Archive | Oral Surgery Wheaton

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Swelling after dental surgery

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How to handle swelling after dental surgery Swelling after an invasive dental surgery is a normal occurrence.  It helps to have taken anti-inflammatory (ibuprofen) or steroid before the surgery.  Excessive post-op swelling occurs and can be handled with a little more hand holding and special instructions. Sleep with head elevated Antibiotic coverage (Amoxicillin if not […]

IAN microsurgery after injury

microsurgery of trigeminal nerve

IAN microsurgery – Repair of the Trigeminal Nerve About 50-60% of patients can expect some perceived improvement in symptoms following an IAN microsurgery. Moderate to severe nerve damage are unlikely to have complete sensory recovery.  Nice IAN microsurgery article. Exactly when to refer is debatable. 8 months to a year is when it is considered […]

Dental Implant Nerve Damage – Classify and treatment

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Dental Implant Nerve Damage During surgery Dental Implant Nerve Damage is a known risk for dental implant surgery. If known traction or compression then remove implant and inject 2ml Dexamethasone (4mg/ml). Remove implant or place shorter implant Dental Implant Nerve Damage After surgery Refer microneurosurgeon immediate if implant transected nerve and  in 2-6 months if […]

Sinus Perforation

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Sinus Perforation Small sinus perforation 1-2mm Allow blood clot to close Gelfoam or similar Suture Sinus precautions Amoxicillin 500mg tid 7 days Sudafed or Claritin-D Large sinus perforation – refer OS Primary Closure Gelfoam or similar Sinus precautions Amoxicillin 500mg tid 7 days Sudafed or Claritin-D Possibly use PTFE Bryan Bauer, DDS, FAGD      630-665-5550                                                            […]

Dental nerve injury

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Dental nerve injury Injury to the IAN or other nerve can occur due to wisdom tooth extraction, implant placement, root canal, or even injection of the anesthetic.  A consent form with IAN (or other nerve) injury and results of said injury for these procedures should be signed by both patient and dentist.  Nerve damage in […]

Dental suture

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Dental sutures 6.0 PVDF Polyvinylidene Fluoride (Seralene) – Similar PTFE maybe a little nicer for esthetic areas.  Used to secure CT graft   Vicryl (polyglactin 910) is an absorbable, synthetic, usually braided suture PGA Suture PTFE suture 3-0 C. Gut Suture 3-0 Gut Suture 3-0 Nylon 6-0 for anterior areas Polypropylene similar nylon but more […]