Virginia Oral & Facial Surgery

REVANESSE® VERSA™ Facial Filler

Say hello to our newest filler, REVANESSE® VERSA™! We at Dr. Neil Agnihotri Cosmetic Facial Surgery are excited for this very versatile filler for several reasons. Let us explain:

  1. This filler produces very natural results. VERSA™ has a small, spherical particle size which provides uniform smoothness and volume where injected.
  2. Fast Recovery — VERSA™ has shown to produce 24% less swelling post procedure than other HA (hyaluronic acid) fillers.
  3. NO ANIMAL PRODUCTS — VERSA™ is completely free of any animal products and this biodegradable formula breaks down naturally in the body.
  4. High Quality Standards — VERSA™ is created in small batches which allows for rigorous quality control. Every syringe is individually inspected in a state-of-the-art North American facility.

REVANESSE® VERSA™ filler can be used to create volume and smoothness in several areas of the face including:

  • Lips
  • Cheeks
  • Nasolabial Folds
  • Glabella (in between eyes)
  • Tear Troughs (under eyes)

Below you can see the success Dr. Neil Agnihotri had when he applied it under the eyes. The patient’s dark circles seemingly disappeared!

We also love VERSA™ for a lip enhancement!

To learn more and receive $100 off your first treatment, book a consultation with Dr. Neil Agnihotri today! Call 804-270-5028 or email westend@oralfacialsurgery.com.

 

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4 Types of Foods You Can Eat After You Had Your Wisdom Teeth Removed

indulge post surgery

About 90% of people need to get their wisdom teeth removed. If you are a part of that 90%, you might be wondering what the steps are post-surgery. Taking it easy and getting a lot of rest is a key step to a quick recovery. Another big step is knowing what you can and can’t eat. Here is a list of foods you can indulge in post-surgery.

  1. Ice Cream: After having a minor surgery, it’s okay to treat yourself with a little sweet. The coolness will not only feel good, but it will also help sooth inflamed tissue. Try to avoid eating cones and flavors of ice cream with large chunks in them like chocolate chips and nuts.
  2. Soup: Soup is a great food to have on hand after your surgery. It provides protein and the broth is easy to eat. If you choose this brothy goodness, make sure you aren’t eating large pieces of vegetables and the temperature of the soup isn’t too hot.
  3. Mashed potatoes: Not only are mashed potatoes delicious, but they are easy to make and they really are the perfect post-surgery food. You can smother them with gravy, butter or sour cream. Top the meal with whatever sounds good to you, but make sure there aren’t large potato chunks you’ll have to chew. Another route you could take is mashed sweet potato. Top it with butter and cinnamon to take this savory treat to sweet!
  4. Smoothies (NO STRAWS): Smoothies are a great source to get all the nutrients your body will need. You can make different flavors with fruits and vegetables. Prepack your smoothie packs before you have your surgery so all you have to do is blend and enjoy. You could also add in different protein powders or vitamins to help your body. If you choose to make a smoothie, DO NOT USE A STRAW. Sucking on a straw could disrupt your healing process and create dry sockets.

These are just a few ideas of what you can eat post-surgery. There are a ton of other options. Get creative and indulge in the snacks you wouldn’t normally eat for your main course. If you have any hesitations or questions on what you can’t and can eat, call our office. We are happy to answer any questions you may have.

Non-Opioid Pain Management Alternatives Post Surgery

At Virginia Oral & Facial Surgery we are doing our part to combat the opioid epidemic in any way we can including:

  • Limiting opioid (narcotic) prescriptions
  • Recommending over-the-counter medications
  • Offering EXPAREL

 

We encourage you to discuss your concerns about post-op discomfort before your procedure! The best time to do this is at your consultation appointment prior to surgery. It’s important to realize that soreness and discomfort is normal and will improve as swelling subsides. Your pain medication will be carefully chosen based on your procedure, current medications, allergies and medical history.

Often, our doctors recommend over-the-counter medications such as ibuprofen (Motrin), naproxen (Aleve) and acetaminophen (Tylenol) which can effectively manage pain and soreness and are far less risky than opioids.

He may also offer you the option of receiving EXPAREL, a long-acting local anesthetic, which is injected into the surgical site and is designed to release into your body over a long period of time for lasting pain relief.  

For more information and resources, check out our Pain Management page , our Safe Medication Disposal page, and the EXPAREL page.

 

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SAFE MEDICATION DISPOSAL

Medicines play an important role in treating many conditions and diseases, but when they are no longer needed it is essential to dispose of them properly to help reduce harm from accidental exposure or intentional misuse.

The best way to safely dispose of the medications is to take them to an authorized collector or to a medicine take-back event. The next National Prescription Drug Take-Back Day is Sat. April 28th. Here’s a link for a collection site near you! https://goo.gl/eFVaL9 

If no medicine take-back programs or DEA-authorized collectors are available in your area, and disposal instructions did not come with your medication, you can also follow these simple steps to dispose of most medicines in the household trash:


If you are in possession of: Fentanyl, Demerol, Dilaudid, Morphine, Oxycodone, Oxycontin and/or Percocet, these medicines should be flushed down the toilet as soon as they are no longer needed to prevent accidental exposure or ingestion.

Visit our Safe Medication Disposal page for more information and resources.

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Smoking and Oral Cancer

doctor breaking a cigarette in halfOral cancer is a cancer that develops within the mouth or oral cavity. But it doesn’t just affect the mouth, it can involve the lips, tongue, throat, salivary glands, pharynx, larynx and sinuses. There are many factors that can cause oral cancer, but smoking is one of the biggest lifestyle choices that can increase the risk of disease. The Mouth Cancer Foundation found that 90% of those with oral cancer consumed tobacco. When you combine heavy use of alcohol and tobacco, the risk is even greater.

Oral Cancer Statistics

9,750 people die from oral cancer each year in the U.S, and oral cancer represents about 4% of all cancers and 2.2% of all cancer deaths in the U.S. After reading those stats, you might be wondering how you can avoid being a part of these grim numbers.

Preventing Oral Cancer

The first step is to choose a healthy lifestyle. It’s important to eat a balanced diet, exercise, avoid alcohol (or drink in moderation) and avoid tobacco usage altogether. But it’s also important to recognize all the signs and symptoms of oral cancer so that it can be caught early on.

Here are a few oral pathology signs to watch out for:

  • Feeling of a lump or object in your throat
  • Numbness, pain or tenderness in your mouth and tongue
  • Troubling moving your jaw or tongue with chewing, swallowing or speaking
  • Loose teeth with no apparent dental cause
  • Lingering sore throat

If you are experiencing any of these signs or symptoms, contact our office today. In addition to that, we urge you to have regular oral cancer screenings in our office. We offer oral cancer examinations to all our patients. The earlier the cancer it detected, the quicker we can help you. Call our office today at Brandermill Office Phone Number 804-608-3200 to schedule your screening appointment.

What is a Wisdom Tooth?

cartoon of impacted toothWe all know that for most people, wisdom teeth need to be removed in order to prevent serious dental problems! But have you ever wondered, what exactly is a wisdom tooth? Wisdom teeth are the third set of molars that typically grow in during a person’s late teens/early twenties.

Why are they called “wisdom” teeth?

Formally known as “third molars”, wisdom teeth developed their name due to the late nature of their arrival, at an age where people are “wiser” than when their other teeth grow in (during childhood).

What is their purpose?

Today, wisdom teeth are no longer needed in order for us to process food. Back in the day, however, when the human diet consisted of tough meats and fibrous vegetables, an extra molar was needed to break down food. Scientists have not discovered a common day use for wisdom teeth, as they are not needed for chewing modern food.

Why do wisdom teeth need to be removed?

Over the years, human jaws have become much smaller, making the space too crowded for wisdom teeth. Therefore, when wisdom teeth start growing in, they push on the teeth that have already established themselves. Once they start pushing on other teeth, the alignment of a person’s mouth is affected. Wisdom teeth can easily become “impacted”. This means that they are trapped underneath a person’s gums and are unable to fully erupt, which can be painful. Since wisdom teeth aren’t needed and can affect your smile and health negatively, we recommend that most people have them removed. For the few people that don’t get their wisdom teeth removed, serious dental health problems can occur down the road.

If you’re curious about the status of your wisdom teeth – contact us today at Brandermill Office Phone Number 804-608-3200 and we will go over your options with you!

What You Should Know About Dental Implants

If you are looking for an alternative to dentures and would like to replace your missing teeth, dental implants may be for you. Dental implants are a popular long-term method for restoring your smile. Many people decide to get dental implants after they have experienced loss of teeth due to variety of reasons. Dental implants give you back your freedom from missing teeth.

Who gets dental implants?

woman getting fit for dental implants

Those who are in overall good health and are looking for a long-term solution for their missing teeth are candidates for dental implants. This includes those who are tired of dentures and are looking for a more comfortable and convenient alternative.

What are the advantages of dental implants?

There are many advantages of getting dental implants, including:

  • Convenience: dental implants are a long-term option for replacing missing teeth. They have the added benefit of being a permanent fixture in your mouth unlike dentures that can be abrasive to the gums and can cause difficulty speaking.
  • Easier eating: you may have found that eating has become more difficult with missing teeth. A dental implant allows for more efficient chewing and will allow you to enjoy your favorite foods once again.
  • Improved appearance: Dental implants look and feel like real teeth. They can be designed with the same color and shape as your surrounding teeth, making them natural looking
  • Confidence: Dental implants can give you a youthful appearance and increased self-esteem. You may find yourself smiling more than ever with your new implants.

How do I care for my dental implant?

The great thing about dental implants is that they require the same care as real teeth. This means regular brushing, flossing and routine dental checkups. If taken care of properly, your new implant can last you a lifetime!

If you are interested in dental implants, contact Virginia Oral & Facial Surgery at Brandermill Office Phone Number 804-608-3200 to set up a dental implant consultation.

When Should You Consider Dental Implants?

woman getting fit for a dental implantYou 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 Virginia Oral & Facial Surgery at Brandermill Office Phone Number 804-608-3200 today.

The Most Common Types of Bone Grafting

digital print of a lower jawBone grafting has become so common, most patients have encountered the term at least once before entering our office. But delving deeper into some of the additional types of bone grafting will give you a better appreciation of this amazing procedure.

What is Bone Grafting?
Bone grafting is the process of using natural or synthetic materials to encourage your body to grow new bone. Your jawbone requires regular stimulation from the activities of teeth to maintain its shape. When a tooth is extracted, the jawbone immediately begins to lose mass. In oral surgery, we use bone grafting to build up the jawbone so that we can place a dental implant.

Types of Bone Grafting:
• Socket Preservation: After tooth extraction, the empty socket is filled with bone grafting material to preserve the bone in the site for tooth replacement in the future.
• Sinus Lift: The sinuses lie above the upper jawbone and are filled with air. If the upper jawbone has receded, we lift the sinus membrane and fill the space underneath it with grafting material to bulk up the bone for upper implants.
• Ridge Augmentation: As with socket preservation, ridge augmentation involves the filling the site of an extracted tooth, however, bone loss has already occurred in this case as the extraction was done months or years before.
• Nerve Repositioning: The nerve that gives feeling to the bottom lip and chin is known as the inferior alveolar nerve. Sometimes this nerve must be relocated in order to place a lower jaw implant. The nerve is moved, and the pockets left behind are filled with bone grafting material to prepare for a dental implant.

If you have been told you need bone grafting and aren’t sure what to expect, please give us a call at Brandermill Office Phone Number 804-608-3200.

FAQs: Wisdom Teeth

white card with a question mark on itPatients 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 Brandermill Office Phone Number 804-608-3200 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 Brandermill Office Phone Number 804-608-3200.