expert type icon EXPERT

Jimmy Kayastha

Oral and Maxillofacial Surgeon

Dr. Jimmy Kayastha is an oral and maxillofacial surgeon practicing in Charlotte, NC. Dr. Kayastha specializes in the treatment of problems related to the face, mouth, and jaws. As an oral and maxillofacial surgeon, Dr. Kayastha 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. Kayastha 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.
20 years Experience
Jimmy Kayastha
  • Charlotte, NC
  • Nova Southeastern University
  • Accepting new patients

How much rest should I take after implant surgery?

We recommend elevating the head for at least 72 hours after dental implant surgery. To do this, you can prop yourself up on pillows in your bed. Alternatively, you can also sleep READ MORE
We recommend elevating the head for at least 72 hours after dental implant surgery. To do this, you can prop yourself up on pillows in your bed. Alternatively, you can also sleep in a recliner for the first few days after your procedure.

Is jaw realignment surgery painful?

The surgery aims to realign the jaws and teeth to improve their function and aesthetic appearance. Jaw surgery is usually performed after the growth stops, which is around ages READ MORE
The surgery aims to realign the jaws and teeth to improve their function and aesthetic appearance. Jaw surgery is usually performed after the growth stops, which is around ages 14 to 16 years for females and 17 to 21 years for males. The surgery is performed under general anesthesia, so there is no pain during surgery.

How long does it take to recover from oral cyst surgery?

Recovery time from dental cyst removal is usually just a couple of weeks. That's how long it takes for the site to heal and for the numbness to disappear.

How long does a jaw alignment take?

An uneven jaw may be due to teeth misalignment. Your teeth may not be allowing your jaw to settle in its correct position. Braces or retainers can help correct this. It may take READ MORE
An uneven jaw may be due to teeth misalignment. Your teeth may not be allowing your jaw to settle in its correct position. Braces or retainers can help correct this. It may take a period of 6 to 18 months for results to show.

How long does it take to recover from sleep apnea surgery?

Jaw advancement surgery may take one month or longer to return to a normal baseline. After two months, it may be important to reassess the condition to determine the success of READ MORE
Jaw advancement surgery may take one month or longer to return to a normal baseline. After two months, it may be important to reassess the condition to determine the success of the surgical intervention.

Does TMJ surgery change your face?

Orthognathic surgery works to realign the bite, and the adjustments made eliminate any noticeable asymmetry. A corrective jaw procedure can make a major difference, dramatically READ MORE
Orthognathic surgery works to realign the bite, and the adjustments made eliminate any noticeable asymmetry. A corrective jaw procedure can make a major difference, dramatically improving your facial appearance.

How long does it take to recover from a dental bone graft?

Though you will probably feel back to normal within a week or two, complete dental bone graft healing can take between three and nine months – sometimes longer. Recovery times READ MORE
Though you will probably feel back to normal within a week or two, complete dental bone graft healing can take between three and nine months – sometimes longer. Recovery times depend on several factors, including the type of graft, the area in which the graft was placed and your body's healing capacity.

How do you permanently cure TMJ?

1. Custom-made splints. Custom-made splints are made to be fitted over your lower or upper teeth. 2. Physical therapy. Physical therapy involves appropriate exercises for the READ MORE
1. Custom-made splints. Custom-made splints are made to be fitted over your lower or upper teeth.
2. Physical therapy. Physical therapy involves appropriate exercises for the joint.
3. Surgery.
4. Transcutaneous Electrical Nerve Stimulation.

Why do I need an oral surgeon to remove my wisdom teeth?

Not necessarily. A well-trained dentist can perform wisdom tooth extractions as well.

Is jaw surgery necessary for a crossbite?

For adults with a more severe cross bite, jaw surgery may be recommended. The goal of jaw surgery is to reset and correctly align your jaw. While it heals, you may need to get READ MORE
For adults with a more severe cross bite, jaw surgery may be recommended. The goal of jaw surgery is to reset and correctly align your jaw. While it heals, you may need to get additional treatments, such as braces, to ensure that the cross bite is fixed.

How long does it take to remove a dental cyst?

If it is very large, or has caused damage, we may remove some teeth, roots, and a section of jawbone. Afterwards, the cyst will be sent to a special pathologist for analysis. Such READ MORE
If it is very large, or has caused damage, we may remove some teeth, roots, and a section of jawbone. Afterwards, the cyst will be sent to a special pathologist for analysis. Such surgeries usually takes up to an hour.

How long do you stay in hospital after jaw surgery?

A 2-4 day stay in the hospital, 1-3 weeks off work or school, and up to 12 weeks of recovery time.

Can you fix jaw alignment without surgery?

As a general rule, to correct underbite without surgery in adults, there are three main options: *Invisalign, braces, and cosmetic procedures like veneers or crowns*. Surgical READ MORE
As a general rule, to correct underbite without surgery in adults, there are three main options: *Invisalign, braces, and cosmetic procedures like veneers or crowns*. Surgical underbite correction is generally only necessary when there is a more serious skeletal problem responsible for the bad bite.

Can tooth implants cause health problems?

Dental implants have a high success rate of around 95%, and they lead to an increased quality of life for many people. However, dental implants can cause complications, such as READ MORE
Dental implants have a high success rate of around 95%, and they lead to an increased quality of life for many people. However, dental implants can cause complications, such as infections, gum recession, and nerve and tissue damage.

A patient's good health is the strongest predictor of a successful implant procedure. The following conditions may make it harder:

Autoimmune diseases, allergies and diabetes. People with conditions like rheumatoid arthritis and diabetes heal at a slower rate, which can prevent an implant from fusing with the jawbone.

Medications. Patients should be sure to discuss their meds with the dentist, as some may also interfere with the fusing of the implant to the jawbone. Heartburn medications, for instance, interfere with calcium processing, so they may damage the ability of the jawbone to heal around the implant screw.

Gum disease. Healthy gums are a prerequisite.

Osteoporosis or osteopenia. An estimated 20 percent of women 50 or older have osteoporosis, and about 50 percent are estimated to have low bone mass, which often means a bone graft will be necessary to ensure that there is enough bone density to hold an implant in place.

Tobacco use. Nicotine restricts blood flow to the gums, which slows the healing process and contributes to inflammation of the gum tissue around an implant. Tobacco users have an implant failure rate of up to 20 percent.

How to cure canker sore on tonsils asap?

Canker sores usually heal without treatment. However, some remedies and medication can help ease pain. Home remedies People can make a saltwater rinse by dissolving half a teaspoon READ MORE
Canker sores usually heal without treatment. However, some remedies and medication can help ease pain.

Home remedies
People can make a saltwater rinse by dissolving half a teaspoon of salt in a glass of warm water. They can swill the rinse around the throat and tonsils up to three times a day.

Drinking cold water or sucking on ice cubes may numb the pain a little. Eating soft frozen yogurt or ice cream could also help. It is best not to eat anything with sharp edges to avoid irritating canker sores further.

If a person has recurring canker sores, the following lifestyle changes may help:

avoiding spicy or acidic foods
reducing stress
taking an iron or B vitamin supplement
Learn more home remedies for canker sores here.

Medical treatments
Medication can ease pain and reduce swelling, which can help encourage a canker sore to heal more quickly.

People can look for OTC gels and creams that contain an anti-inflammatory or pain relief agent and apply these directly to the ulcer. Some gels coat the canker sore to form a protective barrier that stops further irritation.

It can be difficult to reach a canker sore in the throat. Mouthwash can be a more effective way of reducing pain, swelling, and the risk of infection. A medicated or antimicrobial mouthwash is likely to be best.

Various canker sore treatments are available for purchase online. Anyone who is unsure what to try can speak to a pharmacist or doctor before purchasing medicine to treat canker sores.

For a severe canker sore, a person may need prescription medication. Tablets can reduce inflammation and help a severe ulcer heal.

Laser therapy at a low level may help trusted Sources in cases of severe or recurrent canker sores. Although it is not a cure, it can speed up healing by drying out and disinfecting a canker sore.

How do you brush your teeth if your jaw is wired shut?

A small, soft, child size toothbrush is easier to use while your jaws are wired together. Brush your teeth by taking your finger and pulling out the cheek on the side that you READ MORE
A small, soft, child size toothbrush is easier to use while your jaws are wired together. Brush your teeth by taking your finger and pulling out the cheek on the side that you plan to brush. Take your toothbrush and brush in and out. This helps to prevent the chance of pulling the sutures that you might have in your mouth. You should also rinse your mouth with warm salt water (one half teaspoon of salt to a large glass of warm water), then brush again until all debris has been cleared from the wires. If you have an incision in your mouth, avoid this area for the first week. If you have a waterpik available, it may be used to rinse the food out between your arch bars. Place warm water in the waterpik, set it on the lowest setting and slowly go over your arch bars, until food particles are gone. Do not forget to apply vaseline to your lips continually to prevent drying and cracking.

How long does it take for a wired jaw to heal?

After jaw surgery, the jaw is wired shut. How Long Will It Take To Heal? The average healing time for a broken jaw is six weeks. If the fractured segments of the jaw are properly READ MORE
After jaw surgery, the jaw is wired shut. How Long Will It Take To Heal? The average healing time for a broken jaw is six weeks. If the fractured segments of the jaw are properly aligned and undisturbed during healing, the jaw should heal and be as strong as in was before the fracture occurred.

What can I take for TMJ pain?

Nondrug therapies for TMJ disorders include: Oral splints or mouth guards (occlusal appliances). Often, people with jaw pain will benefit from wearing a soft or firm device inserted READ MORE
Nondrug therapies for TMJ disorders include:

Oral splints or mouth guards (occlusal appliances). Often, people with jaw pain will benefit from wearing a soft or firm device inserted over their teeth, but the reasons why these devices are beneficial are not well-understood.

Physical therapy. Along with exercises to stretch and strengthen jaw muscles, treatments might include ultrasound, moist heat, and ice.
Counseling. Education and counseling can help you understand the factors and behaviors that may aggravate your pain, so you can avoid them. Examples include teeth clenching or grinding, leaning on your chin, or biting fingernails.

When other methods don't help, your doctor might suggest procedures such as:

Arthrocentesis is a minimally invasive procedure that involves the insertion of small needles into the joint so that fluid can be irrigated through the joint to remove debris and inflammatory byproducts.
Injections. In some people, corticosteroid injections into the joint may be helpful. Infrequently, injecting botulinum toxin type A (Botox, others) into the jaw muscles used for chewing may relieve pain associated with TMJ disorders.

TMJ arthroscopy. In some cases, arthroscopic surgery can be as effective for treating various types of TMJ disorders as open-joint surgery. A small thin tube (cannula) is placed into the joint space, an arthroscope is then inserted and small surgical instruments are used for surgery. TMJ arthroscopy has fewer risks and complications than open-joint surgery does, but it has some limitations as well.

Modified condylotomy addresses the TMJ indirectly, with surgery on the mandible, but not in the joint itself. It may be helpful for the treatment of pain and if locking is experienced.

Open-joint surgery. If your jaw pain does not resolve with more conservative treatments and it appears to be caused by a structural problem in the joint, your doctor or dentist may suggest open-joint surgery (arthrotomy) to repair or replace the joint. However, open-joint surgery involves more risks than other procedures do and should be considered very carefully, after discussing the pros and cons.

Dental implant screw not centered properly between teeth?

An unfortunate occurrence in dental implant prosthetics is malpositioned implant placement. In fact, a large percentage of my dental laboratory business has been restoring “rescue READ MORE
An unfortunate occurrence in dental implant prosthetics is malpositioned implant placement. In fact, a large percentage of my dental laboratory business has been restoring “rescue cases,” which are usually either new cases or remakes of seemingly unrestorable implants.

Premachined angled abutments work wonderfully for poorly angled, yet somewhat reasonably placed implants. A large span bridge with many implants where one or two will have the screws coming out of the buccal can be easily corrected. This applies only if the implant manufacturer makes angled correcting abutments. Nobel Biocare, Straumann Bone Level Implants, Biomet 3i, Zimmer, and a few more make these abutments.

A custom abutment with a milled lingual screw hole is an option when the manufacturer does not make an abutment or the position is too buccal or too deep. In this situation, the custom abutment can be made in the traditional way as any cementable prosthesis with a labial chamfer or butt. After finishing the abutment, a lingual screw hole is tapped with a specific-sized tap that corresponds to a screw. A plastic waxing sleeve and screw is attached to the abutment, and an over-coping is waxed. When completed, the coping is now screw retained.

A milled mesio frame acts as one big custom abutment when all of the implants are malpositioned. A bar that attaches to all of the implants is made with either tapped occlusal or lingual screw holes. The bar, when placed in the mouth, will have the implant screw holes pointed in many different positions. In many cases, the cylinder and screw will be away from the bar. The one piece over frame will lay on top and be screwed into the mesio frame.

An overdenture works in many cases. The angulation of the implant is not as crucial in an overdenture since the overdenture covers everything up. A clip bar acts in many ways like the mesio frame, except the overframe is removable by the patient and, in most cases, the overframe of a mesio bar is not. A one-piece solid bar with attachments—such as ERA, Locator, Hader, and many others—is made and a denture snaps onto it.

Screw holes coming out of the buccal are not the end of the world. In the posterior, the only ones really concerned about the screw holes are the dentist and the lab. The patient really has no expectation of where the holes are. Once filled with the composite, the case is done and the patient goes home—no wiser to the screw hole issue. Sometimes the implant is so far buccal that it comes out of the gingival-colored ceramics of the bridge. This comes out nicely since a pink plug in the gingival is more esthetic than on the mid-facial of an anterior.

How long does it take to recover from a dental bone graft?

Generally speaking, the recovery time can be anywhere from two weeks to over two months. If a patient has to undergo dental implant surgery, they will have to wait until the bone READ MORE
Generally speaking, the recovery time can be anywhere from two weeks to over two months. If a patient has to undergo dental implant surgery, they will have to wait until the bone graft is fused with the bones that are already in the mouth. That usually takes a few months.

A socket preservation should be one to two days with no exercise for a week. A sinus augmentation procedure or bone graft can take a week to recover or up to four weeks. A ridge augmentation is the most painful of all the bone graft procedures and can take one to two weeks to heal or recover.