IOMSA

FAQs: Wisdom Teeth

Question Mark Patients 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 Administration Office Phone Number 317-913-2363 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 Administration Office Phone Number 317-913-2363.

When Should You Consider Dental Implants?

Dental Implants You may have heard in the past that dental implants are one of the most effective ways to replace missing or damaged teeth. Dental implants are a great option for a lot of different situations, but when is getting a dental implant the best option for you? There are a few circumstances where receiving an implant might be the best option for improving your smile.

Dental implants typically consist of three components: the post, the abutment, and the restoration. The post is a screw which is inserted into the bone. The abutment is attached to the post and the restoration is placed on top, giving the finished product a beautiful, realistic look.

To restore and preserve your appearance.

One of the main functions of dental implants is to restore a smile back to its original glory. They are built to last a lifetime and last much longer than dental bridges. If you are looking for a permanent solution to damaged or missing teeth, dental implants are your best option.

To protect and preserve a healthy jawbone.

Missing spaces in your smile can lead your jawbone to deterioration, which causes it to lose its strength. Dental implants are the only option which will protect and save your natural bone. Waiting to get a dental implant can continue to increase the chances of your jawbone not being able to support dental implants in the future.

To stop your teeth from shifting.

Losing a tooth can cause the surrounding teeth to shift and look unnatural. These teeth can become crowded or can be shifted unevenly. This can cause your teeth to become harder to clean and can also cause your face to sag and appear sunken.

These are just a few of the instances in which you should consider getting dental implants. Dental implants are one of the most useful and successful restoration options available today. For more information on how we can restore your smile with dental implants, contact Indiana Oral & Maxillofacial Surgery Associates at Administration Office Phone Number 317-913-2363 today.

5 Things You Might Not Know About Oral Cancer

RibbonOral cancer consists of any head and neck cancer (excluding brain cancers – which is its own category). The death rate of oral cancer is unfortunately very high because people find out about oral cancer too late. This is why it is important to practice regular self-examinations in order to be proactive and seek treatment early.

1. 450,000 new oral cancer cases are discovered worldwide each year

While this number is only an estimate, it shows how many people are being affected by oral cancer and why this topic should be taken seriously.

2. HPV is a leading cause of oral cancer

There are many strains of HPV, but HPV-16 in particular has a strong connection to oral cancer. Most HPV strains cause warts or cervical cancer and some have a small connection to oral cancer. For people with HPV, it is important to practice regular oral self-exams in order to be proactive about oral cancer.

3. Oral cancer affects more men than women

Oral cancer affects men over women on a 2:1 ratio. This correlation may be due to men smoking and drinking more than women, although studies have shown oral cancer among women is on the rise. No matter your gender – practice clean oral health practices.

4. Alcohol and tobacco are huge risk factors

These two risk factors are considered lifestyle risk factors. When you think of smoking heavily, your first thought probably is lung cancer. However, that is not the only cancer that smoking causes, as roughly 80% of people with oral cancer are heavy smokers. Alcohol is another huge risk factor as 70% of oral cancer patients are heavy drinkers.

5. If oral cancer is discovered early enough, the cure rate is around 90%

The biggest concern about oral cancer is that it is not discovered soon enough. That is why it is important not to overlook any suspicious bumps that appear in your mouth, and to give your oral surgeon a call as soon as you see it.

Head and neck cancers are not usually discovered soon enough. Make sure you are practicing regular self-examinations, and contact our office today at Administration Office Phone Number 317-913-2363 for an oral cancer screening!

Are You At Risk For Oropharyngeal Cancer?

Early diagnosis can be a key component to giving you a fighting chance against the various types of head and neck cancerCancer cells. There are many physical symptoms to look for when recognizing the signs of oral cancer aside from more commonly known warning signs such as a lump in the throat, mouth sores, and swelling of the jaw. These often mimic less serious conditions such as headaches, coughing, vocal changes, and a sore throat. Some also report ear pain, loss of hearing, or a ringing in the ears.

Risk Factors for Oral Cancer

Factors found to put you at a greater risk for oropharyngeal cancer include poor nutrition, using tobacco products, sunlight exposure (particularly in cases of lip cancer), alcohol abuse, radiation exposure (usually from a previous treatment) and HPV.

Alcohol, Tobacco and Oral Cancer

It is believed that at least 75% of head and neck cancers are linked to tobacco and alcohol use. Abstaining from using these substances can drastically decrease your risk, but it is also important to realize that genetics play an important role in the way that our immune system reacts and so some will be more genetically predisposed to cancer than others.

HPV and Oral Cancer

Another large factor causing oropharyngeal cancer (involving areas such as the back of the throat, tongue, and tonsils) is the Human Papilloma Virus (HPV). Doctors have recently found that somewhere between 50-70% of oral cancers are caused by HPV, which doesn’t show symptoms in those it infects until much later according to the Head and Neck Cancer Alliance. Although there is a vaccination for this virus, there is currently no cure. There are nearly two hundred strains of it, and it is estimated that somewhere between nine and fifteen are cancer causing. About fourteen million people become newly infected each year and most sexually active men and women will contract at least one type of HPV at some point in their lifetime.

While studies now show that HPV now accounts for about 70% of oropharyngeal cancer, many cancers are believed to be a caused by a combination of using tobacco and alcohol as well.

In any case, early detection is the key to leaving yourself open to the best possible outcome. Call us at Administration Office Phone Number 317-913-2363 to schedule a screening today!

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 Indiana Oral & Maxillofacial Surgery Associates, 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 Administration Office Phone Number 317-913-2363.

New Trends In Dental Implants

implant A 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 Indiana Oral & Maxillofacial Surgery Associates to find out what tooth replacement options may be right for you!

Tooth Extraction – Managing Pain

'man kicking away pain'The Procedure Itself

Thanks to a wide variety of anesthesia choices available to us these days, you should feel no pain during your extraction.

 

After the Surgery

 

  • Over-the-Counter Medicines: Generally speaking, over the counter non-steroidal anti-inflammatory medications such as Ibuprofen are all that you will need following your surgery.
  • Staying On Top of Pain: It is very important to stay on a strict schedule of medication the first few days following your surgery. Getting behind on medication will result in more pain and may even make it difficult to catch up with pain control again.
  • Ice for Swelling: We want you to ice your cheeks for the first 24 hours following surgery, twenty minutes on and twenty minutes off alternating. Managing swelling can help greatly with pain management, and the act of icing may even feel good on its own.
  • Rest: Your body was expertly designed with high-tech systems in place to heal – but you have to give it the space and conditions to do so. Rest is one of the most important things you can do to help your body heal faster.
  • Salt Rinse the DAY AFTER Surgery: The day after surgery, you should rinse your mouth very gently with a mixture of one cup of warm water and ½ teaspoon of salt. You may do so up to 4 times a day. Designed to gently clean the wound site (but NOT dislodge the blood clot), some patients also feel that the warm water helps with pain relief.
  • Prescriptions: Most often, our patients do not require prescription pain medication post-op. However, in the case that we feel your case calls for such, please keep the following in mind:
    • Antibiotics – If we have ordered antibiotics for you, you must take them on schedule and for as long as we prescribe – Never stop antibiotic treatment prematurely without our specific orders.
    • Pain-Killers – In the event that you require prescription pain killers, please note that we are required to prescribe these sparingly and in accordance with certain laws, due to rising rates of substance abuse. You can help keep these drugs off the street by taking only what you need, and taking unused pills to a pharmacy for safe disposal – never “keep them around” in your cabinet for future use.

For more information, please visit our surgical instructions page and feel free to call us at Administration Office Phone Number 317-913-2363

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 Administration Office Phone Number 317-913-2363. 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.

Oral Cancer Among Men to Increase in 2017

'man thinking about oral cancer'A recent study by the American Cancer Society reports that oral cancer cases in men is expected to increase in 2017 by 4%, while the rate of new cases among women stays the same year over year. “Oral Cancer”, which is a common way to refer to all head and neck cancers, involves cancer of the oral cavity, lips, tongue, pharynx and esophagus.

Unfortunately, oral cancers often go undetected until their later stages when they are more difficult to treat, giving them an even worse reputation than many other cancers.

Oral cancer is more likely in those who:

  • Drink Alcohol Excessively (more than 2 drinks a day for men and more than 1 drink a day for women)
  • Smoke or Chew Tobacco
  • Have HPV (certain strains of the HPV virus are known to cause oral and other cancers)

HPV and Oral Cancer

Along with the rise of HPV among men has come the rise of oral cancers as well. Unfortunately, it has now been estimated that half of U.S. men are infected with HPV. While most of these will not go on to develop cancer, certainly, these increases may continue to create a rise in head and neck cancers until the disease is brought under control.

What You Can Do

Prevention and detection are the most important things when it comes to the fight against oral cancer. With early detection, we can do better for survival rates and, as we have seen with general cancer cases, prevention in the form of abstaining from tobacco and drinking in moderation can reduce the number of cases over time. In order to protect yourself and your family and help us with survival rates, we urge you to see us for an oral cancer screening. It only takes a few minutes for us to examine you – and it could save your life.

For more information on oral cancer, call us at Administration Office Phone Number 317-913-2363 or visit oralcancerfoundation.org.

Why do we have wisdom teeth, anyway?

'woman thinking about wisdom teeth'Wisdom teeth were once an extremely valuable asset to our ancestors. When a typical diet consisted of chewy plants and uncooked meat, third molars (wisdom teeth), which fit easily into our ancestors’ larger jaws, were absolutely necessary. Wisdom teeth were the evolutionary answer to the need for chewing power to combat excessive wear.

Today, our diets are not as rough as those of our ancestors. With modern marvels like forks, spoons, and knives, as well as softer food, the need for wisdom teeth is virtually nonexistent. And yet, on average, about 65% of the human population is born with wisdom teeth which usually erupt between the ages 17 and 25.

Although wisdom teeth were incredibly advantageous for our ancestors, they pose a bit of a problem for the modern mouth. Humans have evolved to have smaller jaws, and so wisdom teeth are often either too big for the jaw or the jaws themselves are just too small. Either way, third molars crowd the mouth. Because of this lack of space, molars often grow sideways, only partially emerging from the gums, or actually get trapped inside the gums and jawbone.

These impacted wisdom teeth can be chronically contaminated with bacteria associated with infection, tooth decay, inflammation, and gum disease. And because they’re so far back in the mouth or trapped underneath gums, it’s difficult and sometimes impossible to keep them clean. Even when wisdom teeth come in fully, they are so far back in the mouth that it’s just too easy for food to get trapped, leading to plaque, cavities, and gum disease.

Although wisdom teeth were very important to our ancestors, nowadays, they pose a serious problem to oral health. Call Indiana Oral & Maxillofacial Surgery Associates to find out if your wisdom teeth are ready to come out!