Q: What is the difference between a dental surgeon and an oral surgeon?
A: A dental surgeon is an older term used to designate a general dentist. An oral and maxillofacial surgeon (formerly known as an oral surgeon) is a dentist who has obtained specialty training in surgery of a minimum of four additional years. During this training, the oral and maxillofacial surgeon has developed an expertise in the anatomy, physiology and pathology of the jaws and the face. The oral and maxillofacial surgeon has the ability to perform minor and major surgeries and is able to handle any difficulties or complications that can arise during a surgical procedure.
Q: Are there risks associated to intravenous sedation?
A: Intravenous sedation is a safe, proven technique used daily in our practice. Only specialists in oral and maxillofacial surgery, thanks to their advanced training in anesthesia, can use this technique. Vital signs are monitored closely during the surgical procedure and, although quite rare, we are ready to handle any adverse reaction.
Q: Will it hurt?
During the procedure, there should not be any pain. However; you may feel some level of manipulation, pressure and noises. Intravenous sedation is very helpful to reduce those undesirable sensations.
Q: Can I return to work or school after surgery?
A: Depending on the type of procedure performed, it is preferable for you not to return on the same day as the surgery. Some procedures require a few additional days of rest prior to your return to work or school.
Q: When can I work out again or do physical activity?
A: Again, based on the type of procedure performed, we may recommend a few days without any strenuous activity.
Q: How much swelling will I have?
A: It is normal to have swelling following a surgical procedure. This will increase for up to 48 hours. It is important to apply ice, on and off for those first 48 hours.
Q: Will I be able to eat after the surgery?
A: You should wait until the anesthesia has worn off, and then start with a soft diet. When you feel comfortable to do so, increase to harder foods.
Q: What can I eat?
A: A softer diet such as ice cream, yogurt, pudding, fish, pasta etc. is recommended following surgery and for the first few days. Due to the presence of swelling, you may not feel comfortable chewing crunchy or hot foods, which could also disrupt the blood clot and affect healing of the wound.
Q: Are x-rays dangerous for my health?
A: At Montréal Maxillo-Facial, we are equipped with cutting-edge digital radiography. These machines use a much lower dose of radiation in comparison to conventional x-ray machines and therefore greatly reducing risks to your health.
Q : Is smoking permitted after surgery?
A: Smoking can cause complications and delayed healing following surgery. We recommend not to smoke during that time.
Q: What is the purpose of the work-up?
A: The surgeon must prepare each orthognathic surgery plan individually. It is essential for the surgeon to gather all the necessary information in order for you to have the best outcome. We must also fabricate an appliance which you will wear in your mouth during and/or after surgery to stabilize your new bite.
Q: Why can’t I open my mouth for a few weeks for following surgery?
A: Since your jawbone has been operated on and fixated with screws and plates, it is essential to stabilize your bite for a period of a few weeks in order to prevent any problems or changes. Therefore, you will be limited to a liquid diet for that period.
Q: What happens if I feel like being sick (orthognathic)?
A: You will be consuming only liquid foods, therefore if you feel the need to be sick, these liquids will be eliminated from the corners of your mouth. It is important not to panic.
Q: Why do wisdom teeth need to be removed if they do not bother me?
A: Wisdom teeth that are impacted or partially impacted are often asymptomatic, which means that they are not bothersome. However, these teeth can cause severe problems such as infection, damage of the neighboring teeth (such as decay or bone loss), cysts and other pathologies. The removal of those teeth, and the healing period, is much more predictable before the age of 25. Once your dentist has determined that your wisdom teeth will not completely erupt, it is safer to remove the teeth sooner than later.
Q: What is the life span of a dental implant?
A: With proper maintenance and hygiene, a dental implant shoul last for the rest of your life.
Q: Why do I have to see two different doctors for the implant?
A: There are two phases to dental implant therapy; the first being the surgical phase which means having the titanium implant placed into your jawbone by an oral and maxillofacial surgeon. The second phase is the crown or prosthesis being fabricated and placed over the implant. It is recommended that these two treatment phases be provided by two different teams because of the differences in skill requirements and the better results provided by that approach.
Q: I am having a front tooth replaced. Will I have a gap during the time of implant placement and crown fabrication?
A: It is possible to have a removable or even fixed temporary denture fabricated for you during the treatment so that you are never left with a gap. Your surgeon will further discuss this with you at the time of consultation.
Q: How much will it cost?
A: Having an implant treatment is an investment in your future and quality of life. To have new teeth that feel like your own is a highly valued experience. It is a great treatment that can save you from other dental expenses and problems in the future. The extent of your treatment will determine your cost. Ask your surgeon to prepare a cost estimate before starting the treatment, and the possibilities of setting up a finance scheme.
Q: Could one be allergic to dental implants?
A: The material of the dental implants has no allergenic components and is biocompatible with the body.
Q: Are there different qualities of dental implant systems?
A: Like any other product, dental implants differ in quality. Your surgeon can give you detailed advice on implant quality as well as information on long-term success rates. Also ask about the long-term availability of replacement parts in case your denture ever needs to be repaired.
Q: When could bone remodeling be necessary?
A: If teeth and the associated chewing load in the jaw are absent for an extended period, the bone gradually atrophies. If the bone structure is weakened or thin to the extent that there is little or nothing to hold an implant in place, bone remodeling may be necessary. The bone tissue is restored as atraumatically as possible with bone from another part of the body or bone replacement material.
The remodeling material is layered directly on the bone and is gradually converted to resistant bone tissue by the body. The bone can be widened or increased in height by this method. At the back of the upper jaw the bone is usually increased in height by a sinus lift. This prevents the situation where part of the implant extends into the maxillary sinus. It is often possible to carry out the bone remodeling at the same time as the implant placement. However, in other cases a separate outpatient procedure may be required.
Q: I already have a full denture. Will I need a new one for attachment to the implants?
A: If the existing denture can guarantee optimum loading of the implants and a good chewing function, it can be adjusted for attachment to your implants. Ask your surgeon about this.
Q: Does the treatment hurt?
A: As the dental implants are installed under local anesthesia with intravenous sedation, you will not feel any pain during the surgery. The treated area may be swollen for a few days afterwards, which could be slightly painful. In most cases an ordinary painkiller is all you may need to feel fine.
Q: How long do I have to be off work?
A: After the implant has been installed, some swelling or bruising is normal. However, generally you can resume a normal life the day after the operation.
Q: Will the implant set off a metal detector, during an airport security inspection?
A: No, since the dental implants are non-magnetic they will not trigger a metal detector.