Drs Cho, Goldsmith & Miller

New Trends In Dental Implants

Implants A trending topic right now seems to be the decision to opt for “mini-dental implants” instead of more traditional ones. Below we are going to take a look inside the trend, and lay out some of the benefits and drawbacks so that you can get a better understanding of this exciting trend in dentistry.

Benefits

  • Mini dental implants are usually less expensive than traditional ones, sometimes costing only 1/3 that of regular implants. They take less time to place and are smaller and less invasive, and can be used in small spaces or for those with inadequate bone mass.
  • With mini dentures, smaller dentures can be used, leading to a better tasting experience for the palate than a traditional denture would provide.
  • Mini implants can be placed with minimal recovery time, and usually require very little to no bone grafting.

Drawbacks

Because this is still a fairly new procedure, there are a few downsides. For one, there aren’t enough studies out there on the longevity of these implants, so we don’t know how they hold up over time. A study published in the International Journal of Implant Dentistry in 2016 revealed that traditional dental implant placement has a proven survival rate of 95% or greater. The analysis collected data from over 10,000 implants from 3,095 patients, across three separate private practices over the course of 20 years. For mini dental implants, there isn’t yet enough data to conclude a proper survival rate.

Another concern is that because this is such a new trend there is not as much information or regulation out there. Some practices with claims such as “Dentures-in-a-day” might not do a proper consultation, skipping important steps such as a 3D scan to make sure that you are a good candidate for the procedure.

While it may be some time before this method is perfected and adopted, it is also exciting to see the advancements changing people’s lives in the dental industry every day. Check in with Steven H. Cho, DDS, PLLC to find out what tooth replacement options may be right for you!

Are You At Risk For Oropharyngeal Cancer

Cancer Cell Early diagnosis can be a key component to giving you a fighting chance against the various types of head and neck cancer. There are many physical symptoms to look for when recognizing the signs of oral cancer aside from more commonly known warning signs such as a lump in the throat, mouth sores, and swelling of the jaw. These often mimic less serious conditions such as headaches, coughing, vocal changes, and a sore throat. Some also report ear pain, loss of hearing, or a ringing in the ears.

Risk Factors for Oral Cancer

Factors found to put you at a greater risk for oropharyngeal cancer include poor nutrition, using tobacco products, sunlight exposure (particularly in cases of lip cancer), alcohol abuse, radiation exposure (usually from a previous treatment) and HPV.

Alcohol, Tobacco and Oral Cancer

It is believed that at least 75% of head and neck cancers are linked to tobacco and alcohol use. Abstaining from using these substances can drastically decrease your risk, but it is also important to realize that genetics play an important role in the way that our immune system reacts and so some will be more genetically predisposed to cancer than others.

HPV and Oral Cancer

Another large factor causing oropharyngeal cancer (involving areas such as the back of the throat, tongue, and tonsils) is the Human Papilloma Virus (HPV). Doctors have recently found that somewhere between 50-70% of oral cancers are caused by HPV, which doesn’t show symptoms in those it infects until much later according to the Head and Neck Cancer Alliance. Although there is a vaccination for this virus, there is currently no cure. There are nearly two hundred strains of it, and it is estimated that somewhere between nine and fifteen are cancer causing. About fourteen million people become newly infected each year and most sexually active men and women will contract at least one type of HPV at some point in their lifetime.

While studies now show that HPV now accounts for about 70% of oropharyngeal cancer, many cancers are believed to be a caused by a combination of using tobacco and alcohol as well.

In any case, early detection is the key to leaving yourself open to the best possible outcome. Call us at 121 Oral & Maxillofacial Surgery Phone Number 212-838-5895 to schedule a screening today!

How to Take Care of Your Dental Implant

Man Flossing Cleaning and taking care of your implant is just as important as cleaning your natural teeth. Here are some things you should know about caring for your implant.

Your implant and your natural teeth are similar because they both rely on healthy tissue for support and both can build up plaque. It’s important to remove that plaque because it can develop into an infection. If the infection isn’t properly treated, it can result in a loss of bone around the implant which could progress to the loss of the implant itself.

It’s important to get your teeth cleaned on a regular basis so your dental hygienist can get that biofilm off your teeth and keep your teeth infection-free. As always, you should be brushing your teeth and flossing twice a day. Never use your teeth, especially your implant as “scissors” to open anything.

Dental implants are the closest thing you can get to real and natural teeth. They don’t require any special products or treatment. Just a simple brush and floss will do the job. They are also long lasting. If they are properly cared for, they can last a lifetime, avoiding any further dental work down the road.

With a dental implant, you can still enjoy all your favorite foods. It will not loosen or fall out if you are chewing something hard.

Overall, dental implants are meant to make life better and easier, not to add issues or interrupt your life. You don’t have to go out of your way to take care of them – a simple brush and floss will ensure that they improve your overall quality of life for many years to come.

If you think a dental implant may be right for you, call Steven H. Cho, DDS, PLLC at 212-838-5895 to schedule a consultation with us.

Tooth Extraction – Managing Pain

cartoon man kicking painThe Procedure Itself

Thanks to a wide variety of anesthesia choices available to us these days, you should feel no pain during your extraction.

After the Surgery

  • Over-the-Counter Medicines: Generally speaking, over the counter non-steroidal anti-inflammatory medications such as Ibuprofen are all that you will need following your surgery.
  • Staying On Top of Pain: It is very important to stay on a strict schedule of medication the first few days following your surgery. Getting behind on medication will result in more pain and may even make it difficult to catch up with pain control again.
  • Ice for Swelling: We want you to ice your cheeks for the first 24 hours following surgery, twenty minutes on and twenty minutes off alternating. Managing swelling can help greatly with pain management, and the act of icing may even feel good on its own.
  • Rest: Your body was expertly designed with high-tech systems in place to heal – but you have to give it the space and conditions to do so. Rest is one of the most important things you can do to help your body heal faster.
  • Salt Rinse the DAY AFTER Surgery: The day after surgery, you should rinse your mouth very gently with a mixture of one cup of warm water and ½ teaspoon of salt. You may do so up to 4 times a day. Designed to gently clean the wound site (but NOT dislodge the blood clot), some patients also feel that the warm water helps with pain relief.
  • Prescriptions: Most often, our patients do not require prescription pain medication post-op. However, in the case that we feel your case calls for such, please keep the following in mind:
    • Antibiotics – If we have ordered antibiotics for you, you must take them on schedule and for as long as we prescribe – Never stop antibiotic treatment prematurely without our specific orders.
    • Pain-Killers – In the event that you require prescription pain killers, please note that we are required to prescribe these sparingly and in accordance with certain laws, due to rising rates of substance abuse. You can help keep these drugs off the street by taking only what you need, and taking unused pills to a pharmacy for safe disposal – never “keep them around” in your cabinet for future use.

For more information, please visit our surgical instructions page and feel free to call us at 121 Oral & Maxillofacial Surgery Phone Number 212-838-5895

Autograft Vs. Allograft

woman smilingSo, you were recently told by your doctor that you need a bone graft, but you aren’t quite sure what that means.

A bone graft is a surgical procedure that is used to fix bones or joints that were damaged by trauma, and it is also used to replace bone that is missing to provide structural stability around the body, including the jawbone. There are many types of bone grafts we can use to grow bone – the two most common are autografts and allografts.

An autograft is a bone or tissue that is transferred from one spot to another on the patient’s body. It is often thought of as the “gold standard” in bone grafting because of its reliability. Its high success rate is due to the fact that it is living tissue and thus its cells are kept intact.

An allograft is a bone or tissue that is transplanted from one person to another. They typically come from a donor, or cadaver bone. The allograft is safe, ready to use and available in large amounts. The main advantage of an allograft is that it requires one less procedure than the autograft, which must first be taken from the patient. Surgical time is minimized and the recovery can be quicker. The allograft comes from a reputable and reliable tissue bank.

Knowing which bone-grafting option you will need can be confusing, but we are here to answer any questions you may have. Please schedule a bone grafting consultation with us by calling 121 Oral & Maxillofacial Surgery Phone Number 212-838-5895. We will perform a thorough evaluation of your oral health. After our evaluation, we will recommend what bone graft is best for you. We are happy to discuss your options and answer any questions you may have. We want you feeling confident with our choice and worry free.

Oral Cancer Among Men to Increase in 2017

man standing with arms crossedA recent study by the American Cancer Society reports that oral cancer cases in men is expected to increase in 2017 by 4%, while the rate of new cases among women stays the same year over year. “Oral Cancer”, which is a common way to refer to all head and neck cancers, involves cancer of the oral cavity, lips, tongue, pharynx and esophagus.

Unfortunately, oral cancers often go undetected until their later stages when they are more difficult to treat, giving them an even worse reputation than many other cancers.

Oral cancer is more likely in those who:

  • Drink Alcohol Excessively (more than 2 drinks a day for men and more than 1 drink a day for women)
  • Smoke or Chew Tobacco
  • Have HPV (certain strains of the HPV virus are known to cause oral and other cancers)

HPV and Oral Cancer

Along with the rise of HPV among men has come the rise of oral cancers as well. Unfortunately, it has now been estimated that half of U.S. men are infected with HPV. While most of these will not go on to develop cancer, certainly, these increases may continue to create a rise in head and neck cancers until the disease is brought under control.

What You Can Do

Prevention and detection are the most important things when it comes to the fight against oral cancer. With early detection, we can do better for survival rates and, as we have seen with general cancer cases, prevention in the form of abstaining from tobacco and drinking in moderation can reduce the number of cases over time. In order to protect yourself and your family and help us with survival rates, we urge you to see us for an oral cancer screening. It only takes a few minutes for us to examine you – and it could save your life.

For more information on oral cancer, call us at 121 Oral & Maxillofacial Surgery Phone Number 212-838-5895 or visit oralcancerfoundation.org.

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