EXPERT
Jimmy Kayastha
Oral and Maxillofacial Surgeon
- Charlotte, NC
- Nova Southeastern University
- Accepting new patients
Artificial Intelligence in Oral Healthcare
The rise of artificial intelligence (AI) is reshaping various sectors, with healthcare at the forefront. Advanced language models such as ChatGPT-4 and BARD, proficient in generating...
Tech's Limitations in Healthcare
A recent encounter with a patient presented a poignant example of the challenges posed by the influx of online medical information. The patient arrived with concerns stemming...
The Sensory Deficits of Wearing Masks
Since the onset of the COVID-19 epidemic, life has been peculiar. The social, political, financial, and emotional tolls have been overwhelming. Despite being back out in society...
Oral Manifestations of COVID-19
The COVID-19 pandemic has brought unprecedented challenges for health authorities worldwide. The way of contagion through direct contact has facilitated the rapid spread worldwide....
Oral Cancer: Support, Advocacy, Research and Hope
You are a 'survivor' from the day that you are diagnosed. The word, 'survivor' isn't just a title, it’s an attitude. During the course of my career, I have met far too many patients...
Building a Fairer, Healthier World
The day my mother was diagnosed with advanced cancer was the day I began my long run as a patient. The unwelcome news upended my life and sucked all my energies into an immediate...
Closing the Chasm between Medicine and Dentistry
Since the beginning of modern healthcare, medicine and dentistry have existed as separate healthcare domains. The systemic separation began a century ago, and healthcare policy...
How much rest should I take after implant surgery?
Is jaw realignment surgery painful?
How long does it take to recover from oral cyst surgery?
How long does a jaw alignment take?
How long does it take to recover from sleep apnea surgery?
Does TMJ surgery change your face?
How long does it take to recover from a dental bone graft?
How do you permanently cure TMJ?
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?
Is jaw surgery necessary for a crossbite?
How long does it take to remove a dental cyst?
How long do you stay in hospital after jaw surgery?
Can you fix jaw alignment without surgery?
Can tooth implants cause health problems?
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?
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?
How long does it take for a wired jaw to heal?
What can I take for TMJ pain?
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?
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?
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.