Virginia Oral & Facial Surgery

When do You Need a Bone Graft?

when do you need a bone graft

Bone grafts are essential for replacing missing or damaged bone in your jaw. Whether a cavity has reduced your tooth to an empty, gummy space after an extraction, or gum disease has caused loose teeth, a bone graft can repair and rebuild the damaged bone needed to support a dental implant. Surrounding teeth can also become loose and eventually fall out without healthy bone regeneration, which may cause future complications. Without bone grafting, a dental implant would not have enough mass to securely latch onto.

So, when do you need a bone graft?

• Once a tooth is lost, 25% of bone width is reduced within the first year. If left untreated for an extended period, there would not be enough surrounding jawbone to support a dental implant to replace a missing tooth. Once bone mass is gone, it cannot be reversed which is why a bone graft may be needed.

• Periodontal disease can also cause bone to disintegrate, which can lead to tooth loss. The bacteria slowly eat away at the jawbone and periodontal ligament, which connect teeth to bone.

• Dental trauma, including the persistence of grinding and clenching teeth, can cause excess wear on the tissue supporting tooth structure. The constant pressure can also lead to fractured or cracked teeth, which do not heal. Aside from grinding and clenching, trauma can also include a tooth getting knocked out from an accident or a fall. In this case, a bone graft may be needed as well.

Bone loss can be caused by several different circumstances, but one thing is for sure- a bone graft is a great alternative for repairing and building new bone. So, what are you waiting for? Call today for a consultation to see what our office can do for you!

3 Unexpectedly Wise Ways To Treat Your Wisdom Teeth

3 tips and tricks for wisdom teeth removal

Are you planning on having your wisdom teeth removed in the future? Below are three tips and tricks that will help with the healing process:

Tea bags
Tea bags can be used to help your swollen gums after your wisdom tooth removal. Brew a cup of tea and let cool in the refrigerator. Take the cold tea bag and apply directly to the gums. The tannic acid in the tea leaves helps to promote blood clotting and is an easy way to relief swollen gums

Create Your Own Ice Pack

Creating your own ice pack is simple and perfect for when you are in a pinch. Here is how to create your very own at home ice pack:

Pour 1 part rubbing alcohol to 3 parts water in a sealable sandwich bag. Place into your freezer for at least 1 hour before use. The ice pack with have a slushy consistency, perfect for comfortably applying to the facial region.

Drink Coconut water

Coconut water has electrolytes and helps to stabilize your blood sugar levels along with electrolytes which helps to keep your body hydrated and functioning properly. Drinking cold coconut water is a great way to hydrate with the added benefit of the coolness helping to sooth inflamed gums.

Remember to avoid drinking through straws following your wisdom tooth extraction! The suction from drinking through a straw can cause the blood clot to dislodge and can lead to painful dry socket.

To schedule your wisdom tooth removal consultation, give our office a call or schedule online!

Common Dental Implant Myths

common dental implant myths

Insecure about a missing tooth? Don’t be. With dental implants, you can get your smile back to looking perfect. For many, dental implants provide the feeling of having their natural teeth back again. This is because instead of being a removable type of device, such as a dental flipper, dental implants are permanently embedded into the jaw, which then allows a dental crown to take the place of the missing tooth. We understand that this procedure may seem intimidating, but we’re here to reassure you it’s not as bad as it sounds. Below are the top three common misconceptions when it comes to getting dental implants.

Myth #1: Dental Implants are painful

This is a common fear. Many people hold back from pursuing a dental implant, simply because they’re afraid the procedure might be too painful. However, this is not true. The procedure itself is pain-free. As always after surgery, there may be some temporary discomfort, but your doctor will work very closely with you to ensure your comfort and ease.

Myth #2: Dental Implants are expensive

Although dental implants aren’t cheap, they’re a much better investment than dental bridges, which need replacing every 7-15 years. Dental Implants cost may be high initially, but it’s a better financial decision in the long run.

Myth #3: Dental Implants cause headaches

It’s a fairly common myth that dental implants can cause migraines or headaches. However, we’re here to let you know that this is not true. There is absolutely no scientific evidence to support this. After the dental implant has successfully bonded with the jaw/gums, you should experience zero pain.

If you have any questions or concerns regarding dental implants, give our office a call so we can discuss the next steps.

5 Perks of Getting Your Wisdom Teeth Removed

perks of wisdom teeth removal

For some reason there is this negative stigma surrounding wisdom teeth removal when in reality there are more perks than you would think. Odds are you will have to get your wisdom teeth removed, so it’s in your best interest to accept the good and the bad of this procedure. So let’s focus on the good!

1. No More Pain: Whether this was a preemptive procedure or a tad bit rushed due to pain, the whole reason for removal is to ensure your wisdom teeth won’t ever be an issue again. Even though there can be negative side effects to removal, it doesn’t mean that all will apply to you. By making sure you keep up with all of your doctor’s instructions after the procedure you can avoid any further discomfort and remain pain free moving forward.
2. Time Off: The average amount of wisdom teeth recovery time is about three to four days depending on the severity of impaction. More than not people tend to take a full week off, maybe even more, to have enough time to fully heal before getting back into the swing of things. Take advantage of the mandatory down time you have.
3. Ice Cream: Not like you ever need an excuse to eat an unlimited amount of ice cream but having your wisdom teeth removed is basically a get out of jail free card. It’s in your best interest to choose a flavor without any huge chunks to avoid irritating the sensitive areas surrounding your extracted wisdom teeth.
4. Unlimited Movies: There is no shame in binge watching your favorite TV shows or movie trilogies because technically it’s the doctors’ orders. Rest and relaxation is your top priority for the first couple days after removal. Although you physically won’t be productive during this time it doesn’t mean you can’t productively cross off all of your shows you’ve been waiting to watch.
5. Sympathy: A majority of the time you end up looking worse than you feel which can work in your favor. More than likely the majority of your friends and family will have already had the procedure and can relate to it. It won’t be long until your friends and family show up with thoughtful surprises, like wisdom teeth removal friendly snacks, movies and a good book.

To schedule your root canal therapy consultation make sure you give our office a call!

Facts About Bone Grafting

know the facts

Modern bone grafts can be used to fix a number of dental and facial issues and are often required. Dental implants often cannot be placed without first getting a bone graft. If you are considering getting dental implants or think you’re in need of a bone graft, here are some things you may want to know!

Bone grafting is a routine procedure!

Over the years, bone grafting has become a standard and highly-practiced procedure. The procedure is typically performed in the office, depending on each individual case and a local anesthesia or conscience sedation is available if needed in order to block the pain and calm any anxiety you may be feeling!

A number of materials can be used!

The bone grafting material that we use may come from a variety of sources. If we are able, we generally like to use bone from your own body, which decreases the chance of your body rejecting the graft. If possible, we will take this bone from your hip, jaw, or lower knee. If this is not an option, we are able to obtain bone from a tissue bank.

Bone grafting allows for your body to rebuild itself!

Your body will use your new bone graft as a sort of frame to grow new bone. Over time, the graft will be replaced with new bone that your body has grown during its own regeneration process. Keeping a healthy amount of bone tissue around your teeth is crucial in maintaining great oral health.

If you are in need of a dental implant, have a congenital defect, or have suffered a traumatic facial injury, and you’re wondering if you might need a bone graft, give our practice a call! We can assess your case, answer your questions and come up with the best possible treatment option for you!

5 of Reasons You Shouldn’t Wait For Your Dental Implant

the sooner the better

You need a dental implant, but you are reluctant to get started. We understand that there is some hesitation and life gets in the way. However, here are a list of reasons as to why you shouldn’t wait.

  1. Stop your remaining teeth from moving. Your teeth help keep everything in place. When you are missing a tooth, and have a gap, your teeth will start to shift to fill in that gap. That could cause not only uneven teeth, but teeth that are harder to clean and, in the end, that cost you more to fix.
  2. Save Your Jawbone. When you are missing a tooth, your jawbone slowing starts to deteriorate and shrink away. The roots of your teeth keep the jawbone stimulated to maintain the bone mass. The longer you are missing the tooth, the more the bone will disintegrate, making the implant process more difficult.
  3. The appearance of your face. Living without a tooth can eventually change how you look, especially if you suffer from bone deterioration. The longer you go, your skin could begin to make your cheeks sag, which will make you look older than you are.
  4. The way you speak. When you are missing a tooth, it could make it hard to annunciate words, making you sound like you have a lisp.
  5. Your overall self-esteem. Getting a dental implant will allow you to feel like your normal self. You won’t have to worry about how you look or how you sound. The implant looks and feels like a normal tooth. No one will know that you have an implant unless you tell them.

These are just a few reasons as to why you should wait to get your dental implant. If you are experiencing any hesitations or have further questions, contact our office. We are happy to ease your mind and get you on track to a beautiful smile.

Get Your Skincare Regimen in Order with OBAGI

At Agnihotri Cosmetic Surgery we understand that sometimes you just have to clean your room, apply an elaborate skincare routine and pretend that’s equivalent to getting your life in order. Well, OBAGI to the rescue!

The first and easiest step to fresh, radiant, youthful skin is investing in solid skincare products — and these OBAGI products actually work. Unlike over-the-counter (including high-end) creams/serums, the level of potency in OBAGI’s active ingredients (think: Retinol) is considered “medical grade” and can only be sold through a medical professional.

Now, let’s go through OBAGI’s NuDerm system. While use of all the products in the system will yield the best results, it’s possible to scale down and choose which ones are best for your skin goals and budget.

Step 1 – Foaming Gel Face Wash

Deep cleanses away the day and all your makeup to leave even oily skin clear and fresh.


Step 2 – Toner

Dab onto a cotton pad and this refreshing toner restores skins natural pH.


Step 3 – Clear

This skin bleaching & corrector cream will repair surface hyperpigmentation like sun spots or uneven skin tone.


Step 4 – Exfoderm Forte

The exfoliation enhancer is a smoothing lotion works like an exfoliator shedding away dull/dead skin.


Step 5 – Blender

This skin lightener & blending cream repairs subdermal hyperpigmentation from happening. It works under the dermis layers to prevent hyperpigmentation from coming to the surface in the first place.


Step 6 – Hydrate

Silky smooth facial moisturizer to be used for all skin types. It’s moisturizing enough to work in Winter and lightweight enough to not feel heavy on hot, humid Summer days (which are HOPEFULLY upon us).


Step 7 – Matte Sun Shield 50 SPF

This matte sunscreen should be applied daily and will protect your skin from the sun’s harmful rays. It’s matte texture will moisturize and protect without feeling greasy. Trust us, we carry this with us everywhere!

PSA: We currently have a Mineral Sun Shield 50 SPF that’s waterproof!


Last but not least – Professional-C Serum

This Vitamin C Serum comes in 10%, 15%, 20% and is a.k.a. your newest obsession. Dab on and work into skin for a brighter, more hydrated and dewy look. This “magic in a bottle” also helps minimize the appearance of fine lines and wrinkles.

 

To discuss (or figure out) your skin goals, call or click to make a consultation with Dr. Neil Agnihotri today!

Click here to learn more about OBAGI and our other medical grade skincare products. 

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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 [email protected].

 

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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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