Orlando Oral Facial Surgery

A Better Breakfast for a Better Smile

healthy breakfast options for oral healthBreakfast truly is the most important meal of the day. It kick starts your body and provides you with enough energy to make it through your hectic morning as well as keep your mind focused on the task at hand. Eating a balanced breakfast is not only good for you body, but also good for your teeth. Being mindful of the acidity and sugar levels in your food is key to keeping your teeth in tip-top shape!

When it comes to breakfast foods, there are a few foods we recommend eating in moderation! These include, but are not limited to, orange juice and sugary cereals. Orange juice has a very high acidity and by drinking too much, the acid can wear down your tooth enamel. Cereals that are high in sugar have a similar effect on your teeth, but the sugar can also cause cavities.

Eating a balanced breakfast that is low in sugar and acid, but high in protein will make your body and teeth feel great! Protein rich foods will help to build up your enamel and keep your teeth stronger than ever.

Here are a few recipe ideas for a healthy and balanced breakfast:

Overnight Oats:

o 1/3 cup of oats
o 1/3 cup of milk (or substitute almond, soy, coconut, etc.)
o 1/3 cup of plain Greek Yogurt
o 1 tbsp chia or flax seeds OR ¼ cup chopped nuts
o Fresh fruit/ berries of your choice!

Mix all of the ingredients together in a sealed container, or mason jar, and place in fridge the night before. Open and enjoy the next morning for a healthy and balanced breakfast!

Avocado Toast:

o 1-2 slices of whole grain toast
o 1 ripe avocado
o 1 egg (cooked to your preference)
o 1 ripe tomato
o Seasonings of your choice (salt & pepper, hot sauce, red pepper flakes, etc.)

5 Things You Might Not Know About Oral Cancer

burgundy oral cancer ribbonOral cancer consists of any head and neck cancer (excluding brain cancers – which is its own category). The death rate of oral cancer is unfortunately very high because people find out about oral cancer too late. This is why it is important to practice regular self-examinations in order to be proactive and seek treatment early.

1. 450,000 new oral cancer cases are discovered worldwide each year

While this number is only an estimate, it shows how many people are being affected by oral cancer and why this topic should be taken seriously.

2. HPV is a leading cause of oral cancer

There are many strains of HPV, but HPV-16 in particular has a strong connection to oral cancer. Most HPV strains cause warts or cervical cancer and some have a small connection to oral cancer. For people with HPV, it is important to practice regular oral self-exams in order to be proactive about oral cancer.

3. Oral cancer affects more men than women

Oral cancer affects men over women on a 2:1 ratio. This correlation may be due to men smoking and drinking more than women, although studies have shown oral cancer among women is on the rise. No matter your gender – practice clean oral health practices.

4. Alcohol and tobacco are huge risk factors

These two risk factors are considered lifestyle risk factors. When you think of smoking heavily, your first thought probably is lung cancer. However, that is not the only cancer that smoking causes, as roughly 80% of people with oral cancer are heavy smokers. Alcohol is another huge risk factor as 70% of oral cancer patients are heavy drinkers.

5. If oral cancer is discovered early enough, the cure rate is around 90%

The biggest concern about oral cancer is that it is not discovered soon enough. That is why it is important not to overlook any suspicious bumps that appear in your mouth, and to give your oral surgeon a call as soon as you see it.

Head and neck cancers are not usually discovered soon enough. Make sure you are practicing regular self-examinations, and contact our office today at Winter Park Office Phone Number 407-629-4444 for an oral cancer screening!

Are You At Risk For Oropharyngeal Cancer?

'cancerous cells'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 Winter Park Office Phone Number 407-629-4444 to schedule a screening today!

Orthognathic Surgery

'woman sitting in dentist chair'What is orthognathic surgery?

Also known as corrective jaw surgery, patients undergo this procedure in order to correct a wide range of major and minor dental and skeletal irregularities. Jaw surgery is used to correct the misalignment of a person’s jaw or teeth, which will eventually improve breathing, chewing, and speaking. While a patient’s physical appearance may be altered just a bit with surgery, orthognathic surgery is mostly meant to correct functional problems.

What are some conditions that require orthognathic surgery?

There are quite a few conditions that indicate that you may need jaw surgery. Some of those include:

  • Sleep Apnea (breathing problems during sleep)
  • Protruding jaw
  • Open bite (someone who is unable to fully close their mouth)
  • Chronic mouth breathing and dry mouth
  • Difficult biting food or chewing
  • Difficulty swallowing
  • Chronic joint or jaw pain (TMJ)
  • Excessive wear on teeth

Evaluating Your Need For Jaw Surgery

We will work with your orthodontist and general dentist to evaluate your need for jaw surgery. In a great number of cases, patients need to have orthodontic work done before and after surgery. Jaw surgery is a lengthy and delicate process. In most cases, the whole process, including orthodontic work, will last 1-2 years. We will evaluate you thoroughly and realistically so that you may make the most informed decision possible.

How will I benefit from having jaw surgery?

Corrective jaw surgery will benefit you in numerous ways. After surgery, your jaw will be more aligned and balanced, and you will have more a far more functional and healthy jaw. While recovery may be lengthy, we will keep you comfortable along the way. With jaw surgery, patients can see an improvement in speech, eating, chewing and also breathing. Many patients see a positive change in their facial structures aw well after their jaw has been realigned.

To find out if you are a good candidate for corrective jaw surgery, please call us at Winter Park Office Phone Number 407-629-4444.

New Trends In Dental Implants

'dental 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 Orlando Oral and Facial Surgery to find out what tooth replacement options may be right for you!

Where do Dental Implants come from?

'children playing in dirt'Dental implants have a surprisingly rich and interesting history. Across centuries and throughout cultures around the world there is evidence of attempts at replacing missing teeth with various objects and materials.

The oldest dental implants can be traced back to 2000 BC in China, where missing teeth were substituted with bamboo pegs.

Fast forward a bit to around 1000 BC and you’ll find an ancient Egyptian King whose tomb was recently discovered along with his mummified remains; a copper peg hammered into place where a tooth once lived. This may have been the first time in history that we know of when metal implants were used.

Across the globe some time around 300 BC, an iron tooth was found in a French grave thought to be Celtic in origin. It is possible this implant may have been a post-mortem placement to honor the dead, as an attempt to perform the surgery using a live patient would have been an excruciatingly painful process.

Just 2000 years ago missing teeth were being substituted for animal teeth, and the poor were even selling their teeth to the wealthy, just to make ends meet! The body often rejected these surrogate teeth, causing infection.

More recently in 1931 in Honduras, Dr. Wilson Monroe and his wife found a jawbone amongst other artifacts, with teeth fashioned from shells and attached to the jawbone of an ancient man.

Today we are lucky enough to have dental implants that not only look and feel like real teeth, and anesthesia for the pain is also a plus. Thanks to studies conducted by Per-Ingvar Brånemark of Sweden in the 1950’s, oral surgeons have been able to perfect the process over the years to create today’s implants, which have a 98% success rate! Through a process known as osseointegration, metals and other implant materials are able to be skillfully placed so that your jaw bone actually attaches itself to the implant creating a seamless support system.

Missing a tooth or two? Give us a call at Winter Park Office Phone Number 407-629-4444 to discuss your dental implant options today!

Impacted

'impacted wisdom teeth'When you hear this word in our office, it is most likely that we are talking about your wisdom teeth. And while we know that it may sound scary to have “impacted wisdom teeth”, we want you to know that, actually, it is very common.

What are impacted wisdom teeth?

Throughout evolutionary history, human mouths (jaws) have become increasingly smaller. While the jaws have gotten smaller, the amount of teeth we have has not. So now we have the same amount of teeth squeezing into a smaller space. Because wisdom teeth are the last to erupt, they often become impacted – that is, blocked by the other teeth around them. Often they are growing in sideways or unable to erupt through the gums at all due to crowding.

Why do wisdom teeth need removal?

The inability to erupt properly means that wisdom teeth can cause a lot of pain and even become infected down the road. This is the main reason that we recommend the removal of all third molars (another name for wisdom teeth). The reason that we remove them during the teen years is that the bone is still soft and recovery from the surgery is taken by the patient much better at this age. If we were to wait, your teeth may become infected, your bite crooked, and it may be too late at some point for us to take them out.

Types of Impaction:

  • Vertical Impaction – In this case, the tooth is unable to break through the gum line. Vertical impaction is very common.
  • Mesioangular Impaction – Angled toward the front of the mouth, the tooth is probably pushing on its neighbor, causing pain and crowding. This type of impaction is also very common.
  • Distoangular Impaction – This tooth is angled toward the rear of the mouth, it is uncommon.
  • Horizontal Impaction – In this case, the tooth is a complete 90 degrees from where it should be, and is likely growing into the roots of its neighboring tooth. This is very rare.

What is the removal procedure like?

You will be completely pain-free during the surgery, which takes just about an hour. You will also be sent home with instructions for pain management, eating and rest orders.

What is recovery like?

You will recover comfortably at home. You can start drinking liquids and soft foods as soon as you feel ready, but should avoid crunchy foods, extra hot or cold items, and straws (NO STRAWS!). You can expect to resume some of your normal activities a few days post-operation.

If you have any questions about wisdom teeth removal or aren’t sure if you even need the procedure, give us a call at Winter Park Office Phone Number 407-629-4444!

Autograft vs. Allograft

'woman smiling after receiving bone graft'So, 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 Winter Park Office Phone Number 407-629-4444. 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.

Missing Teeth: More than Just a Gap In Your Smile

'man smiling with perfect teeth'While it is true that the most obvious effect of missing teeth is a gap in your smile, missing teeth can cause other problems that you might not be immediately aware of. For example, did you know that for every missing tooth you have you lose 10 percent of your chewing ability? Read on to get a better idea of how a missing tooth can affect your life.

Surrounding Teeth

A missing tooth usually means more stress for the remaining teeth. In addition to that, if you are missing a tooth on the lower jaw, the opposing tooth on the top can grow longer to fill the gap in a process known as superuption or extrusion. This could lead to teeth tilting and move out of place by drifting into the space that was left by your missing tooth – a disaster for your beautiful smile!

Digestive Health

If you are missing teeth, you can’t enjoy all of the foods that you are used to eating – bad for your health and bad for your mood! Say goodbye to caramel apples, saltwater taffy, crunchy carrots and even gum. And because the variety in your diet is reduced when a tooth is missing, digestive problems are unfortunate yet common.

Decay and Hygiene Problems

The shifting of your teeth may cause new hygiene issues as it may be difficult to brush and floss like you normally would. This leaves your mouth more vulnerable to gum disease and tooth decay.

Facial Aesthetics

People with more than one missing tooth may also have issues with a collapsed bite which causes a loss of vertical dimension. This could make your face appear shorter, as the distance between the tip of your nose and your chin would decrease.

The good news is that you don’t have to suffer anymore! Dental implants can help you avoid all of the problems listed above and let you live your life normally again. It’s never too late for a dental implant, give us a call at Winter Park Office Phone Number 407-629-4444 to find out about this life-changing procedure.

Immunotherapy and Oral Cancer

You may have heard: Immunotherapy is proving to be very promising in the treatment of a variety of cancers, in particular lung cancer and advanced melanoma. However, immunotherapy has not found its way (yet!) into the treatment regimen for head and neck cancers.

'woman thinking about oral cancer'What is immunotherapy?

Immunotherapy is the process of enlisting the patient’s own immune system in the fight against cancer cells. Several drugs have been used successfully to aid in the treatment of advanced lung cancers and melanoma, giving patients a longer prognosis in many cases.

Cancer Cells are Tricky

Cancer cells are notoriously sneaky – their ability to hide from immune cells is one of the reasons that cancer is so hard to treat. This is where “checkpoint inhibitors”, one of the most common classes of immunotherapy drugs in cancer treatment, come in. These drugs help to block the activation of proteins that help cancer cells hide from immune cells.

The Connection with Oral Cancer

Recurring head and neck cancers are very difficult to treat. Often they are resistant to the best chemotherapy drugs, so the hope has always been that immunotherapy drugs may some day step in to assist with the oral pathology fight. A recent trial in the UK has shown that the day may be coming sooner than we thought! The trial proved successful in extending prognosis for many of the patients.

Reduced Side Effects

The research also noted that side effects were reduced to give patients a better quality of life during treatment.

More Testing Needed

While more research is needed before the drugs receive FDA approval for the treatment of oral cancer, the good news is that because these drugs are already approved and on the market for other cancers, the application process for use in oral cancers will be quicker (and smoother) than it would be for a new drug.

At Orlando Oral and Facial Surgery, our commitment to your care, comfort, health and safety is evident from the minute you walk through our door. Call us at Winter Park Office Phone Number 407-629-4444 for more information about oral cancer.