Impacted Canines

Put simply, an impacted tooth is a stuck tooth that can’t fully emerge from the gums. Most cases of impacted teeth involve the third molar (wisdom) teeth. The second most common teeth to become impacted is the maxillary cuspid (upper eyetooth). At Oral Surgery Consultants of Pennsylvania, our team can help with these canine impactions.

 

The cuspid teeth are crucial for biting. They are designed to be the first teeth that touch when your jaws close together, guiding the rest of your teeth into place. The cuspid teeth are usually the last teeth to come in. Upon impaction, the cuspid will make every effort to reach its proper spot on the dental arch.

 

It is recommended by the American Association of Orthodontics that a panorex screening x-ray and examination be performed on all dental patients by the age of seven years old. This allows the dentist to predetermine any issues with the child's adult teeth. If by ages eleven to twelve the eruption pathway for the impacted tooth is clear, then most likely the tooth will emerge without intervention. If it hasn’t emerged by ages twelve to thirteen than other actions must be taken. Together, your orthodontist and oral surgeon will work with you to achieve the best possible result.

 

The most common outcome will start with the orthodontist placing braces onto the patient's teeth to create space for the impacted tooth. Once the space is clear, the next step is with the oral surgeon. At the surgeon's office, the gum covering the impacted tooth will be lifted. If there is a baby tooth present, it will be removed. A bracket with an attached chain will go onto the cuspid, attaching it back to the orthodontic wire. Shortly after surgery, the patient will return back to the orthodontist. A rubber band will be attached to the chain to gently force out the impacted tooth. It can take upwards of a year for the impacted tooth to fully emerge.

 

Dr. Bahram, Dr. Richman, Dr. Mohan, and Dr. Barunas are available at Oral Surgery Consultants of Pennsylvania offices across the Philadelphia, PA area. To schedule an appointment, visit our website or call one of our four locations.

 

 

Apicoectomy

At Oral Surgery Consultants of Pennsylvania, our staff has saved and repaired teeth that are badly damaged or infected. Although we don’t perform root canals, we do perform Apicoectomy. In the cases where root canals are not enough, an apicoectomy is the next step. It is the most common surgery used to save damaged teeth.

 

An apicoectomy removes damaged tissue and seals a tooth’s roots from further infections. The procedure details a small incision made in the gum tissue, exposing the bone and inflamed tissue. The damaged tissue is removed along with the end of the root tip. A filling is placed to prevent infection, and the gum is sutured closed. The bone will naturally begin to heal around the root after a period of months. Afterward, the full function will be restored. Following the procedure, there may be slight discomfort and swelling while it heals. Follow any post-operation instructions given to you by our doctors. For pain relief, use medications approved or prescribed by your doctor.

 

If you have a tooth infection lingering after a root canal, or suspect something might be wrong, please contact us to discuss your treatment options. To learn more about the apicoectomy procedure and our other services, visit https://www.oralsurgerypa.com/ for more information. To schedule an appointment with Dr. Bahram, Dr. Richman, Dr. Mohan, or Dr. Barunas in the Philadelphia, PA area, call 215-463-4141.

 

Bad Breath

Bad breath, medically called halitosis, can be caused by bad oral hygiene and could be a sign of more serious health problems. Our doctors at Oral Surgery Consultants of Pennsylvania restore and replace patient’s teeth using dental implants. To perform implants, our patients need to have enough quantity and quality of bone available. The bones in your mouth breakdown when gum disease reaches an advanced state, but halitosis is an early warning sign.

When teeth aren’t brushed and flossed regularly, food particles stick to your teeth and bacteria builds. We encourage patients to practice good oral hygiene by brushing twice a day and flossing. If you always have a bad taste in your mouth, gum disease may be forming because of plaque buildup. When left untreated, gum disease can spread to bones or tooth roots and require a bone graft.

Other potential causes for bad breath include yeast infections and cavities. We advise our patients to practice good oral hygiene such as regular brushing and flossing to prevent bad breath and other infections.

If you have any questions about oral hygiene, please give us a call. To learn more about the services we provide at our practice, visit www.oralsurgery.pa.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.

Cleaning a Night Guard

We at the Oral Surgery Consultants of Pennsylvania treat a lot of people who have suffered damage from temporomandibular joint disorder. Many of them damaged their teeth by grinding or clenching them at night. But some people have a lot of success using night guards to avoid tooth damage or protect replacement teeth. Since we want patients to be able to enjoy their teeth for as long as possible, we wanted to provide some guidance on cleaning night guards and preventing oral infections.

Wearers will remove their night guard each morning upon waking up. There are antibacterial rinses commercially available for soaking night guards in, and antibacterial soap and water work well for cleaning, too. But people still commonly brush their night guards to ensure they have removed bacterial build-up. If they do, it is important for them to avoid hard-bristled toothbrushes or toothpaste with extra fluoride, which won’t protect plastic and may even scratch it.

The protocol for maintaining a night guard doesn’t differ too much from maintaining a denture, except for one key thing: a night guard needs to be kept dry. The case it is kept in should be ventilated and should also be cleaned daily with antibacterial soap. When not in use, the night guard should be kept out of extreme heat, which could warp it. A wearer should always brush and floss prior to putting it back in at night.

The Oral Surgery Consultants of Pennsylvania operate in Philadelphia, Folsom, and Clifton Heights. Visit Oral Surgery PA or call 215-463-4141.

When a Tooth Cracks

Breaking a tooth is scary. While there’s no way to be completely prepared for when it happens, we at Oral Surgery Consultants of Pennsylvania want people to know that teeth often can be saved, and that getting treatment quickly increases their chance of successful treatment. In this blog post, we discuss what to do immediately after discovering a broken tooth and what treatments are likely.

The molars are the likeliest teeth to break. They are the ones that can normally withstand the force of the patient’s bite, although they may break against something extremely hard. When other teeth are used for chewing, they are much likelier to break or be pushed sideways. If a patient chips or cracks a tooth, they should rinse their mouth with salt water and cover the broken crown with dental wax if they have any on hand, or sugarless gum if they don’t.

A small chip may be repairable with bonding. For this procedure, a dentist would apply and contour an adhesive material onto the tooth. But if the tooth is significantly broken, a dentist may need to reshape it in preparation for an entire new crown. The crown would be custom-made to fit the patient’s mouth and cemented over the reshaped natural enamel, which would be left in place to cover the dental pulp. If an x-ray reveals that the tooth is cracked at the root, it will need to be removed. We’ll work with a patient to determine whether an implant or a partial denture would make a better replacement.

Oral Surgery Consultants of Pennsylvania operate in Philadelphia, Folsom, and Clifton Heights. Visit Oral Surgery PA or call 215-463-4141.

 

New Patients

At Oral Surgery Consultants of Pennsylvania, we are always looking to grow our family. To take advantage of all the services we offer, we want to give you a better idea of what your first visit with one of our doctors will look like.

First time patients will go through consultation to discuss the diagnosis and treatment options for your surgery. We ask that patients bring us some form of ID, a copy of their insurance x-rays (if applicable), surgical referral slip, and a list of medications you are taking. Any new patients under the age of 18 need a parent or legal guardian present.

Our doctors advise patients that surgery will most likely be performed on the second visit after an evaluation of your medical history and the treatment necessary.

If you have any questions about your first visit, please give us a call. To learn more about the services we provide at our practice, visit www.oralsurgery.pa.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

We’re proud to say that dry sockets are rare at Oral Surgery Consultants of Pennsylvania. This complication following a tooth extraction is extremely unpleasant, but it is also avoidable in most cases if the patient follows simple instructions. Although only about 2-5% of people who get extractions suffer from dry sockets, we wanted our patients to better understand them so that if they get an extraction, they won’t be hearing their post-operative instructions for the first time.

A simple extraction is one in which the tooth is rocked until it can be lifted out with forceps. Complex extractions involve gum incisions and may require the tooth to be sectioned. A dry socket can result from either, though it is more commonly from the latter. Usually, blood clots would close off the empty socket, protecting it from irritating debris and pathogens, but sometimes the blood may fail to clot or the scab may come loose. If this happens, the socket will dry out painfully and be at risk for infection.

Three of the biggest risk factors for dry sockets are smoking, birth control pills, and the use of straws. The estrogen in pills can prevent blood from clotting, while smoking can dissolve the clot and suction can pull it loose. We also advise patients to avoid brushing near the extraction site on the first day after the procedure and to avoid solid foods. The socket may be cleaned with a salt water rinse.

Oral Surgery Consultants of Pennsylvania operate in Philadelphia, Folsom, and Clifton Heights. Visit Oral Surgery PA or call 215-463-4141.