Pacific Dental Spa

Family Dentistry

Why are we scared of surgery?

How can surgery be less invasive?

     We always are trying to avoid any surgical procedure. But sometimes it is just a matter of time before we go under the knife. Such is the example of high volume of wisdom teeth removal. By the time someone tells us that we need to do such surgery, we end up with complications and/or secondary effects caused by the delay of the extractions. For example: Teeth crowding, decay, infections, etc.

     The only way surgery can be less invasive would be if we can predict it. Preventive surgery is a new approach for non-invasive, comfortable procedures and quicker recovery.

     When surgery turns out to be an emergency caused by infection, trauma and/or other factors that involve pain and/or swelling, the cause of the need for surgery may alone be invasive. Doctors then may explore with surgery in order to make sure that they correct the problem, keep control of the situation and guaranty a safe and quick recovery.

When is it best for my wisdom teeth to be removed?

     If we only knew the options that most doctors know of, we would be able to make wiser and less invasive choices. One of the options that most patients may have, is the removal of the wisdom teeth (third molars) when they are in a developing stage. On average, the patient will be 12 years of age in order to be a candidate for this type of procedure. This is considered a preventive surgery, so there is no specific age for this surgical procedure. The younger the patient, the less invasive the procedure and the quicker the recovery after surgery. There are several factors to be considered with this option. Please go through them with your doctor. We also have to consider the fact that every person develops differently and at there own pace.

     Its is just logical to think that the extraction of a tooth in a developing stage would be less traumatic to the tissues around it, than to extract a fully developed tooth. Recovery should be comfortable and quick!

     Not many doctors have the knowledge or the ability to preform such surgery. It is always wise to have a certified maxilofacial surgeon review and do the procedure. On average, patients recover within 24hrs with this type of procedure, and experience non or minimal swelling. This surgery is done in less than 20 min on average for all four molars! We highly recommended the use of sedation to make this procedure comfortable for the patient.

How do Dental Implants work?

     Dental implants are a modern alternative in replacing missing teeth. It basically works as a screw in the bone (just like the root of a normal tooth); then 3 months after placement, the implant can be properly handled in order to rehabilitate it with a restoration, such as a ceramic crown. This procedure is done with microsurgery and provides minimal invasement. Allowing minimal or none discomfort and easy and fast recuperation ( less than 24hrs ). Keep in mind that the next best thing to replacing a missing tooth will be a bridge. This involves the mutilation of two teeth (maybe healthy) in order to restore one! Only if the pillars (teeth in front and behind the missing tooth area) are in need of rehabilitating, this would be a good alternative, but not always a cheaper one (root canals and pins and/or posts may be needed also in this case for better retention for the bridge).

What are the risks when getting a dental implant?

     In our office, we guaranty our service. This means that with dental implants the only thing you risk is your time! First you need to know that it takes about three months for an implant to integrate in to the bone structure. During this period of time the implant should be kept clean and without tampering. Afterwards, the implant may be restored with its proper crown, rehabilitating it with function and aesthetics. There is a minimal probability that there may be a rejection of the implant (7% on the Maxilla & 5% on the Mandible). It is the patients responsibility to take proper care (hygiene) of the implants once placed to avoid post surgical complications and possibly rejection. If this happens, the implant needs to be removed and allow the bone to recover again for three months. Only then a new implant should be replaced. All this done with no extra charge! It is wise to check the implant after the initial three months before the rehabilitation, to make sure that all is in order and the next step (rehab) will not be compromised.

     We always provide patients with prescriptions for antibiotics to minimize any possible complication in the recovery.