Archive for the ‘ Oral Surgery ’ Category

HOW SAFE IS OUTPATIENT SEDATION ADMINISTERED BY ORAL AND MAXILLOFACIAL SURGEONS?

The typical techniques used by Oral and Maxillofacial Surgeons (OMFS’s) have evolved over my years in practice, but the overall safety has remained the same. It is very safe. (J Oral Maxillofac Surg 79: 990-999, 2021). Anesthesia administered by OMFS’s has one of the highest safety records in medicine. There is a very good reason […]

Does a  Preoperative Dose of Ibuprofen Reduce the Pain Associated with Wisdom Tooth Removal?

 Should I take a dose of ibuprofen prior to my wisdom tooth treatment?  There have been many studies through the years showing that taking an NSAID, such as ibuprofen, prior to extraction of wisdom teeth reduces post-treatment pain and swelling.  (J Oral Maxillofac Surg 77:1990-1997, 2019).  I believe this is true for most dental procedures […]

Should I Try One of These Other Methods to Remove Wisdom Teeth?

I (Dr. Wagner) have been removing impacted wisdom teeth for over 30 years.  I regularly have to treat very difficult cases, including cases where there is a significant risk to the neurovascular bundle in the jaw (inferior alveolar nerve), jaw cysts (odontogenic cysts), infections, and complicated/difficult extractions.  I am an expert in this treatment and […]

Is it Okay to Get Dental Implants if I Have Diabetes?

Another way to phrase the question would be, “Does the presence of diabetes cause problems with dental implant care?”  The quick answer to the question is “no”.  (JADA 2021:152(3):189-201).  Over the years, we have looked at the presence of diseases and the effect of these diseases on dental implant care.  This can be looked at […]

What is the Better X-ray for Wisdom Teeth, the Panoramic or the Cone Beam Scan?

The cone beam scan is by far the better of the two if you are just basing the question off which gives you more information (J Oral Maxillofac Surg 77:1968, 2019).  The panoramic is a two-dimensional x-ray picture of the jaw structure, and the cone beam imaging is a three-dimensional reconstruction of multiple scans, and […]

Use of PRGF to Help Heal Extraction Sockets

As soon as we started using PRGF for bone-grafting procedures in our practice, I recognized the great benefit that this technology had for healing in bone defects.  (J Oral Maxillofac Surg 79:305-312, 2021)  I read with interest this article where PRGF was used to help with the healing of tooth extraction sites for patients undergoing […]

SHOULD DOCTORS BE ABLE TO FREELY PRESCRIBE PAINPILLS?

 If you are in pain from an injury or a surgical procedure, the answer is usually yes! In my patient population I rarely run into prescription abusers, and we are very responsible in our prescribing patterns. We perform procedures that typically require pain relief during recovery and we prescribe appropriate medications and amounts. When we […]

DOES ORTHOGNATHIC SURGERY AFFECT BREATHING?

The technical question would be “does orthognathic surgery affect the upper airways?” There is a favorable effect of orthognathic surgery in the upper airways regardless of the surgical approach. Bimaxillary (upper and lower jaws together) advancement and counterclockwise rotation of the mandibular occlusal plane are the most significant contributors. (J Oral Maxillofac Surg 79:450-462, 2021). […]

IS SOFT TISSUE GRAFTING (ATTACHED MUCOSAL GRAFTING) NEEDED AROUND DENTAL IMPLANTS?

IS SOFT TISSUE GRAFTING (ATTACHED MUCOSAL GRAFTING) NEEDED AROUND DENTAL IMPLANTS? Yes. This is true of any site, but especially true in compromised sites such as patients who have undergone treatments including radiation therapy or major jaw reconstruction (J Oral Maxillofac Surg 79:560-574, 2021). Around our healthy teeth there is a band of tissue that […]

ANXIETY DURING THIRD MOLAR EXTRACTION

In our practice, removal of third molar teeth (wisdom teeth) is most commonly performed under IV anesthesia. This is appropriate and I feel necessary for this treatment to be a positive experience for most patients. With intravenous anesthesia you are completely relaxed, you have no anxieties and your jaw muscles are relaxed – it makes […]