OST Blog

Xerostomia: What does that mean anyway?

May 29th, 2024

Does your mouth always feel like it’s dry? If it does you may be suffering from xerostomia. Xerostomia is defined as dry mouth resulting from reduced or absent saliva flow. There are various medical conditions that can cause this type of dry mouth, which you can ask more questions next time you visit us at Oral Surgery of Tidewater.

Xerostomia can factor into both minor and more serious health problems. It can affect the ability to eat and enjoy food and it can jeopardize one’s dental health. Some of the more common symptoms can include sore throat, burning sensation in the oral cavity or tongue, and difficulty swallowing.

One of the more serious problems associated with dry mouth is an increased risk of tooth decay. Decrease in saliva causes more plaque to form and there is less saliva to act as a buffer to the things we eat and drink. Less saliva also means more food debris is retained in the mouth. These things can lead to an increase in tooth decay.

So, what causes xerostomia?

There are several things that may cause xerostomia. Among the biggest culprits are prescription medications. Some examples are antihistamines, antidepressants, anti-hypertensives, anti-anxiety agents, anti-diarrheals, bronchodilators, and muscle relaxers.

Certain diseases can also cause dry mouth. The more common ones include rheumatoid arthritis, lupus, diabetes, hypertension, and thyroid disease. Xerostomia is also common in patients being treated for cancer. Head and neck radiation as well as certain chemotherapy drugs can cause severe dry mouth.

What should you do if you are experiencing dry mouth symptoms? First make sure to hydrate with plenty of water. If you are taking medications that cause xerostomia, make sure to drink water before taking the medication as well as a full glass of water with the medication. Be diligent with brushing and flossing and discuss your condition at your next appointment with Dr. Ford and Dr. Guter. We can recommend specific products to help moisten the oral cavity and reduce your symptoms such as saliva substitutes, xylitol products, and certain toothpastes. Another option may be a prescription home fluoride treatment to help prevent new cavities. You may want to try gum or candies to stimulate saliva flow but make sure they are sugar free! Avoid food and beverages that dehydrate such as caffeine and alcohol.

Xerostomia is a common problem that is currently on the rise. Our team can help you to reduce any symptoms and improve your comfort while living with a dry mouth. Contact our Virginia Beach, VA office today!

Memorial Day: Parades, remembrance, and the unofficial start of summer!

May 28th, 2024

“The purpose of all war is peace.” - Saint Augustine

Fire truck sirens, baton twirlers, marching bands covering patriotic tunes, colorful floats, costumes, and millions of red, white, and blue American flags being waved in the air on a beautiful day in late May, that is what Memorial Day is all about. It is a federal holiday celebrated with town parades, remembrance, and a sense of unity and community togetherness.

Our team at Oral Surgery of Tidewater wants to take this time to wish you and your family a happy Memorial Day, as well as pause for a moment to reflect on what this holiday means and how it has changed over time. No, this is not a history lesson, but just a couple of thoughts and observances for you to take with you on your way to the next barbecue.

On the last Monday in May, America observes Memorial Day as a time to remember and celebrate the men and women who have lost their lives while serving our country in the Armed Forces. The holiday originated after the Civil War; at that time it was known as Decoration Day. While holidays like Thanksgiving, Christmas, and Easter remain the same from year to year, Memorial Day has changed over time, and in the 21st century we observe a far different holiday than what Americans did after the Civil War, or even the World Wars.

While many people place flags at cemeteries and visit national memorials in order to honor those who have passed away serving the country, Memorial Day is also a time for family barbecues, pool parties, trips to the beach, blockbuster movies, long weekend getaways, and fireworks. In America, Memorial Day has come to represent the unofficial start of the summer – a long, sunny, warm weekend devoted to family togetherness, outdoor events, and community.

It is time to load up the potato salad and the apple pie and head over to the neighbor’s house for their annual barbecue. And yes, contrary to popular belief, we do eat sweets, especially homemade apple pie! Everything in moderation, of course.

So whether you’re in the Virginia Beach, VA area or beyond, Happy Memorial Day to you and yours from Dr. Ford and Dr. Guter!

Bone Grafting for Dental Implants

May 27th, 2024

If you have lost a tooth or teeth, dental implants can restore your smile. Implants look natural, don’t impact the healthy teeth around them, and protect the underlying bone from the bone loss that can be caused by a missing tooth.

One important prerequisite for a successful implant: the bone in the jaw that will hold the implant must be healthy, and must be the appropriate size and strength to allow osseointegration (the fusion of the implant with the jawbone) to take place. If the bone isn’t wide enough, high enough, or dense enough, the success of the implant will be in jeopardy.

An implant, unlike a denture or a bridge, is rooted in the jaw much like your tooth. A cylinder is implanted in the bone, and will later hold the abutment which attaches to the final crown. Because a great deal of pressure is placed on our teeth with everyday functions such as chewing, the bone must be strong enough to successfully fuse with the implant.

Fortunately, Dr. Ford and Dr. Guter can actually restore the density and shape of your jawbone if the bone isn’t suitable for an implant. This reconstruction is accomplished with bone grafting.

Why Would You Need a Bone Graft?

The bone structure which supports our teeth can be compromised in a number of ways. We might recommend a bone graft if you have insufficient bone due to causes such as:

  • Bone Loss Caused by Tooth Loss

The bone tissue which supports our teeth needs the stimulation of biting and chewing to stay healthy. Without that stimulation, the bone area under the missing tooth gradually shrinks. The bone tissue is resorbed into the body, which, in a relatively short amount of time, can lead to a noticeable sunken spot where the tooth used to be. Bone grafting will rebuild this area—and a dental implant will provide the tissue stimulation that a natural tooth would, helping to prevent future bone loss in the jaw.

  • Gum Disease

As gum disease progresses, the gums pull away from the teeth, leaving the bone and connective tissue exposed to infection and bacteria. Infection and the body’s own response to bacteria can cause deterioration in the bone structure supporting the teeth. Bone loss cannot be reversed, but a graft can replace lost bone and allow healthy tissue to regenerate.

  • Pre-existing Bone Conditions or Traumatic Injuries

In the case of bone structure that is naturally less thick or dense, or bone which has been damaged by accident or injury, a bone graft can provide a solid basis for an implant.

What Takes Place in a Bone Grafting Procedure?

Bone grafting is a type of oral surgery. Bone tissue for grafting may be taken from your own body, or a graft material composed of safe and sterile donor tissue or synthetic substitutes can be used. This second kind of graft will be absorbed gradually by the body as your own new, healthy bone tissue replaces it.

If you decide a bone graft is your best option, we will discuss the options for grafting with you during your appointment at our Virginia Beach, VA office, and use imaging to map out the area of bone loss and to create the best individual treatment plan for you.

After anesthesia, an incision will be made in the gum tissue to reveal the damaged bone. Grafting material will be shaped and secured to the affected area, and sutures are generally used to close the incision. We will give you careful instructions for after care and follow-up visits. The time it takes for you to heal completely will depend on the type and size of the graft.

We recommend bone graft surgery when it will provide the best, most successful foundation for your dental implant procedure. Oral surgeons have years of medical and surgical training in the complex relationship and interaction of bone, muscle, and nerve. We are uniquely qualified to provide a skillful, safe, and effective bone grafting procedure.

When you choose an implant, one of your primary goals is the aesthetic restoration of your smile. Just as important, you are also making sure that the bones supporting your teeth will remain heathy and strong. Talk to us about bone grafting, and how we can start you on your way to a lifetime of beautiful smiles.

Five Common Reasons for Emergency Care Visits

May 8th, 2024

A dental emergency can strike anywhere, anytime, and without warning. Perhaps you’re playing a game of touch football on Thanksgiving and your brother-in-law decides to up the ante and tackles you, accidentally knocking out your two front teeth. Or maybe you’re on vacation somewhere in the tropics and decide to go deep-sea fishing, but when you’re climbing onto the boat you slip on the dock, fall, and chip three of your teeth. From misplaced fly balls to bagel seeds causing a painful bout of inflammation, there are all kinds of dental emergencies.

Here are the five most common reasons for emergency care visits.

  1. Somehow you've managed to knock out a tooth. Whether it's the result of a sports injury or because of decay, when you lose a tooth, you need emergency dental care. If the tooth is salvageable, then it can be reattached to the socket, but this needs to be done within a one- or two-hour window.
  2. A chipped tooth is the most common dental emergency. Small chips can be caused by food (chicken bones and nuts have sent many people to the dentist); however, it's usually some sort of accident or injury that more often causes a chip. While you might be embarrassed to walk around with a gaping chip in your front tooth, it is easily fixed with a bond, crown, or veneer.
  3. A broken tooth is more severe than a chipped tooth. When a tooth breaks, it might be due to a small or hidden chip. However, chances are the pain and discomfort will be more severe.
  4. It might seem comical, but getting a piece of food lodged in the wrong place can result in a dental emergency. If something gets stuck deep in a crevice, it can cause pain and inflammation.
  5. The loss of a filling happens more often than you think. When you lose a filling, you need to receive emergency care immediately. If you don’t, you risk further damage to your tooth.

When you injure your teeth or mouth, you need to seek emergency care as soon as possible. In the event of a suspected emergency, don't wait. Contact Dr. Ford and Dr. Guter immediately.

2875 Sabre St #260
Virginia Beach, VA 23452
(757) 499-6886

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