Wheaton Oral Surgery and Implant Center

FAQs: Wisdom Teeth

white paper with question mark on itPatients always wonder why it is recommended that they get their wisdom teeth extracted, or why they even have wisdom teeth in the first place! We always want our patients to be in the know and have all of their questions answered. It is important to understand the benefits of having your wisdom teeth extracted.

We invite you to read through our frequently asked questions about wisdom teeth and the extraction process and call us at(630) 364-2888 if you have any questions.

Why do we have wisdom teeth?

Ancient humans had a very different diet than we do today. They needed the third set of molars in order to grind up food that was tougher in texture and harder to digest. They also had larger jaws with more room for their wisdom teeth.

Humans today eat softer foods, or cooked foods, that are far easier to chew and digest. Over time, we have evolved to have smaller jaws and teeth, leaving less room for our third set of molars.

Why do I need to have my wisdom teeth extracted?

There are several benefits to having your wisdom teeth extracted. Keeping your wisdom teeth can cause a variety of short-term, as well as long-term, complications.

Impaction: When there is not enough space in your jaw for your erupting third molars, they can become impacted, causing them to grow in at an angle. Impaction may cause pain or discomfort while eating.

Damage to other teeth: Impacted wisdom teeth can cause damage to your other teeth. When they grow in at an angle, they can push against your second molars, damaging them and potentially causing tooth decay.

Disease: Due to impaction, the narrow spaces between molars allows for bacteria to form more easily, putting you at a higher risk for periodontal (gum) disease, cysts, and inflammation.

When is it okay to keep my wisdom teeth?

Sometimes, there’s enough room in your jaw for your third molars to erupt comfortably and without damaging your other molars. If we see that they may grow in healthy and without impaction, we may recommend that you do not have them extracted. If this is the case, make sure you are going in for regular check-ups and closely monitoring your erupting wisdom teeth.

When should I get my wisdom teeth extracted?

Wisdom teeth generally erupt between the ages of 17-25. Many people get their wisdom teeth extracted before they graduate high school. It is recommended that you get your third molars removed as soon as possible. The longer you wait, the more complications can arise. For example, the longer you wait to have them removed, the longer the roots grow. The longer the roots get, the more chance they have of coming in contact with your nerves, possibly causing nerve damage.

If your teen hasn’t yet had his or her wisdom teeth evaluation, please give our office a call at (630) 364-2888.

The Most Common Types of Bone Grafting

digital print of a lower jawBone grafting has become so common, most patients have encountered the term at least once before entering our office. But delving deeper into some of the additional types of bone grafting will give you a better appreciation of this amazing procedure.

What is Bone Grafting?
Bone grafting is the process of using natural or synthetic materials to encourage your body to grow new bone. Your jawbone requires regular stimulation from the activities of teeth to maintain its shape. When a tooth is extracted, the jawbone immediately begins to lose mass. In oral surgery, we use bone grafting to build up the jawbone so that we can place a dental implant.

Types of Bone Grafting:
• Socket Preservation: After tooth extraction, the empty socket is filled with bone grafting material to preserve the bone in the site for tooth replacement in the future.
• Sinus Lift: The sinuses lie above the upper jawbone and are filled with air. If the upper jawbone has receded, we lift the sinus membrane and fill the space underneath it with grafting material to bulk up the bone for upper implants.
• Ridge Augmentation: As with socket preservation, ridge augmentation involves the filling the site of an extracted tooth, however, bone loss has already occurred in this case as the extraction was done months or years before.
• Nerve Repositioning: The nerve that gives feeling to the bottom lip and chin is known as the inferior alveolar nerve. Sometimes this nerve must be relocated in order to place a lower jaw implant. The nerve is moved, and the pockets left behind are filled with bone grafting material to prepare for a dental implant.

If you have been told you need bone grafting and aren’t sure what to expect, please give us a call at Naperville Office Phone Number 630-364-2888.

Dental Implants- The Recovery

The recovery time following dental implant surgery tends to vary, but is usually based on the amount of teeth being implanted, whether or not a bone graft was needed and the individual and how well they manage their recovery. Luckily, the science and technology behind dental implants has improved drastically over the last few years, improving post-surgery pain and comfort for patients.

The patient requiring the least amount of recovery time would be one who had a standard, single dental implant placed with no bone grafting. With a simple procedure like this one, there is very little discomfort or pain after the surgery. Mild bruising and soreness can occur, but is typically manageable with over the counter pain relievers. In more severe implant cases, such as those where multiple teeth are implanted or severe bone grafting needed in order to accomplish the implant, the recovery time tends to be longer and the discomfort can be more intense.

In any cases, it is important to keep your mouth clean after surgery, which can be done by rinsing your mouth gently with salt water beginning the day after surgery. You may begin brushing your teeth the night after the surgery, but make sure to keep it light around the surgery area as to not disrupt the healing in that area. It is also important to remember that in the week following your surgery, there should be no smoking and no sucking through a straw, as this can seriously inhibit your healing process. It is important to stick to a diet primarily consisting of soft foods for the first 7-10 days following your surgery before beginning to return to your normal diet.

As you can see, the recovery process after receiving a dental implant is fairly predictable and comfortable. It is important to follow the instructions that we give you at Wheaton Oral Surgery and Implant Center, and to always remember that if you have any questions or concerns regarding a procedure or following your surgery, you can always give us a call at Naperville Office Phone Number 630-364-2888.

New Trends in Dental Implants

dental implantsA trending topic right now seems to be the decision to opt for “mini-dental implants” instead of more traditional ones. Below we are going to take a look inside the trend, and lay out some of the benefits and drawbacks so that you can get a better understanding of this exciting trend in dentistry.

Benefits

  • Mini dental implants are usually less expensive than traditional ones, sometimes costing only 1/3 that of regular implants. They take less time to place and are smaller and less invasive, and can be used in small spaces or for those with inadequate bone mass.
  • With mini dentures, smaller dentures can be used, leading to a better tasting experience for the palate than a traditional denture would provide.
  • Mini implants can be placed with minimal recovery time, and usually require very little to no bone grafting.

Drawbacks

Because this is still a fairly new procedure, there are a few downsides. For one, there aren’t enough studies out there on the longevity of these implants, so we don’t know how they hold up over time. A study published in the International Journal of Implant Dentistry in 2016 revealed that traditional dental implant placement has a proven survival rate of 95% or greater. The analysis collected data from over 10,000 implants from 3,095 patients, across three separate private practices over the course of 20 years. For mini dental implants, there isn’t yet enough data to conclude a proper survival rate.

Another concern is that because this is such a new trend there is not as much information or regulation out there. Some practices with claims such as “Dentures-in-a-day” might not do a proper consultation, skipping important steps such as a 3D scan to make sure that you are a good candidate for the procedure.

While it may be some time before this method is perfected and adopted, it is also exciting to see the advancements changing people’s lives in the dental industry every day. Check in with Wheaton Oral Surgery and Implant Center to find out what tooth replacement options may be right for you!

How To Care For Your Dental Implant

man flossing dental implantCleaning and taking care of your implant is just as important as cleaning your natural teeth. Here are some things you should know about caring for your implant.

Your implant and your natural teeth are similar because they both rely on healthy tissue for support and both can build up plaque. It’s important to remove that plaque because it can develop into an infection. If the infection isn’t properly treated, it can result in a loss of bone around the implant which could progress to the loss of the implant itself.

It’s important to get your teeth cleaned on a regular basis so your dental hygienist can get that biofilm off your teeth and keep your teeth infection-free. As always, you should be brushing your teeth and flossing twice a day. Never use your teeth, especially your implant as “scissors” to open anything.

Dental implants are the closest thing you can get to real and natural teeth. They don’t require any special products or treatment. Just a simple brush and floss will do the job. They are also long lasting. If they are properly cared for, they can last a lifetime, avoiding any further dental work down the road.

With a dental implant, you can still enjoy all your favorite foods. It will not loosen or fall out if you are chewing something hard.

Overall, dental implants are meant to make life better and easier, not to add issues or interrupt your life. You don’t have to go out of your way to take care of them – a simple brush and floss will ensure that they improve your overall quality of life for many years to come.

If you think a dental implant may be right for you, call Wheaton Oral Surgery and Implant Center at 630-364-2888 to schedule a consultation with us.

Where Do Dental Implants Come From?

'children playing in dirt'Dental implants have a surprisingly rich and interesting history. Across centuries and throughout cultures around the world there is evidence of attempts at replacing missing teeth with various objects and materials.

The oldest dental implants can be traced back to 2000 BC in China, where missing teeth were substituted with bamboo pegs.

Fast forward a bit to around 1000 BC and you’ll find an ancient Egyptian King whose tomb was recently discovered along with his mummified remains; a copper peg hammered into place where a tooth once lived. This may have been the first time in history that we know of when metal implants were used.

Across the globe some time around 300 BC, an iron tooth was found in a French grave thought to be Celtic in origin. It is possible this implant may have been a post-mortem placement to honor the dead, as an attempt to perform the surgery using a live patient would have been an excruciatingly painful process.

Just 2000 years ago missing teeth were being substituted for animal teeth, and the poor were even selling their teeth to the wealthy, just to make ends meet! The body often rejected these surrogate teeth, causing infection.

More recently in 1931 in Honduras, Dr. Wilson Monroe and his wife found a jawbone amongst other artifacts, with teeth fashioned from shells and attached to the jawbone of an ancient man.

Today we are lucky enough to have dental implants that not only look and feel like real teeth, and anesthesia for the pain is also a plus. Thanks to studies conducted by Per-Ingvar Brånemark of Sweden in the 1950’s, oral surgeons have been able to perfect the process over the years to create today’s implants, which have a 98% success rate! Through a process known as osseointegration, metals and other implant materials are able to be skillfully placed so that your jaw bone actually attaches itself to the implant creating a seamless support system.

Missing a tooth or two? Give us a call at Naperville Office Phone Number 630-364-2888 to discuss your dental implant options today!

Impacted

'impacted wisdom tooth'When you hear this word in our office, it is most likely that we are talking about your wisdom teeth. And while we know that it may sound scary to have “impacted wisdom teeth”, we want you to know that, actually, it is very common.

What are impacted wisdom teeth?

Throughout evolutionary history, human mouths (jaws) have become increasingly smaller. While the jaws have gotten smaller, the amount of teeth we have has not. So now we have the same amount of teeth squeezing into a smaller space. Because wisdom teeth are the last to erupt, they often become impacted – that is, blocked by the other teeth around them. Often they are growing in sideways or unable to erupt through the gums at all due to crowding.

Why do wisdom teeth need removal?

The inability to erupt properly means that wisdom teeth can cause a lot of pain and even become infected down the road. This is the main reason that we recommend the removal of all third molars (another name for wisdom teeth). The reason that we remove them during the teen years is that the bone is still soft and recovery from the surgery is taken by the patient much better at this age. If we were to wait, your teeth may become infected, your bite crooked, and it may be too late at some point for us to take them out.

Types of Impaction:

  • Vertical Impaction – In this case, the tooth is unable to break through the gum line. Vertical impaction is very common.
  • Mesioangular Impaction – Angled toward the front of the mouth, the tooth is probably pushing on its neighbor, causing pain and crowding. This type of impaction is also very common.
  • Distoangular Impaction – This tooth is angled toward the rear of the mouth, it is uncommon.
  • Horizontal Impaction – In this case, the tooth is a complete 90 degrees from where it should be, and is likely growing into the roots of its neighboring tooth. This is very rare.

What is the removal procedure like?

You will be completely pain-free during the surgery, which takes just about an hour. You will also be sent home with instructions for pain management, eating and rest orders.

What is recovery like?

You will recover comfortably at home. You can start drinking liquids and soft foods as soon as you feel ready, but should avoid crunchy foods, extra hot or cold items, and straws (NO STRAWS!). You can expect to resume some of your normal activities a few days post-operation.

If you have any questions about wisdom teeth removal or aren’t sure if you even need the procedure, give us a call at Naperville Office Phone Number 630-364-2888!

Autograft vs. Allograft

'woman smiling after bone graft'So, you were recently told by your doctor that you need a bone graft, but you aren’t quite sure what that means.

A bone graft is a surgical procedure that is used to fix bones or joints that were damaged by trauma, and it is also used to replace bone that is missing to provide structural stability around the body, including the jawbone. There are many types of bone grafts we can use to grow bone – the two most common are autografts and allografts.

An autograft is a bone or tissue that is transferred from one spot to another on the patient’s body. It is often thought of as the “gold standard” in bone grafting because of its reliability. Its high success rate is due to the fact that it is living tissue and thus its cells are kept intact.

An allograft is a bone or tissue that is transplanted from one person to another. They typically come from a donor, or cadaver bone. The allograft is safe, ready to use and available in large amounts. The main advantage of an allograft is that it requires one less procedure than the autograft, which must first be taken from the patient. Surgical time is minimized and the recovery can be quicker. The allograft comes from a reputable and reliable tissue bank.

Knowing which bone-grafting option you will need can be confusing, but we are here to answer any questions you may have. Please schedule a bone grafting consultation with us by calling Naperville Office Phone Number 630-364-2888. We will perform a thorough evaluation of your oral health. After our evaluation, we will recommend what bone graft is best for you. We are happy to discuss your options and answer any questions you may have. We want you feeling confident with our choice and worry free.

Immunotherapy and Oral Cancer

You may have heard: Immunotherapy is proving to be very promising in the treatment of a variety of cancers, in particular lung cancer and advanced melanoma. However, immunotherapy has not found its way (yet!) into the treatment regimen for head and neck cancers. 'woman thinking about oral cancer'

What is immunotherapy?

Immunotherapy is the process of enlisting the patient’s own immune system in the fight against cancer cells. Several drugs have been used successfully to aid in the treatment of advanced lung cancers and melanoma, giving patients a longer prognosis in many cases.

Cancer Cells are Tricky

Cancer cells are notoriously sneaky – their ability to hide from immune cells is one of the reasons that cancer is so hard to treat. This is where “checkpoint inhibitors”, one of the most common classes of immunotherapy drugs in cancer treatment, come in. These drugs help to block the activation of proteins that help cancer cells hide from immune cells.

The Connection with Oral Cancer

Recurring head and neck cancers are very difficult to treat. Often they are resistant to the best chemotherapy drugs, so the hope has always been that immunotherapy drugs may some day step in to assist with the oral pathology fight. A recent trial in the UK has shown that the day may be coming sooner than we thought! The trial proved successful in extending prognosis for many of the patients.

Reduced Side Effects

The research also noted that side effects were reduced to give patients a better quality of life during treatment.

More Testing Needed

While more research is needed before the drugs receive FDA approval for the treatment of oral cancer, the good news is that because these drugs are already approved and on the market for other cancers, the application process for use in oral cancers will be quicker (and smoother) than it would be for a new drug.

At Wheaton Oral Surgery and Implant Center, our commitment to your care, comfort, health and safety is evident from the minute you walk through our door. Call us at Naperville Office Phone Number 630-364-2888 for more information about oral cancer.

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3D Printers and Bone Grafting

There is exciting news in bone grafting technology that will hopefully find its way into the oral surgeon’s office over the next decade! Researchers have been able to create a synthetic bone material using 3D printers that may be better than what is being used now. '3D printed bone graft'

3D printers create three-dimensional objects out of a variety of materials using a computer as a precise guide. Although the concept has been in the news a lot recently, the practice actually dates back to before the 21st century. In fact, 3d printing’s roots go back to the early 1980s. Since then, everything from jewelry to synthetic human organs has been printed, much to the amazement of modern society!

And now, surgeons have successfully implanted the 3D-printed synthetic bone grafting material into animals with bone defects. This “hyperelastic bone” was made using just the right combination of bioactive materials and polymers to make a material that could be layered while still wet, allowing for better adherence between layers.

Here are some of the expected benefits of this new material:

  • Very elastic, allowing for cutting without crumbling, which can be a problem with current grafting materials.
  • Blood vessels move in quickly because the material is porous.
  • Biodegradable as the body replaces it with genuine tissue.
  • Doesn’t dry out right away.
  • So far the animals haven’t rejected the implant, which could mean less complications for humans as well.
  • Could be a great option for children since it will grow with them.

While human trials are potentially five or more years away, the news is very exciting for the surgical community, and we are can’t wait to see what benefits this will bring to our patients.

To find out more about bone grafting in general or to set up a consultation with our office, please call us at Naperville Office Phone Number 630-364-2888.

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