dr. barrett

Orthognathic Surgery: The Post-Surgery Diet

Orthognathic surgery, commonly referred to as “jaw surgery,” is used to correct a wide range of both minor and major skeletal and dental irregularities, often the misalignment of the jaws and teeth. Patients looking at undergoing orthognathic surgery are often faced with an extensive recovery period, as well as a restricted diet in the beginning of their recovery process. Post-surgery patients are discouraged from chewing to allow the bone to heal and stabilize. Due to the fact that adequate healing can take up to 8-12 weeks, patients will initially be on the “swallowing diet” for a number of weeks. 'peanut butter and banana smoothie'

When it comes to the “swallowing diet,” the name of the game is high calorie, high protein, and low volume. Facing a large volume of liquid each meal that meets both the necessary caloric and protein needs can be overwhelming. Consuming enough calories, as well as enough protein is a necessity to heal in a timely manner. In order to get adequate volume of fluid and nutrition daily, it may require you to eat smaller meals 5-6 times per day, rather than the usual 3 times per day.

Patients who are well prepared for their surgery often have a smoother recovery. Here is an example of smoothie recipe a patient can consume following orthognathic surgery:

Peanut Butter Banana Smoothie

  • 2 chilled bananas, broken into chunks
  • 2 cups milk
  • 1/2 cup peanut butter
  • 2 cups ice cubs
  • 2 tablespoons honey, or to taste

Place bananas, milk, peanut butter, honey, and ice cubes in a blender; blend until smooth, about 30 seconds.

Though patients are faced with a restricted diet post-surgery, it is important to remember to try and maintain a balanced diet. In particular, foods rich in vitamins A and C. According to the Academy of General Dentistry (AGD), plenty of vitamin C is one way post-surgery patients ensure a timely recovery!

World Blood Donor Day

Blood Connects Us All

Safe blood supplies are a scarce commodity – especially in developing countries. Despite about 108 million yearly blood donations worldwide, safe blood is constantly on high demand! Blog, Blood Connects Us All

World Blood Donor Day, celebrated every 14th of June, aims to encourage people to give blood and save lives without asking for anything in return. Blood is the most precious gift that anyone can give to another person — the gift of life. A decision to donate your blood can save a life, or even several if your blood is separated into its components; cells, platelets and plasma.

According to the World Health Organization (WHO), these are some key facts on blood availability worldwide:

• Of the 108 million blood donations collected globally, approximately half of these are collected in the high-income countries, home to 18% of the world’s population. This shows an increase of almost 25% from 80 million donations collected in 2004.
• In low-income countries, up to 65% of blood transfusions are given to children under 5 years of age; whereas in high-income countries, the most frequently transfused patient group is over 65 years of age, accounting for up to 76% of all transfusions.
• Blood donation rate in high-income countries is 36.8 donations per 1000 population; 11.7 donations in middle-income and 3.9 donations in low-income countries.
• An increase of 8.6 million blood donations from voluntary unpaid donors has been reported from 2004 to 2012. In total, 73 countries collect over 90% of their blood supply from voluntary unpaid blood donors; however, 72 countries collect more than 50% of their blood supply from family/replacement or paid donors.

This year, the WHO and World Blood Donor Day aims to do the following:

• Thank blood donors for their life-saving gift of blood.
• Generate public awareness for the need for regular, unpaid blood donation, and inspire those who have not yet donated blood to start donating, particularly young people in good health
• Promote and highlight the need to share life by donating blood.
• Focus attention on blood services as a community service, and the importance of community participation for a sufficient, safe and sustainable blood supply in your community, and globally.
• Persuade ministries of health to show their appreciation to regular voluntary unpaid donors, and commit to self-sufficiency in safe blood and blood products based on 100% voluntary, unpaid donations.

This June 14th get involved, donate blood- save a life. Follow the link and find a blood drive near you!

On the Lookout for Oral Cancer

Oral cancer screenings are performed regularly at dental exams, but that doesn’t mean you shouldn’t be paying attention to your dental hygiene between appointments. Taking matters into your own hands is the best way to maintain your oral health. Not sure how to screen for oral cancer? We’ll show you! On the Lookout for Oral Cancer

What is oral pathology?
This branch of dentistry involves the evaluation and treatment of diseases of the mouth. The most dangerous, but not always the most obvious, of these diseases is oral cancer.
What should I look for?
Keep an eye out for these oral cancer symptoms during your self-screenings:

  • Red or white patches in the mouth
  • Lumps on the tongue or lining of the mouth
  • Mouth sores that won’t heal
  • Unexplained bleeding
  • Chronic throat soreness
  • Difficulty chewing or swallowing
  • Mouth numbness

How do I perform an oral cancer self-exam?

  1. When performing your oral cancer self-screening, be sure to check all areas of the mouth, including the roof, floor, tongue, lips, cheeks and the back of your throat.
  2. Examine your face in the mirror for abnormal asymmetry and irregularities.
  3. Feel your neck and the back of your head with your fingers to look for any bumps or changes in texture.
  4. Examine your throat by placing your fingers around your thyroid cartilage (Adam’s apple) and swallowing.

How often should I perform a self-exam?
Self-exams should be performed at least once a month. Changes to your oral health can occur rapidly, so it’s important to stay on top of things. Treatment is most effective if we detect symptoms early.
Ask us about performing an oral cancer screening when you visit – we’re here to ease your mind and give you the tools you need to maintain your health!

Modern Options for Bone Grafting Technology

Bones, grafting, or any combination of the two are rarely the subject of casual conversation. Most of us, regardless of our profession, are happier discussing recent football scores, the price of gasoline, or the abnormally high number of Dunkin Doughnut franchise locations. Perhaps for it is for this very reason, however, that we should bring up this important topic–to raise awareness, maximize modern technology, and inform the public about the options offered in terms of dental implant surgery. ModernOptionsForBoneGraftingTechnology

Bone grafting for dental implants is the process by which bone tissue is placed (grafted) into the mouth to act as a placeholder for tissue that has been lost. In the modern medical landscape this is a safe, painless, and routine process: indeed, more than two million bone-grafting operations occur worldwide each year, making bone the second most transplanted organ (after blood!).

As well as natural bone tissue, synthetic tissue is an alternative for patients seeking the best results. Structured as a ‘biodegradable scaffold’ that can be implanted within the body and trigger bone regeneration, this strong, flexible material has been compared to tire rubber! Dr. Karin Hing, author of the study and reader in Biomedical Materials at Queen Mary’s University of London Institute of Bioengineering stated that the challenge being tackled currently is the development of a graft that is as clever as bone. By mechanically evaluating the way bone adapts to its environment and reacts to chemical and physical components, progress is taking place in leaps and bounds.

What does this mean for the average person who just wants to be happy with their mouth? Comfortable outpatient procedures complete with local anesthesia or intravenous sedation make bone grafting a sensible and worry-free choice. Browse our procedures page for more information on maximizing your resources!

Dental Implants: High Tech Teeth

What are dental implants? Dental implants are replacement tooth roots that provide a foundation for both fixed and removable replacement teeth. Like roots, dental implants are secured within the jawbone and not visible once surgically placed. Teeth replacement is not new to dental technology. Early civilizations practiced teeth replacements; archaeologists have discovered skulls where teeth have been replaced by cast iron and sea shells. Despite their primitive methods, some of these implants were fused with bone like modern dental implants! However, unlike the ancient cast iron or sea shell implants, modern implants are composed of titanium. Titanium is lightweight, strong, and biocompatible. Dental Implants-High Tech Teeth

According to the American Academy of Implant Dentistry (AAID), dental implants have the highest success rate of any implanted surgical device — 98%. Dental implants are available in several designs that meet individual needs: single tooth replacement, multiple tooth replacement, implant supported prosthesis (removable), and an implant stabilized denture. Aside from meeting individual needs, there are a few other advantages to having dental implants:

  1. Improved appearance. Dental implants are designed to fuse with bone, and look and feel like your natural teeth.
  2. Improved comfort. Because dental implants become an extension of your natural mouth, implants remove the discomfort associated with removable dentures.
  3. Easier eating. Dental implants act as your natural teeth, allowing you to eat without the pain and discomfort that often accompany slipping of dentures.
  4. Improved self-esteem. Dental implants give your best natural smiling, helping build self-confidence!
  5. Improved oral health. Dental implants are the only proven way to prevent bone loss after the loss of natural teeth. The jawbone needs consistent chewing action to stimulate continual bone growth. Tooth/teeth replacement with dental implants offers a solution to prevent bone loss.
  6. With proper care, consistent brushing, flossing and routine dental visits, dental implants can last 40-years to life.

If you are interested in dental implants, or have any questions regarding the procedure, call the office today!

After Surgery: What to Feed a Delicate Mouth

After Surgery- What to Feed a Delicate MouthThere’s nothing like oral surgery to make you appreciate the solid foods and acidic drinks you can’t have right away. Sandwiches, chips, and orange juice should all be avoided after oral surgery such as wisdom tooth removal, dental implant surgery, and orthognathic surgery. Too much chewing can re-open the sensitive areas of your mouth, and can cause bleeding or infection. But don’t worry–we have a few healthy food and beverage recommendations you can use while your mouth is delicate.

First 24 Hours

For the first 24 hours after your surgery, your teeth/jaw will need some time off. Therefore, smoothies, low-fat jello/puddings, and warm (not hot!) soups will be the most beneficial for your healing process. Soft foods are your friends! It is extremely important to refrain from using a straw, as the sucking causes excess strain, which can delay the healing process.

Here are a few recommendations for the first 24 hours:

Banana Shake: A healthy, filling way to start the day after your surgery. Don’t use a straw! Also, bananas help replace electrolytes and maintain fluid balance within your body. Other milkshakes and smoothies work great too, as long as they don’t have seeds in them that can get stuck in wounds.

Applesauce: You can’t eat apples, but this is the next best thing!

Soup: Soup with soft ingredients is a great way to go. Don’t include chunks of food that need lots of chewing. Make sure that it’s the right temperature for your sensitive mouth.

Mashed Potatoes: The softest food around. Mashed potatoes require very little effort from your mouth and have great calories and nutrition. Try different toppings to make things interesting.

Next Few Weeks

Over the next few weeks, you will start easing into enjoying solid foods again. Here are some tasty transitional foods (some can even help the healing process!)

Gnocci: Gnocci is one of the softest pastas there is. Try it with tomato sauce, powdered parmesan cheese and a hearty meat filling.

Hamburger Stroganoff: Minced or finely sliced meat is a good place to start, and cooked mushrooms should be soft enough not to bother you. Added sour cream will give the dish a smooth consistency.

We hope that these recommendations help! We genuinely want you to heal as quickly as possibly while maintaining a healthy lifestyle. Feel free to call us with any questions about the post oral surgery process.

What is Orthognathic Surgery?

What is Orthognatic SurgeryOrthognathic surgery is a procedure, or set of procedures, that make corrections to the jaw. The jaw serves many functions. It isn’t just for chewing. A healthy jaw also plays an important role in your speech, ability to sleep well, as well as maintain a proper bite, airflow, and facial symmetry.

Your jaw can be misaligned for a number of reasons. Perhaps you suffered an injury that wasn’t corrected properly. Maybe things just grew that way. It may very well be that a slight misalignment is no issue, but it’s worth giving us a call to find out just how severe your misalignment is, and what it means for your health.

Reasons to ask about jaw surgery:

Unexplained Pain
Sometimes, unexplained pain elsewhere in the body is caused by the activities of your jaws. Your headaches and even neck pain may be the result of excessive pressure in your jaw due to grinding or bite issues.

Air Flow
The position of your jaw can also restrict air flow while you sleep. Misaligned jaws are a common cause of sleep apnea. It could very well be that your fatigue and stamina issues stem from a misaligned jaw.

Mechanical Problems
If you have trouble chewing, meeting your lips together or can see a visible imbalance in your appearance, it may be that you have jaw misalignment issues that can be corrected with surgery. It is also worth noting that a great deal of jaw issues cannot be detected by looking in the mirror, but we think it’s a good place to start.

A Common Treatment Plan:

Your treatment plan will depend on your needs, but for a major jaw correction we often start with braces to move teeth into a better position, and then surgically correct the position of your jaw. This happens after a consensus is made between your family dentist, a maxillofacial surgeon an orthodontist and yourself.

Surgery is done under anesthesia, so you won’t feel a thing while the procedure occurs.

Afterward, you’ll be given a schedule to modify your diet, activity, and be given medication so as to heal as soon as possible

Contact us for a consultation to see if corrective jaw surgery is for you!

The Miracle of Bone Grafting

Bone grafting is something of a miracle. Although you only get one set of bones, it’s actually possible to convince your body to repair itself with new bone material where you need it most. We aren’t talking about growing a whole femur. We’re talking about growing just enough bone material to strengthen weak spots in your jaw.

Why would I ever need this?
Let’s say you need a dental implant. You’re sick of that hole in your mouth where one of your teeth used to be, and you’re ready for a shiny new tooth to fill the gap. The problem is, your bone just isn’t strong enough to support the implant. Maybe you have periodontal disease, and the jaw bone is just too weak. Bone grafting may be necessary.

How does it work?
Simply put, bone grafting is the process of taking a little bone material from another site in your body and placing it where it is most needed. The healthy bone then fuses with the weak bone and encourages your body to grow more bone in the site, rebuilding the area to the point where it can support an implant.

There are a few ways to do this.
Sophisticated sounding terms to impress your friends:

  • Autogenous bone graft: Bone is removed from another site in your body and transplanted to where you need it. If you need just a little bone, it can be taken from another site in your mouth. But if there is not enough good material in your mouth, or you need a sizable amount, it can be taken from your hip, or your shin.
  • Allograft: Synthetic bone can be grown in a lab, or taken from a cadaver bone. This is a perfectly safe, proven procedure, though your best bet is always your own bone material. Your body knows there’s just no place like home.
  • Xenograft: Cow bone. Yes. Your body will accept cow bone. In this scenario, no secondary donor site is needed, so it may be a great option if you are uncomfortable with having bone taken from another site in your body. This is a perfectly safe procedure. Your jaw can be beefed up with bovine bone.

No online article will let you know for sure whether or not you need bone grafting, but it is good to know something about it. Give us a call and come on down for a consultation, and we’ll let you know exactly what we think the best option is for you.

Facial Trauma: Let a Pro Handle Your Injury

Facial Trauma Let a Pro Handle Your InjuryFacial trauma covers an array of conditions, but in general it’s an umbrella term for facial injury. This covers everything from tooth damage to eye socket injury. When it comes to mending damage to your face, you want to make sure an expert handles it. Facial trauma is not just about pain; it’s an emotional issue as well. This is about your face, and making sure you when you recover from your injury, you are still just as happy to see yourself in the mirror.

Facial trauma is a term that covers an array of conditions. There are soft tissue injuries, bone injuries, and injuries to special regions (including nerves, glands, or eyes).

Soft Tissue Injury
Suturing repairs laceration to soft tissue. These can be dissolvable stiches that your body absorbs, or artificial material that must be taken out later. Suturing facilitates faster healing, avoiding infection, and more cosmetically pleasing results. The main concern here is that you heal from the procedure looking as good as you did before your injury, and so we are always sure to closely examine you for nerve and gland damage. Your healing time will depend on the seriousness of your injury, and we can inform you on what to expect.

Bone Injury
We can’t put a cast on your face. How great is that? The alternatives depend on who/what/where/when of your particular case. In the case of a serious jaw fracture, we want to immobilize the fracture the same way a cast would. Since a cast is out of the question, we may wire the jaws together and use tiny plates and screws to hold the bone in the right place. While this sounds extreme, it leads to faster recovery time and a more rapid return to proper function.

Tooth Injury
Tooth injuries are very common, and just like the above injuries, require procedures that vary depending on the case. If your tooth gets chipped or knocked out, place it milk or salt water, and then call your dentist or our office immediately. The longer you wait, the less likely it is that your tooth will survive. Also, don’t wipe the tooth off, as you could destroy important ligaments.

As you can see, facial trauma is a very complex, very delicate issue. If left in the wrong hands, the injury could heal in a less than preferable way, which could then necessitate another surgery to fix the results of the last one. If you have an accident, make sure you give our office a call so that we can handle your case, and get you looking good as new.

Dental Implants: FAQ

Dental Implant FAQDental implants are becoming more and more popular these days, and we can see why. The ability to replace a missing tooth with a brand new one is an attractive concept.

We know that people often have questions about implants, so we have put together this page to answer those common questions:

What is a dental implant?
Implants are artificial teeth that function exactly like your natural teeth. We take a titanium screw, attach it to your jaw, allow the jaw to grow around the screw, and then fit the new tooth in right where the old one used to be. It will feel exactly like your old tooth used to when you had it.

How quick is the procedure?
It depends on just how strong and healthy your jaw is. Your jaw may very well be ready to receive the new tooth quickly, but it may also take time to grow around the screw. If your jaw is weak, we can also transplant bone from other parts of your body first, via another procedure called “bone grafting”, to grow a fresh, strong base where the screw can be inserted. If that is the case, the whole process takes more time, but again, it depends on your case.

Does it hurt?
No. Medications and anesthesia are available to reduce or eliminate pain. You shouldn’t feel a thing.

Since it’s an artificial tooth, do I need to care for it as if it were alive?
You should clean and maintain your implant exactly like you do with your living teeth. Though the implant isn’t going to die, it can still allow bacteria to build up, like your other teeth do. Clean all of your teeth with care, and they should all stay healthy.

How long do they last?
If your implant is taken good care of, it should last a long, long time. Perhaps 40 years and sometimes even a lifetime!

What should I eat after the procedure?
Eat soft food. We will help you decide on a diet that works for you depending on the specifics of your case and treatment.

Have more questions? Call us! We would be glad to set up an evaluation.