Generated by Rank Math SEO, this is an llms.txt file designed to help LLMs better understand and index this website. # The Oral Surgery Group: Serving the Philadelphia Region ## Sitemaps [XML Sitemap](https://www.theoralsurgerygroup.com/sitemap_index.xml): Includes all crawlable and indexable pages. ## Posts - [Ankylosed Teeth and Tooth Extraction Challenges: What Meadowbrook Patients Should Know About Roots Fused to Bone](https://www.theoralsurgerygroup.com/ankylosed-teeth-extraction-challenges-meadowbrook-pa/): In most cases, yes. With proper planning and bone preservation, dental implants remain a viable option for tooth replacement after ankylosed tooth extraction. - [What Happens Between Tooth Extraction and Dental Implant Placement? A Step-by-Step Healing Timeline for Meadowbrook Patients](https://www.theoralsurgerygroup.com/tooth-extraction-to-implant-timeline-meadowbrook-pa/): Many patients assume dental implants are placed immediately after a tooth extraction. In most cases, that is not how the process works. The period between tooth removal and dental implant placement is one of the most important stages in your entire implant treatment process. - [How Bone Loss Changes Tooth Extraction Planning in Pennsylvania](https://www.theoralsurgerygroup.com/how-bone-loss-changes-tooth-extraction-planning-pennsylvania-pa/): Bone health plays a major role in tooth extraction planning. When jawbone loss is present, oral surgeons often need to change the way they approach a tooth extraction procedure, healing strategy, and long-term treatment planning. A weakened jawbone can affect how securely a tooth sits in place, how the tooth responds during removal, and how the area heals afterward. - [How Oral Surgeons Plan Tooth Replacement After Extraction in Meadowbrook, PA](https://www.theoralsurgerygroup.com/tooth-replacement-after-extraction-meadowbrook-pa/): Losing a tooth does not mean you are out of options. In many cases, oral surgeons begin planning for tooth replacement before a tooth extraction even takes place. That planning helps protect the jawbone, maintain bite alignment, and preserve future tooth replacement options after tooth extraction or oral surgery. - [When Tooth Extraction Is Recommended Even Without Pain in Doylestown & Meadowbrook](https://www.theoralsurgerygroup.com/tooth-extraction-without-pain-doylestown-meadowbrook-pa/): Many people assume that if a tooth does not hurt, it does not need treatment. That is not always true. Some of the most serious dental problems can develop quietly without pain. A tooth infection without pain, a cracked tooth with no pain, or advanced bone loss around a tooth may still require treatment before the problem gets worse. - [Tooth Extraction After Failed Dental Work: When Removal Is Necessary in Meadowbrook, PA](https://www.theoralsurgerygroup.com/tooth-extraction-after-failed-dental-work-meadowbrook-pa/): You already had the filling, crown, or root canal done, so why is a tooth extraction now being recommended? - [How Oral Surgeons Evaluate Tooth Prognosis in Bucks County](https://www.theoralsurgerygroup.com/how-oral-surgeons-evaluate-tooth-prognosis-bucks-county/): Tooth prognosis means predicting whether a tooth can remain healthy, stable, and functional over time. It is not just about whether a tooth hurts today or whether it can be treated for now. It is about whether that tooth is likely to hold up well in the months and years ahead. - [How Jawbone Anatomy Impacts Tooth Extraction Difficulty in Bucks County](https://www.theoralsurgerygroup.com/jawbone-anatomy-tooth-extraction-doylestown-meadowbrook-pa/): Not all jaws are built the same. When patients hear they need a tooth extraction, they often assume the tooth is the main reason the procedure may be simple or difficult. In many cases, the jawbone also plays a major role. Bone density, bone thickness, and nearby anatomy can all affect how firmly a tooth is held in place and how much surgical planning may be needed. - [How Oral Surgeons Remove Teeth With Curved or Fragile Roots in Bucks County, PA](https://www.theoralsurgerygroup.com/curved-tooth-root-extraction-bucks-county-pa/): Many teeth do not come out in one piece. Molars, teeth that have had root canal treatment, and teeth with curved tooth roots often resist simple removal. In these situations, tooth extraction becomes more complex because the roots may bend, split, or fracture when pressure is applied. Patients are often surprised to learn that the visible part of the tooth matters less than what lies below the gum line. - [What Happens If a Tooth Fractures Below the Gumline? Oral Surgeons in Doylestown & Meadowbrook Explain](https://www.theoralsurgerygroup.com/tooth-fractured-gumline-extraction-doylestown-meadowbrook-pa/): It often starts the same way. You bite down on something firm, feel a sharp pain, and notice part of the tooth has broken. A dental visit follows, and then you hear words that raise concern: the tooth fractured below the gumline. Many patients leave that appointment unsure what it means or why treatment suddenly feels more complicated. - [Tooth Extraction vs Monitoring: When Watchful Waiting Is Appropriate For Doylestown & Meadowbrook ](https://www.theoralsurgerygroup.com/tooth-extraction-vs-monitoring-guide-doylestown/): For patients seeking care in Doylestown and Meadowbrook, PA, this approach helps avoid unnecessary surgery while still protecting your health. Monitoring gives your surgical team time to confirm whether a tooth can stay stable or if removal becomes the safer option. Oral surgeons often compare tooth extraction vs monitoring to choose the right next step based on what they see on imaging, what you feel day to day, and how the tooth is likely to change over time. - [Why Molar Extractions Are More Complex Than Front Teeth in Bucks County, PA](https://www.theoralsurgerygroup.com/why-molar-extractions-are-more-complex-than-front-teeth-guide-bucks-county/): Not all tooth extractions are the same. Some teeth lift out with a straightforward approach. Others need more planning and a more controlled technique. Molars fall into that second category more often. - [What Happens If You Delay Tooth Extraction? Oral Surgeons in Doylestown & Meadowbrook Explain](https://www.theoralsurgerygroup.com/delaying-tooth-extraction-risks-doylestown/): Many patients ask the same question during a consultation. “I know this tooth needs to come out, but can I wait?”  - [Can a Tooth Be Saved Instead of Extracted? Oral Surgeons in Doylestown & Meadowbrook Explain](https://www.theoralsurgerygroup.com/tooth-extraction-save-vs-remove-doylestown/): Do I really need a tooth extraction, or can my tooth still be saved? - [Can Tooth Extractions Stop Dental Infections from Spreading? Oral Surgeons in Meadowbrook Explain](https://www.theoralsurgerygroup.com/tooth-extraction-for-infection-doylestown/): Dental infections are uncomfortable, but the bigger worry many patients share is simple: “Can my infection spread?” - [Simple vs. Surgical Tooth Extractions in Meadowbrook and Doylestown: What Patients Should Know](https://www.theoralsurgerygroup.com/simple-vs-surgical-tooth-extractions-meadowbrook/): Many patients in Meadowbrook and Doylestown ask the same question: Why are some teeth easy to remove while others need surgery? People often hear terms like simple vs surgical extraction, but may not know what separates the two. The difference usually depends on where the tooth sits, how damaged it is, and whether the roots are visible. - [When Is Tooth Extraction the Best Option? Oral Surgeons in Doylestown Explain](https://www.theoralsurgerygroup.com/when-is-tooth-extraction-necessary-doylestown/): Many patients ask the same question before visiting our practice: “Do I really need a tooth extraction?” This uncertainty is common because tooth removal is often seen as a last resort. Understanding when extraction is necessary can help patients make confident, informed decisions about their oral health. - [All-on-4 Dental Implants in Meadowbrook & Doylestown: Your Complete Guide to Full Arch Tooth Replacement](https://www.theoralsurgerygroup.com/all-on-4-dental-implants-meadowbrook-and-doylestown/): If you’ve lost most or all your teeth, you don’t have to settle for loose dentures. All-on-4 dental implants offer a secure, long-lasting smile restoration available right here in Meadowbrook and Doylestown. - [Emergency Tooth Extractions in Meadowbrook & Doylestown: What to Do When You Need Urgent Oral Surgery Care](https://www.theoralsurgerygroup.com/emergency-tooth-extractions-in-meadowbrook-doylestown/): When sudden pain or infection strikes, knowing where to turn for an emergency tooth extraction in Meadowbrook or Doylestown can save your smile and your health. Severe tooth pain, swelling, or dental trauma often requires immediate care to protect your overall well-being. The Oral Surgery Group, with offices in Meadowbrook and Doylestown, provides same-day emergency tooth extraction surgery and urgent oral care for patients across Bucks and Montgomery Counties. - [Do Dental Implants Hurt? What Doylestown & Meadowbrook Patients Should Expect Before, During, and After Surgery](https://www.theoralsurgerygroup.com/do-dental-implants-hurt-doylestown-meadowbrook/): Many patients in Doylestown and Meadowbrook wonder if dental implants hurt. Thanks to modern oral surgery techniques and sedation, discomfort is far less than most expect. With the right preparation, anesthesia, and aftercare, patients usually report only mild soreness during recovery. - [Tooth Extraction and Dental Implant Timeline in Doylestown & Meadowbrook: How Soon Can Patients Replace a Tooth?](https://www.theoralsurgerygroup.com/tooth-extraction-and-dental-implant-timeline-philadelphia/): After a tooth extraction surgery, patients in Doylestown and Meadowbrook often ask how soon they can get dental implants in Meadowbrook or Doylestown. This is one of the most common concerns our team hears during consultations, since replacing a missing tooth quickly helps restore function, appearance, and oral health. - [How to Prepare for a Tooth Extraction: What You Need to Know](https://www.theoralsurgerygroup.com/preparing-for-tooth-extraction-philadelphia-2/): Tooth extraction is a common oral surgery procedure performed to remove a damaged, decayed, or problematic tooth. In Doylestown, Meadowbrook, and the greater Philadelphia area, patients often undergo extractions to prevent further dental complications, relieve pain, or prepare for orthodontic or prosthetic treatments. Whether you are facing a simple extraction or a surgical one, understanding the tooth extraction process in Philadelphia can ease anxiety and help you heal faster. - [How to Prepare for a Tooth Extraction: What You Need to Know](https://www.theoralsurgerygroup.com/preparing-for-tooth-extraction-philadelphia/): Tooth extraction is a common oral surgery procedure performed to remove a damaged, decayed, or problematic tooth. In Doylestown, Meadowbrook, and the greater Philadelphia area, patients often undergo extractions to prevent further dental complications, relieve pain, or prepare for orthodontic or prosthetic treatments. Whether you are facing a simple extraction or a surgical one, understanding the tooth extraction process in Philadelphia can ease anxiety and help you heal faster. - [What to Expect During Your First Oral Surgery Consultation in Doylestown](https://www.theoralsurgerygroup.com/oral-surgery-consultation-doylestown/): Scheduling an oral surgery consultation in Doylestown and Meadowbrook can feel intimidating if you are unsure of what to expect. At The Oral Surgery Group, our goal is to make your first visit stress-free and informative. This initial appointment is focused on understanding your needs, reviewing treatment options like dental implants or wisdom teeth removal, and creating a personalized treatment plan, no procedures are performed during this visit. - [How to Recover from a Tooth Extraction in Philadelphia Area](https://www.theoralsurgerygroup.com/tooth-extraction-recovery-tips-in-philadelphia/): Tooth extraction recovery in Philadelphia involves more than just rest, it requires proper care, diet, and attention to avoid complications. At The Oral Surgery Group, we help patients in Doylestown, Meadowbrook, and the surrounding Philadelphia area heal quickly and comfortably after oral surgery. Whether you’ve had a wisdom tooth removed or a single tooth extracted, knowing what to expect after the procedure empowers you to heal faster and prevent issues like dry socket or infection.  - [When Is a Tooth Extraction Necessary? A Complete Guide for Philadelphia Patients](https://www.theoralsurgerygroup.com/when-to-get-a-tooth-extraction-philadelphia/): Tooth extractions involve the complete removal of a tooth from its socket in the jawbone. Philadelphia residents may require this common dental procedure for tooth extractions for various reasons, from severe decay to overcrowding. At The Oral Surgery Group in Philadelphia, we understand that facing a tooth extraction can be intimidating, which is why we've created this comprehensive guide to help you understand when extractions are necessary, what to expect, and how to recover properly. - [How Are Dentures Designed to Stay in Place? A Comprehensive Guide by Dr. Michael Dachowski](https://www.theoralsurgerygroup.com/how-dentures-stay-in-place-dental-implants/): At The Oral Surgery Group, serving patients in Doylestown and Meadowbrook, we understand the critical challenge of how dentures stay in place, a concern that impacts millions seeking dental implant dentures and secure dental prosthetics. When patients ask, "How do dentures stay in place?" our team, led by Dr. Michael Dachowski, offers cutting-edge solutions that transform traditional denture adhesive techniques into permanent denture solutions that restore confidence, comfort, and functionality. Whether you're exploring Doylestown dental implants or seeking a Meadowbrook denture fitting, our comprehensive approach ensures your smile remains stable, secure, and naturally beautiful. - [Your Complete Guide to Oral Surgery Recovery: What to Expect](https://www.theoralsurgerygroup.com/your-complete-guide-to-oral-surgery-recovery-what-to-expect/): Recovering from oral surgery can seem daunting, but with the right information and preparation, you can navigate the process smoothly. Common concerns about oral surgery recovery time in Doylestown often center around how long it will take to heal, what to expect during the healing phases, and how to manage discomfort. At the Oral Surgery Group, Dr. Dachowski and his expert team use modern techniques to minimize downtime and enhance your recovery experience. Our comprehensive approach ensures you’re supported every step of the way. - [What to Expect During Your Dental Implant Procedure in Philadelphia](https://www.theoralsurgerygroup.com/what-to-expect-during-your-dental-implant-procedure-in-philadelphia/): If you're considering a dental implant procedure in Philadelphia, you're taking an important step toward a permanent solution for missing teeth. As an oral surgeon who has performed thousands of successful dental implant procedures, I understand the questions and concerns that might be on your mind before undergoing this life-changing treatment. - [Dental Implants vs. Dentures: Which Option Is Right for You?](https://www.theoralsurgerygroup.com/dental-implants-vs-dentures-which-option-is-right-for-you/): As a leading expert in dental implants and in Philadelphia, I've helped thousands of patients restore their smiles over the past two decades. I'm often asked about comparing tooth replacement options and affordable dental implants in Philadelphia. Just last week, I sat down with a patient who was struggling with this exact decision. Like many people facing tooth loss, she wanted to understand the key differences between dental implants vs. dentures in Philadelphia, particularly how each option would affect her daily life and confidence. - [What Are Dental Implants and Why Are They the Best Tooth Replacement Option in Philadelphia?](https://www.theoralsurgerygroup.com/what-are-dental-implants-and-why-are-they-the-best-tooth-replacement-option-in-philadelphia/): At The Oral Surgery Group, we've helped countless patients discover the life-changing benefits of dental implants in Philadelphia. As oral surgeons in Doylestown and Meadowbrook, we understand that losing a tooth can significantly impact your quality of life, affecting everything from your confidence to your ability to enjoy your favorite foods. - [Oral Pathology: Why Early Detection Saves Lives](https://www.theoralsurgerygroup.com/oral-pathology-why-early-detection-saves-lives/): Oral pathology plays a critical role in maintaining overall oral health, as it involves diagnosing and managing diseases that affect the mouth, jaws, and related structures. Early detection of these conditions can make a significant difference in treatment outcomes, particularly when it comes to more serious diseases like oral cancer. - [Wisdom Teeth Removal: What to Expect and How to Prepare](https://www.theoralsurgerygroup.com/wisdom-teeth-removal-what-to-expect-and-how-to-prepare/): When it comes to wisdom teeth removal, knowing what to expect and how to prepare can make the experience smoother and less daunting. At The Oral Surgery Group, Dr. Michael Dachowski and our team are highly skilled in providing exceptional care throughout this procedure, ensuring the highest level of care for wisdom teeth removal in Doylestown and Meadowbrook. - [When is a Tooth Extraction an Emergency?](https://www.theoralsurgerygroup.com/when-is-a-tooth-extraction-an-emergency/): Tooth extractions can be a routine dental procedure, but sometimes, they become urgent. Knowing when a tooth extraction qualifies as an emergency is important for protecting your oral health and preventing complications. At The Oral Surgery Group, Dr. Michael Dachowski and our experienced team are ready to handle your emergency and protect your smile for the long run at either one of our convenient oral surgery locations in Doylestown or Meadowbrook. - [How Important is Bone Density if I Need an Implant?](https://www.theoralsurgerygroup.com/how-important-is-bone-density-if-i-need-an-implant/): Dental implants are one of the most effective and long-lasting solutions for replacing missing teeth, offering a natural look and feel. However, not every patient is immediately ready for an implant, and one key factor to consider is bone density. If you're wondering how important bone density is when you need an implant, the answer is—very important! At The Oral Surgery Group, Dr. Michael Dachowski and his experienced team are experts in evaluating and improving bone density to ensure successful dental implant procedures. - [Why Dental Implants are the Gold Standard for Tooth Replacement](https://www.theoralsurgerygroup.com/why-dental-implants-are-the-gold-standard-for-tooth-replacement/): When it comes to replacing missing teeth, dental implants are widely recognized as the gold standard. But what sets them apart from other tooth replacement options? Let’s explore why dental implants are unmatched and how The Oral Surgery Group’s expertise makes all the difference in achieving the best outcomes. - [Tips for a Smooth Oral Surgery Experience](https://www.theoralsurgerygroup.com/tips-for-a-smooth-oral-surgery-experience/): Oral surgery can be a daunting prospect, whether you're having a tooth extracted, getting dental implants, or undergoing a more complex procedure. But with the right preparation and care, you can ensure a smooth and comfortable experience. Here are some expert tips from The Oral Surgery Group to help you feel confident and ready for your procedure. - [What to Expect After Oral Surgery: The Road to Recovery](https://www.theoralsurgerygroup.com/what-to-expect-after-oral-surgery-the-road-to-recovery/): Undergoing oral surgery can feel overwhelming, but understanding what to expect during the recovery process can ease your mind and set you on the path to a smooth recovery. At The Oral Surgery Group, we prioritize not only the success of your surgery but also your comfort and well-being afterward. Here’s a guide on what to expect after oral surgery and how to ensure a successful recovery. - [Sedation Options for Oral Surgery: Which One is Right for You?](https://www.theoralsurgerygroup.com/sedation-options-for-oral-surgery-which-one-is-right-for-you/): When it comes to oral surgery, the idea of sitting in the dental chair can be anxiety-inducing for many patients. Whether you’re facing a simple extraction or a more complex procedure, knowing that you have options for sedation can make the experience much more manageable. The Oral Surgery Group offers a range of sedation options tailored to your comfort and needs. Let’s explore the different types of sedation available and how to choose the one that’s right for you. - [What Are Common Signs of Wisdom Teeth Growing In?](https://www.theoralsurgerygroup.com/what-are-common-signs-of-wisdom-teeth-growing-in/): Just like your regular teeth, wisdom teeth are unique to every individual. It’s important that you see your general dentist regularly so that they can monitor signs that wisdom teeth are beginning to erupt through the gum line. Don’t delay in taking care of yourself and your loved ones. Dental needs, like wisdom teeth extraction, are essential to your overall health. The surgeons at The Oral Surgery Group recommend they be consulted when your child is in their late teens. This is when wisdom teeth generally start to erupt and can be problematic for some individuals. - [When Your Sinus Problem is Really a Dental Problem](https://www.theoralsurgerygroup.com/when-your-sinus-problem-is-really-a-dental-problem/): So many people have experienced a form of sinusitis at some point in their life, complete with headaches, inflammation and fever. It’s a fairly common health condition that affects nearly 35 million people in the United States annually. Sinus infections remain at the top of the list of health issues that often go undiagnosed in clinical practice. - [New Study Shows Removing Wisdom Teeth Early Benefits Gum Health](https://www.theoralsurgerygroup.com/https-www-theoralsurgerygroup-com-early-wisdom-teeth-removal/): Earlier this month, The Oral Surgery Group shared a blog about whether or not someone needs to worry about having their wisdom teeth extracted. What we found out is that you need to pay attention to these potentially troublesome teeth early and get them out before they can do damage.  - [Ask The Oral Surgery Group: Do I Really Need My Wisdom Teeth Removed?](https://www.theoralsurgerygroup.com/https-www-theoralsurgerygroup-com-procedures-wisdom-teeth/): Even though their name suggests that they bring you more knowledge, wisdom teeth are generally known for causing another reaction in patients: pain and/or discomfort. According to the American Dental Association, these teeth were given their name because they tend to appear at a more mature age — usually between the ages of 17 and 21. (In some cases, kids as young as 12 or 13 develop their wisdom teeth!) - [Your Philadelphia Oral Surgeon and an Endodontist: What’s the Difference?](https://www.theoralsurgerygroup.com/your-philadelphia-oral-surgeon-and-an-endodontist-whats-the-difference/): General dentists, endodontists, and oral surgeons in Bucks, Montgomery and the Philadelphia area all share one common goal, providing the very best care possible for optimal oral health in your: - [Do I Need a Referral to see an Oral Surgeon in Bucks County, Montgomery County or in Philadelphia?](https://www.theoralsurgerygroup.com/do-i-need-a-referral-to-see-an-oral-surgeon-in-bucks-county-montgomery-county-or-in-philadelphia/): As the area’s trusted oral surgeons in the Bucks, Montco, and Philadelphia Region, The Oral Surgery Group often gets asked by patients if they need a referral from their general dentist to see us. To which we always reply, “not exactly.” It depends on your unique needs, but for the most part any patient can see an oral surgeon — with or without a dentist’s referral.  - [When Your Headache is Really a Toothache](https://www.theoralsurgerygroup.com/when-your-headache-is-really-a-toothache/): Have you ever woken up with a headache, but your tooth or teeth kind of hurt too? How about the other way around? When this happens, your Philadelphia oral surgeon knows that it can be tricky to figure out what, if any, relation there is between the two and when it’s time to see us for some guidance and help. - [3 Ways You Can Tell Wisdom Teeth Are Coming In](https://www.theoralsurgerygroup.com/3-ways-you-can-tell-wisdom-teeth-are-coming-in/): Are you a teen or young adult who’s experiencing what it’s like when your wisdom teeth finally erupt? Do you have a kid at home who’s about to go through the same thing? For many teens and adults, getting their wisdom teeth isn’t quite as much fun as it sounds. These teeth usually poke through our gums at about the ages of 17 to 21 — when you’re reaching adulthood and becoming “wiser.” - [The Oral Surgeon and the Dentist: What’s the Difference?](https://www.theoralsurgerygroup.com/the-oral-surgeon-and-the-dentist-whats-the-difference/): Do you have a tooth or teeth that are causing you pain? Is there something off about your bite that’s keeping you up at night? Do you need someone to take a look at your mouth, but you’re unsure where to turn or who to speak with? - [Have You Heard?: We Changed Our Name to The Oral Surgery Group](https://www.theoralsurgerygroup.com/have-you-heard-we-changed-our-name-to-the-oral-surgery-group/): We are excited to announce that as of April 1, Pennsylvania Dental Implant & Oral Surgery Associates has changed our name to The Oral Surgery Group. - [No More Wisdom Teeth Means More Ice Cream!   ](https://www.theoralsurgerygroup.com/no-more-wisdom-teeth-means-more-ice-cream/): You’re fresh out of high school and wondering what’s next. Maybe it’s college, maybe it’s a summer internship, or maybe you still haven’t decided. Perhaps, what you do know is that there is a sharp pain in the back of your mouth. So, while you’re thinking about your future impact on the world, your wisdom teeth might just be impacted within your gums. - [What You Need to Know About Telemedicine](https://www.theoralsurgerygroup.com/what-you-need-to-know-about-telemedicine/): The health and safety of our patients and team has always been our top priority, and it has been first and foremost on our minds during COVID-19. We are excited to permanently use telemedicine as an integral part of our practice. We offer you this guide, highlighting the important factors and benefits of telemedicine at The Oral Surgery Group. - [Update to Our Patients](https://www.theoralsurgerygroup.com/update-to-our-patients/): To Our Valued Patients and The Oral Surgery Group Community: - [Important Information Regarding COVID-19](https://www.theoralsurgerygroup.com/important-information-regarding-covid-19/): As of today, March 23rd, Pennsylvania has mandated closure of all dental offices. (refer to the attached announcement, below). - [After Care: Dental Implants](https://www.theoralsurgerygroup.com/after-care-dental-implants/): Are you considering dental implants but are worried about the recovery time? - [History of Wisdom Teeth](https://www.theoralsurgerygroup.com/history-of-wisdom-teeth/): Most people need their wisdom teeth removed, so why do we have them in the first place? Here’s a quick history lesson of wisdom teeth and the important role they once played! - [Oral Health: Get Your Oral Cancer Screening](https://www.theoralsurgerygroup.com/oral-health-get-your-oral-cancer-screening/): Did you know that mouth cancer is the sixth most common cancer worldwide? The sad truth is that oral cancers are more than twice as common in men as in women, and the fastest growing group of oral cancer patients are young, healthy, nonsmoking individuals. Now is the time to be proactive and get yourself checked for oral cancer. - [Wisdom Teeth: Questions Answered](https://www.theoralsurgerygroup.com/wisdom-teeth-questions-answered/): If you or your child are getting your wisdom teeth removed, you must have questions! We are here to make you feel as comfortable as possible. As always, if you have other questions feel free to contact us. We are more than happy to help you understand more on your upcoming procedure. Read on for some frequently asked questions: - [When Should You Consider Dental Implants?](https://www.theoralsurgerygroup.com/when-should-you-consider-dental-implants/): Dental implants typically consist of three components: the post, the abutment, and the restoration. The post is a screw which is inserted into the bone. The abutment is attached to the post and the restoration is placed on top, giving the finished product a beautiful, realistic look. - [The Dos and Don’ts of Good Dental Hygiene](https://www.theoralsurgerygroup.com/the-dos-and-donts-of-good-dental-hygiene/): Dental Hygiene is important. Those who practice good oral habits reap the benefits, while the latter… not so much. Most of us have a great deal of control over whether or not we keep our teeth as we age. Those who don’t follow a proper routine, end up losing their teeth, thus requiring the need of tooth replacement (such as dentures, dental implants, etc.). If you want to achieve an optimal level of oral hygiene, all you have to do is follow these do’s and don’ts! - [3 Benefits of Dental Implants](https://www.theoralsurgerygroup.com/3-benefits-of-dental-implants/): Missing a tooth? Meet your new best friend—dental implants. Before choosing to opt for a dental implant, it’s important that you understand the in’s and out’s of these replacement teeth and how they will benefit your smile. When replacing a tooth or a gap with a dental implant, you are not only giving your smile the perfect finishing touch, but also allowing yourself the normalcy of a full set of teeth. Below are three reasons as to why dental implants are the best tooth replacement option. - [Wisdom Teeth Removal Tips](https://www.theoralsurgerygroup.com/wisdom-teeth-removal-tips/): Wisdom Teeth are the back molars that come in last, usually between the ages of 18-25. These molars are typically removed due to lack of space that can cause shifting of the surrounding teeth. If you are experiencing pain and discomfort, you may need to have your wisdom teeth removed. Below are a few things to keep in mind following a successful wisdom teeth removal surgery. - [Everything you need to know about Dental Bone Grafting](https://www.theoralsurgerygroup.com/everything-you-need-to-know-about-dental-bone-grafting/): What exactly is a bone graft?: Bone grafting is a surgical procedure done when you need to repair bone fractures or replace bone loss. When a tooth is missing or retracted from the alveolar bones that support your roots, gums and teeth, it eventually evaporates, causing facial features to shift and sag over time. This then creates potential problems such as pain in your mouth, not being able to speak properly, or chew food adequately. Fortunately, with the help of bone grafts, the bone that has been lost can be built again, which will not only heighten your appearance by providing strength back into your jaw bone, but also allows us to place a dental implant (artificial tooth) on top of it! In simple terms, the goal of bone grafting is to provide a safe, long-term solution to tooth loss! How it works: The procedure itself is done by using a piece of bone (typically from your own jawbone; however artificial is also an option) as the base for your implant. Depending on the type on dental implant you plan on the receiving, and the condition of your jawbone, the process of recovery can take up to several months for the transplanted bone to grow enough to fully support the implant. Once the jawbone is healed, titanium, screw-like posts act as the new implant’s roots for fully functioning tooth support. The final step of dental bone grafting is to make molds of your teeth and jawbone, which will then follow with the placement of your realistic-looking artificial tooth! After The Procedure: Bone grafting is a very popular and safe procedure, with over two million surgeries being reported each year. Of course with any surgery, come a few risks. Common ones include infection at the source, damage to the surrounding teeth or blood vessels, nerve damage, and sinus problems. The post-procedure discomforts include swelling of the gums, brushing on the skin, and minor bleeding. Any discomfort after the procedure should only last a few days and can be managed with anti-inflammatory medication, as well as ice therapy. Following a successful bone grafting and implant surgery, it is recommended to practice excellent oral hygiene and see your dentist regularly to ensure proper functioning of your implant! To learn more about bone grafting or think you are a qualified candidate to have it done, give us a call at Doylestown Office Phone Number (215) 938-7860! - [Winter Oral Health Tips](https://www.theoralsurgerygroup.com/winter-oral-health-tips/): Winter is here and with it, comes the drastic change of weather! The cold temperatures are fun in theory, but what about the toll it takes on your health? Often times cold weather brings on a variety of pesky problems, like dry skin and irritated throats. But, the problems don’t stop there. In fact, your oral health is also affected by the change of weather. That’s why this season, we put together the ultimate guide on how to keep your oral health in perfect condition this winter season! - [Why You Should Remove Your Wisdom Teeth During Summer](https://www.theoralsurgerygroup.com/https-www-theoralsurgerygroup-com-procedures-wisdom-teeth-removal/): Summertime is that blissful time of year when most people think of nothing but backyard barbecues, pool parties, and family vacations. While dental procedures may be the last thing you associate with this season, summer is a great time to have your procedures scheduled and performed. Let’s review reasons why this might be beneficial for you. - [What to Know About Tooth Extraction](https://www.theoralsurgerygroup.com/what-to-know-about-tooth-extraction/): A mouth full of missing teeth is a fact of life for kids. Those gap-toothed smiles are as much a rite of passage as anything in the five to ten-year-old age group. But missing teeth is a real-world concern for adults, too. Adults should understand that losing a tooth is a real possibility, and there are several reasons why a permanent tooth may have to be pulled by a dentist. - [Oral Cancer Awareness Month](https://www.theoralsurgerygroup.com/oral-cancer-awareness-month/): Each April we recognize Oral Cancer Awareness Month – a time to learn about this disease, support those with cancer, and advocate for a cure. - [How to Recover from Dental Implant Surgery](https://www.theoralsurgerygroup.com/recover-dental-implant-surgery/): Your surgeon has given you the thumbs-up; your surgery is over and everything went well. And now, instead of dealing with painful and inconvenient complications that come with dental implants, you’re going to have a natural-looking smile that will boost your confidence levels and make you feel good again. By this point, you’ve likely had several consultations with your dentist, he or she has prepared you for the surgery, and you’re now ready to recover from this restorative procedure. - [Celebrate Dental Assistant Recognition All Month Long](https://www.theoralsurgerygroup.com/celebrate-dental-assistant-recognition-month-long/): Earlier this month, dental offices around the country celebrated Dental Assistant Recognition Week to honor the hard work that dental assistants put in every day. Dental assistants support dentists and oral surgeons, and often prepare patients for surgery or support extensive cleaning routines. Sometimes they take the lead role in routine cleanings, x-rays, and other dental office procedures. - [Understanding Each Type of Anesthesia](https://www.theoralsurgerygroup.com/understanding-each-type-of-anesthesia/): The medical community has made great strides in improving pain management practices over the past two hundred years. While dentists and doctors of the 1800s may have once prescribed opium, morphine, cocaine, heroin, and laudanum to numb the pain of surgery, today’s dental patients have much safer and legal options. There has never been a better time to take care of your oral surgery needs. - [What You Should Know About an Apicoectonomy](https://www.theoralsurgerygroup.com/what-you-should-know-about-an-apicoectonomy/): The last thing you probably want to hear from your dentist is, “Well, it looks like a root canal is in order.” A root canal is one of the most common and effective treatments used today to address infected or badly decayed teeth. Most patients see a positive change almost immediately after the surgery, but of course, no one looks forward to the procedure. - [What to Consider When Choosing an Oral Surgeon](https://www.theoralsurgerygroup.com/choosing-an-oral-surgeon/): Finding an oral surgeon doesn’t have to be a complicated process, but you’ll want to conduct research in two basic ways. First, consult with your dentist. They’ll likely have a shortlist of their preferred surgeons in the area or may be able to perform the procedure in-office. Second, spend time online conducting enough research to ensure you’ve made a sound decision. We’ve compiled a series of steps to take to help you find the right oral surgeon to help you manage your unique needs. - [How to Recover from Wisdom Teeth Removal](https://www.theoralsurgerygroup.com/how-to-recover-from-wisdom-teeth-removal/): If your dentist suggests it’s time to remove your wisdom teeth, don’t worry too much. The recovery timeframe for wisdom tooth surgery is often pretty quick for most individuals. Provided the patient adheres to their dentist’s pre-operative advice, is in general good health at the time of the procedure, and takes care of themselves appropriately after the actual surgery, having your wisdom teeth removed doesn’t have to be a painful ordeal. - [What to Ask Your Oral Surgeon During Your Consultation](https://www.theoralsurgerygroup.com/what-to-ask-oral-surgeon-during-consultation/): Even though your oral surgeon will likely provide all of the helpful answers and guidance prior to your actual surgery, it’s helpful to have a list of questions ahead of time. This will ensure that you have a complete and thorough understanding of what is about to happen. Make sure you take the time now to cover anything you’re uncertain about, ranging from pre-surgery food intake to your recovery. Here are some of the best questions to ask your oral surgeon prior to your scheduled surgery. - [8 Signs You May Need Oral Surgery](https://www.theoralsurgerygroup.com/8-signs-you-may-need-oral-surgery/): There are some signs you may need oral surgery that are painfully obvious. For instance, if you are experiencing pain in the gums, teeth, or jaw so bad it is keeping you up at night or preventing you from eating, it is certainly time for a visit to your dentist. If you’re seeing much higher than normal levels of bleeding from the gums or you’ve recently and visibly damaged your teeth, you’ll want to schedule a consultation. - [How to Properly Care for Your Dental Implants](https://www.theoralsurgerygroup.com/how-to-properly-care-for-your-dental-implants/): In the past, if you experienced dental issues where one or more of your teeth fell out, there were few options available to fully replace those teeth. Until relatively recently, the only choice was to either obtain a bridge, partial dentures, or full set of dentures to address the dental situation. Unfortunately, all of these options allow your jawbone to continually deteriorate from lack of use. After the bone material deteriorates, buildup can only be performed through surgical bone restoration procedures. - [Your Oral Surgery Preparation Guide](https://www.theoralsurgerygroup.com/your-oral-surgery-preparation-guide/): In the past, those with dental pain or abnormalities had to live with the uncomfortable complications or have the damaged teeth pulled. Today, the development of surgical repair and reconstruction techniques allow modern dentists to try to save damaged teeth or correct structural abnormalities. - [Understanding Impacted Teeth and When to Extract](https://www.theoralsurgerygroup.com/https-www-theoralsurgerygroup-com-understanding-impacted-teeth-and-when-to-extract/): As teeth descend through the gums, most of them make it into the awaiting open gap without a problem. If a tooth cannot fit in the given space, however, it may start pushing the adjacent teeth to the side or become impacted. This situation is common while wisdom teeth come in during the early teen or young adult years. The human jawbone has decreased in size over the years, as our diets have evolved over the past several thousand years. As a result, wisdom teeth may either push through the gums crooked or may not have enough room to grow in at all. - [Understanding Corrective Facial Surgery](https://www.theoralsurgerygroup.com/understanding-corrective-facial-surgery/): Corrective facial surgery can enhance the quality of life on many fronts, from providing standard usage of the mouth and jaw to dramatically improving physical appearance. Today, there are multiple branches of corrective facial surgery, including corrective jaw surgery or orthognathic surgery, facial trauma surgery and distraction osteogenesis. Some procedures are relatively new while others have their roots in centuries-old medical practices that have evolved and improved throughout the decades. - [Implants, Mini-Implants, and Bridges: What’s Right for You?](https://www.theoralsurgerygroup.com/implants-mini-implants-bridges-whats-right/): The field of tooth replacement is now replete with many more options than were available in previous decades. The traditional bridge is still available and utilized, but newer implant technologies present the patient with several advantages worth considering. - [The Dental Applications of Platelet Rich Plasma](https://www.theoralsurgerygroup.com/dental-applications-platelet-rich-plasma/): The use of platelet rich plasma (or “PRP therapy") to accelerate healing gained widespread acceptance in the fields of sports medicine and orthopedic surgery during the 1990s. Now, PRP therapy has proven valuable when used in conjunction with dental implant procedures and tooth extraction, contributing to faster tissue and bone growth. PRP therapy is currently being used to reduce post-operative pain, promote tissue repair, and reduce healing times in a variety of different disciplines. - [Understanding Bone Grafting & Bone Morphogenetic Protein](https://www.theoralsurgerygroup.com/understanding-bone-grafting-bone-morphogenetic-protein/): Gingivitis is a relatively common form of gum disease that can turn serious without corrective dental treatment. When left untreated, gingivitis can continue to worsen and develop into advanced periodontal disease. This progression of gum disease causes extreme damage to your teeth, gums and jawbone tissue. - [Your Guide to Understanding TMJ](https://www.theoralsurgerygroup.com/your-guide-to-understanding-tmj/): Temporomandibular joint disorder (TMJ) is a condition affecting the joints and muscles responsible for jaw function. If you have TMJ, you’re not alone — an estimated 10 million Americans suffer from this disorder. Although TMJ symptoms can vary in degrees of severity, cases typically include: - [The Dangers of Sleep Apnea & Oral Surgery as a Solution](https://www.theoralsurgerygroup.com/the-dangers-of-sleep-apnea-oral-surgery-as-a-solution/): Though many people have heard of sleep apnea, many are unlikely to understand fully the trials and dangers posed by this disorder until they, or someone close to them, feels the effects of the condition. When left untreated, sleep apnea can be a life-altering and life-threatening disorder, increasing a person’s vulnerability to heart disease, diabetes, and stroke. The chronic fatigue endured by sleep apnea sufferers also poses serious risks. - [Leveraging Dental Technology to Enhance the Patient Experience](https://www.theoralsurgerygroup.com/leveraging-dental-technology-enhance-patient-experience/): Advances in dental care technology can enhance your experience by providing comfort and safety, a clearer view of what your provider is treating and convenient care that is less invasive, less painful and heals faster. With advanced digital radiography tools, your dentition can be imaged safely and comfortably. Other advanced technologies such as those for long-lasting implants offer convenience and a natural looking, healthy smile. - [Why Patients Should Consider a Specialist vs a General Practitioner Dentist](https://www.theoralsurgerygroup.com/patients-consider-specialist-vs-general-practitioner-dentist/): Are you among those who feel that a dentist specialist should only be consulted when you need a service that your general practitioner cannot accommodate? While it might be seen as a way to save money or time in the short term, choosing not to go with a specialist when one is called for can end up costing you a great deal more in the long run. - [April is National Facial Protection Month](https://www.theoralsurgerygroup.com/april-national-facial-protection-month/): April really is National Facial Protection month. You may not be aware of this, but every year emergency rooms require the services of dental specialists to help treat children who have suffered everything from broken or knocked out teeth to broken jaws or other facial injuries suffered while playing. - [Why It Matters to be a Board Certified Oral and Maxillofacial Surgeon](https://www.theoralsurgerygroup.com/matters-board-certified-oral-maxillofacial-surgeon/): The need for oral surgery is rarely taken lightly, yet when that need presents itself, it seems one is never fully prepared. In many cases, the immediate need for a surgeon does not leave time to search for just the right person, creating additional stress. - [A Brief Look into the History of Oral Health Care](https://www.theoralsurgerygroup.com/history-of-oral-health-care/): Because of changing oral health care practices over time, dental health has drastically improved in recent decades. Tooth decay and tooth loss occur less often than in the early days of dentistry. Much advancement in dentistry is due to modern technology and evidence-based dental research. - [Determining if you are a Candidate for Orthognathic Surgery](https://www.theoralsurgerygroup.com/candidate-for-orthognathic-surgery/): Choosing to have orthognathic surgery, a surgery that corrects a misaligned jaw or a misalignment of the teeth with the jaw, is a big decision. Whether you choose orthognathic surgery for cosmetic reasons or to improve your health, it’s important to determine if you’re a good candidate for the surgery before you pursue it. - [Top 5 Dental Myths Explained](https://www.theoralsurgerygroup.com/top-5-dental-myths-explained/): There are a lot of myths out there and when it comes to dental health – you should believe everything you hear. Obtaining research from reputable sources helps separate the dental facts from myths. Here is a breakdown of the top 5 dental myths: - [What Happens When You Don’t Take Care of Your Braces](https://www.theoralsurgerygroup.com/what-happens-when-you-dont-take-care-of-your-braces/): Braces are a big commitment and they require a lot of attention and work. The wire, rubber bands, springs and more are magnets for food and plaque. Regular brushing, flossing, and rinsing with mouthwash will not only prevent staining, but they will help ward off other maladies. - [What Causes Tooth Sensitivity and How to Treat it](https://www.theoralsurgerygroup.com/causes-tooth-sensitivity-treat/): Do you dread brushing and flossing because it causes your teeth and gums to ache? Are ice cream and cold treats hard to eat? You may have tooth sensitivity. According to Consumer Reports, tooth sensitivity affects 35 percent of adults. There are many culprits to tooth sensitivity—from bad oral habits to diet. Here are a few that may be putting the “ouch” in your bite. - [Tips for Helping Your Child Deal with Fear of a Dentist](https://www.theoralsurgerygroup.com/helping-your-child-deal-with-fear-of-a-dentist/): For most of us, going to the dentist isn’t exactly a fun experience. For a child, though, it can be downright terrifying. Spending an hour or so in the dentist’s chair with a stranger poking around your mouth, not to mention the discomfort of going under the drill, can make nearly any child want to avoid the experience. - [The Health Benefits of Cosmetic, Corrective Facial Surgery](https://www.theoralsurgerygroup.com/health-benefits-corrective-cosmetic-facial-surgery/): There are a myriad of reasons why you may elect corrective facial surgery. You might want to correct a problem caused by a birth deformity or accident, change a feature you’ve never liked, or simply improve your overall appearance. - [Top Side Effects of Poor Dental Hygiene](https://www.theoralsurgerygroup.com/top-side-effects-of-poor-dental-hygiene/): Poor dental hygiene can have side effects that extend far beyond your appearance. Although neglecting dental hygiene can result in a less-than-impressive smile due to discolored teeth, not taking care of your teeth and gums may result in serious health problems as well. - [Understanding the Cause and Prevention of Teeth Grinding](https://www.theoralsurgerygroup.com/understanding-cause-prevention-teeth-grinding/): Teeth grinding (or Bruxism) is a condition in which you grind or clench your teeth. If you experience teeth grinding, you may unconsciously clench or grind your teeth together during the daytime or clench or grind them at night while you sleep. Many people are not even aware that they grind their teeth, but common side effects include tenderness in the jaw muscles, dental abnormalities such as broken or missing teeth, dull headaches in the morning and facial pain. - [Which Medications Can Have a Negative Impact on your Teeth?](https://www.theoralsurgerygroup.com/medications-that-have-negative-impacts-on-teeth/): Although medications can be a pathway to improving your overall health, too much of some types of medication can actually have a negative effect on your teeth. If you are taking over-the-counter or prescription medications it’s important to know what the effects of those medications may be on your oral well-being. - [Overcoming Challenges with Your New Dentures](https://www.theoralsurgerygroup.com/overcoming-challenges-new-dentures/): You may have concerns about adjusting to your new dentures — from keeping them in place and chewing food, to handling discomfort or pain. When you first start wearing your dentures there may be a few challenges to overcome. - [Children’s Dental Health – 3 Tips for a Healthy Smile](https://www.theoralsurgerygroup.com/3-dental-health-tips-for-children/): Children’s teeth are susceptible to decay as soon as they begin to come through their gums. The American Dental Association recommends that the first visit to a dentist occurs “within six months of eruption of the first tooth and no later than 12 months of age". Beginning and maintaining good dental health at a young age is the first line of defense against tooth decay and damage. Here are three more ways to maintain a healthy smile: - [5 Foods You Didn’t Know Were Bad for Your Teeth](https://www.theoralsurgerygroup.com/5-foods-didnt-know-bad-teeth/): You know the foods that are bad for your teeth — items like soda and candy that include excessive sugar, beverages that stain your teeth like coffee and black tea — but you might be surprised that some seemingly healthy foods are also bad for your teeth. ## Pages - [Our Locations](https://www.theoralsurgerygroup.com/locations/) - [Diet After Dental Extractions](https://www.theoralsurgerygroup.com/surgical-instructions/diet-after-dental-extractions/): After a tooth extraction, liquid soups like tomato soups and other purees are also good choices because they do not require chewing and have no pieces that could become trapped in the sockets. - [Wired Jaw CookBook](https://www.theoralsurgerygroup.com/surgical-instructions/wired-jaw-cookbook/): The name of the game is - [Pre and Post Orthognathic Surgery](https://www.theoralsurgerygroup.com/surgical-instructions/pre-and-post-orthognathic-surgery/): The following information is designed to provide the patient and family with more detailed information regarding planning and recovery for orthognathic surgery. This has been divided into two basic areas entitled “Preoperative Instructions” and “Postoperative Instructions.” Much of this information will be reviewed by our office staff and we encourage you to use this as a reference. Please do not hesitate to contact our office at any time if there are further questions. - [After Sinus Lift Surgery](https://www.theoralsurgerygroup.com/surgical-instructions/after-sinus-lift-surgery/): This procedure regains lost bone height in the back portion of your upper jaw. It is an important procedure as it allows implant placement in an area that could not be implanted otherwise because of insufficient bone height due to an enlarged sinus. - [After Multiple Extractions](https://www.theoralsurgerygroup.com/surgical-instructions/after-multiple-extractions/): A small amount of bleeding is to be expected following the procedure. If bleeding occurs, place a rolled up gauze pad directly over the bleeding area and apply biting pressure for 30 minutes. Repeat this as necessary until the bleeding stops. If bleeding continues, you can try biting on a moist tea bag, wrapped in a gauze pad, for 30 minutes. If bleeding occurs, avoid hot liquids, exercise, and elevate your head. If bleeding persists, call our office immediately. If you left our office with an immediate denture in place, do not remove the denture unless the bleeding is severe. Expect some oozing around the side of the denture. - [After Extractions](https://www.theoralsurgerygroup.com/surgical-instructions/after-tooth-extraction/): After tooth extraction, it’s important for a blood clot to form to stop the bleeding and begin the healing process. That’s why we ask you to bite on a gauze pad for 20 minutes after the appointment. If the bleeding or oozing still persists, replace with a new gauze or place a tea bag (after you dip it in ice cold water) squeeze out and bite firmly for another 30 minutes. You may need to repeat if necessary. Always remember to drink cold liquids to help the clot seal. - [After Impacted Tooth Exposure](https://www.theoralsurgerygroup.com/surgical-instructions/after-impacted-tooth-exposure/): Do not disturb the wound. Avoid lifting up your lip, this may disturb the wound. See also, After Wisdom Tooth Extraction. - [After Wisdom Tooth Removal](https://www.theoralsurgerygroup.com/surgical-instructions/post-wisdom-tooth-removal/): A certain amount of bleeding is to be expected following surgery. Slight bleeding, oozing, or redness in the saliva is not uncommon. Excessive bleeding may be controlled by first rinsing or wiping any old clots from your mouth, then placing a gauze pad over the area and biting firmly for thirty minutes (see above instructions.) Repeat if necessary. If bleeding continues, bite on a moistened tea bag, wrapped in a gauze, for thirty minutes. The tannic acid in the tea bag helps to form a clot by contracting bleeding vessels. To minimize further bleeding, do not become excited, sit upright, and avoid exercise. If bleeding does not subside, call our office for further instructions. - [After Bone Graft Surgery](https://www.theoralsurgerygroup.com/surgical-instructions/after-bone-graft-surgery/): Avoid vigorous mouth rinsing, spitting or touching the wound area following surgery for the first 24 hours. This may initiate bleeding by causing the blood clot that has formed to become dislodged. - [After Dental Implant Surgery](https://www.theoralsurgerygroup.com/surgical-instructions/post-implant-surgery/): Some bleeding or redness in the saliva is normal for 24 hours. Excessive bleeding can be controlled by rolling a gauze up into a ball, placing it over the site, and biting on it for 30 minutes. If bleeding continues please call for further instructions. - [After Biopsy or Excision](https://www.theoralsurgerygroup.com/surgical-instructions/after-biopsy-or-excision/): Drink plenty of fluids. Avoid spicy food and foods that have citric acid. Soft food and liquids should be eaten on the day of surgery. Return to a normal diet as soon as possible unless otherwise directed. - [Before Anesthesia](https://www.theoralsurgerygroup.com/surgical-instructions/before-anesthesia/): IF YOU ARE ANTICIPATING GENERAL ANESTHESIA OR SEDATION OR NITROUS OXIDE - [Sitemap](https://www.theoralsurgerygroup.com/sitemap/): Home New Patients Why Choose Our Practice Dental Emergencies COVID-19 and Dentistry First Visit Patient Registration Insurance Privacy Policy Educational Videos Financial Policy FAQs Make a Payment Patient Registration Patient Registration for In-Office Appointments Procedures Dental Implants Replacing Missing Teeth Overview of Implant Placement Missing All Upper or Lower Teeth Bone Grafting for Implants Implant Supported Overdenture Teeth-in-an-Hour After Implant Placement Cost of Dental Implants Orthodontic Anchorage Teeth Today Zygomatic Implant Treatment Bone Grafting Jaw Bone Health Jaw Bone Loss and Deterioration About Bone Grafting Ridge Augmentation Sinus Lift Nerve Repositioning Socket Preservation Wisdom Teeth Wisdom Teeth Removal After Extraction of Wisdom Teeth Corrective Facial Surgery Jaw Surgery Facial Trauma Distraction Osteogenesis Cheek Enhancement Chin and Jowl Procedures Advanced Technology Bone Morphogenetic Protein Capnography 3D Imaging Dental CT (CAT) Scan Platelet Rich Plasma Laser and Radiofrequency Stem Cells TMJ and Sleep Disorders Sleep Apnea TMJ Tooth Extractions Pre-Prosthetic Surgery Oral Pathology Exposure of Impacted Teeth Anesthesia Special Medical and Care Needs Meet Us Dr. Michael T. Dachowski Board Certification Send Feedback Patient Reviews Blog In the News The Team Surgical Instructions Before Anesthesia After Biopsy or Excision After Dental Implant Surgery After Bone Graft Surgery After Wisdom Tooth Removal After Impacted Tooth Exposure After Extractions After Multiple Extractions After Sinus Lift Surgery Pre and Post Orthognathic Surgery Wired Jaw CookBook Diet After Dental Extractions Referring Doctors Referral Form Links of Interest Contact Us Doylestown Office Meadowbrook Office Our Location Privacy Policy Accessibility - [Accessibility](https://www.theoralsurgerygroup.com/accessibility/): These tips were provided by the US Social Security Administration - [In the News](https://www.theoralsurgerygroup.com/meet-us/in-the-news/): We invite you to read articles and publications about The Oral Surgery Group. For more information, or to schedule an appointment, please call our office at (215) 938-7860. - [Privacy Policy](https://www.theoralsurgerygroup.com/privacy-policy/): This privacy notice discloses the privacy practices for this website of The Oral Surgery Group. We are fully compliant with all Federal, State and Local privacy laws and regulations, especially HIPAA. We are the sole owners of the information collected on this site. We only have access to information that you voluntarily give us via email, text or other direct contact from you. We will not sell or rent this information to anyone. We will use your information to respond to you regarding the reason you contacted us. Unless you ask us not to, we may contact you via email, text or phone in the future to tell you about new services, for marketing purposes, or changes to this privacy policy. If you feel that we are not abiding by this privacy policy, please contact us immediately. - [Contact Us](https://www.theoralsurgerygroup.com/contact-us/) - [Links of Interest](https://www.theoralsurgerygroup.com/referring-doctors/links-of-interest/): We have included these links because we think that our referring doctors may find them of interest. Keep in mind that The Oral Surgery Group does not necessarily endorse the views expressed on these websites. Also, we do not guarantee the accuracy or completeness of any information presented on these sites. - [Blog](https://www.theoralsurgerygroup.com/blog/) - [Patient Reviews](https://www.theoralsurgerygroup.com/meet-us/patient-reviews/): Select an office for reviews specific to that location: - [Board Certification](https://www.theoralsurgerygroup.com/meet-us/board-certification/): Our doctors are “Board Certified” and have successfully completed a rigorous training and examination process to earn the title of: Diplomate of The American Board of Oral and Maxillofacial Surgery (ABOMS) - [Special Medical and Care Needs](https://www.theoralsurgerygroup.com/procedures/special-medical-and-care-needs/): Special Care Dentistry is that branch of our practice that provides oral surgical services for people with physical, medical, developmental, or cognitive conditions which limit their ability to receive routine dental care. - [Anesthesia](https://www.theoralsurgerygroup.com/procedures/anesthesia/): The below illustrates the choices of anesthesia, a description of the anesthetic technique, and the usual indications for that technique. - [Your Guide For Impacted Teeth](https://www.theoralsurgerygroup.com/procedures/impacted-canines/): These teeth get “stuck” in the back of the jaw and can develop painful infections, among a host of other problems (see Wisdom Teeth under Procedures). Since there is rarely a functional need for wisdom teeth, they are usually extracted if they develop problems. The maxillary cuspid (upper eyetooth) is the second most common tooth to become impacted. The cuspid tooth is a critical tooth and plays an important role in your “bite”. The cuspid teeth are very strong biting teeth and have the longest roots of any human teeth. They are designed to be the first teeth that touch when your jaws close together so they guide the rest of the teeth into the proper bite. - [Oral Pathology Treatments](https://www.theoralsurgerygroup.com/procedures/oral-pathology/): Oral Pathology Treatments The following can be signs at the beginning of a pathological process or cancerous growth: Reddish patches (erythroplasia) or whitish patches (leukoplakia) in the mouth A sore that fails to heal and bleeds easily A lump or thickening on the skin lining the inside of the mouth Chronic sore throat or hoarseness and/or difficulty in chewing or swallowing - [Pre-Denture Procedures](https://www.theoralsurgerygroup.com/procedures/pre-prosthetic-surgery/): Some patients require minor oral surgical procedures before receiving a partial or complete denture in order to ensure the maximum level of comfort. A denture sits on the bone ridge, so it is very important that the bone is the proper shape and size. If a tooth needs to be extracted, the underlying bone might be sharp and uneven. For the best fit of a denture, the bone might need to be smoothed or reshaped. Occasionally, excess bone may need to be removed prior to denture insertion. - [Tooth Extractions](https://www.theoralsurgerygroup.com/procedures/tooth-extractions/): The removal of a single tooth can lead to problems related to your chewing ability, problems with your jaw joint, and shifting teeth, which can have a major impact on your dental health. - [Stem Cells](https://www.theoralsurgerygroup.com/procedures/advanced-technology/stem-cells/): Stem cells are unique because they drive the natural healing process throughout your life. Stem cells are different from other cells in the body because they regenerate and produce specialized cell types. They heal and restore skin, bones, cartilage, muscles, nerves and other tissues when injured. - [Laser and Radiofrequency](https://www.theoralsurgerygroup.com/procedures/advanced-technology/laser-and-radiofrequency/): Our high-tech, high-talent team is always on the lookout for new ways to improve the patient experience. One of the ways we do this is by relying on modern laser treatments. There are many more advantages and benefits for the patient using a laser than more traditional treatment approaches. They can include: - [Platelet Rich Plasma](https://www.theoralsurgerygroup.com/procedures/advanced-technology/platelet-rich-plasma/): This was due mainly to the cost of separating the platelets from the blood and the large amount of blood needed to produce a suitable quantity of platelets. New technology permits doctors to harvest and produce a sufficient quantity of platelets from only 55 cc of blood, which is drawn from the patient while they are having outpatient surgery. - [Dental CT (CAT) Scan](https://www.theoralsurgerygroup.com/procedures/advanced-technology/dental-ct-cat-scan/): Our CT machine is a non-invasive piece of advanced imaging technology known as a computer tomography scan. It gives Dr. Dachowski the ability to view multiple enhanced images of the insides of your mouth from the root to the tooth to create a more detailed, accurate determination of your dental issues and needs. - [3D Imaging](https://www.theoralsurgerygroup.com/procedures/advanced-technology/3d-imaging/): Unlike a traditional spiral CT scanner, this 3D system utilizes cone beam CT technology and provides precise, crystal-clear digital images while minimizing your exposure to radiation. - [Capnography](https://www.theoralsurgerygroup.com/procedures/advanced-technology/capnography/): Capnography is a tool that is an essential part of how we administer sedation dentistry during procedures. This tool is used when you choose some form of minor to moderate sedation during a procedure. - [Bone Morphogenetic Protein](https://www.theoralsurgerygroup.com/procedures/advanced-technology/bone-morphogenetic-protein/): Bone morphogenic protein is an isolated protein that induces specific cells in our body to form new cartilage and bone. During surgery, the BMP is soaked onto and binds with a collagen sponge. The sponge is then designed to resorb, or disappear, over time. As the sponge dissolves, the bone morphogenic protein stimulates the cells to produce new bone. The BMP also goes away once it has completed its task of jump starting the normal bone healing process. - [Advanced Technology](https://www.theoralsurgerygroup.com/procedures/advanced-technology/): Technology continues to transform the field of oral surgery. We are at the forefront of learning about and incorporating the latest technology in our practice. Our goal is to make your dentistry experience safe, comfortable, and to provide the best possible results. - [Post Wisdom Teeth Removal Guide](https://www.theoralsurgerygroup.com/procedures/wisdom-teeth/after-extraction-of-wisdom-teeth/): These options, as well as the surgical risks (i.e., sensory nerve damage, sinus complications), will be discussed with you before the procedure is performed. Once the teeth are removed, the gum is sutured. To help control bleeding bite down on the gauze placed in your mouth. You will rest under our supervision in the office until you are ready to be taken home. Upon discharge your postoperative kit will include postoperative instructions, a prescription for pain medication, antibiotics, and a follow-up appointment in one week for suture removal. If you have any questions, please do not hesitate to call us at (215) 938-7860. Our services are provided in an environment of optimum safety. We utilize modern monitoring equipment and our staff are experienced in anesthesia techniques. - [Wisdom Teeth Removal](https://www.theoralsurgerygroup.com/procedures/wisdom-teeth/https-www-theoralsurgerygroup-com-procedures-wisdom-teeth-removal/): All outpatient surgery is performed under appropriate anesthesia to maximize patient comfort. Our doctors are trained, licensed, and highly experienced in providing various types of anesthesia for patients. - [Impacted Wisdom Teeth Removal Service Page](https://www.theoralsurgerygroup.com/procedures/wisdom-teeth/https-www-theoralsurgerygroup-com-procedures-wisdom-teeth-impacted-wisdom-teeth/): There’s nothing like tooth pain. When your third molars, or wisdom teeth, start to poke through, it’s not always a smooth process. For many teenagers and adults, there’s crowding in the mouth that leaves little room for these additional teeth, so they grow in at uncomfortable angles or don’t fully emerge. This can cause painful swollen gums, jaw pain, ear pain, cyst formation, possible nerve damage to adjacent teeth from collision and overcrowding, infection from food getting caught between the teeth, and more.  - [Wisdom Teeth Removal](https://www.theoralsurgerygroup.com/procedures/wisdom-teeth/): Doylestown Office Reviews » Meadowbrook Office Reviews » - [Socket Preservation](https://www.theoralsurgerygroup.com/procedures/bone-grafting/socket-preservation/): The bone that holds the tooth in place (the socket) is often damaged by disease and/or infection, resulting in a deformity of the jaw after the tooth is extracted. In addition, when teeth are extracted the surrounding bone and gums can shrink and recede very quickly, resulting in unsightly defects and a collapse of the lips and cheeks. - [Nerve Repositioning](https://www.theoralsurgerygroup.com/procedures/bone-grafting/nerve-repositioning/): A nerve repositioning procedure is limited to the lower jaw and may be indicated when teeth are missing in the area of the two back molars and/or second premolars. This procedure is considered a very aggressive approach since there is almost always some postoperative numbness of the lower lip and jaw area, which typically dissipates very slowly, but may be permanent. Usually other, less aggressive options are considered first (placement of blade implants, etc). - [Sinus Lift](https://www.theoralsurgerygroup.com/procedures/bone-grafting/sinus-lift/): The maxillary sinuses are behind your cheeks and on top of the upper teeth. These sinuses are empty, air-filled spaces. Some of the roots of the natural upper teeth extend up into the maxillary sinuses. When these upper teeth are removed there is often just a thin wall of bone separating the maxillary sinus and the mouth. Dental implants need bone to hold them in place. When the sinus wall is very thin, it is impossible to place dental implants in this bone. - [Ridge Augmentation](https://www.theoralsurgerygroup.com/procedures/bone-grafting/ridge-augmentation/): A ridge augmentation is a common dental procedure often performed following a tooth extraction. This procedure helps recreate the natural contour of the gums and jaw that may have been lost due to bone loss from a tooth extraction, or for another reason. - [About Bone Grafting](https://www.theoralsurgerygroup.com/procedures/bone-grafting/about-bone-grafting/): With bone grafting we now have the opportunity to not only replace bone where it is missing, but we also have the ability to promote new bone growth in that location. This not only gives us the opportunity to place implants of proper length and width, it also gives us a chance to restore functionality and aesthetic appearance. - [Jaw Bone Loss and Deterioration](https://www.theoralsurgerygroup.com/procedures/bone-grafting/jawbone-loss-and-deterioration/): When an adult tooth is removed and not replaced, jaw bone deterioration may occur. Natural teeth are embedded in the jaw bone and stimulate the jaw bone through activities such as chewing and biting. When teeth are missing, the alveolar bone, or the portion of the jaw bone that anchors the teeth in the mouth, no longer receives the necessary stimulation and begins to break down, or resorb. The body no longer uses or “needs” the jaw bone, so it deteriorates and goes away. - [Jaw Bone Health](https://www.theoralsurgerygroup.com/procedures/bone-grafting/jaw-bone-health/): When one or more teeth are missing it can lead to bone loss at the site of the gap. This loss of jaw bone can develop into additional problems, both with your appearance and your overall health. You may experience pain, problems with your remaining teeth, altered facial appearance, and eventually even the inability to speak and/or eat normally. - [Bone Grafting](https://www.theoralsurgerygroup.com/procedures/bone-grafting/): Bone grafting can repair implant sites with inadequate bone structure due to previous extractions, gum disease, or injuries. The bone is either obtained from a tissue bank or your own bone is taken from the jaw, hip or tibia (below the knee). Sinus bone grafts are also performed to replace bone in the posterior upper jaw. In addition, special membranes may be utilized that dissolve under the gum to protect the bone graft, as well as encourage bone regeneration. This is called guided bone regeneration, or guided tissue regeneration. - [Introduction to Zygomatic Implants](https://www.theoralsurgerygroup.com/procedures/dental-implants/zygomatic-implant-treatment/): Zygomatic implants are placed in the upper jaw and are like cheekbone implants. They’re an option reserved for patients with a severely sunken jaw that can no longer accommodate a denture. - [Dental Implants 101](https://www.theoralsurgerygroup.com/procedures/dental-implants/teeth-today/): Our doctors are nationally recognized as experts in the field of minimally invasive dental implant placement and the latest digital technologies in implant dentistry. They are nationally recognized speakers, and clinicians in the placement of dental implants using state of the art computerized three dimensional “virtual” implant treatment planning and placement. - [Orthodontic Anchorage](https://www.theoralsurgerygroup.com/procedures/dental-implants/orthodontic-anchorage/): In orthodontics this concept can become a problem when the orthodontist attempts to move a tooth by pushing or pulling it against adjacent teeth. If the teeth that are being pushed or pulled against do the moving and not the tooth intended to move this is called “loss of anchorage.” A new technology to aide your orthodontist in the movement of your teeth quicker and with more stability is called skeletal orthodontic anchorage. With this technology, specially designed small bone plates or pins can be placed in the jaw bone around or between teeth. This allows the orthodontist to use the bone as “anchorage”, not the teeth. These techniques can lead to faster and more successful orthodontic treatment. - [Budgeting For Dental Implants](https://www.theoralsurgerygroup.com/procedures/dental-implants/cost-of-dental-implants/): Dental implants have been available for several decades. However, for most patients, they are still a relatively new concept. At The Oral Surgery Group, we are happy to help you assess the cost of dental implants — just give us a call at (215) 938-7860 to get started. When considering the cost of dental implants and comparing quotes, there are several important points that should be kept in mind. - [Dental Implant Faq](https://www.theoralsurgerygroup.com/procedures/dental-implants/dental-implant-faq/): Frequently Asked Dental Implant Questions and Answers What can I use for teeth while the implants heal? Many options are available, and they are tailored to your specific requirements. If you need a replacement tooth while the implants are healing, temporary removable teeth or a temporary bridge can be made. If all of your teeth are missing, we can usually modify your present complete denture or make you a new temporary denture. If you would prefer non-removable teeth during the healing phase, temporary transitional implants usually can be placed along with the permanent implants, and temporary teeth may be made and inserted the same day. Depending on your particular situation, some implants can be placed and “loaded” immediately. This means a temporary or permanent replacement tooth can be placed on, or shortly after, the day the implant is placed. What are the potential problems after dental implant surgery? Although it is natural to be concerned about the pain that may be caused by these procedures, most patients do not experience severe or significant post-operative pain. Pain medication and antibiotics will be prescribed for you to make your recovery as easy as possible. Occasionally, some people develop post-operative infections that require additional antibiotic treatment. Even though great care is taken to place the implant precisely, occasionally adjacent teeth are injured in the placement process. In addition, there is a chance that the nerve in the lower jaw, which provides sensation to your lower lip and chin, may be affected. If you are missing quite a lot of bone, it might be difficult to place an implant without infringing on the nerve space. Although we take great care to avoid this nerve, occasionally it is irritated during the procedure, resulting in tingling, numbness or a complete lack of sensation in your lip, chin or tongue. Usually these altered sensations will resolve within time, but they can be permanent and/or painful. If you notify us of post-operative numbness as soon as possible, it will allow us to manage your care in the most appropriate way. How long will the implants last? Implants usually last a long time. When patients are missing all of their teeth, long-term studies (more than 30 years) show an 80 to 90 percent success rate. For patients missing one or several teeth, recent studies show a success rate of greater than 95 percent, which compares favorably with other areas in the body that receive implant replacement (such as hips or knees). However, if one of your dental implants either doesn’t heal properly or loosens after a period of time, you may need to have it removed. After the site heals (or on occasion at the time of removal), another implant usually can be placed. When are the replacement teeth attached to the implant? The replacement teeth are usually attached to the implant when adequate healing has occurred and your jaw bone is firmly fused to the implant. Depending on a variety of factors, it may be possible to begin this phase of your treatment immediately or shortly after implant placement. We will review the most appropriate treatment sequence and timing for your particular situation. The dental work required to complete your treatment is complex. Most of the work involves actually making the new teeth before they are placed. Your appointments are considered more comfortable and more pleasant than previous methods of tooth replacement. Frequently, this process can be performed without local anesthesia. Your restorative treatment begins with specialized impressions that allow us to produce a replica of your mouth and implants. We will also make “bite” records so that we see the relationship of your upper and lower jaws. With this information, we will make the abutments (support posts) that attach your replacement teeth to your implants. Various types of abutments exist. Frequently, we can use “off the shelf” abutments. Other times, custom abutments must be made of gold or a tooth-colored ceramic material. As you can imagine, these custom made abutments add to the cost and treatment time involved. Which abutment to use is a decision that often cannot be made until after healing is complete and impressions have been made. The number of appointments and the amount of time required for each appointment is different for each patient. No two cases are exactly the same and regardless of the number of teeth replaced, the work must be completed with great precision and attention to detail. If you are having only a few teeth replaced, as few as three short appointments may be required. Between appointments, we will need time to complete the necessary lab work to make your replacement teeth. It is most beneficial that you keep all of your scheduled appointments. If your final restoration is a removable denture, you will need to come to as many as five office appointments (although it may be fewer) over the following several months. During these appointments, we will perform a series of impressions, bites and adjustments in order to make your new teeth, as well as the custom support bars, snaps, magnets, or clips that will secure your teeth to the implants. During this period, every effort will be made to ensure you have comfortable, temporary replacement teeth. In general, once your implants are placed, you can expect your tooth replacement treatment to be completed anywhere from 1 to 12 months. For these reasons, it is difficult for us to tell you exactly how much the restorative phase of your treatment will cost, although you should receive a reasonable estimate from our office. It also is difficult to give you a specific timeframe for completion of your treatment until after the implants are ready for restoration. How do I clean my new teeth? As with natural teeth, it is important that you clean implant-supported restorations regularly with toothbrushes, floss and any other recommended aids. You should also visit your dentist several times each year for hygiene and maintenance. As with regular dentures and other tooth replacements, your implants and their associated components are subject to wear and tear and eventually will need repair, including clip replacement, relines, screw tightening, and other adjustments. Will one doctor do everything? Usually, a dental surgeon places the implant(s) and performs other necessary surgical procedures – your general dentist provides the temporary and permanent replacement teeth. Both doctors are involved in planning your dental treatment. Also, depending upon a variety of factors, different dental specialists may help with your dental care. How much does dental implant treatment cost? Before treatment begins, every effort will be made to give you an accurate estimate of all the expenses involved in placing the implants and making your replacement teeth. In many cases, there is an initial charge for the diagnostic work-up, including study models, x-rays, and the fabrication of a surgical template to ensure the best possible result. In addition you will be charged for the abutment or support post(s), plus the crown, dentures, or anything else that will be placed over the implants, including temporary restorations. Periodic maintenance such as hygiene visits, tissue conditioners, denture relines and other repairs will also incur additional charges. When different doctors are involved in your treatment, you will be charged separately for their services. We will try to assist you in estimating what your actual payments will be after we evaluate your insurance coverage or other third party payments. Also, you should consider your personal financial investment in each treatment option as some insurance companies provide limited or no coverage. Each patient is unique, and it is not possible for us to discuss every option and every contingency for treatment outcome. This website is intended to help you understand the general treatment options available to you. If your specific treatment options are not clear, please contact us. We will be happy to answer any questions you have about your dental care. - [Teeth-in-an-Hour™ Treatments](https://www.theoralsurgerygroup.com/procedures/dental-implants/teeth-in-an-hour/): TEETH-IN-AN-HOUR™ is a revolutionary concept providing patients with fully functioning teeth on dental implants in a single procedure that takes about an hour. - [Overdentures 101](https://www.theoralsurgerygroup.com/procedures/dental-implants/implant-supported-overdenture/): An Implant Supported Overdenture is a contemporary restoration that has revolutionized the way surgeons and dentists think of replacing a full set of teeth. Standard dentures are unsecured prostheses with inherent limitations. Most often, dentures are painful, inconvenient and unstable. Such dentures can make chewing foods difficult, limiting the foods that you once enjoyed. Modern dentistry can help with implant supported dentures. - [Bone Grafting for Implants](https://www.theoralsurgerygroup.com/procedures/dental-implants/bone-grafting-for-implants/): After tooth extraction, if the walls of the socket are very thick, they will usually fill naturally with bone in two to three months. However, when the walls of your socket are very thin (such as in your upper and lower front teeth), this type of healing will not be as predictable. In these situations, a bone graft is often placed at the time of tooth extraction to help your body fill in the empty socket with bone. This step will maintain the width and volume of bone you will need for implant placement several months later. - [Missing All Upper or Lower Teeth](https://www.theoralsurgerygroup.com/procedures/dental-implants/missing-all-upper-or-lower-teeth/): The Oral Surgery Group provides several replacement options if you are missing all your lower teeth or missing all upper teeth. Review your options below and call us to schedule an appointment to start your return to new functional teeth and a great smile! - [Dental Implant Treatment Guide](https://www.theoralsurgerygroup.com/procedures/dental-implants/overview-of-implant-placement/): The procedure to place a dental implant takes 30 to 60 minutes for one implant and only 2 to 3 hours for multiple implants. The number of appointments and time required, vary from patient to patient. The surgeon will bring great precision and attention to the details of your case. - [FAQs](https://www.theoralsurgerygroup.com/patient-information/faqs/): FAQs What are my options if I have missing teeth? With many state-of-the-art dental treatments and prevention options available in dentistry today, there are fewer reasons for having to extract (remove) teeth. When something does go wrong with a tooth, we try to do everything possible to restore the tooth to its original function. Removing a tooth is the last option because we know that removal may lead to severe and costly dental and cosmetic problems if the tooth is not replaced. Losing a tooth can be a very traumatic experience and it’s very unfortunate when it does happen. Injury, accident, fracture, severe dental decay, and gum disease are the major reasons for having to remove a tooth. If teeth are lost due to injury or have to be removed, it is imperative that they be replaced to avoid cosmetic and dental problems in the future. When a tooth is lost, the jaw bone that helped to support that tooth begins to atrophy, causing the teeth on either side to shift or tip into the open space of the lost tooth. Also, the tooth above or below the open space will start to move towards the open space because there is no opposing tooth to bite on. These movements may create problems such as decay, gum disease, excessive wear on certain teeth, and TMJ (jaw joint) problems. These problems and movements do not result immediately, but will eventually appear, compromising your chewing abilities, the health of your bite, and the beauty of your smile. Options for replacement of missing teeth: Removable bridges – This type of bridge is a good solution for replacing one or more missing teeth, especially in complex dental situations where other replacement options are not possible. They are usually made of tooth-colored, artificial teeth combined with metal clasps that hook onto adjacent natural teeth. Removable bridges are the most economical option for replacing missing teeth, but may be the least aesthetically pleasing. This is because the metal clasps on the appliances are often impossible to completely conceal. Fixed bridges – This type of bridge is generally made of porcelain or composite material and is anchored (cemented) permanently to a natural teeth adjacent to the missing tooth site. The benefit of this type of bridge is that it is fixed (not removable) and it is very sturdy. The disadvantage is that in order to create a fixed appliance, two healthy, natural teeth will have to be crowned (capped) to hold the bridge in place. Dentures – This type of tooth replacement is used when most or all of the natural teeth are missing in one dental arch. Dentures are removable artificial teeth that are made to closely resemble the patients’ original teeth. Implants – Are a great way to replace one or more missing teeth. They may also be great to support ill fitting dentures. A dental implant is an artificial root that is surgically placed into the jaw bone to replace a missing tooth. An artificial tooth is placed on the implant, giving the appearance and feel of a natural tooth. Implants are very stable, durable, and are the most aesthetically pleasing tooth replacement option. If you are missing teeth, ask us if they need replacement and what options are available to you. Together we will select the best replacement option for your particular case. Prevention and early treatment is always less involved and less costly than delaying treatment and allowing a serious problem to develop. Dental Implants: Are they for me? Dentistry is finally able to “give back” in a way that we never could before. Even with the very best of talent and materials, dentists were always cutting away teeth, filling, extracting, restoring. Patients had to accept that a fair to poorly fitting denture was the best dentistry could do. So they lived and persevered with it. Today we can do better. Dr. Mike feels fortunate to be able to provide this to you. With dental implants, we can give back form and function. We can restore a patient to a level of comfort, function, and esthetics that we never could before. What is even more exciting is that every year, advances in implant technology are enabling higher levels of success. Dr. Mike is dedicated to maintaining the most current technology and surgical “know-how” in implant dentistry. Q: I am afraid of dentists, physicians, needles, and pain! A: It is an unfortunate fact that surgical procedures often produce pain. It is never our intent to produce pain. Rather we anticipate it, then take the appropriate measures to remove it, then minimize it. These measures begin at our consultation visit by meeting Dr. Mike Dachowski, discussing the case, understanding the expectations of everyone involved in the patient’s care. Appropriate anesthesia is used for the case. That could be as simple as a local anesthetic or as involved as an intravenous anesthetic. Then the appropriate postoperative measures to minimize postoperative pain are implemented. Our mission regarding pain is to minimize it! Why do I need a consultation for you to “just look” at me? The consultation is the most important part of your care and involves more than just looking. It allows our doctor to acquire all of the information necessary for a complete medical and dental evaluation of your treatment requirements. The information required may include the appropriate X-rays, drug allergies, and other data that allow us to assess the pertinent risks and benefits. Once the doctor has this information we can then discuss it with you and then agree on a treatment plan. With non-complicated situations such as a standard extraction or biopsy on a healthy patient, consultations may not be required. Remember, the informed patient is a partner in his/her own care. Also remember, as important as your surgery is to you, we also attach a high level of priority. Our first aim is excellent, patient-centered care. Delivering that high level of specialized care requires a plan that includes the surgery, the anesthesia, and all other relevant medical and dental data. Why do I need an “insurance referral” from my managed care primary physician for my care with The Oral Surgery Group? Certain procedures that we provide are covered by many medical and/or dental insurances. This can be very confusing since policies and levels of coverage may change, without notice to you or us. For example, a wisdom tooth that is impacted in the bone is many times covered by the medical carrier and a non-impacted tooth is covered by the dental carrier. Sometimes one or the other carrier covers the anesthesia fees. Sometimes there is coordination between the two carriers to partially cover each service. Sometimes a specific surgery that was always covered by a company is suddenly not covered. How about this? Certain insurance companies have been known to change the code they use to process payment for a procedure, and then deny the procedure, without any explanation for the change. One thing our patients need to know: the insurance companies are not always "doctor friendly" when it comes to phone calls. Almost every time, a call to your insurance company requires at least 15 minutes of on hold waiting time, voice mails, call routing, and difficulty talking to a "provider relations representative" who can readily solve an issue without more time on hold. If you have a question on the necessity for a referral, please read your insurance policy. We will be happy to advise you to the best of our knowledge. Will you order strong pain medicine for me? Absolutely. Appropriate pain medicine is always prescribed in a dose and amount that will enable the patient to safely and effectively manage any pain. Many times, parents will be concerned as to the strength of the pain medicine for their teenage son or daughter. Many times, there is the requirement for “adult strength medicine” for “adult type pain”. What should I eat after surgery? Post surgical diets after surgery vary with the extent of the surgery. In most cases, such as after wisdom teeth extractions, multiple extractions, or dental implants, it is safe to say: the softer the better for the first several days. Soups, high caloric milk shakes and breakfast drinks are a good start. Blenderized foods are also a safe bet. After the first two days, the diet can advance to a true soft diet such as pasta, scrambled eggs, and foods with a mashed potato consistency. After 4-5 days, one can advance to well cooked meats and vegetables. One of the most important dietary considerations is hydration. Maintaining fluids after surgery is very important. The more “good stuff” is in the drink, the better. A good example is Gatorade. What about post surgical bleeding? As you may have learned in basic first aid, direct pressure is the best way to control most bleeding. Many times, sutures (stitches) are placed to close the oral wound. But to stop bleeding, pressure is still necessary. Gauze may be placed after surgery and biting pressure should remain on the wound. The gauze should be replaced every 15 – 20 minutes until the bleeding stops. Sometimes it may take 1-2 hours for bleeding to completely stop. Even after that, some occasional oozing may occur from the wound for 1 – 3 days. If bleeding restarts, gently rinse out the mouth and replace the bite gauze. Repeat the cycle until the bleeding stops. A mistake that a lot of patients make is leaving the office in no pain (because of the anesthetic) and disregarding these important instructions. As bleeding continues, and is swallowed, nausea occurs, and that is about the time when there is some post-operative pain. It becomes quite difficult to tolerate pain medications, important fluids to drink, or any food at that point. Scheduling and prompt appointments? We do everything we can to ensure that there are no long wait times to get an appointment with one of our doctors at one our four locations. What do heart disease and other medical conditions have to do with periodontal (gum) disease? Many people are unaware that having periodontal disease (the destruction of gum tissue and bone that hold our teeth in place) can affect your overall health. Periodontal disease is one of the most common infections; often more prevalent than the common cold! Periodontal disease is not only the number one reason people lose teeth; it can also affect the health of your body! Periodontal disease is a bacterial infection, and in its earliest stages, it’s called gingivitis. It starts when an accumulation of plaque (a colony of bacteria, food debris, and saliva) is NOT regularly removed from the gums and teeth. The bacteria in plaque produce toxins/acids that irritate and infect the gums and eventually destroy the jaw bone that supports the teeth. When periodontal disease is not treated it can eventually lead to tooth loss! There are numerous studies that have looked into the correlation between gum disease and major medical conditions. These studies suggest people with periodontal disease are at a greater risk of systemic disease and indicate that periodontal disease may cause oral bacteria to enter the bloodstream and travel to major organs and begin new infections. Research suggests that periodontal bacteria in the blood stream may: Contribute to the development of heart disease Increase the risk of stroke Compromise the health of those that have diabetes or respiratory diseases Increase a woman’s risk of having a preterm, low-birth weight baby Researchers conclude there is still much research to be done to understand the link between periodontal disease and systemic diseases, but enough research has been done to support that infections in the mouth can play havoc elsewhere in the body. To ensure a healthy, disease-free mouth, we recommend the importance of regular dental check-ups and cleanings, which include a periodontal evaluation. Also, diligent home care and a proper diet can help reduce the plaque and bacteria in the mouth. Remember to take care of your oral health! It contributes to your overall medical health! - [Financial Policy](https://www.theoralsurgerygroup.com/patient-information/financial-policy/): Payment for services, including deductibles and co-payments, is due at the time of service unless other arrangements have been made prior to treatment. Payments may be made using cash, check, or credit cards. Please note if you are paying with a credit card a 3% surcharge will be applied to each transaction. Any arrangements for third party financing must be made before starting treatment. - [First Visit](https://www.theoralsurgerygroup.com/patient-information/first-visit/): Occasionally, surgery can be performed the same day as the consultation. However, a complex medical history or treatment plan may require an evaluation and a second appointment to provide treatment on another day. - [Replacing Missing Teeth](https://www.theoralsurgerygroup.com/procedures/dental-implants/replacing-missing-teeth/): Tooth Implants in Doylestown, Meadowbrook, Langhorne, and NE Philadelphia - [COVID-19 and Dentistry](https://www.theoralsurgerygroup.com/patient-information/covid-19-and-dentistry/): Our office is taking every precaution to limit the spread of COVID-19. We follow strict safety protocols and clean our offices multiple times per day. - [Dental Emergencies](https://www.theoralsurgerygroup.com/patient-information/dental-emergencies/): What Is A Dental Emergency? A Dental Emergency Is: Potentially life-threatening and requires immediate treatment Facial and/or neck swelling that can be seen inside the mouth or outside on the face that could potentially compromise your airway (from infection, trauma, or pathology) Other Dental Emergencies: Trauma involving facial bones potentially compromising your airway Uncontrolled bleeding - [Why Choose Our Practice](https://www.theoralsurgerygroup.com/patient-information/why-choose-our-practice/): From the front office to the exam room, our practice professionals make your oral health our number one priority. By using the best technology available for our procedures, we provide the experience and safety that you expect. As you walk through our office, you will notice that everything is clean, comfortable, and thoroughly sterilized. Your safety and comfort are paramount. - [Dental Implants](https://www.theoralsurgerygroup.com/procedures/dental-implants/): Using the most recent advances in dental implant technology, our doctors are able to place single stage implants. - [New Patients](https://www.theoralsurgerygroup.com/patient-information/): Our doctors practice a full scope of oral and maxillofacial surgery with expertise ranging from dental implant surgery and wisdom tooth removal to corrective jaw surgery. This also includes techniques designed to rebuild bone structure with minimal surgical intervention and optimal patient comfort. - [Referring Doctors](https://www.theoralsurgerygroup.com/referring-doctors/): Patient Referral Form - [Surgical Instructions](https://www.theoralsurgerygroup.com/surgical-instructions/): Surgical Instructions If you have any questions, please contact our office right away.  We want you to feel comfortable and informed. We're here to help! Before Anesthesia After Biopsy or Excision After Dental Implant Surgery After Bone Graft Surgery After Wisdom Tooth Removal After Impacted Tooth Exposure After Extractions After Multiple Extractions After Sinus Lift Surgery Pre and Post Orthognathic Surgery Wired Jaw CookBook Diet After Dental Extractions https://youtu.be/Dt-HxomnOPg - [Meet Us](https://www.theoralsurgerygroup.com/meet-us/): Dr. Dachowski has over 30 years of experience as a specialist in oral and maxillofacial surgery. - [Procedures](https://www.theoralsurgerygroup.com/procedures/): Oral and maxillofacial surgeons manage a wide variety of problems relating to the mouth, teeth, and facial regions. Select any of the links below to find out more about the services we offer at The Oral Surgery Group. We offer all services at either of our two locations. You can choose our office in Meadowbrook or Doylestown. - [Home](https://www.theoralsurgerygroup.com/)