Many patients can receive dental implants without requiring additional procedures. When you consult an oral surgeon in San Diego about receiving dental implants, he or she will evaluate the amount of bone mass you have left to determine if you’re a good candidate for this permanent solution to tooth loss. Even if you do not have sufficient bone mass, you may still be able to receive dental implants safely. However, your oral surgeon may need to reposition the nerve in your lower jaw.
Reasons for Nerve Repositioning
The inferior alveolar nerve stems from the mandibular nerve and is located in the lower jaw. It’s responsible for allowing sensation in the lower lip and chin. If you are planning on receiving dental implants to replace the two back molars or premolars, your oral surgeon will need to evaluate whether there is sufficient bone mass not only to support the implants, but also to prevent any part of the implant from connecting with the inferior alveolar nerve. If the implant touches the nerve, it can result in facial pain, numbness, and other troublesome symptoms. If it is likely that the implant will touch the nerve, then the oral surgeon may recommend moving the nerve. A bone graft might also be recommended to build up the jawbone before it receives the implants.
Procedure for Nerve Repositioning
As with any type of maxillofacial surgery, the oral surgeon will provide extensive preoperative instructions to the patient. Patients may need to quit smoking and temporarily discontinue taking certain medications. To begin the surgery, the doctor will thoroughly anesthetize the area to prevent the patient from feeling any pain. Then, the surgeon will need to expose the nerve and the vessel canal by drilling a small hole in the bone. The inferior alveolar nerve is then very carefully moved to one side. This allows the surgeon to place the implants while keeping a close eye on the position of the nerve bundle.
Complications of Nerve Repositioning
Although nerve repositioning is designed to reduce the risk of complications from the placement of lower jaw dental implants, it’s important for patients to understand that nerve repositioning itself is not without its risks. Merely touching the nerve to reposition it can inflict damage. Nerve repositioning procedures do frequently result in numbness of the jaw and lower lip area. This numbness can slowly resolve, although in some patients, it may be permanent.
If you’re receiving care from an oral surgeon for problems related to your jawbone, he or she may recommend platelet-rich plasma (PRP) therapy. Offered by sophisticated oral surgery clinics in San Diego, platelet-rich plasma therapy is a safe and effective way to significantly accelerate the body’s own ability to heal itself . It involves taking a small amount of blood from a patient, processing the blood in a centrifuge to separate the plasma, and then introducing the plasma back into the patient. Because the patient’s own blood is being used, there is no risk of contamination from impurities from donor blood.
The platelet-rich plasma can be prepared during the patient’s outpatient procedure, which means that a separate clinic visit to draw the blood is not necessary. An oral surgeon may recommend platelet-rich plasma for patients who are undergoing bone grafting procedures to prepare for the placement of dental implants. PRP therapy is also ideal for use during procedures to repair bone defects or fistulas.
An impacted tooth is one that has not properly erupted from the gum line. Usually, impaction affects wisdom teeth. Since there is generally no need for wisdom teeth, the typical course of treatment is to have an oral surgeon remove them. However, treating impacted canines is more challenging because these play a crucial role in daily functioning. If you or your child has been diagnosed with an impacted canine in the San Diego area, an oral surgeon will attempt to coax the tooth to erupt normally, rather than simply extract it.
Possible Signs and Symptoms
The canines are the teeth located between the incisors and the premolars. Your two front teeth are the central incisors. The teeth adjacent to these are the lateral incisors. The canines are the teeth right next to the lateral incisors. Canines, which are also known as cuspid teeth, may be found to be impacted when a dentist takes x-rays on patients as young as seven years old. When an impacted canine fails to exert pressure on the adjacent teeth, patients may not necessarily complain of symptoms. If a partially erupted canine does push against the adjacent teeth, this can force the other teeth out of their proper positions. Additionally, impacted teeth increase the risk of tooth decay. Some patients may experience tooth pain, including pain while chewing.
Potential Causes and Risk Factors
An impacted canine tooth is more likely to be diagnosed in patients with a family history of this problem. It is also possible to experience impacted canine teeth due to the overcrowding of the front teeth, which prohibits the canines from having sufficient space to erupt properly. Other issues that can interfere with proper eruption include the presence of extra teeth or unusual growths on the gums.
Effective Treatment Options
Treating impacted canines generally requires a collaborative effort from both an oral surgeon and an orthodontist. The oral surgeon can expose the impacted canines and bracket the teeth. Any baby teeth that still remain there can be removed at the same time. Once the impacted teeth are bracketed, a very tiny gold chain is attached to each bracket. The chain is attached to the arch wire. In most cases, the oral surgeon then sutures the gum tissue closed, leaving only the exit path of the gold chain. The orthodontic appliance can help guide the tooth into the proper place as it erupts.
Has your oral surgeon informed you that you may require dental implants after a tooth extraction in a clinic in San Diego? Are you curious about the types of gum disease? Do you want to know what bacterial biofilms are? Then download the Gingivitis Disease app from Droid Clinic, available for Android devices.
This app is an easy way to compare your signs and symptoms to those that are characteristic of gingivitis the earliest stage of gum disease. You’ll also get the breakdown on the two primary categories of gingival disease, along with their many subcategories. If any of your symptoms are comparable to those listed in this app, be sure to schedule an appointment right away. Remember that visiting your dentist every six months, brushing at least twice daily, and flossing at least once daily are essential steps for reducing your risk of requiring tooth extraction.
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