• Examining the Role of PRP in Your Oral Health Care

    Platelet-rich plasma (PRP) therapy is an exciting medical development currently in use in multiple fields’ from orthopedist clinics to oral surgery offices in San Diego. PRP essentially magnifies your body’s own healing abilities to help you recover faster. If your oral surgeon agrees that PRP therapy is right for you, you’ll have a small amount of blood taken and processed. The platelet-rich plasma, which contains concentrated growth factors, is then reintroduced to the surgical site to support healing. dentist - repair

    PRP for Fistula Repair

    Fistulas are abnormal pathways between structures. An oronasal fistula is a pathway between the nose and the mouth. An oromaxillary fistula is a pathway between the roof of your mouth and one of the sinus cavities on either side of your nose. It’s possible to be born with a fistula, or it may develop from trauma or surgery, such as a cleft repair. Fistulas can also develop from oral abscesses. Your oral surgeon can perform a fistula repair to close off the hole. PRP therapy can play a vital role in fistula repair because it contains bone morphogenic protein (BMP). This protein encourages the formation of new bone tissue to heal the area.

    PRP for Bone Defect Repair

    All medical treatments have the potential for complications, and oral surgery is no different. Sometimes, after the surgeon extracts an oral cyst or a failed tooth, a bone defect may develop. This refers to the deterioration of the bone mass. Bone defects can also develop as a result of periodontal disease, facial trauma, unanchored dentures, facial tumors, and teeth misalignment. Oral surgeons can use platelet-rich plasma to build up the deteriorated bone mass. The surgeon can saturate the area with PRP, and apply bone substitute materials to restore the integrity of the bone.

    PRP for Dental Bone Grafting

    Oral surgeons may perform bone grafting as a precursor to dental implant surgery. The bone graft adds mass to an area where the jawbone has deteriorated and is not capable of securely supporting an implant post. Your surgeon can use PRP therapy when placing the bone graft material to help strengthen the new bone tissue and heal the area more quickly.

  • Why Dental Implants Might Fail and How to Prevent It

    When the procedure is performed by a skilled oral surgeon, dental implants have a high rate of success. But sometimes, problems do occur. Before getting dental implants, talk to a specialist in San Diego about the potential risks, causes of implant failure, and ways of preventing these problems. With careful research and dentist-guided preparation, you can look forward to having your new smile for a lifetime. Dental Implants Procedure at Center for Oral & Facial Surgery


    Infections are among the most common reasons for failure of oral implants. An oral infection that occurs after a dental implant procedure is called peri-implantitis. This infection results in inflammation of the gum tissue and, if left untreated, damage to the bone mass that is supporting the implant post. As a result, the implant may fail. Occasionally, these infections may develop from bacterial contact during the surgery or from leakages of dental cement, but becoming a patient of a board-certified oral surgeon can significantly reduce this risk. One common cause of peri-implantitis is smoking, which is why oral surgeons often require patients to quit smoking before having the procedure. Smoking increases the risk of oral infections in part because it inhibits blood flow, which is necessary for proper healing. Some possible signs of peri-implantitis include:

    • Bleeding gums
    • Reddened gums
    • Deepening gum pockets
    • Pus

    If you notice any of these symptoms, make an appointment with the dentist right away.

    Osseointegration Failure

    After the dentist places the implant post beneath the gum line, the area is left to heal for several months before the next procedure can be performed. During this period, the jawbone fuses to the dental implant to keep it firmly in place. This process is called osseointegration. Failed osseointegration is another possible reason for dental implant failure. It’s indicated by the loosening or falling out of the implant, or by the loss of bone mass. Osseointegration failure can be caused by a number of factors, including physical trauma to the jaw, infection, inaccurate positioning of the implant, and the use of certain medications. It might not always be possible to prevent osseointegration failure, but taking the following steps will certainly help:

    • Choosing a board-certified implant surgeon
    • Quitting smoking, if applicable
    • Avoiding high-contact sports during the healing process
    • Discussing medications before having the surgery

    Allergic Reactions

    Most implant posts are composed of titanium alloys. Rarely, a patient may have an allergic reaction to the titanium, which can cause implant failure. Patients can be checked for titanium allergies with the MELISA test.

  • Tips for Talking to Your Oral Surgeon About Your Dental Care Phobia

    Despite the many ways in which dental care professionals can help keep patients comfortable during their treatment, fears about visiting the dentist are not uncommon. If you feel anxious about your upcoming appointment with your oral surgeon in San Diego , then continue reading for tips on speaking with him about your dental care phobia. oral - surgeon

    Consider the Cause

    You already know that you don’t like visiting the dentist because of the fear and the anxiety that you feel. However, thinking about what exactly triggers your phobia may help you and your oral surgeon come up with ways to address it. Commonly, dental care phobias begin with a single bad experience at the dentist, usually one that occurred during childhood. Consider what makes you most anxious about going to the dentist and speak with your oral surgeon about possible solutions.

    Develop a System

    Feeling out of control during their treatment is one reason why many individuals with dental care anxiety feel fear about visiting their dentist or oral surgeon. If this sounds like you, then speak with your dental care professional about using a system of communication while your teeth are being worked on, such as a simple hand signal or two that mean you need a break or have a question.

    Remember to Communicate

    Often, patients delay dental treatment because of their anxiety about being in the dentist chair and their reluctance to speak about it with their dental care professional. Communicating openly is critical when it comes to discussing your dental care phobia with your oral surgeon. For this reason, you may benefit from writing down a list of questions or concerns that you have prior to your appointment. Do not hesitate to speak about these issues with your oral surgeon. One topic that you should consider bringing up is what options are available for sedation. Today, many dental professionals offer solutions for helping patients stay relaxed throughout their appointment.

  • A Look at Pain Management During and After Tooth Extractions

    When a tooth cannot be saved, is taking up necessary space in the jaw, or becomes impacted, dental surgeons often recommend tooth extraction. If you’re scheduled for a tooth extraction in San Diego , then continue reading to learn about pain management for this type of procedure. Tooth extraction clinic in San Diego, CA

    Before Your Tooth Extraction

    Depending on the patient and the details of the tooth extraction procedure, pain management in the form of nitrous oxide (laughing gas,) local anesthesia, or I.V. sedation can be used. If you are to receive I.V. sedation for a tooth extraction scheduled in the morning, then you will be instructed not to smoke, eat, or drink after midnight on the night before your procedure. For an afternoon appointment, you will be asked not to smoke, eat, or drink for at least 6 hours leading up to your appointment.

    During Your Tooth Extraction

    When getting ready for your appointment, you should wear comfortable clothing that is loose fitting and has short sleeves. Also, remember to remove your jewelry and contact lenses. Patients who will be getting I.V. sedation will not be able to drive themselves home, so they must arrange for transportation to and from their procedure. However, you can drive yourself home from your appointment and eat and drink as usual if you’ll be getting laughing gas or local anesthesia.

    After Your Tooth Extraction

    You may experience pain and swelling following the procedure, so it’s important for you to take your pain medication as directed. If you feel that your pain medication isn’t working effectively, then you should contact your oral surgeon’s office. To support your recovery, stay well-hydrated during this time and eat healthy foods that are soft and easy to eat. As soon as you feel comfortable enough to do so, you can return to eating normal foods. You should resume your normal oral hygiene routine after 24 hours, and your regular activities within a few days. If you still have significant swelling or severe pain a few days after your procedure, then contact your oral surgeon’s office right away.

  • Treatment Options for Various Types of Facial Traumas

    Have you known someone who had to go to an emergency dentist in San Diego for a knocked out tooth and wondered how they were treated? If so, then read on to learn about the treatment options for this and other types of facial traumas . Treatment Options for Various Types of Facial Traumas

    For Tooth and Dental Structure Injuries

    Dental emergencies for damaged teeth and their surrounding structures are relatively common, and some examples of treatments for these types of traumas include replanting knocked out (avulsed) teeth, repairing broken teeth, extracting a tooth, and adding a filling to a decayed tooth. These treatments can require the expertise of emergency dentists in different specialties. Oral surgeons, for example, are often responsible for treating fractures to the bones that support teeth and for replanting teeth that have been knocked out. For broken teeth, restorative specialists may be called upon to rebuild the tooth structure, protect it with a crown, or recommend dental implants for injuries that require tooth extraction.

    For Maxillofacial Soft Tissue Injuries

    When a patient has a soft tissue injury to the maxillofacial area, which includes the jaw and face, suturing is the most common repair method. These injuries are often lacerations to the skin and sometimes the tissues underneath. For these types of facial traumas, achieving the best cosmetic result is a priority. However, maxillofacial surgeons also inspect for and treat damage to structures like salivary glands and facial nerves.

    For Maxillofacial Bone Injuries

    Facial and jaw bone fractures are treated with similar approaches to bone injuries in other parts of the body, but without the use of any casts. Different methods of stabilization are employed for these injuries, and the form of treatment can be influenced by factors like the patient’s age and general health or the location and severity of the trauma. Certain types of jaw fractures can be addressed by wiring the upper and lower jaws together. In other cases, small plates and screws are surgically placed at the site of the injury. These facials traumas are treated in ways that should minimally affect the patient’s facial appearance.

  • Answering Common Questions About Dental Implant Aftercare

    A dental implant near San Diego can transform your oral health and give you a smile that you can once again feel proud of, but many people feel somewhat nervous before going into this type of procedure. Whether you are undergoing dental implant treatment or a routine tooth extraction, you might have questions about the restoration. It is also essential to understand how to take care of your new restoration to keep it in top shape and ensure that it enjoys a long and efficient working life. Read on if you are interested in answering common questions about dental implant aftercare.


    What kind of diet should I follow?

    After undergoing any kind of dental procedure or restoration, you should be cognizant of the foods and drinks you choose to consume. You will likely receive a local anesthetic to numb the area during your dental implant treatment, so you should wait until the numbing effects subside before eating any food. In the meantime, stay away from hot drinks and stick to cold beverages. You should also stay away from hard foods during this time period to make the healing process as easy as possible.

    How do I know if there’€™s a problem?

    The risk of complications from a dental implant procedure is very unlikely but you should know when to contact your surgeon after your procedure. In rare cases, you may experience damage to the nerves that manifests as tingling and numbness. This is usually due to temporary ‘€œbruising’€ and resolves itself quickly. While highly unlikely, you could also experience sinus problems and injury to neighboring teeth. Talk to your dentist if you notice any of these issues.

    Dental implant treatment is considered safe and effective, but the quality of the procedure depends on the skill and experience of your dental professional. Doctors Eckstein, Oleksy and Gile are all board certified oral surgeons with extensive training in the placement of dental implants. Feel free to call our office for a complementary consultation to find out more about the process.

    How do you clean dental implants?

    Just like any other dental restoration, it’€™s important that you take care of your dental implants. Be sure to brush your natural teeth and your dental implants twice each day. In addition, floss in between them every day. Remember to keep your dental appointments for optimal care.

  • Spotlight on Fixed Bridge Dental Implant Procedures

    In the field of dentistry, dental implants are considered to be the optimal solution for missing teeth. However, this restorative treatment can be used in ways other than simply replacing one missing tooth. Depending on the location and number of missing teeth that a patient has, different types of dental implant restorations can be utilized. If you have missing teeth that are adjacent to one another, then your oral surgeon in San Diego may recommend a fixed bridge dental implant prosthesis .

    Traditional dental bridges fill in the gap left by missing teeth using two crowns that are attached to the neighboring teeth, and these crowns hold replacement teeth between them to form a bridge over the gap. A fixed bridge dental implant restoration works in a similar way, but uses dental implants to hold the bridge in place, rather than dental crowns. For patients who have more than a few missing teeth that are adjacent to one another, oral surgeons may add a third dental implant to support the bridge. A fixed bridge dental implant procedure is an excellent way to restore a patient’€™s smile and dental function.

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  • Planning for Your Dental Implant Surgery Recovery

    Many people in the San Diego area choose dental implants because they offer a superior alternative to dentures. If you are planning to undergo dental implant surgery, you should be fully informed of what to expect from the recovery process. Talk to the dental implant surgeon about the steps you need to take to prepare and how long you can expect your recovery to last. dental - implant - recovery


    There will be some bleeding after oral surgery, but it should not be excessive or prolonged. You have an increased risk of excessive bleeding after surgery if you take blood-thinning medications or supplements. Share your full list of medications and supplements with your surgeon, including any over-the-counter pills you take. You might be instructed to temporarily discontinue certain medications. You may be prescribed pain relievers and antibiotics to use after the surgery.

    Oral Hygiene

    Maintaining good oral hygiene will be a crucial part of your recovery from dental implant surgery. If your toothbrush is worn out, now is a good time to replace it with a soft-bristled brush. If you have trouble opening your jaw because of temporomandibular joint (TMJ) disorder or another problem, consider investing in a toddler-sized toothbrush, which will feature a small brush. You may be asked to use saltwater rinses to reduce the risk of infection, so make sure you have table salt on hand. You should also have a few cold packs in your freezer, which are used to minimize swelling after surgery. A couple of bags of frozen peas will work.


    You should not drive after oral surgery; arrange to have a responsible adult drive you home afterward. That person should stay with you for the rest of the day. Expect to take a few days off from work, especially if you have a job that requires bending, lifting, or strenuous physical activity.


    You may need to go grocery shopping ahead of your scheduled surgery. Stock up on soft foods like yogurt and pudding. Soup and hot cereal are also good choices, but you’€™ll need to cool these items down before you can eat them.

  • Get the Facts About Periodontal Disease

    Periodontal disease is one of the most common causes of tooth loss and the need for dental implants. By catching periodontal disease in its early stages, it may be possible to avoid the need for implants or dentures in San Diego .

    Watch this video to learn more about periodontal disease and how it leads to tooth loss. As plaque and bacteria gather along the gums, an immune response is triggered that causes inflammation. Without treatment, the tooth will loosen and become unattached to the gum. When this occurs, it almost always must be extracted and replaced by dental implants or dentures. In addition to causing tooth loss, periodontal disease can increase the risk of heart attack, stroke, pregnancy complications, and high blood glucose levels.

  • Symptoms and Treatments of an Impacted Eyetooth

    Eyeteeth are the canines in the upper jaw that are right below the eye sockets. Occasionally, these teeth do not erupt through the gum properly and instead become impacted. When this occurs, it is usually necessary for an oral surgeon to expose the affected tooth or teeth to prevent complications. Often, a dentist will identify an impacted eyetooth during a normal exam, but it is also possible to experience symptoms before a diagnosis is made or after allowing the impaction to persist without treatment. If you experience any of these symptoms of an impacted eyetooth, see an oral surgeon in San Diego for treatment. eye - tooth


    The most obvious symptom of an impacted canine tooth is that the tooth is not visible or that a baby tooth remains in position into the teenage years. If the impacted tooth is not treated, other symptoms may appear, including difficulties with chewing and speaking. Impacted teeth can also cause pain at the location of the tooth as well as referred pain the jaw and neck. The longer the tooth is not treated, the more symptoms may appear. In the long term, cysts, infections, and internal and external root resorption are possible. When these symptoms occur, an oral surgeon may have to remove the tooth completely, causing the patient to need a dental implant.


    The treatment of an impacted canine depends on a number of factors, including the age of the patient. If the problem is diagnosed early, braces may be used to create a space for the impacted tooth, which may erupt on its own when space is made or may erupt after oral surgery to remove any blockages. If the tooth does not erupt by itself, an oral surgeon may open the gum to expose the tooth, removing any remaining baby tooth, and attach a small chain to the tooth that is later attached to braces wires to gently coax the tooth into position. When this doesn’€™t work, it may be necessary to remove the tooth completely and replace it with a dental implant. The older patients are when they seek treatment for an impacted eyetooth, the more likely it is that the oral surgeon will have to remove the tooth.