Oral & Maxillofacial Surgery of Central New Jersey

A Better Breakfast for a Better Smile

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

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

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

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

Overnight Oats:

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

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

Avocado Toast:

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

What to Expect When You Get Botox for the First Time

woman pointing out where she needs botoxHave you started to notice frown lines and crow’s feet around your eyes and are eager to do something about it? Maybe you are are thinking about Botox, but you aren’t sure what to expect.

It is very common to have questions before undergoing any procedure. We want you to know that we are always here to help, let’s start by clearing up some of those questions you might have.

What is Botox?

Botox is the only approved treatment to temporarily improve the appearance of both moderate and severe facial lines in adults. It works beneath the skin and is injected into your muscles to temporarily reduce muscle activity. You will begin to see results within 24 to 48 hours and it lasts up to 4 months.

Does Botox hurt?

Many people say the injection feels like a pinch. We may desensitize the treatment area with ice or a numbing cream for your comfort.

How long does the injection process take?

Botox is quick – typical injections take just about 10 minutes. But it largely depends on the areas you want treated, among other factors. We will discuss this with you during your initial consultation.

Will I look different after Botox treatment?

Initially, you may not notice any difference, but give it 24-48 hours, and you will begin to notice the crow’s feet and frown lines disappear. You will still look like yourself, but without the heavy wrinkling. Even better, you will feel like your youthful self again.

What is the recovery process?

This treatment is called a “lunchtime procedure” because it doesn’t require a lot of downtime and you are able to go about your day to day routine right after you leave the doctor’s office. In fact, many people go right back to work to finish out their day.

If you are interested in Botox and have more questions you would like to ask, Call Princeton Junction Office Phone Number 609-716-4600 and schedule a consultation!

Dental Implants: The Recovery

arrow pointing to recoveryThe recovery time following dental implant surgery tends to vary, but is usually based on the amount of teeth being implanted, whether or not a bone graft was needed and the individual and how well they manage their recovery. Luckily, the science and technology behind dental implants has improved drastically over the last few years, improving post-surgery pain and comfort for patients.

The patient requiring the least amount of recovery time would be one who had a standard, single dental implant placed with no bone grafting. With a simple procedure like this one, there is very little discomfort or pain after the surgery. Mild bruising and soreness can occur, but is typically manageable with over the counter pain relievers. In more severe implant cases, such as those where multiple teeth are implanted or severe bone grafting needed in order to accomplish the implant, the recovery time tends to be longer and the discomfort can be more intense.

In any cases, it is important to keep your mouth clean after surgery, which can be done by rinsing your mouth gently with salt water beginning the day after surgery. You may begin brushing your teeth the night after the surgery, but make sure to keep it light around the surgery area as to not disrupt the healing in that area. It is also important to remember that in the week following your surgery, there should be no smoking and no sucking through a straw, as this can seriously inhibit your healing process. It is important to stick to a diet primarily consisting of soft foods for the first 7-10 days following your surgery before beginning to return to your normal diet.

As you can see, the recovery process after receiving a dental implant is fairly predictable and comfortable. It is important to follow the instructions that we give you at Oral & Maxillofacial Surgery of Central New Jersey, and to always remember that if you have any questions or concerns regarding a procedure or following your surgery, you can always give us a call at Princeton Junction Office Phone Number 609-716-4600.

How to Make Your Own Ice Cream

'ice cream'As you may or may not know, July is officially National Ice Cream Month! While it is fun to go and grab ice cream from your local shop down the street, it can be more fun and rewarding to make your own ice cream for you and your family to enjoy. Ice cream is also a great treat to enjoy after different types of oral surgery. You don’t need an ice cream maker in order to make delicious, creamy ice cream. Just follow our instructions below!

Servings: 2-3

Ingredients:

– 2 cups of milk
– 3 tablespoons of sugar
– 2 teaspoons of vanilla

Materials:

– 3-4 cups of ice
– 2/3 cup salt
– 1 quart sized Ziploc bag
– 1 gallon sized Ziploc freezer bag

Instructions:

– Combine milk, vanilla and sugar in quart sized bag
– Press any air out of bag and seal tightly
– Mix ice and salt in gallon sized bag
– Place quart sized bag into gallon sized bag and seal tightly
– Shake the bag vigorously for about 5 minutes.
It will be very cold, be careful!
– Liquid inside smaller bag should start to harden
– Let bags sit for a few minutes with ice in large bag surrounding small bag
– Open bags up and scoop ice cream out
– Enjoy!!

As you can see, it isn’t hard to shake up some ice cream that the whole family can enjoy, using fairly standard household ingredients. Use chocolate/strawberry milk instead of regular milk to change the flavor, or use half and half for a creamier product. This year, celebrate National Ice Cream month by making your own ice cream at home!

Where Do Dental Implants Come From?

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

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

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

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

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

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

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

Missing a tooth or two? Give us a call at Princeton Junction Office Phone Number 609-716-4600 to discuss your dental implant options today!

When Should I Start Getting Botox?

'students holding books'BOTOX® can sometimes be a sensitive subject, particularly among the younger crowd. Most people associate BOTOX® with people 40 years and older, who are beginning to notice more wrinkles. But middle age is not the only time during which a person can receive BOTOX® treatment. Many doctors recommend that patients get BOTOX® at a younger age not only to remove wrinkles, but also to prevent them in the future.

There are benefits to getting BOTOX® done at any age, so what is the right age for you?

BOTOX® in your 20s: Having BOTOX® in your twenties doesn’t mean that you are full of wrinkles and facial lines already. Rather, it is done as a preventative measure. Doctors have begun recommending that people who are open to getting BOTOX® later in life should start in their mid to late 20s in order to prevent wrinkles from occurring in the future. This works by suspending movement of the muscles in the face that cause wrinkling. Consistent upkeep on your face will help lessen and decrease the likelihood of having significant wrinkles when you are older.

BOTOX® in your 30s: This decade is the time when wrinkles and facial lines can start becoming more noticeable on your face. Getting BOTOX® done on a regular basis throughout your thirties can have a significant improvement on the way your face looks and feels. It is critical to have BOTOX® done in your 30s in order to not only reduce the severity of future wrinkles, but to keep your face looking young and fresh.

BOTOX® in your 40s and on: Using BOTOX® regularly throughout your forties and beyond can definitely be beneficial to how your skin looks, but unfortunately you will not receive the same results as if you had started in your 30s. Starting BOTOX® at this stage in life can decrease the significance of your wrinkles, but it might take more facial work than just BOTOX® in order to get the results which you really want.

If you have any more questions about BOTOX® and what age is right for you to start getting treatments, feel free to contact us today!

Impacted

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

What are impacted wisdom teeth?

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

Why do wisdom teeth need removal?

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

Types of Impaction:

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

What is the removal procedure like?

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

What is recovery like?

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

If you have any questions about wisdom teeth removal or aren’t sure if you even need the procedure, give us a call at Princeton Junction Office Phone Number 609-716-4600!

3D Printers and Bone Grafting

'3D printed bone grafts'There is exciting news in bone grafting technology that will hopefully find its way into the oral surgeon’s office over the next decade! Researchers have been able to create a synthetic bone material using 3D printers that may be better than what is being used now.

3D printers create three-dimensional objects out of a variety of materials using a computer as a precise guide. Although the concept has been in the news a lot recently, the practice actually dates back to before the 21st century. In fact, 3d printing’s roots go back to the early 1980s. Since then, everything from jewelry to synthetic human organs has been printed, much to the amazement of modern society!

And now, surgeons have successfully implanted the 3D-printed synthetic bone grafting material into animals with bone defects. This “hyperelastic bone” was made using just the right combination of bioactive materials and polymers to make a material that could be layered while still wet, allowing for better adherence between layers.

Here are some of the expected benefits of this new material:

  • Very elastic, allowing for cutting without crumbling, which can be a problem with current grafting materials.
  • Blood vessels move in quickly because the material is porous.
  • Biodegradable as the body replaces it with genuine tissue.
  • Doesn’t dry out right away.
  • So far the animals haven’t rejected the implant, which could mean less complications for humans as well.
  • Could be a great option for children since it will grow with them.

While human trials are potentially five or more years away, the news is very exciting for the surgical community, and we are can’t wait to see what benefits this will bring to our patients.

To find out more about bone grafting in general or to set up a consultation with our office, please call us at Princeton Junction Office Phone Number 609-716-4600.

Immunotherapy and Oral Cancer

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

What is immunotherapy?

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

Cancer Cells are Tricky

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

The Connection with Oral Cancer

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

Reduced Side Effects

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

More Testing Needed

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

At Oral & Maxillofacial Surgery of Central New Jersey, our commitment to your care, comfort, health and safety is evident from the minute you walk through our door. Call us at Princeton Junction Office Phone Number 609-716-4600 for more information about oral cancer.

Preserving your Jaw after Extraction: Socket Preservation

'x-ray of man with jaw pain'If you come to see us for an extraction, you may hear us talking about “socket preservation” or ”ridge augmentation”, and you might be wondering, what is that?

Socket preservation is a procedure we will sometimes recommend when you are having a tooth extracted. The bones that hold your teeth require frequent use to maintain their size and shape, otherwise they start to recede as they are no longer needed.

When a tooth is extracted, it leaves behind a hole (or “socket”) in the alveolar ridge bone, making it vulnerable to shrinkage. In fact, some studies show that bone loss can be 50% in the first 12 months after extraction.

You may be wondering, “Why does bone loss matter if I don’t have a tooth there anyway?” Unfortunately, without teeth and adequate bone structure, several unwanted oral health problems may occur:

  • Aesthetics: Without adequate bone structure and teeth, your smile starts to cave in in that area, causing undesirable aesthetic consequences. Your skin may begin to look shriveled over time and your smile will be unbalanced and unnatural.
  • Alignment Issues: Your teeth are always moving, particularly into open spaces. A hole on one side of your smile can lead to a severe shift of your teeth over time, affecting your smile and subsequently requiring orthodontic treatment.
  • Implant Complications: The damaged and recessed bone often ensures complications if you plan on getting a dental implant to replace the extracted tooth in the future.

This is where socket preservation comes in. Typically done at the end of your extraction procedure, we place bone-grafting material into the socket and a collagen membrane on top to encourage bone growth in the area. Because the procedure can be done at the same time as your extraction, no additional anesthesia or appointments are necessary.

If you are facing extraction, call us at Princeton Junction Office Phone Number 609-716-4600 to see if socket preservation is an option for you – it could save your smile!