Jeremy Egan

Yes, a CT scan is highly recommended before dental implant surgery, as it provides essential information that enhances the precision and safety of the procedure. At Elite Oral and Maxillofacial Surgery of Oklahoma, Dr. Jeremy Egan, DMD, MD, uses a 3D cone beam CT scan to gain a comprehensive view of your jawbone and surrounding structures, ensuring the best possible outcome for your implant.

Why a CT Scan is Essential Before Dental Implant Surgery
Bone Assessment
A CT scan reveals the quality, density, and volume of your jawbone, helping Dr. Egan determine if there is sufficient bone to support the implant securely. If bone density is inadequate, a bone graft may be recommended to build up the area, ensuring long-term stability for the implant.

Precise Implant Placement
The 3D view provided by a CT scan allows for precise planning of the implant’s position, depth, and angle. This precision minimizes risks and ensures that the implant is aligned optimally for both function and aesthetics.

Avoiding Vital Structures
A CT scan clearly identifies important anatomical structures, such as nerves and sinuses. By mapping out these structures in advance, Dr. Egan can avoid them during surgery, reducing the risk of complications and ensuring a safer, more comfortable experience.

Custom Treatment Planning
Every patient's jaw structure is unique, and the information from a CT scan enables Dr. Egan to develop a personalized treatment plan that takes into account your specific anatomy. This level of customization is key to a successful implant procedure and a comfortable healing process.

At Elite Oral and Maxillofacial Surgery of Oklahoma, we are committed to providing the highest level of care and precision in dental implant procedures. Dr. Jeremy Egan’s expertise, combined with advanced imaging technology, ensures that your implant is placed with accuracy and care, giving you confidence in a lasting, functional smile.

After dental implant surgery, medications are typically prescribed to aid in a smooth recovery and to prevent any complications. The duration for taking these medications varies based on individual healing needs and Dr. Jeremy Egan’s specific recommendations at Elite Oral and Maxillofacial Surgery of Oklahoma. Here’s a general guide to help you understand what to expect:

Types of Medications and How Long You May Need Them
Pain Relievers
Over-the-counter pain relievers, such as ibuprofen or acetaminophen, are usually recommended for a few days post-surgery to manage any discomfort. Some patients may be prescribed a stronger pain medication, but this is generally only needed for the first day or two. By the end of the first week, most patients find they no longer need pain relief.

Antibiotics
Antibiotics may be prescribed to prevent infection at the surgical site. Typically, Dr. Egan will advise you to take antibiotics for about 5 to 7 days following surgery, completing the full course to ensure protection against potential infections.

Anti-Inflammatory Medication
In some cases, an anti-inflammatory medication may be recommended to reduce swelling and promote faster healing. Anti-inflammatory medications are generally taken for the first few days, as swelling tends to peak around 48-72 hours after surgery.

Antibacterial Mouth Rinse
An antibacterial mouth rinse may be prescribed to help keep the surgical site clean. This rinse is usually recommended for the first week after surgery, helping to control bacteria and promote a healthy healing environment.

Following Dr. Egan's Specific Guidelines
Each patient's recovery is unique, and Dr. Jeremy Egan will provide detailed instructions tailored to your specific needs at Elite Oral and Maxillofacial Surgery of Oklahoma. It’s essential to follow his guidelines on medication timing and dosage for optimal healing. Never discontinue antibiotics or other prescribed medications early, even if you’re feeling better, as this ensures a thorough recovery.

Dr. Egan and his team are here to support you every step of the way, from surgery through recovery, ensuring a comfortable and successful implant experience that restores your smile with confidence.

It's understandable to be concerned about any unusual lump in your mouth, especially with so much information online about oral health. While I can't make a definitive diagnosis without an examination, I can provide some insights to help ease your mind.

A small, soft, and movable lump on the alveolar mucosa (the tissue covering the jawbones where the teeth are located) that isn't painful could be caused by various benign conditions, such as:

Mucocele: These are small, fluid-filled cysts that often develop from a blocked salivary gland duct. They're generally harmless, soft, and can sometimes appear or disappear on their own.

Fibroma: This is a benign growth of fibrous tissue that can develop in response to minor trauma, like biting or irritation. Fibromas are generally painless and often stay small.

Minor Salivary Gland Swelling: Occasionally, a minor salivary gland can swell due to slight irritation or blockage, creating a small bump.

Signs That Suggest a Benign Condition
Soft and movable lumps are often associated with benign lesions.
Absence of pain, bleeding, or changes in texture is generally a good sign.
Your age, nonsmoking and nondrinking status, and lack of HPV reduce your risk for oral cancer significantly.
When to Seek a Professional Opinion
Although it's unlikely that this is oral cancer, it's always best to be cautious with any persistent lump in the mouth. Here are some guidelines for when you should seek a professional evaluation:

If the lump persists for more than two weeks without change.
If it begins to grow in size, change color, or develop an irregular texture.
If you experience other symptoms, like unexplained pain, difficulty swallowing, or sore throat.
At Elite Oral and Maxillofacial Surgery of Oklahoma, Dr. Jeremy Egan, DMD, MD, specializes in oral health evaluations and can provide a thorough examination to determine the nature of the lump and put your mind at ease. Early evaluation is key to addressing any oral concerns, so don’t hesitate to consult with a specialist if you’re feeling anxious about it.

It’s understandably alarming to have an implant post come out, especially over the weekend. More than likely the implant didn't come out, but the abutment did which can be easily reattached. Here are some steps to help manage the situation until you can see your dentist on Monday:

1. Avoid Touching the Area
Try not to touch the implant site or attempt to put the post back in place, as this could increase the risk of infection or cause further irritation.

2. Salt Water Rinses
As you mentioned, continue to rinse gently with warm salt water 2-3 times a day. This will help keep the area clean and reduce the risk of infection. Be gentle with the rinses to avoid disturbing the implant site further.

3. Stay on a Soft Diet
Eat soft foods that don’t require much chewing and avoid any food or drink that could irritate the area, like very hot, spicy, or acidic items. This minimizes pressure on the surrounding tissue and keeps the area as undisturbed as possible.

4. Avoid Smoking, Alcohol, and Caffeine
If you smoke or consume alcohol or caffeine, avoid them over the weekend, as they can slow the healing process and increase infection risk.

5. Over-the-Counter Pain Relief (If Needed)
If you’re experiencing discomfort, an over-the-counter pain reliever, such as ibuprofen or acetaminophen, can help. Always follow the dosage instructions and avoid aspirin, as it may thin the blood and increase bleeding.

6. Minimize Pressure on the Area
Try to avoid touching the area with your tongue and avoid using that side of your mouth for chewing to keep the site as stable as possible.

While it’s unfortunate that you have to wait until Monday, these steps should help protect the area and minimize discomfort. Once your dentist is available, they can assess the situation and determine whether the implant post can be re-inserted or if further intervention is needed. If you notice signs of infection, like increased pain, swelling, or fever, consider visiting an urgent care or an emergency dentist.

Having a history of deep vein thrombosis (DVT) and currently taking Eliquis (apixaban) is important information to consider before undergoing any surgical procedure, including dental implant surgery. Anticoagulants like Eliquis reduce the risk of blood clots but also increase the risk of bleeding during surgery. Here’s a general approach to managing this situation, but please remember that it’s essential to consult both your oral surgeon and the physician managing your DVT before making any changes to your medication.

General Guidelines for Dental Implant Surgery While on Eliquis
Consult with Your Physician and Surgeon The first and most important step is to consult with the doctor who prescribed Eliquis, as well as your oral surgeon. They can assess your current health, the stability of your DVT, and the overall risk of temporarily stopping or adjusting your medication.

Risk Assessment and Timing Depending on the stability of your DVT, your doctor may consider temporarily pausing Eliquis before surgery. This decision is highly individualized. For patients who need to be off anticoagulants temporarily, the standard recommendation is often to stop Eliquis 24-48 hours before the procedure. However, this timing can vary depending on your specific situation, kidney function, and the type of procedure.

Bridging Therapy (If Needed) In some cases, your physician may suggest a "bridging" therapy, where a different type of shorter-acting anticoagulant, such as heparin, is used temporarily. This approach allows you to be off Eliquis for a short time while still protecting against blood clots.

Post-Operative Resumption of Eliquis After the procedure, your oral surgeon will likely recommend resuming Eliquis as soon as it’s safe, typically within 24-48 hours, depending on bleeding risk and the stability of the implant site. Again, this should be done under guidance from both your surgeon and your physician.

Additional Precautions During Surgery During the implant procedure, your surgeon may take specific steps to minimize bleeding, such as using local hemostatic agents or minimally invasive techniques. Communicating with your oral surgeon about your medical history will help them prepare accordingly.

Final Steps
Since anticoagulation management is delicate, follow the instructions provided by your healthcare providers precisely. They may also want you to undergo additional tests, such as blood work, to determine your clotting status before surgery.

It’s great that you’re carefully considering your options for your wisdom teeth, especially with a history of four extractions due to crowding. Wisdom teeth removal is common, but with your background, there are unique factors to weigh. Here’s a breakdown to help you make an informed decision:

Pros and Cons of Removing Wisdom Teeth Now
Cavity Risk and Oral Health Maintenance
Cavities on wisdom teeth, especially partially impacted ones, can be difficult to manage because these teeth are harder to clean effectively. Cavities in hard-to-reach wisdom teeth can lead to pain, infection, and further complications if not addressed. Removal can eliminate this risk and reduce the chance of future oral health issues, especially if the cavity is close to the gum line or difficult to restore with fillings.

Position and Potential Complications
Partially impacted teeth (those partially under the gum) are at higher risk for recurring issues, like decay, gum inflammation, or even cyst formation over time. Removing them may prevent these problems, and at 28, you’re still in a relatively favorable age range for recovery from extraction, as healing tends to be smoother in younger adults.

Consideration of Prior Extractions
Having already had four teeth removed means your mouth has adapted to a different spacing arrangement than most people. Fortunately, wisdom teeth don’t typically impact bite stability, as they’re in the far back and don’t play a primary role in your bite. So, their removal is unlikely to cause any long-term alignment issues or compromise your bite.

Bone Density and Support
Wisdom teeth don’t contribute significantly to bone density in the jaw. Once extracted, the surrounding bone may resorb slightly but generally maintains adequate density over time without negative consequences.

Can They Be Saved?
Saving your wisdom teeth is possible in some cases, but it depends on several factors:

Cavity Location and Severity: If the cavity on the impacted tooth is near the gumline or under the gum, fillings may not be effective, and further decay may continue, leading to other issues.
Position and Accessibility for Cleaning: If the wisdom teeth are positioned in a way that makes them difficult to clean, keeping them might mean an ongoing battle with decay or gum issues.
Regular Monitoring: If you do choose to keep them, you’d need regular monitoring to catch any potential problems early.
Recommendation
With the current cavities and the partially impacted position of one wisdom tooth, removing them may prevent recurring issues and simplify your oral care routine. However, if you’re still unsure, consider getting a consultation with your oral surgeon or dentist to assess the position, cavity extent, and overall health of the teeth.

At Elite Oral and Maxillofacial Surgery of Oklahoma, Dr. Jeremy Egan, DMD, MD, can help evaluate your specific case and provide a personalized recommendation, ensuring that any decision you make supports your long-term oral health and comfort.

Oral cyst surgery is generally well-managed in terms of pain, especially with modern anesthetic options and post-operative care. At Elite Oral and Maxillofacial Surgery of Oklahoma, Dr. Jeremy Egan, DMD, MD, prioritizes patient comfort and uses techniques to minimize pain during and after the procedure.

Pain Management During Surgery
Anesthesia: Oral cyst removal is usually performed under local anesthesia, which numbs the area completely. This means you won’t feel pain during the surgery itself. If the cyst is larger or in a more sensitive area, sedation options, including IV sedation, are available to ensure a comfortable experience.

Sedation Options: For patients who feel anxious about the procedure, Dr. Egan offers sedation options that allow you to be relaxed or even lightly asleep during the surgery, further minimizing any potential discomfort.

Post-Surgery Discomfort and Pain Management
Mild to Moderate Discomfort: After the anesthesia wears off, you may experience mild to moderate discomfort in the area. This is usually described as soreness or tenderness rather than severe pain. The level of discomfort can vary depending on the size and location of the cyst, but most patients find it manageable.

Pain Relief Medications: Dr. Egan typically recommends over-the-counter pain relievers, such as ibuprofen or acetaminophen, for a few days following the procedure. These medications help control any post-operative soreness effectively. In some cases, a short course of prescription pain relievers may be provided if the cyst was large or in a more sensitive area.

Swelling and Healing: Swelling and minor discomfort usually peak within the first 48 hours and start to decrease after that. Cold compresses and following post-operative care instructions can help manage swelling and speed up recovery.

Aftercare Instructions: Dr. Egan provides detailed aftercare instructions to keep the surgical area clean and minimize the risk of infection or prolonged discomfort. These steps, along with gentle salt water rinses, help ensure a smooth healing process.

Most patients find that oral cyst surgery is not particularly painful and that any discomfort is manageable with the right pain relief and aftercare. At Elite Oral and Maxillofacial Surgery of Oklahoma, Dr. Jeremy Egan’s approach ensures a minimally painful experience, allowing you to recover quickly and comfortably.

All-on-4 dentures require regular and thorough cleaning to maintain oral health and ensure the longevity of the implants. At Elite Oral and Maxillofacial Surgery of Oklahoma, Dr. Jeremy Egan, DMD, MD, provides patients with specific guidelines to keep All-on-4 dentures clean and functioning at their best.

Daily Cleaning Routine
Brush Twice Daily
Just like with natural teeth, you should brush All-on-4 dentures at least twice a day, ideally after meals. Use a soft-bristled toothbrush and a non-abrasive toothpaste to prevent scratching the prosthetic and ensure plaque removal around the implants.

Interdental Brushes or Water Flosser
Cleaning around the implants and under the denture is essential. An interdental brush or a water flosser can effectively reach areas that a regular toothbrush might miss. These tools help remove food particles and bacteria, especially along the gumline and implant abutments.

Rinse After Meals
Rinsing your mouth with water or an antimicrobial mouthwash after meals can help reduce bacteria and prevent plaque buildup around the implants.

Professional Cleaning
Routine Check-ups Every 6 Months
Regular check-ups every six months allow Dr. Egan to assess the All-on-4 implants, monitor gum health, and ensure the dentures remain in optimal condition. Professional cleanings are often recommended at these visits to remove any tartar or buildup in hard-to-reach areas.

Deep Cleaning Annually
Depending on individual needs, an annual deep cleaning may be recommended to thoroughly clean around the implants and under the prosthetic. This process can help prevent peri-implantitis (inflammation around the implants) and keep the All-on-4 system in excellent condition.

Additional Tips
Avoid Hard or Sticky Foods: These can increase wear and buildup on the dentures, so limiting them will make cleaning easier.
Avoid Smoking and Alcohol: Smoking can contribute to gum inflammation and affect the longevity of the implants, while alcohol can dry the mouth and increase plaque buildup.
Following a consistent cleaning routine and scheduling regular check-ups with Elite Oral and Maxillofacial Surgery of Oklahoma will help keep your All-on-4 dentures looking and functioning like new. Dr. Egan’s guidance ensures that your smile remains healthy and confident for years to come.

Yes, food particles can occasionally get trapped under All-on-4 dental implants, particularly around the gum line and along the base of the prosthetic. However, with proper care and cleaning techniques, you can minimize this issue and maintain excellent oral hygiene. At Elite Oral and Maxillofacial Surgery of Oklahoma, Dr. Jeremy Egan, DMD, MD, provides guidance on cleaning and managing All-on-4 implants to keep them comfortable and free from debris.

Why Food Gets Trapped
All-on-4 dental implants are designed to fit snugly along the gum line, but a small gap is often left to allow for easy cleaning and to avoid irritating the gums. This gap, while small, can sometimes allow food particles to settle underneath the prosthetic. Certain foods, especially sticky or fibrous ones, are more likely to get caught.

Tips to Minimize Food Trapping
Daily Cleaning Routine
Using a soft-bristled toothbrush and brushing after meals helps remove most food particles around the gum line. Brush the gum area gently to ensure all areas around the implant are clean.

Water Flosser
A water flosser is particularly effective for All-on-4 implants, as it can reach areas under the denture that a toothbrush cannot. Directing the water flosser along the gum line and under the implant removes trapped particles and bacteria, keeping your mouth fresh and reducing plaque buildup.

Interdental Brushes
Interdental brushes, which are small brushes designed to clean between teeth, can help clean the spaces around the implants. These brushes are especially helpful for reaching any areas where food might accumulate.

Antimicrobial Mouthwash
Rinsing with an antimicrobial mouthwash can help kill bacteria and loosen any particles that may be trapped, making it easier to remove them with brushing or water flossing.

Avoid Sticky or Fibrous Foods
Foods like caramel, corn on the cob, and popcorn can more easily get trapped under implants. Limiting these foods or being mindful when eating them can help reduce food buildup.

Regular Professional Cleanings
Even with excellent home care, scheduling regular professional cleanings with Elite Oral and Maxillofacial Surgery of Oklahoma is essential for All-on-4 maintenance. Dr. Egan recommends professional cleanings every 6 months to ensure the implants stay healthy and to address any areas where food particles may be collecting.

By following these tips, you can keep your All-on-4 implants clean and free from trapped food, ensuring a comfortable and long-lasting solution. Dr. Jeremy Egan and the team at Elite Oral and Maxillofacial Surgery of Oklahoma are dedicated to helping patients enjoy a confident smile with easy maintenance.

All-on-4 dentures are designed to be a long-lasting solution for missing teeth, providing both durability and a natural look. At Elite Oral and Maxillofacial Surgery of Oklahoma, Dr. Jeremy Egan, DMD, MD, ensures that each All-on-4 treatment is tailored for optimal longevity and functionality. With proper care, All-on-4 dental implants can last many years, offering a reliable, fixed solution for those with missing teeth.

Longevity of All-on-4 Implants
Implant Posts (15-20+ Years)
The titanium implant posts that support the All-on-4 system are highly durable and can last 15 to 20 years or even longer with good oral hygiene and regular check-ups. Titanium is biocompatible, meaning it integrates well with the bone, creating a strong, stable foundation that can endure daily wear and tear.

Denture Prosthetic (10-15 Years)
The denture component that attaches to the implant posts may need replacement or refurbishment every 10-15 years. Although the prosthetic is made from durable materials, it is subject to normal wear over time. Daily use, biting forces, and general wear may lead to minor chipping or discoloration, and regular dental evaluations can help identify the optimal time for replacement.

Factors That Affect Longevity
Oral Hygiene
Regular cleaning is essential for the health of the gums and surrounding tissue. Daily brushing, using a water flosser, and cleaning under the prosthetic helps prevent plaque buildup, which could impact the implants’ longevity.

Routine Check-Ups
Dr. Egan recommends biannual check-ups to monitor the implants, ensure gum health, and address any minor issues early on. Professional cleanings help maintain implant stability and ensure long-term success.

Avoiding Hard Foods
While All-on-4 implants are strong, avoiding excessively hard foods, like ice or unpopped popcorn kernels, can prevent accidental damage to the prosthetic.

Lifestyle Factors
Smoking, excessive alcohol consumption, or certain medical conditions (like uncontrolled diabetes) can impact healing and gum health, potentially reducing the lifespan of the implants.

With proper care and regular maintenance, All-on-4 dental implants from Elite Oral and Maxillofacial Surgery of Oklahoma can provide a beautiful, functional smile for many years. Dr. Jeremy Egan and his team are committed to ensuring your All-on-4 dentures remain a long-term solution, offering the confidence and stability of natural teeth.

Yes, pain medications are commonly recommended after dental implant surgery to manage any post-operative discomfort. At Elite Oral and Maxillofacial Surgery of Oklahoma, Dr. Jeremy Egan, DMD, MD, ensures that patients have a personalized pain management plan to help them recover comfortably after implant surgery.

Types of Pain Medications
Over-the-Counter Pain Relievers
Non-prescription medications like ibuprofen (Advil, Motrin) or acetaminophen (Tylenol) are often effective for managing mild to moderate discomfort. Ibuprofen also helps reduce inflammation, which can aid in reducing swelling during the initial recovery period. Dr. Egan typically advises alternating these medications or using them as directed for the first few days.

Prescription Pain Medication
For patients who may need additional relief, especially within the first 24-48 hours, a short course of prescription pain relievers may be provided. These medications are usually only needed for a couple of days, as most patients find over-the-counter options sufficient as they continue healing.

Avoid Aspirin
It’s generally recommended to avoid aspirin after implant surgery, as it can thin the blood and increase the risk of bleeding at the surgical site.

Tips for Pain Management and Faster Recovery
Follow Dosing Instructions: Dr. Egan will provide specific instructions on when and how to take your medications. Taking them as directed will help you stay comfortable and avoid any gaps in pain relief.
Cold Compresses: Applying an ice pack to the outside of your cheek near the implant site in 10-15 minute intervals can help reduce both pain and swelling during the first 24 hours.
Rest and Avoid Physical Strain: Keeping activity levels low and resting during the initial days helps your body focus on healing, reducing discomfort and speeding up recovery.
When to Contact Your Surgeon
While some discomfort is normal, if you experience persistent or severe pain that isn’t relieved by medication, contact Elite Oral and Maxillofacial Surgery of Oklahoma. Dr. Jeremy Egan and his team are available to ensure your recovery is on track and to address any concerns promptly.

With the right pain management and aftercare, most patients find dental implant surgery to be manageable and recover comfortably. Dr. Egan's expertise in providing personalized care ensures you have a smooth experience from surgery through recovery.

Choosing between a dental bridge and an implant depends on several factors, including your oral health, budget, and long-term goals. At Elite Oral and Maxillofacial Surgery of Oklahoma, Dr. Jeremy Egan, DMD, MD, helps patients understand the advantages and disadvantages of each option to determine the best solution for replacing a missing tooth.

Dental Implants vs. Bridges: Key Differences
1. Longevity and Durability
Dental Implants: Implants are known for their durability and can last a lifetime with proper care. Made from titanium, the implant fuses with the jawbone, providing a stable and permanent solution.
Bridges: Dental bridges typically last 10-15 years before they may need replacement. Over time, the supporting teeth might require further treatment if the bridge affects their health.
2. Impact on Adjacent Teeth
Dental Implants: An implant is a stand-alone restoration, so it does not rely on neighboring teeth for support. This helps preserve the health of surrounding teeth and keeps them intact.
Bridges: To place a bridge, the adjacent teeth need to be reshaped to support the bridge structure. This can weaken those teeth over time, making them more susceptible to decay or damage.
3. Bone Health and Jaw Support
Dental Implants: Because implants integrate with the jawbone, they stimulate the bone, preventing bone loss in the area of the missing tooth. This helps maintain the natural structure of your face and jaw.
Bridges: Bridges do not provide the same level of bone stimulation. Without this stimulation, the bone where the tooth is missing may begin to resorb, which can affect jaw structure over time.
4. Aesthetic and Functional Considerations
Dental Implants: Implants closely resemble natural teeth in appearance and function. They provide a natural look and feel, making chewing and speaking comfortable.
Bridges: Bridges also look natural, but over time, the gums under the bridge may change, creating gaps or affecting the fit.
5. Cost and Treatment Time
Dental Implants: Implants usually require a higher initial investment, but their longevity often makes them more cost-effective over the long term. The process can take a few months, as the implant must integrate with the bone before the final crown is placed.
Bridges: Bridges typically have a lower upfront cost and can be completed faster than implants, usually within a few weeks. However, they may need replacement sooner, potentially adding to the overall cost in the long run.
When a Bridge Might Be the Better Choice
In cases where there is insufficient bone for an implant and bone grafting is not an option, a bridge might be a more viable solution. Additionally, if there is an urgent need for a replacement and time is a concern, a bridge can be completed more quickly.

When an Implant Might Be the Better Choice
For patients looking for a long-term solution that preserves surrounding teeth and supports bone health, an implant is often the preferred choice. Implants offer a permanent, natural-looking restoration that mimics the function and appearance of a natural tooth.

At Elite Oral and Maxillofacial Surgery of Oklahoma, Dr. Jeremy Egan provides a personalized consultation to evaluate which option aligns best with your needs. With expertise in both dental implants and restorative solutions, Dr. Egan can guide you in choosing the right path to restore your smile and oral health.

Yes, dental implants are generally stronger than natural teeth. At Elite Oral and Maxillofacial Surgery of Oklahoma, Dr. Jeremy Egan, DMD, MD, provides dental implants as a durable, long-term solution for tooth replacement. Here’s why implants are often considered stronger than natural teeth and what makes them a resilient choice.

Why Dental Implants Are Often Stronger
Material Strength
Dental implants are made from titanium, a biocompatible metal known for its strength and durability. Once integrated with the jawbone, the titanium implant provides a solid foundation that can withstand regular chewing forces and wear over time.

Integration with the Bone
Unlike natural teeth, which are held in place by periodontal ligaments, implants integrate directly with the bone in a process called osseointegration. This creates a stable connection that minimizes movement and makes implants resistant to shifting or loosening, even under pressure.

Resistance to Decay
Natural teeth are susceptible to cavities and decay, which can weaken their structure over time. Dental implants, however, are immune to decay, as they are made from metal and ceramic materials. This makes implants especially resilient in the long term, as they don’t face the same risks as natural teeth.

Low Risk of Fracture
The implant post itself is highly resistant to fracture compared to natural teeth. While the crown (the visible part of the implant) is made of durable materials like porcelain or zirconia, and can wear over many years, it can be replaced without affecting the underlying implant.

Comparing the Strength and Function of Implants and Natural Teeth
While dental implants are indeed strong, they still mimic the function and aesthetics of natural teeth effectively. The crown on an implant is crafted to look and function just like a natural tooth, so patients can eat, speak, and smile confidently.

However, it’s essential to maintain good oral hygiene and regular check-ups, as the gum and bone around implants need to stay healthy to ensure longevity.

At Elite Oral and Maxillofacial Surgery of Oklahoma, Dr. Jeremy Egan’s expertise in implant placement ensures that each implant provides both strength and aesthetics, allowing patients to enjoy a reliable and functional replacement for missing teeth.

Titanium implants are widely considered the gold standard for dental implants, known for their durability, biocompatibility, and long-term success. At Elite Oral and Maxillofacial Surgery of Oklahoma, Dr. Jeremy Egan, DMD, MD, uses titanium implants due to their proven performance and safety record. Here’s why titanium implants are generally considered the best option for replacing missing teeth:

Benefits of Titanium Implants
Biocompatibility
Titanium is highly biocompatible, meaning it integrates well with the jawbone in a process called osseointegration. This integration allows the titanium post to fuse directly with the bone, creating a stable, permanent anchor for the implant. Titanium is also hypoallergenic, making it suitable for most patients without causing adverse reactions.

Strength and Durability
Titanium is a strong yet lightweight material that can withstand the forces of chewing and daily use. Once fully integrated, titanium implants can last for decades, and with proper care, they often last a lifetime. This strength makes titanium implants an excellent choice for both single tooth replacement and full-arch restorations.

Long-Term Success Rates
Titanium dental implants have a high success rate, typically over 95% when placed by a skilled oral surgeon. Studies show that titanium implants perform well over the long term, making them one of the most reliable solutions for tooth replacement.

Compatibility with Bone Grafting
In cases where bone loss is present, titanium implants are compatible with bone grafting procedures. This flexibility allows Dr. Egan to place implants even when the jawbone needs additional support.

Versatility for Various Implant Designs
Titanium is highly adaptable, allowing it to be used for various implant types and designs, such as traditional, mini, and All-on-4 implants. This versatility makes titanium implants a viable option for a wide range of patients and treatment needs.

Alternatives to Titanium Implants
For patients with specific allergies or sensitivities, ceramic (zirconia) implants are an alternative. Zirconia implants are metal-free and can offer aesthetic benefits, as they have a white color similar to natural teeth. However, zirconia implants are less common and may have different longevity and integration characteristics compared to titanium.

Why Titanium Implants Are Typically the Best Choice
With decades of research and clinical success, titanium implants have earned their reputation as the best choice for most patients. At Elite Oral and Maxillofacial Surgery of Oklahoma, Dr. Jeremy Egan ensures that each implant is chosen based on individual needs and health considerations, providing a strong, lasting solution that restores both function and aesthetics.

Some level of discomfort is normal after implant surgery, but by 10 days post-surgery, pain should typically be mild and steadily improving. If you’re experiencing significant or worsening pain, it could indicate an underlying issue that may need attention. Here are some factors to consider, along with potential next steps:

Possible Causes of Pain After 10 Days
Normal Healing Discomfort
Minor soreness or tenderness around the implant site is common and may last for up to two weeks, especially if the implant involved bone grafting or if multiple implants were placed. However, this pain should feel manageable and decrease over time.

Infection (Peri-Implantitis)
If pain persists or worsens, it could signal an infection, known as peri-implantitis, which is an inflammation around the implant. Signs of infection include redness, swelling, a foul taste, or pus around the implant area.

Improper Healing or Implant Stability Issues
Persistent pain could also result from the implant not integrating with the bone as expected. This can happen if there’s undue stress on the implant site, such as from grinding teeth or if the implant shifts.

Sinus Involvement (for Upper Implants)
For implants placed in the upper jaw, pain may sometimes indicate a sinus-related issue, especially if the implant was close to the sinus cavity. Symptoms could include sinus pressure or discomfort around the nose or cheeks.

What to Do Next
Contact Your Surgeon
Reaching out to your oral surgeon is the best step if you’re still experiencing significant pain. They may want to evaluate the implant site to check for infection or other issues that could be impacting healing.

Continue Gentle Oral Hygiene
Keep the area clean with gentle rinses, such as salt water, to avoid introducing bacteria around the implant. Avoid brushing directly on the implant area if it’s sensitive.

Monitor for Other Symptoms
Take note of any additional symptoms, like swelling, redness, fever, or pus, as these are signs of infection that require prompt attention.

Avoid Chewing on the Implant Side
If you haven’t already, try to avoid chewing on the side where the implant was placed to give it time to stabilize and heal without additional pressure.

At Elite Oral and Maxillofacial Surgery of Oklahoma, Dr. Jeremy Egan, DMD, MD, emphasizes the importance of post-surgical care and timely evaluation if pain persists. Promptly addressing any discomfort ensures a smooth healing process and maximizes the implant’s success.

Yes, anesthesia is typically required for dental implant placement to ensure a pain-free and comfortable experience. At Elite Oral and Maxillofacial Surgery of Oklahoma, Dr. Jeremy Egan, DMD, MD, provides a range of anesthesia options tailored to each patient’s comfort level and the procedure’s complexity.

Common Anesthesia Options for Dental Implant Surgery
Local Anesthesia
Local anesthesia numbs the area around the implant site, so you won’t feel any pain during the procedure. This option is often sufficient for single implant placements, allowing you to remain fully awake while feeling no discomfort in the surgical area.

Sedation Options
For patients with anxiety or those undergoing more extensive procedures, sedation can be combined with local anesthesia for a deeper level of comfort:

Nitrous Oxide (Laughing Gas): This mild sedative helps you feel relaxed while remaining fully conscious, and its effects wear off quickly.
Oral Sedation: A pill taken before the procedure can help you feel calm and at ease, but you’ll need someone to drive you home afterward.
IV Sedation: IV sedation induces a semi-conscious state, making you largely unaware of the procedure. It’s ideal for patients who prefer minimal awareness and need a deeper level of sedation.
General Anesthesia
For complex cases involving multiple implants or additional procedures, general anesthesia may be recommended. Under general anesthesia, you’ll be completely asleep during the surgery. This option is typically reserved for extensive treatments and requires careful planning.

Choosing the Right Anesthesia Option
Dr. Jeremy Egan will discuss your medical history, anxiety levels, and treatment needs during your consultation to recommend the best anesthesia approach for your dental implant surgery. The goal is to ensure a comfortable and stress-free experience, so you can focus on the benefits of restoring your smile.

By offering personalized anesthesia options, Elite Oral and Maxillofacial Surgery of Oklahoma ensures each patient receives the level of care and comfort they need for a successful implant experience.

Choosing the right material for implant-fixed dentures is crucial for durability, aesthetics, and comfort. At Elite Oral and Maxillofacial Surgery of Oklahoma, Dr. Jeremy Egan, DMD, MD, recommends materials based on each patient’s needs, budget, and long-term goals. Here’s a look at the top materials used in implant-fixed dentures and what makes each one a strong choice.

1. Acrylic Resin with Titanium Framework
Durability and Comfort: Acrylic resin is a popular choice for implant-fixed dentures, often combined with a titanium framework for added strength. Acrylic mimics the look and feel of natural gums, providing a comfortable fit while keeping the dentures lightweight. The titanium framework offers a stable foundation, making this a durable yet cost-effective option.
Cost-Effective: Acrylic resin is generally more affordable than other materials, making it a suitable option for those seeking quality without a higher price tag.
Maintenance: Acrylic is relatively easy to repair if needed, although it may wear faster than porcelain options.
2. Porcelain (Ceramic)
Natural Aesthetics: Porcelain is highly valued for its aesthetic qualities, as it closely resembles natural teeth in color, texture, and translucency. This makes it a preferred choice for those seeking a realistic look.
Durability: Porcelain is stronger than acrylic and resists staining, which means the dentures maintain their appearance over time. However, porcelain can be more brittle and may be prone to chipping if subjected to hard impacts.
Maintenance and Longevity: Porcelain dentures are durable and require less frequent replacement, though they may be more challenging to repair if damaged.
3. Zirconia
Strength and Durability: Zirconia is one of the strongest materials available for implant-fixed dentures. It’s virtually unbreakable, highly resistant to wear, and withstands the pressures of daily chewing and grinding.
Natural Appearance: Zirconia is tooth-colored, allowing it to blend well with natural teeth and provide a more lifelike appearance.
Minimal Maintenance: Zirconia is resistant to stains, plaque, and bacteria buildup, which means it requires minimal maintenance and is a long-lasting solution.
Higher Cost: While zirconia is often the most expensive option, its longevity and aesthetic benefits make it a worthwhile investment for many patients.
Choosing the Best Material for You
The ideal material depends on your priorities:

Acrylic with titanium is excellent for affordability, comfort, and ease of repair.
Porcelain offers a natural look and is durable, making it suitable for patients who want a realistic appearance.
Zirconia provides unmatched strength, longevity, and aesthetics, making it the top choice for those seeking a premium, long-lasting solution.
During your consultation at Elite Oral and Maxillofacial Surgery of Oklahoma, Dr. Jeremy Egan will assess your needs and discuss the best material options to ensure your implant-fixed dentures provide the function, comfort, and look you desire. With a customized approach, you can achieve a durable, natural-looking smile that lasts for years.

Yes, although dental implants are generally safe and have a high success rate, there is a small risk of infection, known as peri-implantitis. This infection occurs around the implant site and can lead to inflammation, bone loss, and implant failure if not addressed. At Elite Oral and Maxillofacial Surgery of Oklahoma, Dr. Jeremy Egan, DMD, MD, takes preventive measures and provides guidance to minimize the risk of infection, ensuring a successful implant experience.

Causes of Implant Infection (Peri-Implantitis)
Bacteria Build-Up
Poor oral hygiene can allow bacteria to accumulate around the implant, leading to infection. Bacteria can cause inflammation of the gum tissue and bone loss, similar to periodontal disease in natural teeth.

Smoking
Smoking impairs blood flow and slows healing, increasing the risk of infection. It also affects the body’s immune response, making it harder to fight off bacteria around the implant.

Underlying Health Conditions
Conditions like diabetes, especially if uncontrolled, can make it more challenging for the body to heal and fight infection. Dr. Egan will evaluate your medical history to determine if any health factors could impact implant success.

Improper Placement or Early Stress on the Implant
Implants need time to integrate fully with the jawbone in a process called osseointegration. If an implant is placed incorrectly or subjected to excessive force too soon (e.g., from chewing hard foods), it may fail to integrate and become susceptible to infection.

Symptoms of Implant Infection
Red, swollen, or tender gums around the implant
Bleeding when brushing or touching the implant area
Pain or discomfort around the implant site
Pus or discharge from the area
Bad taste or odor in the mouth
Loosening of the implant
If you experience any of these symptoms, it’s essential to contact your oral surgeon promptly.

Preventing Implant Infection
Good Oral Hygiene
Maintaining excellent oral hygiene is key to preventing infection. Brush twice daily with a soft-bristled toothbrush and floss gently around the implant. You may also benefit from using a water flosser to clean hard-to-reach areas.

Regular Check-Ups
Regular check-ups with Dr. Egan allow for early detection of any issues and provide professional cleaning to keep the implant site healthy.

Quit Smoking
If you smoke, consider quitting to reduce the risk of infection and support long-term implant success.

Follow Post-Operative Care Instructions
Dr. Egan will provide specific care instructions after implant surgery. Following these guidelines helps ensure proper healing and reduces the risk of infection.

Treating an Implant Infection
If an infection does occur, it can often be treated with a combination of professional cleaning, antibiotics, and, in some cases, minor surgical procedures to remove infected tissue. Dr. Egan will evaluate the infection and recommend an appropriate treatment plan.

At Elite Oral and Maxillofacial Surgery of Oklahoma, Dr. Jeremy Egan’s expertise in dental implants and attention to preventive care greatly reduce the likelihood of infection. By following proper care practices and maintaining regular dental visits, you can enjoy a successful and long-lasting implant.

Yes, many patients with type 2 diabetes can safely receive dental implants. At Elite Oral and Maxillofacial Surgery of Oklahoma, Dr. Jeremy Egan, DMD, MD, frequently works with patients who have diabetes, taking specific precautions to optimize implant success. Type 2 diabetes can slightly increase the risk of complications, such as delayed healing or infection, but with careful planning and management, dental implants can be a successful and beneficial option.

Key Considerations for Dental Implants with Type 2 Diabetes
Blood Sugar Control
Well-controlled blood sugar levels are essential for a smooth recovery and implant success. High blood sugar can impair healing and increase the risk of infection. Dr. Egan will work with you to ensure your blood sugar is stable before proceeding with surgery, and may consult with your primary care physician or endocrinologist if necessary.

Increased Risk of Infection
People with diabetes are more prone to infections due to decreased immune function. Dr. Egan may prescribe antibiotics before and after the procedure as a preventive measure, reducing the risk of infection around the implant site.

Bone Health and Osseointegration
Successful implants require the implant post to fuse with the jawbone in a process called osseointegration. Diabetes can affect bone healing, so ensuring that your blood sugar is under control can support healthy bone integration. In some cases, if bone density is a concern, Dr. Egan may suggest bone grafting to enhance stability.

Commitment to Oral Hygiene
Excellent oral hygiene is critical to prevent gum infections and peri-implantitis (infection around the implant). Brushing, flossing, and routine dental check-ups are essential, and Dr. Egan will provide specific instructions to ensure the implant area stays healthy.

Regular Monitoring and Follow-Up
Patients with diabetes should attend regular follow-up appointments to monitor implant health, gum condition, and overall oral health. Dr. Egan will closely monitor the implant’s healing process and recommend adjustments to aftercare if needed.

Benefits of Dental Implants for Diabetic Patients
Dental implants provide a stable and functional replacement for missing teeth, which supports overall nutrition and oral health. Unlike dentures, implants are fixed in place and do not shift or cause irritation, which can be especially beneficial for patients with diabetes who want a long-term solution for missing teeth.

At Elite Oral and Maxillofacial Surgery of Oklahoma, Dr. Jeremy Egan ensures that each patient’s health needs are carefully managed to promote the best possible outcomes with dental implants. With well-managed diabetes and a comprehensive care plan, you can achieve a successful and lasting implant that enhances your quality of life.

Implant-supported dentures are a popular and effective solution for replacing multiple missing teeth, providing a stable, comfortable, and natural-looking alternative to traditional removable dentures. At Elite Oral and Maxillofacial Surgery of Oklahoma, Dr. Jeremy Egan, DMD, MD, offers several types of implant-supported dentures tailored to each patient’s needs and preferences.

Types of Implant-Supported Dentures
Fixed (Permanent) Implant-Supported Dentures
Also known as "All-on-4" or "All-on-6" dentures, these are permanently fixed in place and cannot be removed by the patient. They are supported by four to six implants strategically placed in the jawbone, providing a secure, stable foundation for the entire denture. Fixed dentures look and function like natural teeth, making them a great choice for patients who want a permanent, low-maintenance solution.

Pros: Stable, natural-looking, and low maintenance; doesn’t require removal for cleaning.
Ideal For: Patients who want a permanent solution and have sufficient bone density for implant support.
Removable Implant-Supported Overdentures
Removable overdentures are anchored to implants but can be removed by the patient for cleaning. They are typically supported by two to four implants and use attachments (such as ball-retained or bar-retained) to secure the denture in place. Overdentures provide stability and improve chewing efficiency compared to traditional dentures while allowing for easy removal and cleaning.

Pros: More stable than traditional dentures, with the flexibility to remove for cleaning; typically less invasive than fixed dentures.
Ideal For: Patients who prefer a removable option or have less bone density for fewer implants.
Implant-Retained, Tissue-Supported Dentures
These overdentures are primarily supported by the gum tissue and use implants only for additional stability. Generally, two implants are placed in the lower jaw to provide extra retention, preventing the denture from slipping. This option is less stable than full implant-supported dentures but still offers more security than traditional dentures.

Pros: Improved retention compared to traditional dentures, with a lower cost and fewer implants required.
Ideal For: Patients seeking a more affordable option that provides enhanced stability over traditional dentures.
Choosing the Right Type of Implant-Supported Denture
Dr. Egan will assess factors such as bone density, budget, and lifestyle preferences to recommend the most suitable option for you. Fixed implant-supported dentures are ideal for those who want a permanent, natural-feeling solution, while removable overdentures are great for patients who prefer flexibility and ease of maintenance.

Benefits of Implant-Supported Dentures
Enhanced Stability: Implant-supported dentures don’t shift or slip, making speaking and eating more comfortable and natural.
Bone Preservation: Implants stimulate the jawbone, helping to prevent bone loss and maintain facial structure.
Long-Term Solution: Implant-supported dentures are durable and provide a long-lasting solution for missing teeth.
At Elite Oral and Maxillofacial Surgery of Oklahoma, Dr. Jeremy Egan offers personalized care to help you select the best implant-supported denture option. With the right choice, you can enjoy a confident, comfortable smile that feels and functions like natural teeth.