expert type icon EXPERT

Dr. Larry Tabatchnick, DMD, MD

Oral and Maxillofacial Surgeon

Dr. Larry Tabatchnick is an oral and maxillofacial surgeon practicing in Fayetteville, NC. Dr. Tabatchnick specializes in the treatment of problems related to the face, mouth and jaws. As an oral and maxillofacial surgeon, Dr. Tabatchnick is a unique dental specialist who can provide emergency medicine, perform general surgery and give anesthesia. These medical doctors are the only type of medical care specialist who can administer anesthesia, besides anesthesiologists. Typical procedures performed by Dr. Tabatchnick are tooth extractions, especially wisdom teeth, corrective jaw surgery, cleft palate surgery and reconstructive surgery after an injury. Oral and maxillofacial surgeons can also perform dental work including placing dental implants. These surgeons might also deal with conditions of sleep apnea, oral cancers and more.
Dr. Larry Tabatchnick, DMD, MD
  • Fayetteville, NC
  • Accepting new patients

Do you have to be put to sleep to get your wisdom teeth out?

No, you don't have to be put to sleep. Many people have them out with just local anesthesia. If you have four impacted teeth, I would recommend doing it with sedation.

Stitches are loose after extraction. What do I do?

It's okay if they come loose, you can just pull them out. It won't hurt anything.

How long does it take to recover from wisdom teeth removal?

Varies from person to person. For the pain and swelling to resolve may take 1-7 days depending if bone had to be removed. It will take several months for the holes to disappear. READ MORE
Varies from person to person. For the pain and swelling to resolve may take 1-7 days depending if bone had to be removed. It will take several months for the holes to disappear.

How long does novocaine last after wisdom tooth removal?

Can last up 6-7 hours depending on the local anesthetic used.

Is general anesthesia sometimes used for wisdom tooth extractions?

Yes, it can come in the form of deep IV sedation or general anesthesia if the office is equipped with a machine that provides inhalation anesthesia. Obviously general anesthesia READ MORE
Yes, it can come in the form of deep IV sedation or general anesthesia if the office is equipped with a machine that provides inhalation anesthesia. Obviously general anesthesia is going to be significantly more expensive and carries more risk.

I had a cold drink after my root canal treatment. Could it cause a problem?

I would give it some time and if it continues or gets worse, follow up with your Root Canal Dr.

I have a hard bump in my gums after my tooth extraction. What can I do?

You should go back to the dentist who removed to tooth and make sure there is not a problem with the extraction site.

What are the possible treatments available for dental cysts?

You need to have them removed before they become any larger. Cysts tend to get larger and larger and as they do, they affect the tissues around them and get harder to treat.

My wisdom tooth is aching. Is it better to have it extracted?

Yes, its better to have them removed while you are young. They eventually cause lots of problems and the older you get, the harder they are to remove and have greater chance for READ MORE
Yes, its better to have them removed while you are young. They eventually cause lots of problems and the older you get, the harder they are to remove and have greater chance for complications.

What are the steps involved in maintaining good oral hygiene?

It's best to make sure there is fluoride in the water, and if not, get supplemental fluoride tablets from your dentist. If you are not sure, have your water checked. Too much READ MORE
It's best to make sure there is fluoride in the water, and if not, get supplemental fluoride tablets from your dentist. If you are not sure, have your water checked. Too much fluoride is as bad as none at all

My son is allergic to milk. I am concerned about his teeth. What can I do?

Fluoride works great to strengthen teeth. I would check to see if you have fluoride in your water and if not get supplemental fluoride from your dentist.

After a root canal are there chances of an infection in the jaw?

There is a possibility. If the pain does not get better or starts to get worse and swells then you will need an antibiotic and follow up with your Root Canal Dr.

Are there any special oral routine for pregnant mothers and Infants?

Strict hygiene is very important for both mother and baby. More so for the mother until the baby starts to grow teeth. Growths can occur on the gums called granulomas during READ MORE
Strict hygiene is very important for both mother and baby. More so for the mother until the baby starts to grow teeth. Growths can occur on the gums called granulomas during pregnancy if good hygiene is not maintained.

Adult tooth is loose. What should I do?

That tooth may have a crack in the root or may be "dying" because of the trauma. If the tooth is intact, it may need a root canal and a crown. Do not wait till it abscesses and READ MORE
That tooth may have a crack in the root or may be "dying" because of the trauma. If the tooth is intact, it may need a root canal and a crown. Do not wait till it abscesses and follow up with your dentist for an X-ray evaluation.

My wisdom tooth hurts a lot. Is extraction the only option?

Yes, you should have it removed. It will continue to cause problems and the longer you wait, the harder it will be to remove.

My daughter is 5 years old and has been recommended a root canal surgery. What should I do?

If it is a baby tooth, they simply remove the pulp. It is best to retain baby teeth as long as possible. Without seeing x-rays, it is hard to give proper advice for your child. READ MORE
If it is a baby tooth, they simply remove the pulp. It is best to retain baby teeth as long as possible. Without seeing x-rays, it is hard to give proper advice for your child.

What are the symptoms of dental problems in children?

I would recommend seeing a pediatric dentist for evaluation once her teeth start to erupt. If she has a positive experience, she will not fear the dentist when she is older.

I drink cold drinks very frequently. I am now having some numbness. Could it be because of my cold drink intake?

Numbness that persists is symptom of a possible underlying problem that should be followed up with your dentist. The longer you wait, the harder it may be to treat. Numbness READ MORE
Numbness that persists is symptom of a possible underlying problem that should be followed up with your dentist. The longer you wait, the harder it may be to treat. Numbness to the mouth is not a common finding and should be further evaluated.

Risk of nerve damage during impacted wisdom tooth surgery?

Yes there is, but is very dependent on the relationship of the nerve to the root of the lower tooth. This can usually be told by looking at a panorex x-ray and an experienced READ MORE
Yes there is, but is very dependent on the relationship of the nerve to the root of the lower tooth. This can usually be told by looking at a panorex x-ray and an experienced Oral Surgery can determine what your approximate chances of incurring nerve injury.

What can I expect after oral surgery?

Depend on if they are upper or lower teeth. Usually recovery is longer for lower teeth then uppers, especially if bone is removed to extract the broken tooth. I tell my patients READ MORE
Depend on if they are upper or lower teeth. Usually recovery is longer for lower teeth then uppers, especially if bone is removed to extract the broken tooth. I tell my patients 1-7 days.