OST Blog

You’ve chosen Dr. Ford and Dr. Guter for your extraction because oral surgeons are experts in this surgical procedure. When an extraction is necessary, whether because of impaction, injury, or infection, for orthodontic purposes, or for any other reason, we have the skill and experience to ensure that patients have the best possible surgical outcome.

And you want the best possible outcome for your recovery as well. What are some basic steps you can follow at home to speed the healing process? Here are the ABC’s of aftercare to help make your post-extraction recovery a speedy and healthy one.

• Antibiotics

Antibiotics aren’t generally necessary after oral surgery, but, if they are prescribed to prevent infection, be sure to take them as directed. Always finish the entire prescription to ensure that the antibiotics work properly. And, if you have any allergies to medications, always tell us in advance.

• Brush carefully

Don’t brush or floss in the area of your surgical site until you get our approval. You don’t want to damage delicate tissue or sutures. Be sure to brush and floss the rest of your teeth normally, because you want your mouth its cleanest while you heal, but no swishing or spitting! After the extraction, a clot will form to protect the socket, and you’ll need to be careful to avoid dislodging it. Otherwise, a painful condition called “dry socket” can result.

• Clean the extraction site as directed

The directions we will give you for cleaning the extraction site will depend on your specific surgery, but gentle rinsing is usually the recommended way to keep the area clean after oral surgery.

After 24-48 hours, depending on our instructions, you might be asked to use a salt water solution or a prescription rinse to gently cleanse the extraction area. Just remember, the “no forceful swishing or spitting” rule still applies! Rinse after eating and snacking to keep the extraction area clean and free from food particles. A good general rule is to avoid over-the-counter mouthwash for now, because the alcohol it contains can be irritating.

Even with careful attention, sometimes the wound site can become infected. If you notice any signs of infection, including severe pain, redness, prolonged swelling, pus or other discharge around the extraction, or fever or chills, call our Virginia Beach, VA office immediately. Other symptoms such as nausea, heart pain, or shortness of breath should also be reported at once.

• Diet

Eating a nutritious diet after oral surgery can help speed wound healing. Foods rich in proteins, vitamins A and C, and Zinc have been found to assist healing, while alcohol and smoking have the opposite effect.

And while you’re eating for health, eat for comfort, too. The traditional diet choices after an extraction are still the best. Soft, creamy foods such as yogurt, applesauce, pudding, or soft-serve ice cream are gentle on your healing tissue. Drink plenty of fluids in the days after surgery, including clear broth and non-acidic and non-carbonated beverages.

Temporarily eliminate foods from your diet that are grainy, seedy, or crunchy to keep particles out of the extraction site. Avoid sticky and chewy foods, which can dislodge the clot. And while you’re at it, take acidic and spicy foods off the menu—they can irritate sensitive tissue.

Be sure that you protect the clot that protects your socket. Foods that are too hot can interfere with clot formation over the wound, and any use of a straw or other suction can dislodge the clot completely. Use a spoon for your milkshake, and, of course, don’t smoke.

• Every patient is different!

While all of the above suggestions are good generally guidelines, we will have information that has been specifically tailored to your needs. Which leads us to the most important recommendation of all . . .

• Follow our aftercare instructions

You will receive detailed instructions after surgery. Following this advice to the letter is the very best way to make sure your mouth is its cleanest and healthiest.

Taking care of yourself after an extraction isn’t quite as easy as ABC (DEF), but with guidance from Dr. Ford and Dr. Guter, careful attention to the extraction site, and patience as you allow the healing process to take place, you have all the basics you need for a healthy recovery.

What is a dentist?

Dentistry has been around for hundreds and possibly thousands of years. Tools and depictions of procedures using those tools have been discovered among many different early civilizations throughout history. The field of dentistry became solidly mainstream in the 1800s when “dentists” organized their practice as a primary professional activity, rather than as one of an array of services.

Modern dentists require a medical license that is awarded after completion of a number of years of rigorous schooling. These medical professionals are taught to address the maintenance of healthy teeth and gums, though some obtain additional licenses that focus on more specific areas of oral health.

General dentistry is usually sought for cleaning and mending of slightly damaged teeth, while providing advice on future prevention of decay and other problems. As society has seen a dramatic shift in the cosmetic direction, many dental professionals have trained to offer whitening procedures as well.

Where does an oral surgeon come in?

Patients are often referred to an oral-maxillofacial surgeon if a procedure exceeds the abilities of a general dentist. While dentists are often capable of handling simple extractions, teeth that have become severely impacted usually require someone with greater expertise. In many cases, the patient will be put under sedation for the duration of the more complex procedure, and may require several days for sufficient healing.

In addition to more difficult extractions, oral surgeons commonly handle:

• Implant surgery
• Reconstructive surgery on the jaw or face to resolve problems with speech and proper function
• Corrective surgery of the jaw to improve structure and alignment
• Grafting of the bone or soft tissues in order to resolve defects and injuries
• Repair of birth defects that have affected the face or jaw

Which medical professional should you see?

Teeth are extremely important and should be treated with care. As the surface of a tooth wears down, more sensitive tissues can become exposed, and in cases where decay is allowed to continue, even the nerve can be affected.

When it comes to identifying which of these practitioners you should see, a consultation is almost always necessary if you have special concerns. Seeing Dr. Ford and Dr. Guter on a regular basis is highly recommended, but many clients fail to do so until they begin to experience pain or discomfort. If you are diligent in receiving routine care, though, you are more likely to prevent problems that will require the services of an oral surgeon, and will probably be happier with your smile in general.

Memorial Day didn't become an official holiday until 1971, but Americans started gathering annually in the spring to remember those who lost their lives in war during the 1860s, right after the Civil War. Celebrated on the last Monday in May, people still decorate the grave sites of war veterans and hold memorial services, but Memorial Day has also evolved into a day that signifies the beginning of summer.

During the summer months, many people take road trips to visit family members. Some head off to the airport to enjoy a long-awaited vacation far away, while others look forward to spending time with friends and family at home. However you spend Memorial Day and the subsequent summer months, there are a few things you can take care of to ensure your summertime is enjoyable.

Checklist for an Enjoyable Summer

• Have the AC Checked. During the hottest days of summer, many families find themselves sweating it out due to a broken air conditioning system. Be proactive so you can avoid waiting for hours or days because the HVAC repair person is booked solid. Have your air conditioning system checked before or around Memorial Day each year.
• Ensure Security While You're Away. When you leave for vacation, the last thing you should have to worry about is the security of your home. Install a home security system, if possible, and put a timer on your lights so they go on and off at normal hours. You can also alert your local police department that you'll be gone, and ask them to drive by your house once in a while to make sure everything is okay.
• Visit Dr. Ford and Dr. Guter Before Vacation. Many people put off exams until after summer vacation. Avoid the crowds and make sure your physical and oral health are in top shape prior to vacation time so there are no unpleasant surprises.

Our team at Oral Surgery of Tidewater wants you to look forward to Memorial Day and the days of summer by preparing to spend the time safely and comfortably. As you plan ahead, take care of your health and secure your home, you can place your focus on creating memories with family members and friends while enjoying your favorite Memorial Day traditions.

For hundreds of years, tooth loss meant dentures. And over those hundreds of years, dentures have become more realistic, more secure, and more comfortable.

Now, however, Dr. Ford and Dr. Guter and our team have the technology to replace missing teeth with dental implants that look just like our natural teeth, that are firmly anchored in the jaw just like our natural teeth, and that are easy to clean and care for just like our natural teeth. If you are debating the merits of both kinds of tooth replacement, here are some comparisons to consider.

• Confidence

No matter how securely dentures are attached, no matter how “new and improved” your adhesive is, dentures are not anchored in the bone as implants are. There is always the possibility—or worrying about the possibility—of slipping, clicking and other noises, and problems with speech and pronunciation.

Implants fuse with the bone in your jaw, so the base of the implant acts like the root of your natural tooth. Biting, chewing, speaking, and appearance are unaffected, because implants function just like “real” teeth.

• Convenience

Full dentures and partial dentures should be removed every night. Placing them in a mild cleaning solution or soaking them in water is important to help them keep their shape. Ideally, dentures should be removed and rinsed every time you eat.

With implants, you treat them as you treat your natural teeth. Brush, floss, and see your dentist regularly for exams and cleanings. No need to add to your daily to-do list.

• Cuisine

When you wear dentures, foods like apples, pork chops, and corn on the cob are probably off the menu. Let’s not even think about the occasional caramel! Some denture users also notice that food doesn’t taste as flavorful, because dentures which cover the roof of the mouth also cover the taste buds located on the soft palate.

Implants function just like your natural teeth, so feel free to indulge in your crisp and chewy favorites—and savor every bite.

• Health Considerations

First, missing teeth can eventually affect the structure of our jawbones and change our facial appearance. The bone tissue which supports our teeth needs the stimulation of biting and chewing to stay healthy. Without that stimulation, the bone ridge under the missing tooth gradually shrinks, a process called “resorption.” Not only does this bone loss affect the stability of the denture and the health of the bone, it also affects our facial appearance, especially the lips, cheeks, and profile.

Implants, on the other hand, provide the same kind of pressure and stimulation to the jawbone that natural teeth do. Preventing further bone loss is a wonderful additional benefit of choosing dental implants.

Second, fixed bridges can impact neighboring teeth. To provide a base to anchor either side of a fixed bridge, your heathy teeth might need to be ground down and shaped to fit the bridge attachment.

Implants do not affect neighboring teeth, and, unlike bridgework, are easier to clean and floss, thus reducing the risk of decay in the adjacent teeth.

• Comfort

Loose and ill-fitting dentures can cause irritation and even infection. And because the jawbone begins shrinking when teeth are lost, your dentures will start to fit less comfortably even over their fairly limited lifespan as the contour of your bone continues to change.

Implants can cause a bit of discomfort in the days immediately after surgery, but pain should be manageable with over the counter or prescription pain relief. (Pain that lasts longer than two weeks should be reported to Dr. Ford and Dr. Guter right away.) Once you have healed, there should be no further discomfort.

• Cost

It’s true that dentures can cost less than individual or multiple implants. However, bridges and dentures are meant to be replaced every five to ten years. An implant is meant to last a lifetime. When you factor in the need for regular replacements, you might find that implants are a very competitive economic alternative to dentures.

Finally, if you are uncertain about choosing implants because you are missing several teeth, there are still implant options to consider. Dr. Ford and Dr. Guter can place several implant posts strategically, which will then be used to hold a bridge or even a full denture. These types of implants still provide stimulation to the bone beneath, and have the stability that only implants provide.

If you have missing teeth, dentures are no longer your only option. Talk to Dr. Ford and Dr. Guter at our Virginia Beach, VA office today for all of the possibilities that are available to you for a healthy, beautiful, and complete smile.