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You and your periodontist are essential partners in making sure you have the best dental care. You do your part by eating a tooth-healthy diet, brushing and flossing as recommended, seeing your dentist regularly, and making an appointment with Drs. Angela Paros, Amer Atassi, Eric Young, Alexander Katsnelson when your gums and supporting tooth structures need the care of a specialist.

And one more essential step you can take for your dental health? Let us know which prescriptions and over the counter medications you’re taking.

Medications Have Oral/Dental Side Effects

We’ve all grown used to hearing “Possible side effects include . . .” at the end of every pharmaceutical commercial. That’s because those unintended side effects can affect our health in any number of unexpected ways—and this includes gum health.

For example, a common side effect of many medications is xerostomia, or “dry mouth.” Saliva helps keep our teeth and gums healthy by washing away food particles and oral bacteria. A reduction in saliva production means more plaque and tartar can build up around the gums. Plaque and tartar buildup, in turn, is a common cause of gum disease.

Knowing a patient is taking one of the hundreds of medications which cause xerostomia allows Drs. Angela Paros, Amer Atassi, Eric Young, Alexander Katsnelson to both monitor the condition and suggest the most effective treatment options to control any unpleasant symptoms.

Besides dry mouth, gum sores and gingival enlargement are other well-known side effects that can affect your periodontal health. Knowing which medications you’re taking can provide Drs. Angela Paros, Amer Atassi, Eric Young, Alexander Katsnelson with essential information for the diagnosis and treatment of any medication’s side effects.

Medications Interact

Medication might be needed for your periodontal treatment. Because certain drugs, supplements, and even some vitamins and foods can affect the way our bodies metabolize, absorb, and respond to other medications, we need to know which medicines you’re taking to arrive at your best treatment options.

• There are different classes of antibiotics used to treat oral infections. Knowing your medical history enables Drs. Angela Paros, Amer Atassi, Eric Young, Alexander Katsnelson to choose an antibiotic option which won’t interact with your other medications.
• Local anesthetics such as lidocaine, which numb the area to be treated, can also interact with certain medications. Drs. Angela Paros, Amer Atassi, Eric Young, Alexander Katsnelson can prescribe an alternative local anesthetic or adjust the dosage as needed.
• If you will be using sedation during your procedure, you have several options, including nitrous oxide gas, oral sedation, or IV sedation. Be sure we know about all of your medications beforehand because of possible interactions. Changes can be made to the type of sedation and/or the dosage as needed.

Medications Impact Treatment

It’s important for Drs. Angela Paros, Amer Atassi, Eric Young, Alexander Katsnelson to know if any of your medications will affect standard treatments.

Anticoagulants, for example, are a necessary medication for preventing blood clots from forming, and are often prescribed for certain heart conditions, after joint replacement surgery, or for anyone at risk for developing blood clots. Because these medications prevent the blood from clotting, it’s important to let us know if you are taking such drugs before periodontal surgery.

If needed, Drs. Angela Paros, Amer Atassi, Eric Young, Alexander Katsnelson can work with you and your doctor to create a treatment plan that will be safe, effective, and designed to work with any of your medications. You should never discontinue taking your prescribed medications before dental work without medical approval, as this can be dangerous.

Your periodontist needs the most up to date information about your health to provide you with the best care possible. Knowing which medications you take and why you take them can help Drs. Angela Paros, Amer Atassi, Eric Young, Alexander Katsnelson:

• Diagnose and treat any side effects from non-dental medications which have affected your oral health,
• Prevent drug interactions from occurring, and
• Tailor your treatment to your specific medical needs.

Your prescriptions, over the counter medications, and even herbal supplements and vitamins are essential information. It’s a good idea to make a list before your next appointment at our Romeoville, IL office so you have specific medications and their dosages at hand. It’s one small—but vital—step you can take to work with Drs. Angela Paros, Amer Atassi, Eric Young, Alexander Katsnelson for your best dental health!

Dental implants are a marvel! They look just like your natural teeth, and, even better, they function just like your natural teeth. So, when you’re planning on a dental implant after an extraction, you want to make sure that your implant has the best chance of success—and we do, too. That’s why we might recommend a socket preservation procedure, where socket grafting takes place immediately after your extraction.

What is a socket graft, and what does it “preserve”? Let’s take a closer look.

Socket Preservation—A Logical Choice After Extraction

You’ve decided on a dental implant for some excellent reasons.

• A missing tooth can change the appearance of your smile.
• Your remaining teeth might shift to fill the empty space, causing alignment and bite problems.
• A lost tooth affects the amount, shape, and health of the bone surrounding your teeth.

No one wants to lose a tooth. Sometimes, though, due to injury or decay, an extraction is the only choice for your oral health. After your tooth is extracted, if the socket bone holding the tooth is perfectly healthy and the extraction is a simple one, we might be able to place an implant post in the socket right away.

But often, bone needs time to heal before placing an implant post, and you risk losing the bone size and density you need to make a future implant possible. How can you lose bone? That’s an unfortunate consequence of losing teeth. Teeth are important not just because they let us eat comfortably—they also help maintain bone health.

Without the stimulation of biting and chewing, the bone beneath the teeth begins a process called resorption. As older cells are absorbed back into the body, new bone cells aren’t produced as quickly to replace them. The alveolar bone, the thick ridge of the jaw which holds our sockets, shrinks in size. As the bone gets smaller, gum tissue shrinks around it, causing a sunken spot where your tooth used to be.

For a dental implant to anchor successfully in the jawbone, you need healthy bone that is high enough, wide enough, and dense enough to hold the implant post securely as it fuses with the bone.

A socket graft at the time of extraction provides two important benefits: grafting material fills the empty socket immediately, preserving the bone and gum area around it, and the graft material acts as scaffolding for new bone growth, creating a firm, dense foundation for your implant.

Grafting materials are gradually and safely absorbed as your new, healthy bone tissue replaces them. The result, after several months of healing, is an alveolar ridge with normal height and width and with the density needed to anchor an implant successfully.

The Grafting Procedure

Grafting material comes in different forms, including allografts (made from donor bone), synthetic grafts (made from synthetic materials which function like bone tissue), and autografts (bone taken from your own body). Growth factors may also be included in the grafting material to encourage new cell growth. Drs. Angela Paros, Amer Atassi, Eric Young, Alexander Katsnelson will recommend the type of graft which will work best for you.

A socket preservation procedure will frequently involve the following steps:

• Local anesthesia to numb the area before your extraction. You might choose sedation options as well, which we’re happy to discuss with you in advance.
• Careful cleaning of the site after the tooth is extracted.
• Filling the empty socket with bone grafting material.
• Placing a barrier or membrane over the graft to protect it as it heals.
• Suturing the surrounding gum tissue.

Aftercare Treatment

Aftercare treatment for a socket graft is a lot like the treatment for a tooth extraction. You’ll need to be careful around the graft area for several days as it heals, and we’ll give you specific instructions for your recovery. Normally, these may include:

• Don’t disturb or touch the area. Even pulling on lips or mouth to look at the site can put stress on your sutures.
• Immediately after the procedure, we can give you suggestions for reducing swelling and managing any pain you might be feeling.
• We’ll let you know when and how to rinse your mouth clean and when you can return to brushing. And no spitting!
• Eat carefully. We might recommend a liquid diet for a few days before transitioning to bland and cool soft foods. We’ll let you know the best diet for the period after your surgery. Don’t use a straw for your liquid diet, because suction can interfere with the wound.
• Treat yourself carefully for a few days by avoiding strenuous activities, including workouts.
• Don’t smoke. Smoking interferes with the healing process, and the suction involved does your graft no favors either.
• Visit our Romeoville, IL office for follow up appointments as recommended. We’ll monitor your healing, and give you a timeline for your future implant.

Preserving your socket now instead of repairing it later has many advantages. Immediate placement of a graft protects bone size and density, eliminates the need for a potential bone grafting procedure in the future, and makes it possible for you to enjoy the natural look and feel of a dental implant as soon as possible.

Bone grafting is essential for many periodontal restorations, and we are specialists in this procedure. If you have an extraction scheduled, let’s discuss why socket preservation might be your best path to an efficient, timely, and successful dental implant.

“Dentists, periodontists … what’s the difference, anyway?” We hear our patients asking this question as they wonder about the difference between the two specialties. Periodontists like Drs. Angela Paros, Amer Atassi, Eric Young, Alexander Katsnelson are more than just oral health professionals. Unlike dentists, who act more like general practitioners, periodontists focus on treating the soft tissue (gums) and bones supporting the teeth, as well gum disorders. Sure, dentists can prevent the onset of gum disease through regular cleanings and prescribing medications. But it is periodontists who are required for more complex and advanced cases of gum disease called periodontitis, a gum infection that, if left untreated, can lead to tooth loss. Periodontitis is a condition that most dentists simply don’t treat. The most severe cases of periodontitis can even lead to serious health problems such as diabetes, heart disease, and cancers of the head, neck, and pancreas.

To make things simpler, we’ve come up reasons for when you should visit the dentist and when you should give us a call to book an appointment with Drs. Angela Paros, Amer Atassi, Eric Young, Alexander Katsnelson:

Visit your general dentist for:

• Checkups and cleanings
• X-rays
• Filling cavities
• Root canals
• Tooth extractions
• Crowns or bridges
• Select cosmetic procedures such as veneers, bonding, and teeth whitening
• Pediatric (children’s) care

Visit Drs. Angela Paros, Amer Atassi, Eric Young, Alexander Katsnelson for:

• Deep pocket cleanings (to remove debris and infection-causing bacteria)
• Bone grafts
• Soft tissue removal
• Scaling and root planing (deep cleaning)
• Implant replacement
• Crown lengthening
• Osteoplasty (hard tissue recontouring)
• Gingivoplasty (soft tissue recontouring)

To learn more about the differences between periodontists like Drs. Angela Paros, Amer Atassi, Eric Young, Alexander Katsnelson and your general dentist, or to schedule your next visit, please give us a call today! We look forward to seeing and treating you!

With Drs. Angela Paros, Amer Atassi, Eric Young, Alexander Katsnelson, emergency dental care is only a phone call away. Dental problems are uncomfortable and should always be treated as soon as possible to prevent them from getting worse.

Whether it’s an abscess or a toothache that you believe might be something more, it’s vital to pay attention to your body and give it the attention it needs. Below, you’ll find some more information about abscesses and toothaches that may clarify any doubts about the differences, whether you may be suffering from one of them … and what to do if you are.

Abscesses

What’s an abscess? It’s a bacterial infection: an accumulation of pus that can form inside a tooth or the gums and cause pain and swelling. It generally develops as a result of poor oral hygiene.

Bacteria lives in plaque so if plaque isn’t removed on a regular basis, it can build up and encourage bacteria to spread, which could ultimately result in an abscess. Antibiotics aren’t always needed for treatment, you should get this situation checked out as soon as possible. If left untreated, oral infections can lead to bigger complications.

Toothaches

Toothaches can happen for a number of reasons. The simplest, most common one is a piece of food that is stuck in your gum, which can cause a bit of swelling and discomfort.

To get rid of it, you can rinse your mouth with hot water and salt, every morning and evening. This helps kill bacteria and bring down the swelling. You can also gently floss the area to remove whatever is stuck there. If you experience bleeding while you’re flossing, and hot water with salt proves ineffective, it may be time to schedule an appointment.

If you’re especially sensitive to cold and heat, you may often experience toothaches. If this is the case, we can recommend a pain reliever to reduce the discomfort, but it’s worthwhile to come in for a check-up anyway to make sure the problem doesn’t get worse.

The last (and most obvious) reason for a toothache is a cavity. Depending on how bad it is, we might fill it or place a crown. The tricky thing with cavities is that sometimes you may not know you have one at all, especially when they’re just starting out. The best way to prevent them from getting worse and creating toothaches is by keeping up with your regular dental cleanings.

At High Point Dental Group, we’re here to assist you through any and all your dental emergencies! We encourage you to make an appointment at our Romeoville, IL office if you notice any signs of discomfort, so we can provide the most efficient care for you.