Oral and maxillofacial surgeons are specialists with advanced training and expertise in the diagnosis and treatment of various head and neck conditions and injuries.

An Oral and Maxillofacial surgeon can diagnose and treat a wide variety of conditions. The following are just some of the many conditions, treatments, and procedures oral and maxillofacial surgeon deal with on a daily basis:

• TMJ, Facial Pain, & Facial Reconstruction
• Dental Implants
• Tooth Extractions & Impacted Teeth
• Wisdom Teeth
• Misaligned Jaws
• Cleft Lip & Palate
• Apicoectomy
• Oral Cancers , Tumors, Cysts, & Biopsies
• Sleep Apnea
• Facial Cosmetic Surgery

Whether your dentist refers you to our clinic, you have pain or symptoms causing you concern, or you simply have questions you would like answered, please contact us on 8137999943 / 9446239984 or email us your query on info@monarchdentalcare.in to schedule an appointment. The procedures in our clinic include the following :

SIMPLE TOOTH EXTRACTIONS IN MONARCH DENTAL CARE

If you are experiencing extreme sensitivity or are suffering from advanced periodontal disease, you may be required to have a tooth extracted. With a simple extraction, the oral surgeon can safely remove the affected tooth without the need for major surgery.

Reasons for a tooth extraction

There are numerous situations in which a simple extraction can help alleviate pain or prepare you for another cosmetic or restorative procedure. Some common reasons for extraction include:

• Advanced periodontal disease that has loosened the tooth roots
• Extra teeth or baby teeth that impede adult teeth
• Preparing a patient for orthodontic treatment
• Removing a fractured or malformed tooth
• Severe tooth decay which cannot be remedied with root canal therapy

How is a tooth extracted?

As a precaution, the surgical assistant will first take X-rays of the tooth or teeth in question, to help plan the procedure. After preparing a method of extraction, you will be given a local anesthetic that will prevent you from feeling pain during the procedure. Next, the oral surgeon will use a tool called an elevator to lift the tooth and loosen ligaments and gum tissue around the base of the tooth. Finally, the oral surgeon will use a pair of forceps, to gently rock the tooth back and forth until it breaks free of the ligaments holding it in the gum tissue. Occasionally, a stubborn tooth will resist the oral surgeon’s soft tug, refusing to come out. In these and more complex cases, the tooth may need to be broken up into smaller pieces for removal.

Once removed, we will place gauze into the socket and have you place pressure on the area by biting down. If necessary, the oral surgeon will place stitches to close the socket.

If you are sick the week prior to your scheduled extraction or on the day of, please contact our office, as alternative arrangements may need to be made. Please give our office a call on 8137999943 / 9446239984 or email us your query on info@monarchdentalcare.in if you have any questions or concerns.

APICOECTOMY

The teeth are held firmly in place by strong roots that extend into the jawbone. Molars and premolars tend to have several roots, whereas the front incisors only have a single root. The end or tip of each root is termed the apex. The apex is where the nerves and blood vessels enter the tooth and aids in the delivery of blood to the crown (the part of the tooth you can see in your mouth).

A root canal treatment refers to the cleaning of the canals and the removal of infected and inflamed tissue within the root. When the inflammation or infection persists after the root canal treatment, an apicoectomy may be required. An apicoectomy is essentially the removal of the apex (or root tip), followed by a filling procedure to seal the root from further infection. When left untreated, infected roots can damage other teeth, spread infection, and cause regression of the jawbone.

REASONS FOR AN APICOECTOMY

Infected and inflamed soft tissue around the root of a tooth can be exceptionally painful and debilitating. The purpose of an apicoectomy is to eliminate the infection in the tissue and to ultimately preserve the function of the tooth and save it from extraction. An apicoectomy will rarely be considered by the surgeon unless a prior root canal treatment has failed.

There are several reasons why an apicoectomy may be necessary:

• Small Adjoining Root Branches – Roots are extremely complex and can contain many tiny branches. If these tiny branches cannot be cleaned and sealed when the root canal treatment is performed, inflammation can persist.
• Blocked Root Canal – In some cases, the surgeon is unable to effectively clean a root canal because it is blocked by a fractured file left behind from prior root canal treatment. Infection and debris can quickly affect adjacent teeth.
• Narrow or Curved Root Canals – When the root canal is poorly shaped, the endodontic files cannot reach the root tip. Continuing infection or re-infection can then occur.

What does getting an apicoectomy involve?

Prior to the surgery, the oral surgeon will generally prescribe an antibiotic or anti-inflammatory medication to treat the underlying infection. Panoramic X-rays will then be taken to enable the surgeon to plan the apicoectomy, which will be performed under local anesthesia.

The oral surgeon will make a small incision in the gum and expose the root by lifting away the gum. In some cases, a tiny fraction of the jawbone may be removed to properly expose the root. The edge of the root tip and any infected connective tissue will be removed using ultrasonic instruments. The root will be sealed using a retrofill (filling material), and the surgeon will suture the gum with several stitches.

This surgery does not require an overnight stay, and full aftercare instructions and pain medications will be provided as needed. After several days, the surgeon will remove the stitches, and the connective tissues will fully heal several months after the procedure. If you are experiencing any symptoms, such as pain or swelling associated with a tooth that has had a root canal, we encourage you to contact our clinic immediately on 8137999943 / 9446239984 or email us your query on info@monarchdentalcare.in.

BONE GRAFTING

Bone grafting is often closely associated with dental restorations such as bridge work and dental implants. In the majority of cases, the success of a restoration procedure can hinge on the height, depth, and width of the jawbone at the implant site. When the jawbone has receded or sustained significant damage, the implant(s) cannot be supported on this unstable foundation and bone grafting is usually recommended for the ensuing restoration. There are several major factors that affect jaw bone volume:

• Periodontal Disease – Periodontal disease can affect and permanently damage the jaw bone that supports the teeth. Affected areas progressively worsen until the teeth become unstable.
• Tooth Extraction – Studies have shown that patients who have experienced a tooth extraction subsequently lose 40-60% of the bone surrounding the extraction site during the following three years. Loss of bone results in what is called a “bone defect”.
• Injuries and Infections – Dental injuries and other physical injuries resulting from a blow to the jaw can cause the bone to recede. Infections can also cause the jaw bone to recede in a similar way.

Reasons For Bone Grafts

Bone grafting is a highly successful procedure in most cases. Bone grafting can increase the height or width of the jawbone and fill in voids and defects in the bone.

What does bone grafting involve?

There are several types of bone grafts. Your oral surgeon will determine the best type for your particular condition.

Autogenous Bone Graft - Harvested from the patient’s own body (usually from the posterior part of the lower jaw or the chin). This method is usually preferred because it produces the most predictable results.

Allograft Bone Graft - Cadaver or synthetic bone is used in this type of graft.

Xenograft - Cow bone is used in this type of graft.

The bone grafting procedure can often take several months to complete. This bone will fuse with the existing bone and the migration of cells will cause firm adhesion and cell growth. Supplementing the jaw with bone will result in greater bone mass to help support and anchor the implant(s). During the surgery, the oral surgeon will numb the grafting and extraction sites using local anesthetic. A small incision will be made to prepare the site for the new bone and it will be anchored into place. On occasion, a synthetic membrane may be used to cover the new bone. This membrane prevents soft tissue and bacterial invasions, and encourages new bone growth. The surgery does not require an overnight stay, and you will be provided with comprehensive instructions for your post-operative care. The oral surgeon will prescribe medications to help manage infection, discomfort and swelling.

FACIAL TRAUMA RECONSTRUCTION AT MONARCH DENTAL CARE

Oral & Maxillofacial Surgeons are specialist trained to manage and treat facial trauma. There are an infinite number of ways in which the face can be damaged and thus need some type of reconstruction. Accidents, falls, automobile crashes, and interpersonal violence are among the most common causes. Some of the main types of facial injuries resulting from these instances are lacerations, fractured teeth, fractured jaws, fractured facial bones, knocked-out teeth, and intraoral lacerations. There are three main classifications used by health professionals in their trauma assessment:

Soft Tissue Injuries – Soft tissue trauma includes lacerations to the skin and any kind of intraoral (gum) damage.

Avulsed (knocked out) Teeth - Injuries to the teeth are very common and must be dealt with immediately to insure success of reimplantation.

Bony Injuries – This category encompasses the entire face including fractured cheekbones, jaw bones, eye sockets, palates, and noses.

Special Regions – Special regions refers to the nerves in the face, the eyes, and the salivary glands.

Reasons for Facial Trauma Reconstruction

Aside from the obvious aesthetic reasons for repairing damage to the face, there are also a number of serious health and dental concerns that can arise from even a small amount of trauma. No facial injury should be taken lightly. Depending on the exact location of the injury, respiration, speech and swallowing can be greatly impaired. Though broken facial bones are generally treated in the emergency room, damage to the teeth can be quickly dealt with by your oral surgeon. Failure to treat dental and facial trauma can lead to the following longer-term problems:

• Loss of Functionality: When teeth have fallen victim to trauma, they may become loose in their sockets and make eating and speaking much more difficult.
• Smile Aesthetics: Chipped, broken or missing teeth can be detrimental to a beautiful smile. Your oral surgeon is able to repair chips, fractures and missing teeth easily.
• Bite/Jaw Irregularities: After trauma, it is possible that the teeth will become badly aligned. The poor alignment of the teeth can lead to TMJ, uneven teeth wear and other complications.

What does correcting facial trauma involve?

If facial bones have been fractured or broken, they will be treated in much the same way as any other broken bone. Of course, a plaster cast cannot be applied to a cheekbone, but the bones can be held firmly together by either wiring or the insertion of small plates and screws. Soft tissue lacerations will be treated immediately by way of suture (stitching). In cases where a tooth has been knocked cleanly out of the mouth, there is still a possibility of reinserting it. The quicker a re-insertion can be performed by your oral surgeon, the greater the likelihood that the natural tooth will survive. In the event that the tooth lacks the ligaments necessary for reinsertion, your oral surgeon can implant a prosthetic tooth to restore both functionality and aesthetic appearance. Your oral surgeon can also “splint” displaced teeth using structural support such as bonding or wiring with a good amount of success. Root canal therapy is also a possibility for loose or broken teeth. Your oral surgeon will conduct a thorough examination and take various x-rays in order to determine the precise condition of the afflicted area and plan a course of action. Pain medication will be prescribed as necessary, and you’ll be given post-treatment advice for your recovery. Feel free to give us a call on 8137999943 / 9446239984 or email us your query on info@monarchdentalcare.in, if you have any questions or concerns.

ALL-ON-4® TREATMENT CONCEPT AT MONARCH DENTAL CARE

FULL ARCH DENTAL BRIDGES - THE ALL-ON-4 TREATMENT CONCEPT

How would your lifestyle and outlook change if you had beautiful and strong new teeth? With All-on-4 in Monarch Dental Care, our specialists can make these goals a reality. Patients with missing teeth can enjoy eating all of their favorite foods, speaking clearly, and smiling confidently without bulky prosthetics or failing teeth.

Is All-on-4 Right for You?

While many patients associate complete teeth replacement with older adults and those who wear full dentures, patients of varying ages can enjoy the benefits that come with fixed and permanent teeth replacements. All-on-4 treatment is often recommended for patients with the following issues:

• Tooth loss that has left only a few viable teeth in an arch
• Failing and weak teeth
• Widespread cavities and decay that make traditional restorations impossible
• Uncomfortable dentures
• Impaired function due to loss of front and back teeth

This method of full arch teeth replacement is compatible with both the upper and lower arches – and can be used on both for comprehensive smile rehabilitation. As All-on-4 is a specialized approach, it can also be utilized for patients dealing with lasting gum disease, where loss of bone volume has occurred. In comparison, a traditional implant could not be provided in this case unless a bone graft was performed first. If you are looking for a completely new smile, without the hassle of pre-treatment and removable appliances, All-on-4 is right for you. Contact our dental clinic on8137999943 / 9446239984 or email us your query on info@monarchdentalcare.in for your Consultation!

IMPACTED CANINES AT MONARCH DENTAL CARE

Humans have two upper (maxillary) canines and two lower (mandibular) canines. Canine teeth are sometimes referred to as cuspids, fangs, or “eye teeth” because of their direct positioning beneath the eyes. Canine teeth have thicker and more conical roots than incisors and thus have an especially firm connection to the jaw. Canine teeth often have the longest root of all teeth in the human mouth and are the last to fully erupt and fall into place, often around age 13.

An impacted tooth essentially means that it is blocked, stuck, or unable to fully erupt and function properly. Third molars (wisdom teeth) most commonly fall victim to impaction, but the upper canine is the second most common tooth to become impacted. Wisdom teeth serve no important function in the mouth and are frequently removed; however, impacted canines are a critical condition and require treatment for the following reasons:

• Closing Gaps – Canines are the last of the front teeth to fall into place and therefore close any unsightly gaps between the other upper teeth.
• First Touch – Canines play a vital role in the “biting” mechanism of the teeth. They touch first when the jaw closes, and guide the other teeth into position.
• Proper Alignment & Function – Canine teeth are essential to the correct alignment and function of the other teeth on the dental arch. Missing or impacted canines can greatly affect the function and aesthetic appearance of the smile.

What causes canine teeth to become impacted?

There are several main causes for impacted canine teeth:

Extra Teeth – If extra teeth are present, the natural eruption of the canine teeth may be inhibited. The eruption progress of the canine may be directly blocked by an extra tooth or the subsequent overcrowding might leave no room on the dental arch for the canine.

Overcrowding – In some cases, poor alignment of the front teeth can lead to overcrowding. The existing teeth compete for space which means that the canines do not have sufficient room to become functional.

Unusual Growths – On rare occasions, unusual growths on the soft tissue of the gums can restrict the progress of canine teeth, which leads to later impaction.

Early and thorough examination of the teeth can pre-empt problems with impacted canines. It is important for the oral surgeon to document the number teeth present when the patient is around 7 years of age in order to record the presence or absence of canine teeth. The older the patient becomes, the less likely it is that an impacted canine tooth will erupt naturally. If canine teeth are missing or very slow in fully erupting, the oral surgeon can make recommendations for proper treatment.

What does the treatment of impacted canines involve?

If your mouth is overcrowded for any reason, the oral surgeon may recommend extraction of teeth. The extraction will generally be performed under local anesthetic by an oral surgeon. The un-erupted canine will then be exposed by lifting the gum, and guided into place using a special bracket. In the case of younger patients, an orthodontic brace may be fitted to create a space on the dental arch for the impacted canine. Surgery for impacted canines usually does not require an overnight stay. Pain medication will be prescribed as necessary, and you’ll be given post-treatment advice for your recovery. If you have any questions or concerns, feel free to reach out to us on 8137999943 / 9446239984 or email us your query on info@monarchdentalcare.in.

ORAL PATHOLOGY

An oral exam is routinely performed by the oral surgeon during the course of an initial comprehensive exam and regular check-ups. An oral cancer exam refers to the identification and management of diseases pertaining to the maxillofacial and oral regions. The soft tissue of the mouth is normally lined with mucosa, which is special type of skin that should appear smooth in texture and pink in color. Any alteration of the color or texture of the mucosa may signal the beginning of a pathologic process. These changes may occur on the face, neck, and areas of the mouth (e.g., gums, tongue, lips, etc.). The most serious of these pathologic changes (which may or may not be painful) is oral cancer, but there are also many other common pathologic problems.

Geographic Tongue – Also known as Benign Migratory Glossitis or Erythema Migrans, is a condition where the tongue is missing papillae (small bumps) in different areas, and a map-like appearance can develop. This condition is usually seen as red well defined areas on or around the sides of the tongue. The red patches (which can look like an unsightly rash) may come and go from hours to months at a time and cause increased sensitivity to certain substances.

Median Palatal Cyst – This cyst is of developmental origin and is essentially a fluid filled skin sac. It usually appears in the middle of the palate and may cause substantial discomfort.

Hairy Tongue – An overgrowth of bacteria or a yeast infection in the mouth which can cause the tongue to appear hairy and black. This condition is usually a result of poor oral hygiene, chronic or extensive use of antibiotics, or radiation treatments to the head or neck. It is often also seen in HIV positive patients and those who are intravenous drug users. Hairy Tongue may or may not require treatment.

Treatment of Pathological Diseases

In the majority of cases, the pathological changes experienced in the oral region are uncomfortable and disfiguring, but not life threatening. However, oral cancer is on the rise (especially among men) and the chances of survival are around 80% if an immediate diagnosis is made. Oral cancer is a general term used when referring to any type of cancer affecting the tongue, jaw, and lower cheek area. Since it is impossible for the oral surgeon to decisively diagnose a pathological disease without taking a biopsy sample of the affected area, seeking immediate treatment when changes are first noticed might be a life and death decision. For less serious problems, there are several options available, such as:

• Antibiotics – In the case of a bacterial infection or persistent soreness, the oral surgeon may prescribe a dose of antibiotics to return the mucosa to its natural state. This will alleviate soreness and discomfort.
• Diluted Hydrogen Peroxide – When poor oral hygiene is causing changes to the soft tissue, the oral surgeon may prescribe a diluted hydrogen peroxide mouthwash. This will kill more bacteria than regular mouthwash and improve halitosis (bad breath).
• Oral Surgery – If the patient has cysts or abnormal non-cancerous growths, the oral surgeon may decide to completely remove them. This can improve comfort levels, alleviate breathing problems, and make speech substantially easier depending on the location of the cyst.

Oral Examinations

During the course of a regular check up, the oral surgeon will thoroughly inspect the soft tissue of the mouth and take serious note of any changes. If there are cell changes present, the oral surgeon will take a biopsy of the affected area and send it away to be analyzed by laboratory specialists. When definitive results are obtained, the oral surgeon can decide on the best course of treatment.

Oral Cancer Screenings

An oral cancer screening is usually performed during a comprehensive or recall (check-up) exam. Screening is painless and only takes a few minutes. The oral surgeon or hygienist will use a laser light to assess the soft tissue for cell changes that might be indicative of oral cancer. If such cell changes are present, a small biopsy will be taken and sent to a laboratory for review. If the biopsy indicates that oral cancer is present, an excision (removal) will generally be performed. If you are experiencing any pain or symptoms that cause you concern, we encourage you to contact us on 8137999943 / 9446239984 or email us your query on info@monarchdentalcare.in today to schedule an appointment.

MINIMALLY INVASIVE SURGICAL PROCEDURES AT
MONARCH DENTAL CARE

Minimally invasive surgical procedures include Sinus Lift Procedure and Wisdom Teeth Removal.

SINUS LIFT PROCEDURE

In order to successfully place implants you need sufficient bone. In certain situations dentist need to perform specific procedures in order to create bone volume. One such procedure is sinus lift. The maxillary sinuses are behind your cheeks and on top of the upper teeth. Sinuses are like empty rooms that have nothing at all in them. Some of the roots of the natural upper teeth extend up into the maxillary sinuses. When these upper teeth are removed, there is just an egg shell thin wall of bone separating the maxillary sinus and the mouth. Dental implants need bone to hold them in place so when the sinus wall is very thin, it is impossible to place dental implants in this bone. There is a solution called a sinus graft or sinus lift graft. The dental implant surgeon enters the sinus from the side above where the upper teeth used to be. The sinus membrane is then lifted upward and donor bone is inserted into the floor of the sinus. After several months of healing, the bone becomes part of the patient's jaw and dental implants can be inserted and stabilized in this new sinus bone. The sinus graft makes it possible for many patients to have dental implants when years ago there was no other option other than wearing loose denture.

WISDOM TOOTH REMOVAL

Wisdom tooth extraction is a surgical procedure to remove one or more wisdom teeth — the four permanent adult teeth located at the back corners of your mouth on the top and bottom. If a wisdom tooth doesn't have room to grow, resulting in pain, infection or other dental problems, you'll likely need to have it pulled. Wisdom tooth extraction may be done by a dentist or an oral surgeon. To prevent potential future problems, some dentists and oral surgeons recommend wisdom tooth extraction even if impacted teeth aren't currently causing problems.

Why wisdom teeth removal is done?

Impacted wisdom teeth, or third molars, are the last permanent teeth to appear (erupt) in the mouth. These teeth usually appear between the ages of 17 and 25. Some people never develop wisdom teeth. For others, wisdom teeth erupt normally — just as their other molars did — and cause no problems. Many people develop impacted wisdom teeth — teeth that don't have enough room to erupt into the mouth or develop normally. Impacted wisdom teeth may erupt only partially or not at all.

An impacted wisdom tooth may:

• Grow at an angle toward the next tooth (second molar)
• Grow at an angle toward the back of the mouth
• Grow at a right angle to the other teeth, as if the wisdom tooth is "lying down" within the jawbone
• Grow straight up or down like other teeth but stay trapped within the jawbone

What are the problems with impacted wisdom teeth?

You'll likely need your impacted wisdom tooth pulled if it results in problems such as:

• Pain
• Trapping food and debris behind the wisdom tooth
• Infection or gum disease (periodontal disease)
• Tooth decay in a partially erupted wisdom tooth
• Damage to a nearby tooth or surrounding bone
• Development of a fluid-filled sac (cyst) around the wisdom tooth
• Complications with orthodontic treatments to straighten other teeth

What are the ways to Prevent future dental problems?

Dental specialists disagree about the value of extracting impacted wisdom teeth that aren't causing problems (asymptomatic). It's difficult to predict future problems with impacted wisdom teeth. However, here's the rationale for preventive extraction: Symptom-free wisdom teeth could still harbor disease. If there isn't enough space for the tooth to erupt, it's often hard to get to it and clean it properly. Serious complications with wisdom teeth happen less often in younger adults. Older adults may experience difficulty with surgery and complications after surgery.

What are the Risks involved in wisdom teeth removal?

Most wisdom tooth extractions don't result in long-term complications. However, removal of impacted wisdom teeth occasionally requires a surgical approach that involves making an incision in the gum tissue and removing bone. Rarely, complications can include:

• Painful dry socket, or exposure of bone when the post-surgical blood clot is lost from the site of the surgical wound (socket).
• Infection in the socket from bacteria or trapped food particles.
• Damage to nearby teeth, nerves, jawbone or sinuses.

How you prepare yourself for wisdom tooth removal?

Your dentist may perform the procedure in the office. However, if your tooth is deeply impacted or if the extraction requires an in-depth surgical approach, your dentist may suggest you see an oral surgeon. In addition to making the area numb with local anesthetic, your surgeon may suggest sedation to allow you to be more comfortable during the procedure.

What are the Questions to ask?

Questions you may want to ask your dentist or oral surgeon include:

• How many wisdom teeth need to be removed?
• What type of anesthesia will I receive?
• How complicated do you expect the procedure to be?
• How long is the procedure likely to last?
• Have the impacted wisdom teeth caused damage to other teeth?
• Is there a risk that I might have nerve damage?
• What other dental treatments might I need at a later date?
• How long does it take to completely heal and return to normal activity?

What are the preparations required for surgery?

A wisdom tooth extraction is almost always performed as an outpatient procedure. This means that you go home the same day.You'll receive instructions from the hospital or dental clinic staff on what to do before the surgery and the day of your scheduled surgery. Ask these questions:

• Will I need to make arrangements for someone to drive me home after the procedure?
• When do I need to arrive at the dental clinic or hospital?
• Do I need to avoid eating food or drinking fluids or both (fast)? If so, when do I begin?
• Can I take my prescription medications before the surgery? If so, how soon before the surgery can I take a dose?
• Should I avoid any nonprescription drugs before the surgery?

What you can expect during the procedure?

During the procedure your dentist or oral surgeon may use one of three types of anesthesia, depending on the expected complexity of the wisdom tooth extraction and your comfort level. Options include:

• Local anesthesia. Your dentist or oral surgeon administers local anesthesia with one or more injections near the site of each extraction. Before you receive an injection, your dentist or surgeon will likely apply a substance to your gums to numb them. You're awake during the tooth extraction. Although you'll feel some pressure and movement, you shouldn't experience pain.
• Sedation anesthesia. Your dentist or oral surgeon gives you sedation anesthesia through an intravenous (IV) line in your arm. Sedation anesthesia suppresses your consciousness during the procedure. You don't feel any pain and will have limited memory of the procedure. You'll also receive local anesthesia to numb your gums.
• General anesthesia. In special situations, you may be offered general anesthesia. You may inhale medication through your nose or have an IV line in your arm, or both. Then you lose consciousness. Your surgical team closely monitors your medication, breathing, temperature, fluids and blood pressure. You'll experience no pain and have no memory of the procedure. Local anesthesia is also given to help with postoperative discomfort.

During wisdom tooth extraction, your dentist or oral surgeon:

• Makes an incision in the gum tissue to expose the tooth and bone
• Removes bone that blocks access to the tooth root
• Divides the tooth into sections if it's easier to remove in pieces
• Removes the tooth
• Cleans the site of the removed tooth of any debris from the tooth or bone
• Stitches the wound closed to promote healing, though this isn't always necessary
• Places gauze over the extraction site to control bleeding and to help a blood clot form

After the procedure if you receive sedation anesthesia or general anesthesia, you're taken to a recovery room after the procedure. If you have local anesthesia, your brief recovery time is likely in the dental chair.

As you heal from your surgery, follow your dentist's instructions on:

• Bleeding. Some oozing of blood may occur the first day after wisdom tooth removal. Try to avoid excessive spitting so that you don't dislodge the blood clot from the socket. Replace gauze over the extraction site as directed by your dentist or oral surgeon.
• Pain management. You may be able to manage pain with an over-the-counter pain reliever, such as acetaminophen (Tylenol, others), or a prescription pain medication from your dentist or oral surgeon. Prescription pain medication may be especially helpful if bone has been removed during the procedure. Holding a cold pack against your jaw also may relieve pain.
• Swelling and bruising. Use an ice pack as directed by your dentist or surgeon. Any swelling of your cheeks usually improves in two or three days. Bruising may take several more days to resolve.
• Activity. After your surgery, plan to rest for the remainder of the day. Resume normal activities the next day, but for at least a week, avoid strenuous activity that might result in losing the blood clot from the socket.
• Beverages. Drink lots of water after the surgery. Don't drink alcoholic, caffeinated, carbonated or hot beverages in the first 24 hours. Don't drink with a straw for at least a week because the sucking action can dislodge the blood clot from the socket.
• Food. Eat only soft foods, such as yogurt or applesauce, for the first 24 hours. Start eating semisoft foods when you can tolerate them. Avoid hard, chewy, hot or spicy foods that might get stuck in the socket or irritate the wound.
• Cleaning your mouth. Don't brush your teeth, rinse your mouth, spit or use mouthwash during the first 24 hours after surgery. Typically you'll be told to resume brushing your teeth after the first 24 hours. Be particularly gentle near the surgical wound when brushing and gently rinse your mouth with warm salt water every two hours and after meals for a week.
• Tobacco use. If you smoke, don't do so for at least 72 hours after surgery — and wait longer than that if possible. If you chew tobacco, don't use it for at least a week. Using tobacco products after oral surgery can delay healing and increase the risk of complications.
• Stitches. You may have stitches that dissolve within a few weeks or no stitches at all. If your stitches need to be removed, schedule an appointment to have them taken out.

When to call your dentist or surgeon?

Call your dentist or Oral surgeon at Monarch Dental Care on 8137999943 / 9446239984 or email us your query on info@monarchdentalcare.in, if you experience any of the following signs or symptoms, which could indicate an infection, nerve damage or other serious complication:

• Difficulty swallowing or breathing
• Excessive bleeding
• Fever
• Severe pain not relieved by prescribed pain medications
• Swelling that worsens after two or three days
• A bad taste in your mouth not removed with saltwater rinsing
• Pus in or oozing from the socket
• Persistent numbness or loss of feeling
• Blood or pus in nasal discharge