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Treating Gum Disease with Oral Surgery

Treating Gum Disease with Oral Surgery

Gum disease is a serious problem. You should treat it as soon as possible following the recommendations of your dentist. Also known as periodontal disease, it has several treatments, depending on the severity of the issue.

Your first course of action is to completely revamp your oral hygiene habits. Daily flossing and brushing following meals are essential habits to develop. You must have a clean mouth before you go to bed. If you smoke, you should stop. Your mouth’s health depends on it.

If you haven’t been keeping up with your professional checkups and cleanings, you need to start again. Long-term gum health is greatly impacted by the plaque, tartar, food debris and bacteria left on teeth. Hardened calculus, or calcified plaque, can be removed using a process called scaling. This process may require local anesthesia.

Your progress will be evaluated by your dentist to see if your gum tissue is recovering. With enough progress and response to treatment, your gum disease treatment may not progress beyond these initial steps; however, for more severe cases of gum disease, you may require oral surgery.

Surgical procedures are available that can regenerate and repair the soft gum tissue in the mouth, as well as hard tissues such as bone or teeth. Your oral surgeon will want to reduce or completely eliminate gum pockets, or open areas beneath the gum line, improving and renewing gum to tooth attachment. Normal oral functions and aesthetic appearances are aimed to be restored.

There are many sedation dentistry options available to patients treating their gum disease with oral surgery. These include local anesthesia and IV or conscious oral sedation. Talk to your oral surgeon to see what’s appropriate for your specific needs.

Don’t wait to treat your gum disease. Do what you need to do to ensure a lifetime of better oral hygiene and gum health.


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Oral Surgery Frequently Asked Questions

Oral Surgery Frequently Asked Questions

If oral surgery is in your future, you might be worried about what’s to come. The way to relieve that worry is to talk to your oral surgeon. Your oral surgeon has the experience and knowledge necessary to guide you through whatever concerns or questions you may have. Here is a guide to some of those questions and answers:

How will I handle pain following surgery?

  • In many cases, you will have been prescribed narcotic pain relievers. If you are taking narcotics, take them only as recommended and do not mix them with over-the-counter pain relievers or alcohol. Driving while on narcotics is dangerous and can have serious consequences for you personally and for others. If you weren’t prescribed any medication, use anti-inflammatory analgesics such as ibuprofen or naproxen sodium.

What will happen to my stitches in the days following surgery?

  • Some stitches will be designed to dissolve over time and will not need to be removed. Others will not come out on their own and will need to be removed at a subsequent appointment. In many cases, losing a single stitch or two in the days following surgery isn’t serious; however, for bone-graft treatments, it is problematic and you should contact your surgeon immediately.

Can I eat normally after surgery?

  • Immediately after surgery when you’re still experiencing any mouth or tongue numbness, don’t eat anything. You could mistake the soft tissues of your mouth for food and do serious damage to your mouth without realizing it. After your numbness subsides, consume soft foods of tepid temperatures for several days to allow for healing. Talk to your surgeon to learn when you can resume normal eating patterns as dictated by your particular surgery.

What other tips do you have?

  • Stay hydrated and rest as much as possible to facilitate complete and quick healing. Call your surgeon if you have excessive bleeding or pain that doesn’t lessen with time. Be aware of signs of infection (swelling, redness, odorous or sour discharge) at the surgical site and seek professional care when needed.

Our dental office is located in Central Falls

Corrective Jaw Surgery

Corrective Jaw Surgery

Oral surgery to correct problems with the jaw is known as orthognathic surgery. Jaw issues can result from birth defects, changes due to growth, or injury or trauma to the face. While orthodontics can correct bite problems when only the teeth are involved, oral surgery may be required when repositioning of the jaw is necessary to correct the issue. If you suffer from any of the following concerns, orthognathic surgery may be a consideration:

  • Difficulty chewing, biting or swallowing
  • Problems with opening and closing your mouth, or with speaking
  • Persistent jaw or temporomandibular joint pain
  • Clenching or grinding of teeth causing excessive wear to the teeth
  • Inability to make the lips meet without straining
  • Un-proportional facial appearance or protruding jaw
  • Malocclusion, open, or incorrect bite
  • Recessive lower jaw and chin
  • Habitual mouth breathing
  • Sleep apnea and breathing problems
  • Facial injury or trauma

Most jaw surgeries are performed completely in the mouth, so no facial scars are visible. The oral surgeon makes cuts in the jawbone and then moves them to the correct position. Once the jaw is correctly aligned, screws and bone plates are placed to secure the jaw into the new position. Sometimes it may be necessary to add extra bone to the jaw from your hip, leg, or rib.

Orthognathic surgery is performed by an oral and maxillofacial surgeon usually in a hospital setting. Recovery time from jaw surgery takes three to six weeks. Your general or family dentist should be able to refer you to a skilled oral surgeon for a consultation and examination to determine a treatment plan. Jaw surgery can improve not only your facial appearance, but also chewing, speaking and breathing functions.

We treat patients from Central Falls and the surrounding area

Oral Surgery FAQ

Oral Surgery FAQ

If you or a loved one is scheduled to have or has recently had oral surgery, you probably have a lot of questions. Here are some of the most common questions:

  • One of my stitches came out after my surgery, should I be worried? Losing a stitch isn’t a problem. In the majority of cases, stitches are put in place during surgery to assist in clot formation and bleeding control. If you have undergone a bone-graft procedure, however, contact your surgeon because you may need to be seen immediately.
  • What can I eat after surgery? Immediately following surgery, eat only soft foods of tepid temperature. Avoid very hot or very cold foods. Eat nothing that is crunchy or chewy so you won’t damage the surgical site.
  • I am having a lot of pain following my procedure, what should I do? If you have been prescribed pain medication, take it as recommended. If no prescription was given, use over-the-counter medicines containing natural anti-inflammatory properties such as ibuprofen. Stay hydrated by drinking room temperature water and get plenty of rest.
  • I had a tooth extracted, how can I tell if I have a dry socket? Dry socket is the result of the loss of the blood clot present in the extraction site. Smoking, using a straw, poor oral hygiene or failure to rest properly following the extraction procedure can lead to this condition. Typically dry socket will present within one week of extraction and is treated with sterile wash and pain-relieving, medicated gauze.
  • I had a procedure this morning and am still bleeding. Is that normal? Bleeding following extractions or other surgical procedures is common. If you are bleeding more than normal, bite down on some sterile gauze or a damp teabag for twenty or thirty minutes. Don’t keep removing the gauze to look for blood; that can make the bleeding worse. Call your surgeon if you feel your bleeding is excessive.

Your oral surgeon can answer these questions and more. Don’t hesitate to call the surgeon’s office to get the peace of mind you require to heal comfortably following your procedure.

We treat patients from Central Falls and the surrounding area

Dealing With Pain Following Root Canal Therapy

Dealing With Pain Following Root Canal Therapy

Root canal treatments are specifically designed to relieve the tooth pain associated with an infected tooth root. Patients come in with pain, and often leave the procedure with less discomfort than before. However, if you’ve recently had a root canal treatment on one or more of your teeth, you might be experiencing discomfort following the procedure. Fortunately, there are things you can do at home to take care of it.

Are your gums sore, tender or swollen surrounding the affected tooth? This is likely the result of the tiny metal clips that affix a rubber dam around the tooth, protecting it and protecting your mouth. The clips are attached along the gum line, and can leave tiny bruises or sometimes small cuts in the soft gum tissue. This pain should alleviate within two days of the treatment.

Is the tooth itself sore? This is a common occurrence and is typically the result of an inflammation of the mouth tissues that encase the tooth root. The tools used by the endodontist to perform the procedure can irritate the tissues.

Both of these types of pain can be dealt with by several over-the-counter analgesics. The ones that are most recommended to treat dental pain are those that possess anti-inflammatory agents: naproxen sodium, ibuprofen or aspirin, etc. If you are also taking narcotics prescribed by your dentist, do not take any further medication, over-the-counter or prescription, until you have checked with your dentist. Dangerous reactions can occur.

If you have been prescribed antibiotics, do not stop until you have completed each recommended dose. This ensures that your tooth remains free of infection and can heal thoroughly.

Ask your endodontist if you have other concerns about treating your post-root canal treatment pain.


We treat patients from Central Falls and the surrounding area

The Value of Root Canal Therapy

The Value of Root Canal Therapy

A toothache can ruin your life, at least until you have treatment that relieves the pain. Headaches, mouth pain, or inability to chew can all accompany a tooth problem. It is not unusual for tooth pain to be linked to tooth decay, and when it becomes advanced you just can’t ignore it. This is when root canal therapy is valuable.

What is the procedure?:
Root canal treatment focuses on the pulp cavity, which is the inside of the tooth. When the pulp is infected or inflamed, it needs to be completely removed from the tooth in order for it to heal. It doesn’t matter if the damage to the pulp results from severe decay, tooth fracture, faulty crown, repeated dental procedures, or trauma. Even if the damage isn’t visible or causing unbearable pain, the bottom line is that the interior of the tooth must be cleaned out, disinfected and sealed to prevent future infection. A crown is typically placed on top of the tooth to protect it and complete the procedure.

Why is it necessary?:
If left untreated, an infected pulp can lead to intense pain or spread to other parts of the body. Root canal treatment is the best way to save the tooth and restore its function. Other benefits of the procedure are maintaining the tooth’s natural look, protecting other teeth from excessive wear, restoring normal chewing ability, and allowing normal sensation and biting force.

How long does it take?:
The procedure is more routine than you might think. An experienced dental professional can complete the process is one or two appointments, depending on your specific case. Once the procedure is complete, your repaired tooth should last as long as the rest of your teeth.


We look forward to seeing you in our Central Falls dental office