Month: February 2017

Blood thinning medications are helpful in regulating your body to prevent heart attacks, strokes, and other serious issues. However, if you are scheduled for oral surgery, it is vital that our oral surgeon is aware of all medications you are using.

How Blood Thinners Work

There are two types of blood thinners. The first type works to prevent blood clotting. Medications ranging from aspirin to Plavix fit into this category. The other type of blood thinners work to prevent blood from coagulating; Coumadin or warfarin accomplish this.

What Our Oral Surgeon Should Know

When you have your oral surgery consultation appointment, be sure to share with us any medications you are taking. We need to have your complete medical history to ensure your safety and proper treatment. Our dentist might also ask you the purpose of each medication you are taking to better understand any side-effects or other medical issues that could affect your oral surgery.

Steps to Take Before Surgery

Never stop any medication without consulting your doctor. Depending on your medical history, your doctor might suggest specific blood tests before having oral surgery. Communication is key, both between you and your primary physician, and between you and our office. If your treatment requires additional medication to be taken, ask about potential drug interactions.

Steps to Take to Minimize Oral Bleeding

Bleeding resulting from oral surgery can occur, but each patient will have different results. The most effective way to minimize oral bleeding is to firmly apply pressure to the area for up to 30 minutes. Gauze is recommended for applying gentle pressure to stop bleeding. Depending on the oral surgery procedure, we may ask you to refrain from drinking hot liquids and rinsing your mouth for the first day. We suggest avoiding rough or sharp foods that might cut your mouth.

Prior to having any oral surgery, it is important that our experienced surgical team has a thorough knowledge of your medical history. This enables us to find the best possible solutions for your needs, while ensuring your safety.

If you have any questions about medications and oral surgery, contact our office.

In some cases, our doctor might suggest you visit an endodontist for an apicoectomy. An endodontist is a dentist who specializes in root canal therapy. In certain situations, it is helpful for a patient to receive treatment by a professional who specializes in this area.

What it is

An apicoectomy is a minor procedure that is performed when traditional root canal therapy is either not possible or not the best course to reach a solution. In an apicoectomy, the tip of the tooth’s root is removed and then sealed off.

Why It Is Done

Typically, root canal therapy is done when pulp in the root of a tooth becomes infected. This infection can then spread, worsening the problem. In root canal therapy the pulp is removed from the tooth, along with any infected tissue. Sometimes this is not possible or previous root canal therapy has failed, and instead an apicoectomy is done.

An apicoectomy is performed through the gum. Patients will receive local anesthetic and a small incision in the gum is made. Like root canal therapy, the inflamed roots will be cleared out and then sealed to prevent the infection from spreading. Expect the treatment to take 30 to 90 minutes. Usually, an apicoectomy on a front tooth takes less time than one on a lower molar.

What to expect afterwards

Like any oral surgery, some discomfort can occur after the procedure. When brushing your teeth, you will want to be gentle around the area. Any further discomfort can usually be mitigated with over-the-counter medications such as ibuprofen. Medicine may be prescribed, if needed, to alleviate any discomfort that cannot be managed by over-the-counter medications.

Unlike traditional root canal therapy, you may not need to have a dental crown placed following an apicoectomy.

Acting on root issues as soon as they are detected is your best defense against further problems. For more tips on keeping teeth healthy or for questions about apicoectomies, contact our office.