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Congratulations! You’ve made the decision to replace a missing tooth with an implant. While an implant will restore the appearance of your smile, you also know that there are many reasons that an implant will improve your health, too.

A missing tooth causes structural problems as well as cosmetic ones. Remaining teeth can shift to fill the gap, leading to wear and bite problems. Without the stimulation of biting and chewing, bone tissue under the lost tooth gradually shrinks and is resorbed. The shapes of our jaws, cheeks and lips can be affected. Replacing a lost tooth with an implant can not only restore the appearance of your smile, but maintain it.

And implant procedures have a very high rate of success. Implants are made of materials compatible with the body, and surgically placed in the jaw to act as anchors for replacement teeth. The implant will actually integrate with the bone growing around it for strong, stable, and long-lasting support. After the time it takes for the implant to integrate and the area around it to heal, a crown, designed to match your own teeth perfectly, will be securely attached to the implant post.

What can you do to help the healing process? Follow our instructions carefully. Dr. Rothstein will give you suggestions for the time immediately following the procedure as well as instructions on the importance of keeping the area clean while healing takes place. And one very important favor you can do yourself? If you smoke, this is the time to stop.

Studies have shown that smokers have a significantly increased risk of dental problems and implant failures, and there are several theories as to why.

• Smoking slows the healing process. Some studies indicate that smoking impairs blood flow in the gums, so that less oxygen and fewer nutrients are delivered to healing tissue.
• Smokers tend to be more vulnerable to gum disease.
• Smoking has been linked to a weaker immune system, so it’s harder to fight off an infection or to heal from one.
• More marginal bone loss around implants is seen in smokers than in non-smokers.
• Peri-implantitis, an inflammation of the gum tissue around the implant that can lead to bone loss and implant failure, is also more common in smokers.

Now that you have decided on a dental implant at our Livingston office, make one more decision to ensure the success of the procedure. Talk to us about ways to quit smoking before your implant, and how to reduce the chance of smoking-related complications. We know that quitting can be difficult, but your improved smile—and your improved health—are worth it!

In fancy medical terms, dry mouth is known as xerostomia. It’s really just what it sounds like: a condition in which you don’t have enough saliva to keep your mouth moist. Dry mouth can be the result of certain medications you’re taking, aging, tobacco use, nerve damage, or chemotherapy.

Depending on whether you’re aware of the cause of your dry mouth, here are some simple ways to keep it at bay:

• Avoid drinks that contain alcohol or caffeine
• Avoid tobacco use, or lower your consumption of tobacco
• Floss after every meal
• Brush your teeth after every meal using a fluoride toothpaste
• Avoid foods that have a high level of salt
• Stay hydrated and drink water frequently
• Consider using a humidifier at night

If you have any questions about dry mouth and how it is affecting you, give our Livingston office a call or make sure to ask Dr. Rothstein during your next visit!

If you have periodontal surgery scheduled at our Livingston office, you have many options for your choice of anesthesia. After all, Dr. Rothstein and our team are trained in all forms of anesthesia and sedation therapy, so you will be able to choose the anesthesia experience that best suits your needs—and your comfort!

One such option is general anesthesia. If you choose this type of anesthesia, you will be carefully monitored at all times. While you are under our care, we want to make sure your treatment is safe, painless, and free from anxiety. And to make your experience go as smoothly as possible, there are some recommendations you can follow even before you arrive at the office.

• Communication

Part of our job is to let you know all about your general anesthesia beforehand. If you have any questions or concerns, please voice them. And communication is a two-way street! If you have any medical conditions, or are taking any medications, or have a cold or the flu, please let us know in advance.

• Diet Restrictions

Talk to us before your surgery to learn about any diet restrictions you should observe before general anesthesia. You will need to abstain from food and drink for a set number of hours before the procedure, so we’ll give you directions based on whether your surgery is scheduled for morning or afternoon.

• Dress for Success

Wear loose, comfortable clothing. Make sure your sleeves are short or easily rolled up above your elbow if you’ll need an IV line or blood pressure monitoring. Leave your make-up, jewelry, and contact lenses at home.

• Go Along for the Ride

Ask a friend or a family member for a ride home after surgery. We want you to travel safely, and, even if you think you are good to go, your thinking and decision making, your reflexes, and even your memory can be impaired for up to 48 hours after general anesthesia. If you have arranged for a cab or a ride share, don’t call for your ride until our office gives you the all clear.

• Plan Ahead!

For the very same reasons you shouldn’t drive for several hours after general anesthesia, there are some normal everyday activities you should postpone as well. You shouldn’t operate machinery. Cooking can wait. Arrange for help with childcare if you have young children. The effects of general anesthesia will wear off over the course of a day or two—ask us for a timeline for returning to your normal activities.

We’re experts in providing you with a safe and comfortable anesthesia experience when you have periodontal surgery. And part of that expertise is letting you know the specifics about preparing for your general anesthesia. If you have any questions for how to get ready for the hours both before and after your surgery, give us a call!

Let’s see…

Toothbrush? Check.

Fluoride toothpaste? Check.

Floss? Check.

Two minutes of thorough brushing? Check.

Careful cleaning around your brackets and wires? Check.

Wait… there’s something else… it’s right on the tip of your…

Ah! Your tongue! Whenever you brush, morning, evening, or any time in between, if you want the freshest breath and cleanest teeth, don’t forget your tongue.

Why your tongue? Because the tongue is one of the most common sources of bad breath. Let’s examine just why this occurs.

The tongue is made up of a group of muscles that help us speak and chew and swallow. But there’s more to this remarkable organ than mere muscle. The surface of the tongue is covered with mucous membrane, like the smooth tissue which lines our mouths. But the tongue isn’t completely smooth—it’s textured with thousands of tiny bumps called papillae.

These little elevated surfaces have several shapes and functions. Some make the tongue’s surface a bit rough, which helps move food through your mouth. Some are temperature sensitive, letting you know that your slice of pizza is much too hot. And some are covered with thousands of the taste buds, which make eating that pizza so enjoyable.

All of these papillae with their various functions combine to create a textured surface, filled with miniscule nooks and crannies. And if there’s a nook or a cranny where bacteria can collect, no matter how miniscule, it’s a good bet that they will, and the surface of the tongue is no exception. But bacteria aren’t alone—the tongue’s surface can also hide food particles and dead cells.

How does this unappealing accumulation affect you? These elements work together to cause bad breath, especially the bacteria that break down food particles and cell debris to produce volatile sulfur compounds—compounds which create a particularly unpleasant odor. Including your tongue in your brushing routine helps remove one of the main causes of bad breath.

And that’s not the only benefit! Cleaning the tongue helps eliminate the white coating caused by bacterial film, and might even improve the sense of taste. Most important, studies show that regular cleaning noticeably lowers the levels of decay-causing plaque throughout the mouth.

So, how to get rid of that unwanted, unpleasant, and unhealthy debris?

• When you’re done brushing your teeth, use your toothbrush to brush your tongue.

Clean your tongue by brushing gently front to back and then side to side. Rinse your mouth when you’re through. Simple as that! And just like a soft-bristled toothbrush helps protect tooth enamel and gum tissue, we also recommend soft bristles when you brush your tongue. Firm bristles can be too hard on tongue tissue.

• Use a tongue scraper.

Some people find tongue scrapers more effective than brushing. Available in different shapes and materials, these tools are used to gently scrape the surface of the tongue clean of bacteria and debris. Always apply this tool from back to front, and rinse the scraper clean after every stroke. Wash and dry it when you’re through.

• Add a mouthwash or rinse.

As part of your oral hygiene routine, antibacterial mouthwashes and rinses can assist in preventing bad breath. Ask Dr. Rothstein for a recommendation.

• Don’t brush or scrape too vigorously.

Your tongue is a sturdy, hard-working organ, but tongue tissue is still delicate enough to be injured with over-vigorous cleaning.

Taking a few extra seconds to clean your tongue helps eliminate the bacteria and food particles which contribute to bad breath and plaque formation. Make this practice part of your daily brushing routine—it’s a healthy habit well worth remembering!