw bone can receive the implant or denture.

To learn more about alveoplasties and all the services we provide at our practice, visit www.oralsurgerypa.com for more information. To schedule an appointment with one of our doctors at Oral Surgery Consultants of Pennsylvania located in Philadelphia, call 215-463-4141.

Avoiding Dry Sockets

Extractions are one of our specialties at the Oral Surgery Consultants of Pennsylvania. We are well-versed in providing our patients with the information they need to avoid post-operation complications, most notably, dry sockets. But dry sockets are more likely following extractions which required incisions, so patients should know how to recognize them and when to ask for help.

Following an extraction, the patient is expected to experience some bleeding. This is a good thing. The clot is necessary for sealing off the socket and preventing it from drying out. If it does dry, the patient will experience great pain and be at risk of infection. For that reason, we need to know about all the medications a patient is on so we can plan what to do if any of them prevent clotting. Patients will also need to schedule appointments if their bleeding does not stop within twenty-four hours.

Patients should also not sip through straws or vigorously brush near the socket for seventy-two hours, as this may dislodge the clot. Empty sockets naturally close quickly, and the risk of dryness is greatest within forty-eight hours of the extraction. Patients who experience severe pain during that time or can actually see that the clot is not in place should also schedule emergency appointments so we may apply medicated wound dressing in the clot’s place.

Dr. Ramin Bahram operates the Oral Surgery Consultants of Pennsylvania at 2546 S. Broad Street, Philadelphia, Pennsylvania, 19145. To schedule an appointment, call 215-463-4141 or visit OralSurgeryPA.com and fill out a contact sheet.

 

Acid Reflux and Tooth Decay

Drs. Bahram,Richman and Dieu of  Oral Surgery Consultants of Pennsylvania are greatly experienced in extracting and replacing damaged teeth, but that doesn’t mean we don’t value preventive care. We hope that most people by now are aware of how plaque and smoking contribute to dental decay and periodontal disease, but there’s another major risk factor to adults’ oral health: acid reflux.

Gastroesophageal reflux disease (GERD) is a painful condition that is caused by stomach acid escaping upwards into the esophagus and mouth. Just as it causes “heartburn” by corroding the lining of the esophagus, it also causes toothaches by eroding tooth enamel and irritating gum tissue. The enamel erosion is cosmetically unpleasing because it allows the greyish-yellow coloring of the teeth’s inner layer to shine through, but it can also create cracks which put a patient at risk of developing an infection.

Root canals can treat the damage should it get that far and crowns can be replaced with prosthetics. But to prevent acid reflux, the patient will probably have to make some lifestyle changes. These include cutting back on alcohol, fatty and acidic foods and drinks (like tomato juice), caffeine, and chocolate, keeping better posture, and avoiding large meals before bed.

Visit Oral Surgery Consultants of Pennsylvania at 2546 S. Broad Street, Philadelphia, Pennsylvania, 19145. To schedule an appointment, call 215-463-4141 or visit OralSurgeryPA.com and fill out a contact sheet.

 

Pre-Prosthetic Surgery

Fixed dentures, also known as implant-supported dentures, are used when a person doesn’t have any teeth in the jaw but has enough bone in the jaw to support implants. Patients may choose this option because dental implants look and function like natural teeth, they don’t slip when you eat or speak, and they can help prevent bone loss in the jaw. At Oral Surgery Consultants of Pennsylvania, we’d like to explain what to expect during pre-prosthetic surgery.

The surgery to place dental implants that support a fixed denture is simple. Two surgeries are usually needed because the first will require placing the implants in the jawbone under your gums, while the second exposes the top of the implants. These surgeries will typically be performed six months apart. A denture sits on the bone ridge, so it’s very important that the bone is the proper shape and size. If a tooth needs to be extracted, the underlying bone may be left sharp and uneven. To avoid this problem, our doctors may perform bone smoothing and reshaping, as well as removal of excess bone or gum tissue. We promise to review your particular needs during a consultation to make you feel as comfortable as possible.

If you have questions about prosthetics, please give us a call. To learn more about the services we provide at our practice, visit www.oralsurgerypa.com for more information. To schedule an appointment with one of our doctors at Oral Surgery Consultants of Pennsylvania located in Philadelphia, call 215-463-4141. 

Thank You for Your Continuous Reviews!

Here at Oral Surgery Consultants of Pennsylvania, our staff appreciates feedback from our customers because it teaches us how to improve as a team. Our staff would not only like to thank Dee for this positive review, but we would like to thank her for being an excellent patient. If you recently experienced exceptional service from our office, please let us know!  

"I recently got all four wisdom teeth removed here over the past week. I am still recovering but as of right now there is nothing I can complain about they did a great job. I went in for my appointment. I waited probably five minutes and got called back. The doctor and assistants were nothing but kind to me. They gave me tons of gauze pads and a great detailed paper saying what to do for the next week basically. I had a great experience so far. I couldn't have asked for a better team for this surgery." -Dee

If you would like to leave a testimonial or are interested in learning more about the services we provide at the practice, visit www.oralsurgerypa.com for more information. To schedule an appointment with one of our doctors at Oral Surgery Consultants of Pennsylvania located in Philadelphia, call 215-463-4141. 

IV Sedation for Dental Anxiety

Oral Surgery Consultants of Pennsylvania wants all patients to feel comfortable and ready for any surgical procedure.  Since we perform a range of services we use a range of anesthesia, from local anesthetic shots and nitrous oxide to IV sedation.  IV sedation is typical for some procedures but is also available for patients with a strong dental anxiety.

This type of sedation is administered through an IV to the bloodstream, so it sets in fairly quickly.  The patient will feel very relaxed, fall asleep, and not remember any of the procedure.  A patient cannot drive after receiving IV sedation for a procedure and should plan their transportation.  We are happy to offer IV sedation to help ease nervous patients and make procedures go by quickly, because taking care of your oral health should not be stopped by anxiety!

To learn more about IV sedation and other forms of anesthesia, visit www.oralsurgerypa.com for more information. To schedule an appointment with one of our doctors at Oral Surgery Consultants of Pennsylvania located in Philadelphia, call 215-463-4141.

Frenectomy

Oral Surgery Consultants of Pennsylvania can perform a frenectomy to correct a number of issues patients may have with their teeth, lips, and tongue. A frenectomy can increase the range of motion of the tongue to allow a child to position the tongue normally in the palate, if they weren’t able to do so before. This surgery will also help improve eating habits and speaking, over time.

A frenectomy is a procedure to remove the frenum, or muscular attachment between two tissues, from the mouth. The frenum found between the front teeth (either upper or lower) connects the inner aspect of the lip with the gum. Removing this attachment is called a labial frenectomy. Patients who have receding gums can benefit from this procedure, because a strong frenum from the gum to the lip can cause extra pulling on the gums and lead to further recession.

Another frenum in your mouth is underneath your tongue, and removing this is called a lingual frenectomy.  Patients that have an enlarged frenum underneath their tongue will not be able to move their tongue freely, which can interfere with speech. Lingual frenectomies are typically performed on young patients, who can recover quickly and continue to develop their speech.

To learn more about frenectomies and all the services we provide at our practice, visit www.oralsurgerypa.com for more information. To schedule an appointment with one of our doctors at Oral Surgery Consultants of Pennsylvania located in Philadelphia, call 215-463-4141.

 

Tooth Extractions

At Oral Surgery Consultants of Pennsylvania, we know finding out you need a tooth extracted is stressful. We want patients to feel comfortable and confident that an extraction is a standard procedure and they can expect the best care. Tooth extractions are performed for various reasons.  Some patients with advanced periodontal disease or serious decay to a tooth may need extractions. Teeth that are broken or impacted may also need to be removed.

During an extraction, the patient is numbed with anesthetic and should not feel pain.  The patient will only feel pressure around the tooth.  This pressure is from the tooth being rocked back and forth in its socket, in order to widen the socket and make removal easier. Some extractions may require sectioning the tooth. If a tooth has a curved root or a particularly tight socket, your doctor will cut the tooth into sections and remove each section rather than the entire tooth at once.

To learn more about extractions and all the services we provide at our practice, visit www.oralsurgerypa.com for more information. To schedule an appointment with one of our doctors at Oral Surgery Consultants of Pennsylvania located in Philadelphia, call 215-463-4141.

Extracting Wisdom Teeth

The relative ease at which the Oral Surgery Consultants of Pennsylvania can extract your wisdom teeth depends on their position and their stage of development. Wisdom teeth are the third and final set of molars that most people get in their late teens or early twenties. Sometimes these teeth can be a valuable asset to the mouth when healthy and properly aligned, but more often, they are misaligned and require extraction.

Not all wisdom teeth need to be extracted, but sometimes the wisdom teeth cause pain. If there is swelling, infection or intense pain, then priority needs to be addressed to getting those wisdom teeth extracted as soon as possible. Wisdom teeth are often impacted. An impacted tooth is one that gets blocked as it is pushing through the gum into your mouth. An impacted tooth can be painless, but it can also lead to a bacterial infection.

If your wisdom teeth are impacted and causing you pain, give us a call today to discuss your treatment options. To learn more about the services we provide at our practice, visit www.oralsurgerypa.com for more information. To schedule an appointment with one of our doctors at Oral Surgery Consultants of Pennsylvania located in Philadelphia, call 215-463-4141. 

Bone Graft for Dental Implants

If you’re missing one or more teeth and decide on dental implants to restore them, then you’re already on your way to a more aesthetically pleasing smile. For a successful implant surgery, you must have healthy gums and adequate bone to support the implant. If your bone is too thin or soft, you may require a bone graft. At Oral Surgery Consultants of Pennsylvania, we would like to explain this process.

Bone grafting is a safe and highly successful procedure that involves adding bone to the jaw. During the bone graft procedure, one of our surgeons may use a special bone grafting material and graft it into your jaw bone. This process is likely to take a few months because the transplanted bone needs to grow in order to support the dental implant that will be placed. Once the bone graft is complete, the rest of the implant surgery can proceed. In some cases, you may only need minor bone grafting which won’t take as long and can be completed during the same time as your implant surgery. Your oral surgeon is the one who will make the final decision on which type of bone graft you need.

To learn more about the services we provide at our practice, visit www.oralsurgerypa.com for more information. To schedule an appointment with one of our doctors at Oral Surgery Consultants of Pennsylvania located in Philadelphia, call 215-463-4141. 

Computed Tomography

At the office of the Oral Surgery Consultants of Pennsylvania, our ability to provide patients with implants and maxillofacial surgery is thanks in large part to our computed tomography (CT) machine. This kind of x-ray allows us to observe bone tissue inside the patient’s body in fine detail and to create a 3-dimensional digital image to use with our software.

Older x-rays required a patient to hold film inside their mouth while a series of photographs were taken. That is not the case with a CT scanner. After the patient has removed jewelry and other metal objects from their person, they will clamp a bite adjuster with their front teeth and rest their chin on a ledge. The machine’s panels will then rotate around their head, taking an image from every possible angle. The scan process usually only takes twenty seconds, at most.

The CT scan can be done with very little preparation on the patient’s part and minimizes the amount of radiation they are exposed to. The information we gain from CT allows us to ensure patients are retaining jaw bone tissue following placement of implants, monitor the attempted eruption of teeth, and detect whether a bone graft or sinus ridge augmentation is necessary.

Drs. Ramin Braham and Brad Richman operate the Oral Surgery Consultants of Pennsylvania at 2546 S. Broad Street, Philadelphia, Pennsylvania, 19145. To schedule an appointment, call 215-463-4141 or visit OralSurgeryPA.com and fill out a contact sheet.

Dry Mouth

Dry mouth is a common condition which complicates people’s oral health. To protect our patients at the Oral Surgery Consultants of Pennsylvania, we want them to be aware of how this common medication side-effect can hurt them and what they need to do about it.

The drugs which cause dry mouth include those used as part of chemotherapy, as well as medications used for mood disorders, high blood pressure, and pain. Therefore, dry mouth is most commonly seen in the elderly. Of course, smoking is also a major contributor. (Older people, especially women, are also at risk of developing an auto-immune disorder called Sjögren’s syndrome which causes dry mouth and eyes.) When the mouth isn’t producing enough saliva, patients have difficulty chewing and swallowing, which harms their nutrition. Food particles also tend to remain stuck, contributing to plaque build-up, and patients are less able to fight off bacterial infections which cause sores. A dry mouth also makes it difficult to get restful sleep.

If possible, patients may want to change medications. If this is not worth the tradeoff, there are products that can act as artificial saliva and additional medications which can make the mouth produce more moisture. Patients should also drink plenty of water and stop using caffeinated and sugary beverages which dry out the mouth faster.

Drs. Ramin Braham and Brad Richman operate the Oral Surgery Consultants of Pennsylvania at 2546 S. Broad Street, Philadelphia, Pennsylvania, 19145. To schedule an appointment, call 215-463-4141 or visit OralSurgeryPA.com and fill out a contact sheet.

 

Exposure of an Impacted Tooth

When a tooth is impacted, this simply means that it is stuck underneath the gum and cannot erupt into function. This typically occurs with wisdom teeth and when they are impacted, this can lead to infection. Since wisdom teeth really have no use in the mouth, our doctors at the Oral Surgery Consultants of Pennsylvania recommend extraction. Various surgical techniques can be performed to uncover impacted teeth, but we will explain our most common.

The techniques involved to aid in eruption can be applied to any impacted tooth in the upper or lower jaw. If the patient is passed a certain age, the chances of the tooth erupting naturally are slim to none. Once dental x-rays have been taken, the location of the impacted tooth and the amount of gum surrounding it will determine the appropriate technique your oral surgeon will use. In a simple surgical procedure performed in our office, the gum on top of the impacted tooth will be lifted to expose the hidden tooth underneath. You can expect a limited amount of bleeding once the surgery is complete and we will provide you with thorough post-op instructions.

To learn more about the services we provide at our practice, visit www.oralsurgerypa.com for more information. To schedule an appointment with one of our doctors at Oral Surgery Consultants of Pennsylvania located in Philadelphia, call 215-463-4141. 

Whey There's No Test for HPV Oral Cancers

The rise of HPV-related oropharyngeal cancers and the Center for Disease Control’s recent declaration that boys should get vaccinated, as well as girls, has made the public aware of another potential risk to their health. The Oral Surgery Consultants of Pennsylvania are ready to help people undergoing treatments for oral pathogens. However, there is not yet any effective way of testing specifically for HPV mouth and throat cancers.

HPV is very common, and usually harmless. While it is possible to test for HPV in a person’s mouth, only 1 percent of HPV infections become cancerous, while 80 percent of American adults are expected to have HPV at some point. Furthermore, the oropharynx is too far back to be easily observed with the tools used to detect cancers of the mouth, which are much more common, and the tissues of the throat are so creviced that scraping a small portion of them would be unlikely to catch cancerous cells even if they are present.

The best way of detecting oropharynx cancers is with visual and tactile examinations. These won’t find anything until after cancer has progressed, but they do often catch cancer in time to treat it effectively. They also may not identify HPV particularly as the cause, but doctors and patients are learning what to look out for.

 Oral Surgery Consultants of Pennsylvania performs oral biopsies.. To schedule an appointment, call 215-463-4141 or visit OralSurgeryPA.com and fill out a contact sheet.

 

Thank You for Your Reviews!

Here at Oral Surgery Consultants of Pennsylvania, our staff appreciates feedback from our customers because it teaches us how to improve as a team. Our staff would not only like to thank Sherisse for this five-star review, but we would like to thank her for being an excellent patient. If you recently experienced exceptional service from our office, please let us know!  

"From the moment we walked in the door the staff was very welcoming. Also, like so many times at other physicians’ offices, we didn't have to wait forever to be seen but only about 10 minutes. Thank you for that, I have a really bad back so sitting for a long time is very painful. The nurse who took my X-rays and blood pressure was very hospitable as well as informing. The doctor was very professional yet friendly and caring. The person with regard to payment and cost for future work was very professional and kind and we so appreciated the doctor's kindness in giving us a break on the cost for the day and the future visit. Once we know that we have obtained the monies for the procedure we will call for an appointment. Again, thank you.” –Sherrisse 

If you would like to leave a testimonial or are interested in learning more about the services we provide at the practice, visit www.oralsurgerypa.com for more information. To schedule an appointment with one of our doctors at Oral Surgery Consultants of Pennsylvania located in Philadelphia, call 215-463-4141. 

Implants and Oral Hygiene

At Oral Surgery Consultants of Pennsylvania, we want to remind you that caring for teeth restored with dental implants is just like caring for your natural teeth. It’s important to brush, floss and maintain regular dental cleanings and checkups as scheduled. While replacement teeth can’t get cavities, they are subject to the same wear-and-tear as natural teeth. It is up to you to properly care for your dental implants, therefore, the next time you brush them you should utilize these tips.

• Start with the outer and inner surfaces, and brush at a 45-degree angle. Don’t forget your back teeth!


• Move on to the chewing surfaces. Hold the brush flat and brush back and forth along these surfaces.


• Once you get to the inside surfaces of your front teeth, tilt the brush vertically and use gentle up-and-down strokes with the tip of the brush.


• Be sure to brush your teeth gently along the gum line and don’t forget to floss!


• If you have further questions about maintaining your dental implant care routine, make sure to speak with your dentist.

 

Philadelphia, call 215-463-4141. 

What is Peri-Implantitis?

We at the Oral Surgery Consultants of Pennsylvania are proud of the implant work we do. Endosteal implants have a 95% success rate, and have improved millions of peoples’ lives. Sometimes, however, even the best kind of procedure can be done badly or be compromised later. Peri-implantitis is the inflammation of gum tissue around an implant, and is the most common reason for implant failure.

Peri-implantitis sometimes occurs soon after an artificial crown is placed because the dental cement leaked or wasn’t placed properly and settled on the gum tissue. Often, however, it is the result periodontal disease, which may have also destroyed the original tooth. Early on, either problem can be fixed through rigorous oral hygiene, including brushing, flossing, and mouthwash. However, if periodontal disease is allowed to set in, surgery may be required.

Implants depend on successful fusion with the jaw bone. (“Endosteal” refers to the outermost layer of a bone.) If the location of the fusion is damaged, the implant may fall out or need to be removed. Patients can avoid implant failure if they maintain all the hygienic practices which are used to avoid normal periodontal disease, but sometimes this is difficult for patients with compromised dexterity, such as those with Parkinson’s disease. If the gum around your implant is inflamed, seek help; don’t wait for it to go away on its own. To schedule an appointment, call 215-463-4141 or visit OralSurgeryPA.com and fill out a contact sheet.

 

HPV and Oral Cancers

The Oral Surgery Consultants of Pennsylvania conduct procedures meant to do everything from relieving patients’ pain to saving their lives. While the rate of new cancer diagnoses in the United States has fallen in recent years, the rate of new oral cancer cases has remained the same, or, by some estimates, risen. Researchers believe this is because the human papilloma virus (HPV) has overtaken nicotine products as the main causative factor, and the public must learn a whole new way of thinking about oral cancers.

There are hundreds of strains of HPV, most of which are harmless and the body is able to fight off without experiencing any symptoms. There are at least nine, however, which cause cancer, and one which causes cancer in the oropharyngeal area. This is the soft palate and back of the throat, which patients usually don’t or can’t check on themselves, and oral cancers with HPV DNA are often painless until they reach an advanced stage.

Besides sneaking up on people, HPV-related oral cancers tend to strike people who are much younger than most nicotine-related oral cancer patients. The most vulnerable group is men between thirty and fifty. HPV-related oral cancers are easier than others to treat if they are caught early, but many people do not know they are at risk. There is no test for oral HPV itself; we strongly urge people who are sexually active to get screened for oral cancers regularly.

Drs. Ramin Braham and Brad Richman operate the Oral Surgery Consultants of Pennsylvania at 2546 S. Broad Street, Philadelphia, Pennsylvania, 19145. To schedule an appointment, call 215-463-4141 or visit OralSurgeryPA.com and fill out a contact sheet.

Pediatric Tooth Extraction

At Oral Surgery Consultants of Pennsylvania, pediatric tooth extraction may be suggested if your child has teeth that are potentially problematic, cannot be restored, or are not necessary to restore. Additionally, tiny teeth may need to be extracted for orthodontic treatment. Your child may be frightened about the procedure itself, but it is our promise to make him or her as comfortable as possible.

Prior to the surgery, one of our doctors will take an X-ray of the patient’s mouth. The X-ray allows the doctor to determine the severity of the tooth’s damage. If it’s been determined that a tooth cannot be repaired, you will need to schedule an appointment for extraction. Once sedation options are discussed, one of our doctors will use the appropriate tools to extract the tooth. When the procedure is complete, it is critical that your child obeys post-op instructions such as changing the gauze when necessary and feasting on only soft foods for the first 24 hours.

If you have questions about pediatric tooth extraction, please give us a call. To learn more about the services we provide at our practice, visit www.oralsurgerypa.com for more information. To schedule an appointment with one of our doctors at Oral Surgery Consultants of Pennsylvania located in Philadelphia, call 215-463-4141. 

Decayed Wisdom Teeth

As we age, we acquire wisdom, and the same goes for wisdom teeth. Wisdom teeth appear between the ages of 17-21 and are known as the third set of molars. When they erupt correctly, healthy wisdom teeth can help you chomp your food a little faster.  However, if they start to cause you pain and discomfort, you may need to schedule a consultation with the Oral Surgery Consultants of Pennsylvania to discuss extraction.

If you bite on a piece of food that is too hard or you experience a mouth injury, wisdom teeth may become troublesome. They can also become cracked, broken, and decayed. Decay can form on any tooth surface, but when the decay begins to attack the wisdom teeth, depending on the position of the tooth it becomes difficult to clean. If the wisdom tooth cannot be adequately maintained, recurrent decay can occur. Though many patients tend to procrastinate through the process, extraction is always best to avoid infection.

If your wisdom teeth are still intact and you have questions about removal, please give us a call. To learn more about the services we provide at our practice, visit www.oralsurgerypa.com for more information. To schedule an appointment with one of our doctors at Oral Surgery Consultants of Pennsylvania located in Philadelphia, call 215-463-4141.