You are here:

Oral Surgery/Questions Answered by Expert Steven A Saxe D.M.D. Board Certified ABOMS

SubjectDate Asked
hospital neglect?2/7/2012
  Q: For last few years Ive had a reoccuring lump on my palete. 6 month ago i went to my GP and he ...
  A: Your entire ordeal as you describe it sounds unusual. I need to have x-rays and operative reports ...
oral antral fistula repair1/31/2012
  Q: I had surgery last month to repair an oral antral fistula that presented on my upper right gum above ...
  A: From your description it appears as if you have an infection and a re-occurrence of your fistula. ...
Bridge vs. Implant1/20/2012
  Q: Saxe, I am a 30yr old female in very good health, though have suffered from teeth issues from a ...
  A: One x ray is sufficient to determine if a bone graft is necessary. The question is without seeing ...
Post Wisdom Teeth Extraction Question1/18/2012
  Q: Three weeks ago today I had all 4 of my wisdom teeth extracted. My age is 30, I know that age plays ...
  A: Yes normally you should be healed by now. You need to see a board certified oral and maxillofacial ...
Frenulum attached to upper gum1/10/2012
  Q: My daughter is 11 months old. When she was born she was diagnosed with a tongue-tie and we had it ...
  A: I doubt that your daughter has any difficulty using her cup as it relates to her frenum attachment. ...
trouble opening and closing mouth1/7/2012
  Q: I had a chin implant put in seven months ago and am having trouble moving my mouth It feels like it ...
  A: It is possible that your implant is causing too much tension on your gingiva mucosa. The results ...
extra gum tissue1/6/2012
  Q: I just got an implant this week. My retainer wasn't fitting so I went back and he told me that I ...
  A: I would not worry about the extra tissue at this point you are still healing and one cannot ...
Wisdom Tooth Extraction Complications1/5/2012
  Q: I had my bottom wisdom tooth extracted, but now I have an acidic taste and the neighboring teeth ...
  A: It is probable that your wisdom tooth extraction has nothing to do with the acid taste. You may ...
Sinus Communication11/28/2011
  Q: I am 31 years old and 6 mo ago I had a a baby tooth removed from the upper right side of my mouth. I ...
  A: It is possible that this may be closed without a bone graft if you question your board certified ...
Torri removal11/15/2011
  Q: If you would be so kind to explain to procedure to remove what I think is a severe case of torri ...
  A: It is probable that your speech has absolutely nothing to do with your tori. The only reason one ...
pain and numbness after maxillofacial surgery11/11/2011
  Q: Saxe, I had a maxillofacial surgery a year ago where the doctor broke my upper palate into 3 pieces ...
  A: There can be several reasons for your discomfort. Decompression of the nerve by removing the ...
extraction and implant11/8/2011
  Q: tooth # 31....have had a lot of problems with this tooth...has crown but never felt it was right(too ...
  A: I would highly encourage you to see a board certified Endodontist, with a microscope, in an attempt ...
top gums10/26/2011
  Q: I have been having what feels like corn ,beans,cherries coming from under my top plate.Ijust had a ...
  A: I would seek the opinion of a board certified oral & maxillofacial surgeon in your area. It is ...
my 20 month old childs teeth10/25/2011
  Q: my child who is 20 months of age, tripped and landed face first. she cut her lips, chin and inside ...
  A: At 20 months the teeth are space holders for the permanent teeth that will erupt in 5 years. The ...
bone spurs in tooth10/2/2011
  Q: i am 26 year old African American female. i have recently been treated at dentist office for 2 ...
  A: This sounds unusual my best advice would be to follow up with a board certified Oral & Maxillofacial ...
Oral Surgery9/3/2011
  Q: Is there any special care needed before extraction in a patient suffering from Mysthenia gravis
  A: Tanvir, I am not sure if you are a patient or seeking collegial advice? If you are a patient, ...
Wisdom teeth removal9/2/2011
  Q: 7 days ago, I had all 4 wisdom teeth removed. I am still not 100 percent back to normal. I am still ...
  A: It is possible that your lip numbness is temporary but you may be having an infection brewing. Your ...
Recurring Oroantral Fistula9/1/2011
  Q: In November of 2010 I had both my upper and lower wisdom teeth removed on the right hand side. The ...
  A: There are many factors that may contribute to your lack of healing, including smoking, not being ...
Gum Skin Graft8/29/2011
  Q: Lat Thursday I had a skin graft on three teeth on the bottom front and was wondering how a person ...
  A: I am not sure what type of graft that you had. Probably it would be best if you avoided the area, ...
fibrocystic lesions8/27/2011
  Q: I had two fillings done over a month ago and ever since then, I feel pins and needles, pain, and ...
  A: I am not sure what they are referring to when you describe "fibrocystic lesion", this can mean many ...
bone graft and extraction on same day8/16/2011
  Q: I am a 27 year old male from San Francisco. I recently had a tooth extracted due to rotting in a ...
  A: My best guess without examining you or reviewing your x-ray. There is no reason to have a bone ...
wisdom tooth extraction8/13/2011
  Q: I had a lower wisdom tooth removed nearly three months ago and im still suffering with pain in my ...
  A: My best advice would be to see a board certified Oral & Maxillofacial Surgeon in your area this ...
4 months post op orthagnathic surgery7/26/2011
  Q: They lowered my top jaw and slightly moved my bottom jaw forward. My problem is that, in one ...
  A: Cano Your surgeon is correct it is too early to make any conclusions one cannot make any final ...
Nerve damage7/23/2011
  Q: my question is can you connect with a surgeon who does nerve healing. I had an osteotomy over 15 ...
  A: Your best bet would be to follow up with a board certified Oral & Maxillofacial Surgeon at a ...
tumor?7/13/2011
  Q: My daughter has what they are calling a shadow, possible tumor on the inside of her gum on lower ...
  A: First you need have a board certified Oral & Maxillofacial Surgeon do the biopsy. There are so many ...
Dental surgery7/4/2011
  Q: i just had 4 wisdom teeth extracted, from my mouth. im feeling very extremely strong numbness in my ...
  A: It can be normal to experience these sensations for a period of time. My best advice would be to ...
surgert6/30/2011
  Q: About 1yr ago I had a root canal on tooth #3. The procedure did not work as pain continued. I had ...
  A: You probably have Trigeminal Neuralgia and have had it all along. Your best bet would be to follow ...
facial pains6/27/2011
  Q: I have sharp pains in the jaw under my jaw and inside tongue on the rightside what could be the ...
  A: I cannot begin to tell you the answer to your question without giving you an exam. I would highly ...
torus surgery6/24/2011
  Q: I had what I think was extensive oral surgery 6/09/11. Has a torus on roof of mouth removed, one on ...
  A: I cannot begin to tell you the answer to your question without giving you an exam. I would highly ...
Prophylactic Augmentin after Implant6/23/2011
  Q: I have severe watery diarrhea after three days of a seven day course of augmentin. I am a 60 year ...
  A: I would highly encourage you to seek medical attention you may have pseudomembranous colitis, ...
how do you know if you have an infection after wisdom teeth extraction6/21/2011
  Q: I was wondering what the symptoms of an infection after the wisdom teeth extraction?
  A: You would have increased pain, swelling, pus and redness. I would highly encourage you to seek an ...
Cracked or Broken Tooth, How Long To Wait6/18/2011
  Q: Early last week, I cracked one of my back molars (second from the back). There is a crack running ...
  A: Call your insurance company, demand to speak to a customer service supervisor, and tell them that ...
Extraction & Bone Graft6/8/2011
  Q: Help!! I had tooth #20 extracted and a bone graft done on 5/23/11. The pain was EXCRUCIATING even ...
  A: I doubt if the bone graft was necessary, especially if it is exposed, it would of filled in on its ...
Mouler effects6/4/2011
  Q: My wife just had a mouler taken out and its been 12 hours plus its still bleeding and she now is ...
  A: I do not think that she could loose that much blood from an extraction that would cause her to be ...
Extraction & Bone Graft5/31/2011
  Q: Help!! I had tooth #20 extracted and a bone graft done on 5/23/11. The pain was EXCRUCIATING even ...
  A: Normally one does not get pain from suture placement. I would encourage you to seek another source ...
dental implants5/30/2011
  Q: Are all dental implants (done in 2009) made of titanium? How about the posts/abuttments - what ...
  A: All dental implants manufactured in the USA are Titanium. A board certified Oral & Maxillofacial ...
Does my vertically impacted tooth have to be removed?5/26/2011
  Q: Steven Saxe, I am having some serious issues with the one wisdom tooth that I had come through. I ...
  A: The tooth will not come in you are finished growing at this point. Your best bet would be to find a ...
Exploratory surgery-Decompressed mandibular nerve-removed canal5/23/2011
  Q: I have been taking pain medication for over 10 years, after my oral surgeon performed exploratory ...
  A: You may wish to seek the advice or a Neurosurgeon or Neurologist. You may have Trigeminal Neuralgia ...
Still have extreme overbite after surgery5/16/2011
  Q: When I was 16 I had jaw surgery to correct my overbite which the oral surgeon said was extreme ...
  A: Your question is very complicated to answer without models, xrays and an exam. Your best bet is to ...
Impacted Canine Tooth5/5/2011
  Q: I went to the dentist and they said the bone is still up there. Now i know you can get it fixed with ...
  A: You would need to get a quote with a board certified Oral & Maxillofacial Surgeon in your area to ...
Hot flashes5/4/2011
  Q: "I have had a horrible toothache along with it came hot/cold flashes; I went to the dentist today a ...
  A: No this is not normal. Your best bet would be to follow up with a board certified Oral & ...
Glandular Odontogenic Cyst4/29/2011
  Q: I am a 34 y.o. AA female. A large cyst was found in the anterior maxilla between #8 -9 via xray ...
  A: Although I trust your interpretation of what the doctors have told you about your pathology. I would ...
apecoectomy4/22/2011
  Q: I've had a apecoectomy in two of my front teeth, two times each. I was told that insurance doesn't ...
  A: An Apicoectomy is a last ditch effort to preserve the failing root canal treated tooth. The fact ...
underbite correction4/14/2011
  Q: I'll soon have my jaw surgery, i slightly have speech dificulities that soon be improved but can the ...
  A: Speech and singing can be improved as articulation improves possibly with the addition of pre- and ...
tongue fibroma4/6/2011
  Q: What is the preferred removal of tongue fibroma-surgical or laser--I bite my tongue in same place ...
  A: To begin with a LASER is a surgical instrument it has the same purpose as a scalpel or scissor all ...
leision found on catscan on Condyle bone4/1/2011
  Q: I have been having issues with sinuses for many months now. I was ordered a CatScan for the sinuses ...
  A: There are many possibilities for flatening of the condyle of the TMJ. It can be related to previous ...
Food after wisdom teeth extraction.3/21/2011
  Q: I got my bottom 2 wisdom teeth extracted 3 days ago. I followed my dentist's orders of cold soft ...
  A: I am not sure of the reason for your unusual instructions. You can eat anything that you feel ...
hi3/19/2011
  Q: everything was going great until week 4 my jaw starting getting mobile. i wasnt wired or banded ...
  A: I would discuss these findings with your board certified Oral & Maxillofacial Surgeon who performed ...
wisdom teeth extraction care3/13/2011
  Q: I had all four of my wisdom teeth surgically removed 3 days ago. Today I noticed a white substance ...
  A: you can go back you wont be charged. You may have an infection I cannot tell from an email. Follow ...
Pain in tongue3/12/2011
  Q: I have some tingling and pain in the right side of my mouth, jaw and tongue. It doesn't happen all ...
  A: My best guess is that you have Trigeminal Neuralgia, there are many methods to treat it. Be sure to ...
Wisdom Teeth Removal PAIN2/22/2011
  Q: I recently had 3 cavities filled a week and a half before I had 2 Wisdom teeth removed. Two wisdom ...
  A: It is possible that the tooth has a minor exposure of the root surface that may have been close to ...
exposed torus2/21/2011
  Q: I have very large torii particularly on my mandible. Since I had my wisdom teeth removed, I ...
  A: This is a very common occurrence in people who smoke, if you do stop and it wont happen. There is no ...
swelling2/12/2011
  Q: My daughter had a lafort osteotomy, a bilateral sigital split, along with chin and cheek ...
  A: The initial drastic swelling has come and gone minor soft tissue swelling will be present for up to ...
tooth #14 removal2/10/2011
  Q: I was told that I need a root canal on tooth #14 almost 2 yrs ago. I just now have money for it but ...
  A: I would highly encourage you to save your tooth but it may not be possible and depends on many ...
Wisdom teeth out 45 days ago, still quite sore...2/7/2011
  Q: I had my wisdom teeth removed on December 23rd. I only had one on top, two on the bottom. Neither ...
  A: It is difficult in this medium to be able to diagnose and give you advice for the problem that you ...
Halitosis after bone graft2/5/2011
  Q: I had my #6 and 7 impacted teeth removed surgically and caused an infected cyst. The surgeon ...
  A: I am not sure of the details of your particular case to give specific advice. Your best bet would ...
Mandibular Labial Frenum2/4/2011
  Q: I am 63 years old. My dentist wants me to have Mandibular Labial Frenum Frenectomy using a laser ...
  A: I am not sure of the details of your particular case to give specific advice. Your best bet would ...
Cement2/3/2011
  Q: Had root canal's done on all of my upper teeth in Europe ( Greece ). the Dentist put a one piece ...
  A: This does not sound right to me. I am not sure of the details of your particular case to give ...
broken jaw numbness botom lip and chin2/2/2011
  Q: My question is will i ever get the feeling back in my bottom right side lip and right side chin. and ...
  A: These questions should of been covered with you pre-operatively with your surgeon they are all ...
Root canal problem in mexico2/1/2011
  Q: I am in Cancun and I went to go get a root canal because of the pain and the endodontist was very ...
  A: I am not sure of the details of your particular case to give specific advice. Your best bet would ...
oral amtral fistula with osteonecrosis of the jaw1/30/2011
  Q: I have an open oral-antral fistula as well as necrosis of the maxillary. I just eveloped a rash and ...
  A: This should not be treated at home, you should be treated in a hospital setting receiving IV ...
palatal torus removal1/29/2011
  Q: I have lupus and have had upper torus removed 18 days ago, 2 rounds of antibiotics,and 2 mouth rinse ...
  A: I am not sure of the details of your particular case to give specific advice. Your best bet would ...
CAT scan common procedure for Tori ?1/28/2011
  Q: I'm a healthy woman in my 30's. I was referred to an oral surgeon for pain/inflammation caused by ...
  A: One must consider the source of pain that you are experiencing. I am not there examining you so if ...
baby tooth fully formed in jaw1/26/2011
  Q: After a panoramic xray we have discovered that my daughter's 6 yr molar (on the bottom of her jaw) ...
  A: A delay in eruption of a permanent tooth is common. It is possible that Oral Surgery and early ...
un-treated oral anteal fistula w/maxillary necrosis/sinus infections and2 cysts1/24/2011
  Q: It has been 7 months that I had the flapnce then nothing has been done in order to close the opening ...
  A: I would follow up at the UCLA medical center Oral & Maxillofacial Surgery residency program to have ...
PLEASE HELP: Chronic tooth and bad breath problem1/23/2011
  Q: Steven, I would be grateful if you could advise on the following: I have had chronic bad breath ...
  A: I would follow up with a Dentist in your neighborhood for a comprehensive exam and detailed ...
Labial Frenectomy in 5 year old1/22/2011
  Q: My five year old daughter had a labial frenectomy just yesterday in am attempt to close a very large ...
  A: I would recommend that you follow up with a board certified Oral & Maxillofacial Surgeon in your ...
Horrible Taste PLEASE HELP1/15/2011
  Q: I had all four of my impacted wisdom teeth taken out a week ago; everything was fine, almost no pain ...
  A: Leave the gauze out you are probably infected and need to be on antibiotics. My best advice would be ...
Meniscal Tear1/13/2011
  Q: I just found out from my MRI report that I have a tear in my meniscus in my jaw. I had never heard ...
  A: A torn meniscus of the TMJ may need to be treated, depending on your symptoms it is possible that it ...
Botched Fistula Surgery1/12/2011
  Q: I have had a whole in my mouth for at least 4 years after a tooth extraction. I went to a ...
  A: There are many factors which could affect the out come of a sinus closure surgery including ...
braces and sarpe procedure1/8/2011
  Q: i'm 25 yrs old and i need braces. the dentist also mention i would need a sarpe procedure. i would ...
  A: The sarpe procedure is an acronym for surgically assisted rapid palatal expansion. It usually is ...
Lingering umbness after oral surgery1/7/2011
  Q: I had a fibroma removed from my inner lower lip 24 hours ago. I still have lingering numbness in my ...
  A: Hopefully your numbness has resolved by now. The healing process can take several weeks during that ...
still swelling??1/6/2011
  Q: On the fourth of January i completed 7 months after my surgery (Lefort I and genio). While i have ...
  A: There are many factors that contribute to swelling or healing that may be prolonged, which you did ...
Pocket formed after wisdom teeth extraction1/5/2011
  Q: My 18 year old son had his wisdom teeth removed 6 months ago. Since then he has had periodic ...
  A: If the "fluid" persists it can be from many sources including the adjacent tooth being abscessed. ...
possible minor dry socket?1/4/2011
  Q: I had a tooth in my upper left mouth that was pushed towards the center of my upper mouth, it ...
  A: You possibly have an infection and need to be on an antibiotic. Your best bet would be to follow up ...
Orthognathic Surgery1/3/2011
  Q: My apologies in advance for what may be a controversial question. I am about to undergo orthodontics ...
  A: The side effects of Anabolic steroids are numerous. Your surgery and the Orthodontic treatment may ...
jaw, neck, chest and ear pain12/31/2010
  Q: Saxe, I got my wisdom teeth removed in early September and due to the fact that I got an infection ...
  A: The scenario you have described is not normal. My best advice would be for you to follow up with a ...
Wisdom Teeth12/30/2010
  Q: I went to dentist in April, this year, to get an exam and cleaning done since it had been a while. ...
  A: You can look at this two ways one be a preventive person and get them out before they bother you or ...
How long does it take for the holes to heal12/27/2010
  Q: I had all 4 of my wisdom teeth taken out 6 weeks ago and it seems like the holes in my mouth are ...
  A: The holes should of normally closed by now unless you continuously distub the healing process by ...
oral mucocele / mixed benign parotid tumor12/20/2010
  Q: Saxe: You're kind to field questions this way! About 20 years ago,I had a benign parotid tumor ...
  A: As long as the lesion is a mucoceole, which should only be verified by a board certified Oral & ...
Second Molars12/16/2010
  Q: I had all four of my second molars removed because there was not enough space in my mouth for those ...
  A: It is highly unusual to have your second molars removed. There are many factors responsible for ...
Apiectomy12/8/2010
  Q: I am having an Apiectomy next week. I consulted two Endodontist, one of them will do a bone graft ...
  A: It is probable that you do not need a bone graft. There are many circumstances that require that ...
Gum Tissue11/30/2010
  Q: I need to have skin/gum grafts on 11 of my teeth and the dr. says that he will use artifical gum ...
  A: I cannot answer this question because it is dependent on many factors. It can differ for a multitude ...
Painful lump post-surgery11/24/2010
  Q: I had oral surgery about a month ago to clean out an infection under an old crown and recovered ...
  A: It is probable that you are developing an infection. Call the number.My best advice advice would be ...
permanent nerve damage?11/23/2010
  Q: I was hit by a drunk driver a little over a year ago. One of my injuries were a broken lower jaw. i ...
  A: I would have the anterior teeth pulp tested to determine if any of them require root canal ...
Mucocele surgery causing another mucocele11/20/2010
  Q: I'm pretty sure I have a mucocele, as I've had another one removed a year ago, and now I'm dreading ...
  A: Yes, having a mucocoele removed can cause others to form for several reasons. The best approach is ...
Recurring infection11/17/2010
  Q: I had an abcess on #8 and an apico was done on the tooth within a month the infection returned. I ...
  A: The information that you provided me is sketchy at best in order to determine the prognosis of your ...
Recently had oral surgery11/11/2010
  Q: It all started with an office visit which consisted of 1 x-ray that was of my whole mouth and then ...
  A: Do not get frustrated it sounds as if you had an immediate denture and yes they do not fit after ...
pulled tooth leaving hole in sinus11/7/2010
  Q: I had three teeth pulled over a month ago, they were suppose to be prepped for implants but when the ...
  A: What you need is to be examined and treated by your local board certified Oral & Maxillofacial ...
3 year old/cracked molar11/4/2010
  Q: My three year old grand daughter fell and cracked one of her molars. The dentist referred her to an ...
  A: It is difficult to give you options without examining the tooth and x-rays. My best advice would be ...
2nd surgery mandble Ear pain11/2/2010
  Q: I suffered a work related trauma which resulted in my mandible breaking in many places near chin and ...
  A: I am sure that your complaints are not "common" but everyone reacts differently having their jaw ...
Headache After Wisdom Tooth Extraction10/28/2010
  Q: It is now Wednesday. The evening of the surgery, I felt a throbbing pain that went from my jaw to ...
  A: "headaches" in general can be very difficult to interpret and diagnose their detailed origin, being ...
Bone Graft?10/27/2010
  Q: Saxe DMD, Is it possible to know exactly how long a bone graft lats for? My Dentist just put in a ...
  A: The experts on bone grafting are your friendly neighborhood board certified Oral & Maxillofacial ...
help10/25/2010
  Q: i just fund this in my son mouth who is 7 ye old my doctor said not to panic and its not urgent i ...
  A: I understand your concern. It is difficult for me to tell you exactly what it is by a photo alone. ...
Wisdom Teeth and Bone Grafting10/21/2010
  Q: I have seen 3 different Board Certified Oral and Maxillofacial Surgeons. The last OS I've seen said ...
  A: The bone will fill in on its own most of the time without complication. My guess is that the last ...
Sinus issues after tooth extraction10/20/2010
  Q: I am 50 years old. About a month ago I busted the left back top tooth. The dentist said the tooth ...
  A: You may have several issues from your description including an oral antral fistula or infection. My ...
Daughter's Oral Surgery10/13/2010
  Q: My daughter had her upper jaw moved forward 6mm to correct underbite. It is clear that her bottom ...
  A: You obviously need a second opinion but it cannot be accomplished through this medium. It is too ...
Tooth Extraction/Bone Graft10/12/2010
  Q: I recently had a tooth extracted (4 days ago) and my doctor did a bone graft. I have been reading ...
  A: I am not sure of the material used or if it is toxic, and from your further description it sounds as ...
Problem with smile....10/11/2010
  Q: I am facing a strange problem since 3 months. I have a problem with smiling where i am unable to ...
  A: There are many conditions that can cause this problem some very serious some with simple remidies. ...
i need help10/8/2010
  Q: A long story but the short of it is that she continues to have reaccuring cellulitus to the bottom ...
  A: This sounds like a complicated issue that would require much data including the history of previous ...
Condyle Surgery?10/6/2010
  Q: I have been in braces, and they are due to be out in 6-8 months. Before the braces were put on, I ...
  A: Although your question may seem simple to you. Due to the individuality of each patient your ...
Tooth implant9/19/2010
  Q: Dr Saxe, I had a tooth implant placed on tooth #10 several days ago. Since the implant, I have ...
  A: I am not sure of the details of your condition without examining you and taking an x-ray, what you ...
Pain a year after surgery9/17/2010
  Q: I had a mandibular osteotomy in August 2009 to correct an overbite. I developed infection on both ...
  A: It is difficult to say without examining you or having radiographs. It is possible that you may ...
Nerve injury from dental work9/3/2010
  Q: Steven A.Saxe, 6 weeks ago, I'd my right lower teeth filled; after that, my R tongue was pain so ...
  A: My best advice is to see a board certified Oral & Maxillofacial Surgeon in your area for a ...
possible infection on upper implant8/28/2010
  Q: Saxe in the last six months i have been getting a bad decay taste coming from my upper right side ...
  A: From your description it appears that your implants are infected and failing. See a board certified ...
removal of exostoxus bilateral8/26/2010
  Q: My dentist is sending me for a consultation with an Oral Surgeon for removal of this exostoxus. ...
  A: The only reason that one would need removal of mandibular tori, (Boney Bumps on the inside of your ...
Apicoectomy8/24/2010
  Q: ok, very nervous to ask this. I need to have an apicoectomy done on a tooth that already had that ...
  A: First you cannot have a second apicoectomy on the same root. Second it can not turn into cancer. ...
diabetes and tooth extractions8/22/2010
  Q: My husband has type II diabetes. He has been suffering with periodontal disease and now must have 9 ...
  A: Eggs, mashed potatoes, yogurt or anything that he can tolerate. Do not worry if he gets hungry he ...
Temporary Anchorage Device8/20/2010
  Q: I will be getting a TAD put in my mouth in about 6wks. to work with my braces (I have an ...
  A: It is too bad they did not place the TAD when you had your wisdom teeth out it can be done ...
Yellow teeth after orthognathic surgery8/19/2010
  Q: I had orthognathic surgery 5 months ago. I went in with really nice teeth and cane out with all my ...
  A: This sounds like a very unusual complication from orthognathic surgery so complicated that is ...
lower left (last) molar8/17/2010
  Q: After a crown, a root canal, a retreat of root canal, lockjaw from an injection all on the same ...
  A: This sounds like a very complicated situation that is difficult to address in this format. My best ...
oral antral fistula closure8/14/2010
  Q: i had the procedure done yesterday by an oral surgeon. the only postop instructions i was given were ...
  A: The answer to both of your questions is NO! Because of the close relationship between upper back ...
Dizziness after Wisdom Teeth Pulled8/5/2010
  Q: Dr. Saxe, I'm 16 years old and got all four of my wisdom teeth pulled on Monday, Aug. 2. The two ...
  A: It sounds like you may need to see your regular physician or go to the emergency room this may be a ...
Nerve pain after teeth extraction ...7/11/2010
  Q: ... Just 2 days ago I had two teeth which were both basically roots, one upper and other lower, The ...
  A: It is possible that you have nerve damage but it can also be referred pain. My best advice would be ...
Wired jaw7/4/2010
  Q: What are the effects on the teeth? It's been 5 weeks since my husbands jaw has been wired shut. Now ...
  A: I am not sure why his jaw was wired shut but the purpose would be to stabilize teeth not to make ...
Tooth Extraction6/29/2010
  Q: I'm still having pain and swelling coming from that area. My oral surgeon did not see any signs of ...
  A: Do you take drugs that help with Osteoporosis? It can be due to that or it is possible that you have ...
Bilateral arthritis and displaced disks6/25/2010
  Q: Dr. I had an MRI recently which indicated arthritis in both joints, as well as disk displacement on ...
  A: I would agree that the most conservative approach is usually the best but I have limited information ...
Jaw dislocating6/22/2010
  Q: Six weeks ago I tripped and fell my mouth leading the way onto the corner of the raised tile hearth ...
  A: It sounds as if it you possibly fractured your jaw several years ago and the growth may have been ...
post oral surgery6/10/2010
  Q: Is it possible that lowe jaw surgery can affect your sinus. I just had my lower right wisdom tooth ...
  A: Sear Destra, I doubt that anything on your lower jaw could affect your sinus. You may have a ...
questions about apicoectomy6/8/2010
  Q: I am told that I need an apicoectomy after having an abscess develop on a tooth with a previous root ...
  A: "twilight anesthesia is not necessary to complete even the most difficult apicoectomy. It should ...
wisdom teeth6/4/2010
  Q: I had all of my wisdom teeth removed about 4 years ago. Occasionally I still feel pain on both ...
  A: There is a possibility that some of the tooth may be still present, you need a panorex x-ray to see. ...
Regarding oral surgery5/22/2010
  Q: I underwent a bimaxillary osteotomy some 5 years back. I am feeling very uncomfortable after that. I ...
  A: I would recommend some Orthodontics to correct the needed refinement and have your wisdom teeth ...
Pleomorphic adenoma5/21/2010
  Q: Saxe, I was diagnosed with a pleomorphic adenoma and will be operated on next week. I'm really ...
  A: I do not want to avoid answering you because I know you are concerned. But I cannot comment on the ...
My Daughters Wisdom5/19/2010
  Q: My twenty two year old daughter is away at college. She went to a local dentist, for a check up, ...
  A: It appears as if the 3rd molars are partially bony impacted. I would recommend that you follow up ...
Nerve damage5/18/2010
  Q: I had the last 2 teeth in my upper right gum removed about 3 months ago and have had problems ever ...
  A: It sounds as if you have Trigeminal Neuralgia. It can be treated. You should follow up with a board ...
mandibular tori5/17/2010
  Q: i have just been told by a dentist that i need to have a mandibular tori removed on both sides of my ...
  A: Tori need to be removed for the sole purpose of relieving undercuts to fabricate a denture. The ...
metal taste5/2/2010
  Q: ..I'm 25 years old and i've been smoking for almost 10 years. About 2 and a half months ago i ...
  A: Quitting smoking 2 1/2 months ago may of saved you all of the worry and aggravation of a million ...
black spot on gum4/29/2010
  Q: I have black spots 2 on my upper gum should I be concerned
  A: You should be examined by a board certified Oral & Maxillofacial Surgeon in your area. There are ...
Tooth extraction/bone grafting4/28/2010
  Q: I got my tooth extracted on the lower right side yesterday.I didn't go for bone grafting immediately ...
  A: No it is completely unnecessary unless you have some metabolic illness and cannot heal properly it ...
explant of 24 yr old implant and reconstruction4/22/2010
  Q: Briefly, I am 42 and i have a failing 24 year old implant due to age, and recent infection of the ...
  A: I would recommended you see Dr. Cameron Lee he is well qualified to restore this area. Your own bone ...
I know this question is big but please read im desprit4/17/2010
  Q: :before i start you should know that i used to NEVER take care of my teeth id go a week or 2 without ...
  A: First you need to start taking care of your self it is quite childish that you do not brush your ...
dry socket?4/16/2010
  Q: I had 3 of my wisdom teeth extracted yesterdy. The top was easy, the two bottom were more involved. ...
  A: If you do not have pain you do not have a dry socket. My best advice for you, if you are concerned ...
Orthognathic surgery4/11/2010
  Q: Saxe, My son is 19 and has been referred by his orthodontist for Orthognathic surgery. We have been ...
  A: First and foremost most insurance company's do not cover orthognathic surgery. You should not go by ...
blister on soft palate4/7/2010
  Q: I have a recurring growth that looks and feels like a water blister. It pops up and disappears, but ...
  A: This phenomena is a blocked minor salivary gland that fills then pops repairs itself then reoccurs. ...
leukoplakia?4/1/2010
  Q: I went to the dentist for a deep cleaning...and he did a oral cancer screen..afterwards he said he ...
  A: To give you a piece of mind the area that is most concerning to the Dentist should be biopsied to ...
wisdom tooth extraction with complecation of the nerve.3/31/2010
  Q: i was due to have a corenectamy of my lower left wisdom tooth due to the position of the roots with ...
  A: Unfortunately I cannot examine you. My best advice for you to deal with this unfortunate situation ...
buccal mucosa adhesions3/30/2010
  Q: I had extensive urolgical reconstruction done in February, and they used buccal mucosal grafts for ...
  A: Unfortunately you did not have an Oral & Maxillofacial Surgeon harvest the grafts which has left you ...
Full upper extraction ...infected?3/28/2010
  Q: On the 24th of March I had a full upper extraction of my teeth as they were too far gone to save and ...
  A: You have left out many details which impair my ability to answer, you probably are infected. My best ...
Exposed bone graph material3/27/2010
  Q: I had a bone graph and extraction done on my four front teeth in my lower jaw. The sutures were ...
  A: You have left out many details which impair my ability to answer, you probably are fine. My best ...
Missing tooth3/26/2010
  Q: I went to the dentist and she told me that it was stuck in my gums. I was wondering if I should go ...
  A: You have left out many details which impair my ability to answer. Maintaining your dentition is ...
Swelling and Lisp After Bixaxillary Osteotomy/Protrusion3/20/2010
  Q: 6 weeks ago i had a Bimaxillary Osteotomy or a protrusion im not positive which one, i had my upper ...
  A: Unfortunately you have left out many details in order for me to properly comment on your problem. I ...
Oral Surgery3/17/2010
  Q: Steven Iam 20 years old and still have not got my permanent canines #6,#11,#22 and #27 i had an ...
  A: Sound like good advice. The chain does not go near the tongue an unfortunately you have left out ...
oral fistula3/14/2010
  Q: at November 2007 after an implant of bones in the upper left maxillas an infection produced after ...
  A: Unfortunately you have left out many details in order for me to properly comment on your problem. I ...
Consisten problems with 5 year old implant3/11/2010
  Q: Dr. Saxe, I have a 5 year old implant (number 4 premolar, I think) on the upper jaw. Firstly, the ...
  A: It sounds as if this implant needs removal. You have not provided me with all the details that ...
lip lacerations and loose teeth3/9/2010
  Q: Lip lacerations/bleeding suturing better with lidocaine and epinephrine or not.? Teeth loose after ...
  A: Perrotti, The best thing would probably be to stabilize the teeth with composite and wire, it is ...
abses and boils on gums3/8/2010
  Q: i consulted a dental surgeon about 2 abses and a boil on my 4-year old's gums and he recommended ...
  A: Many details must be reviewed that would be helpful to formulated a treatment plan. My best advice ...
perforated sinus3/5/2010
  Q: recently recieved dental implant on upper denture. After this was performed major headaches have ...
  A: You need to see a board certified Oral & Maxillofacial Surgeon in your area and have a Cone beam CT ...
Bi max3/2/2010
  Q: "Hello, Ive been having problems with sleep since I was 16. At 16 I had braces which used headgear ...
  A: I really do not know what to say. If you have had a recent sleep study and have these findings I am ...
1 Week Post Extraction & RC Gum Swelling w/ Sudden Onset Pain3/1/2010
  Q: 7 days ago I had oral surgery to remove my right last upper molar. I also had a Root Canal on the ...
  A: It sounds as if you have an infection you should probably be placed on Antibiotics. Additionally, ...
DRY SOCKET PLEASE HELP2/26/2010
  Q: I had my wisdom teeth removed last weds.- I developed to dry sockets on my bottom and returned ...
  A: There may be many factors to properly evaluate. Normally I would not leave a packing in for that ...
Tooth extraction2/25/2010
  Q: My husband had a tooth cut out that was badly absessed. It has been a week & the hole is wide open ...
  A: He probably has a dry socket, he should not smoke. My best advice would be to see a board certified ...
oral comm2/24/2010
  Q: i had my op on 16th feb to fix my communication sinus to tooth problem after being on antibiotics ...
  A: It does seem that your waiting time and inpatient admission is a bit extreme. My best advice would ...
Persistent pain maxillary sinus after Cladwell-Luc surgery2/20/2010
  Q: I had 3 teeth extracted in December 2007 due to a fracture of 2 of the 3 teeth on a bridge. 2 ...
  A: It sounds as if you are infected and you need another surgical procedure to explore and repair the ...
Itching, numbness, pain after IAN severed2/19/2010
  Q: I had my IAN nerve severed during surgery. In researching the risks of micro-surgery repair to help ...
  A: Unfortunately there is no such dentist or OS. Under most circumstances anatomical variations are the ...
wisdom teeth extraction.2/17/2010
  Q: I am not sure if I am asking in the right place. If not, I hope you could help redirect me. i need ...
  A: It is foolish to "shop around" the economic cost of not having a board certified oral & ...
Nerve damage2/12/2010
  Q: I had all 4 impacted wisdom teeth removed over a month ago. The lower left side of my face is numb ...
  A: I believe that you should have a full Neurologic work up of your 5th Cranial nerve ASAP to obtain a ...
infected sutures?2/11/2010
  Q: Two days ago I had one wisdom teeth removed, it was on the left, lower part and it was seriously ...
  A: Go back and see the surgeon, did they put you on antibiotics, if not perhaps they should. The ...
pain at site from extraction /swelling..2/10/2010
  Q: i got my tooth out 15 at bott. 17 at the top..my bottom of my mouth is killing me and swelling at ...
  A: You probably have a dry socket I would suggest that you see a board certified Oral & Maxillofacial ...
Black spot on gum2/6/2010
  Q: I have a black spot on my gum which was originally a light grey spot, of which I have a few around ...
  A: Most likely it is nothing to worry about. I would definitely stop smoking now while you still can. ...
lower jaw surgery2/5/2010
  Q: I had surgery in 1990 to correct my protruded lower jaw.I was 18 years old.in 1996 I noticed that my ...
  A: I would recommend that you see a board certified oral & maxillofacial surgeon, an Orthodontist and ...
Failing Implant1/25/2010
  Q: About 3 yrs ago, I had #18 replaced with an implant (I only had 1 upper and 1 lower molar on the ...
  A: It does sound "like this dental work is botched", to me I am at a great disavdantage because I ...
lingual nerve injury1/24/2010
  Q: Saxe, 30 months ago I received an injection of articaine in my lower jaw, right side for a root ...
  A: Yes there are procedures that will take the pain away but your tongue will be numb permanently. If ...
over dentures or plate?1/20/2010
  Q: i have 18 teeth remaining in my mouth - rest have been removed. Now these 18 as a result of being ...
  A: you can keep the teeth only if you have root canal treatments to each one to assure that there will ...
muscle spasms1/13/2010
  Q: i had double jaw surgery november 27th and was recovering well until over christmas, i had 6 ...
  A: I am not exactly sure what you are describing, if I was your surgeon I would order a CT scan with ...
dead tooth1/12/2010
  Q: I was told about 10 years ago that my lower ,center front tooth was dead. Just last week at the ...
  A: There is nothing wrong with a "if it ain't broke don't fix it attitude, i guess it worked for the ...
where's your wisdom?1/10/2010
  Q: Aren't your wisdom teeth designed to be there when all the rest have fallen, so why would a dentist, ...
  A: I'll bet you did not think that I would answer your insulting question. I obviously cannot send you ...
Ameloblastic Fibroma1/8/2010
  Q: Our Daughter, 12, has been tentatively diagnosed with an Ameloblastic Fibroma in her upper jaw. An ...
  A: I am not sure of what you mean by "tentatively" there are no clinical tell tale signs to look at an ...
vertigo every morning since maxillary lift1/6/2010
  Q: my dad decided on implants below his maxillary glands. Had the necessary bone graft and the ...
  A: Your inquiry is very difficult to answer I am not sure that you have all of the facts correct. My ...
tori1/5/2010
  Q: I have a tori that I need to have removed on the roof of my mouth. The bone from the side (by my ...
  A: Removing Tori on patients with teeth is usually not necessary, we usually perform this procedure for ...
my smile1/4/2010
  Q: So basically when i smile you cant see my teeth really. I think I have a pretty much have small ...
  A: Yes this can be corrected it is referred to a maxillary hyperplasia and can be corrected with ...
jaw surgery n its side effects1/2/2010
  Q: I just had upper and lower jaw surgery and a day ago had my jaw unwired. I feel ok except for the ...
  A: It is not normal but many things can take place while you are healing but it is too early to tell ...
Persistent nasal bleeding after wisdom tooth extraction12/29/2009
  Q: Saxe, I had wisdom tooth extraction of all four wisdom teeth about six days ago. Bleeding from the ...
  A: It is possible that you have an Oral antral communication as a result of the tooth being extracted. ...
Lip Fibroma Healing12/24/2009
  Q: Saxe: About three weeks ago I had a fibroma removed from the inside of my lower lip by an oral ...
  A: It sounds as if this area has normal scarring which takes 6 months to soften. Do not put anything on ...
Tooth and cheek pain12/23/2009
  Q: After i got my two teeth pulled one was my wisdom tooth and other was the one in front of wisdom ...
  A: Hopefully you are feeling better I was out of town. If not my best advice would be to see a board ...
Broken Jaw/Teeth shifting12/18/2009
  Q: Dr. Saxe, I recently broke my upper jaw and had reconstructive jaw surgery that included two plates ...
  A: To answer your broad question would be impossible. Shifting of your lower teeth would not be normal, ...
toot infection12/15/2009
  Q: but from 3/4months ago i saw a small fistul on my gum an pas was coming out.went to dentist x -ray ...
  A: I cannot answer your question accurately without an examination and reviewing an xray. If you have ...
pain and swelling in the jawbone12/14/2009
  Q: my name is michelle. i am 46 yrs. old. i have an old mouth injury from a car accident in 1980. ...
  A: It is simply impossible to answer your question in this format. My best advice would be to seek the ...
bone protruding through gum12/11/2009
  Q: Very strange - About 4 weeks ago, I developed a small sharp spicule(?) on the right inside of my ...
  A: If you smoke stop. These entities are more prevalent in smokers brush the area thoroughly and rinse ...
salivary gland12/9/2009
  Q: I just got back from the dentist and he thinks I might have a blocked salivary gland, but he issn't ...
  A: It is possible that this is a stone but it may be many other things. My best advice would be to ...
protuding chin not jaw11/22/2009
  Q: will a maxillofacial surgeon be able to fix my protuding chin? because i have looked at many ...
  A: Yes an Oral & Maxilofacial Surgeon can fix your chin be sure to consult with a board certified one. ...
tooth extraction11/21/2009
  Q: i have a tooth extracted lower one . it has been 4 days now. i see a white area and around it tissue ...
  A: THE TISSUE SHOULD BE GENTLY BRUSHED 3 TIMES A DAY, AND RINSE IMMEDIATELY AFTER GENTLY. IT IS NORMAL ...
First Molar Extraction11/17/2009
  Q: i had just extracted my first molar yesterday and the area of the extraction shows white randomly at ...
  A: It sounds as if you need to brush better. The only symptom of a dry socket is a relentless pain ...
surgery11/14/2009
  Q: i am 19 years old. i went to an orthodontist for treating my buck teeth, and it was found that i ...
  A: Yes there may be alternatives. If you did need surgery it is not painful and relatively simple an ...
do i have a oral fistula that will heal by itself?11/3/2009
  Q: 7 days ago, i had my upper right wisdom tooth taken out, the surgeon did not explain potential risks ...
  A: It is possible that the fistula may spontaneously close. Hopefully you are on antibiotics. If after ...
lower jaw pain and occasional burning in mouth 2.5 weeks after wisdom extraction11/2/2009
  Q: Dr. Steven, about 2.5 weeks ago i had my upper and lower wisdom teeth on my left side extracted. ...
  A: It sounds as if you still have a dry socket or possible infection. My best advice would be to get a ...
Swollen a little after tooth extraction on the 4th week10/31/2009
  Q: I removed my wisdom tooth on my left cheek 4 weeks ago, i realised my both cheeks is not even, my ...
  A: As long as you are not experiencing pain or drainage of pus, most likely you are healing normally. ...
Wisdom tooth - facial swelling10/27/2009
  Q: My daughter had her wisdom teeth removed five days ago. The left side of her face shows some ...
  A: It sounds reasonable if you have no confidence in your doc get a second opinion in your community.My ...
Tori removal bilateral lower10/26/2009
  Q: I recently went to a Oral Surgeon for a consult for lower bilateral tori removal prior to having ...
  A: Yes this is a realistic cost, this is not something that you should shop around for, you need the ...
Wisdom tooth/Gum10/21/2009
  Q: A little over 6 months ago I had my right bottom wisdom tooth pulled. The tooth was impacted half ...
  A: I would advise you to see a board certified oral & maxillofacial surgeon to examine you and to ...
teeth removal10/18/2009
  Q: I had my jaw broken sometime ago.Now i need all my teeth removed. I only have a few that i can use ...
  A: I cannot answer your question, I do not know how you expect me to answer, you gave me no ...
Tongue Biopsy & Pain?10/15/2009
  Q: I had a biopsy taken from my tongue and cheek 2 days ago for suspicious looking lesions. (both ...
  A: I believe that you require a diagnosis by a board certified oral & maxillofacial surgeon. It is ...
Tooth extraction10/12/2009
  Q: I have a cracked tooth that requires extraction (#30), and I've been told that I would need a bone ...
  A: To answer your question correctly it is dependent on many factors. My best advice would be to seek ...
Gum transplants10/3/2009
  Q: Saxe: I had to have a dental implant on a front tooth. The gum receded. I was told that I could not ...
  A: This is a very difficult problem it is possible that you may be able to have it repaired with a bone ...
Dry socket/ head pain10/2/2009
  Q: - I just want to thank you in advance for answering my question! I had all four of my wisdom teeth ...
  A: The packing should be changed in a couple days to put new medication in contact with the bone. I ...
oral surgery9/26/2009
  Q: I'm scheduled for a surgery to remove a tooth that the filling fell out & part of the tooth is gone ...
  A: Hopefully your surgeon is board certified. I do not know how you can expect me to answer your ...
having six top back teeth pulled9/24/2009
  Q: I am having six top back teeth pulled soon. The last three teeth on my top right (including the ...
  A: I would follow up with board certified oral & maxillofacial surgeon for a complete exam of the ...
mandibular tori removal9/20/2009
  Q: Im 37 years old and was DX with WEGENERS GRANULOMOTOSIS when I was 18.Since then I have had to take ...
  A: It is probable that you will continue prednisone for several years. Any surgery that you have will ...
enopthalamos9/19/2009
  Q: can a sinus fracture result in enophthalamos over 2 months later? i sustained a maxillary sinus ...
  A: You probably had a more extensive fracture than just the sinus. You most likely had an un- detected ...
bone pain9/12/2009
  Q: sir,i had decayed lower right posterioir second molar which my dentist advised to extract.he ...
  A: It is possible that there may be some irritation to the nerve that supplies the first molar which ...
Lower jaw surgery problems? Or?9/10/2009
  Q: I hope you can help me. I had an overbite, and at 38 years had braces and lower jaw surgery (21 ...
  A: Your case is extremely complicated due to the fact you had orthodontic and surgical manipulation of ...
sliding genioplasty9/4/2009
  Q: Could you tell me if a reduction slidingd genioplasty (with normal occlusion) is performed by an ...
  A: An Oral & Maxillofacial Surgeon is a recognized specialty of the AMA and ADA, a cosmetic surgeon is ...
had top #3 molar pulled about 4 days ago8/29/2009
  Q: I was eating and the hard i would even say crusty cover over where my tooth was has come off and now ...
  A: It is difficult to answer you without examining the area. I am not sure why you had a bone graft ...
implants and grafts8/24/2009
  Q: Assume a person had a dental bone graft with cadaver bone 8 months after a lower molar tooth was ...
  A: Anything is possible my best recommendation would be to have a panorex at a board certified oral & ...
Broken jaw8/22/2009
  Q: My daughter broke the tip off of her jaw bone. It is no longer in socket. Surgery was not advised. ...
  A: Your description is very vague I cannot answer this question in this format. I would highly suggest ...
?alveoplasty8/20/2009
  Q: I had an old set of upper dentures and that Dentist could not adjust them, poor man. Well after 18 ...
  A: The need for alveoloplasty is determined by your dentist which will convey their concerns to a board ...
Wisdom teeth extraction- recovery8/19/2009
  Q: I got all four wisdom teeth taken out under general anaesthetic 5 days ago. The day after I was ...
  A: It sounds as if you may be infected you should be placed on antibiotics, additionally I think that ...
87 yo father8/17/2009
  Q: My 87 yo father is in poor health. he needs 3 teeth pulled and the surgeon is insisting that he ...
  A: Perhaps he should have the procedure done in a hospital setting. I am not sure of the details your ...
wisdom teeth extraction8/16/2009
  Q: My son had all four impacted wisdom teeth surgically removed 6 days ago. He was totally sedated. ...
  A: This sounds normal keep heat on the jaw, rinse with hot salt water, brush the areas where the teeth ...
Pain in jaw8/13/2009
  Q: Saxe, My daughter when she was 17 was involved in a car accident. Her jaw was broken in two places. ...
  A: It is difficult to guess but yes it is possible that a plate has come loose this can easily be ...
Impacted canines or something else?8/11/2009
  Q: I am an adult with upper baby canine teeth and their permanent teeth equivalents behind them. I am ...
  A: It sounds as if you need to see a Board certified orthodontist and Oral & Maxillofacial Surgeon in ...
tooth extraction exposed bone/dry socket8/10/2009
  Q: i had a difficult tooth extraction on august 4, 2009. the tooth broke into pieces during the ...
  A: stitching is usually not necessary for most extractions. bone is normally cut, it sounds as if you ...
Nerve Pain after molar extraction8/9/2009
  Q: I had a lower molar pulled 9 days ago and am still having SEVERE nerve-type pain. I have trouble ...
  A: To begin with you are overdosing on Motrin you can only take 2400 mg in 24 hours depending on your ...
bump on roof of mouth8/5/2009
  Q: Saxe, A few months ago I noticed a white lump on the roof of mouth. It is very small and painless, ...
  A: the only way to tell if it is cancerous is to biopsy the lesion. Mean while you should quit smoking ...
Sinus Lift8/3/2009
  Q: What is the average cost across the country of Sinus Lift.
  A: This depends on how much bone is to be grafted, the degree of difficulty or the time necessary to ...
Jaw pain and tightess8/1/2009
  Q: After having all my teeth extracted in April and a second exploratory in July am still in pain and ...
  A: This is a complicated questions because I have little facts and you would need a thorough exam by a ...
Technologies to detect vital/dead tooth and infection7/30/2009
  Q: Saxe. I wanted to post this question to an oral surgeon in the hopes that since you are a ...
  A: You are not alone many of us professionals feel as frustrated as you. The problem that you are ...
Wisdom Teeth - After the Extraction7/29/2009
  Q: I had my wisdom teeth removed 8 days ago (2 bottom ones and I only had the upper right one). Of the ...
  A: I think that you are OK but you need to be examined by a board certified oral & Maxillofacial ...
oral surgery7/24/2009
  Q: I the left side of my mandible broken in 2 places 5.5 yrs ago..I had surgery and my jaw was wired ...
  A: I would recommend that you follow up with a board certified oral & Maxillofacial surgeon to be ...
#97/22/2009
  Q: I was in a boating accident and the number 9 tooth was knocked out and the front part of the bone ...
  A: I would recommend that you follow up with a board certified oral & Maxillofacial surgeon to be ...
putting me to sleep7/4/2009
  Q: i have to have seven teeth removed but i am scared to death of being put to sleep is this pretty ...
  A: The risk of death from anesthesia for an oral & maxillofacial surgery procedure is literally 1 in a ...
wisdom teeth6/27/2009
  Q: .I had my bottom wisdom teeth removed 4 days ago. One side is sore but no swelling but the other ...
  A: You should probably be on antibiotics, place heat on your jaw, massage rinse with "coffee" ...
Scar tissue after remove chin implant6/26/2009
  Q: 1 year ago the had a implant surgery intraoral but 1 months later the doctor remove the ...
  A: I think that you should not be concerned about the scar in your mouth no one can see it anyway. You ...
bone spur?6/25/2009
  Q: I am 45 years old. About 2 months ago I started having pain in my jaw and noticed sharp pieces of ...
  A: If you smoke stop. This is being caused by a unusual phenomena usually seen in people your age who ...
Roof of Mouth6/23/2009
  Q: Over the past 5-6 months, the rugae on the top of my mouth have become more pronounced...no ...
  A: It is possible that you have some type of food allergy, like a contact dermatitis. It can also be ...
Nerve damage after wisdom tooth removal6/18/2009
  Q: I have several questions about the after effects of having my lower left wisdom tooth removed. I am ...
  A: Your dentist needs to send you immediately to a Board Certified Oral & Maxillofacial Surgeon for a ...
Wisdom tooth extraction hole to sinus6/18/2009
  Q: I had my four wisdom teeth extracted two days ago, June 16 2009, and have noticed there is now a ...
  A: You need to see a board certified Oral & Maxillofacial Surgeon to treat your problem. It is possible ...
wisdom teeth post-surgery questions6/17/2009
  Q: Saxe, I am 39 and had all 4 of my wisdom teeth removed 8 days ago. I have 4 questions for you... ...
  A: I hope that you are seeing a board certified Oral & Maxillofacial Surgeon. I will answer your ...
Oral mucoceles6/16/2009
  Q: I have just recently had 5 oral mucoceles removed this past Saturday and have had 2 others removed ...
  A: Any irregularity of the teeth coming into proper occlusion, for example orthodontics, night guards, ...
Dental Surgery6/15/2009
  Q: Please ignore the previous question from me. I didn't indicate the period of time I've had the ...
  A: Unfortunately, you have waited too long to have any repairs of your nerve that can be predictably ...
Oral surgery6/14/2009
  Q: Hey i had a root tip taken out by my sinus like 3 days ago and got some listerine in my nose is that ...
  A: you need to follow up with a board certified Oral & Maxillofacial Surgeon today to be examined and ...
Missing permanent tooth6/14/2009
  Q: I'm 22 years old and my canine #6 permanent tooth never came down and is in the roof of my mouth ...
  A: The procedure is a simple one that only takes a couple of minutes. The time consuming or hard part ...
unfinished extraction6/13/2009
  Q: my sister is getting paranoid about her unfinished extraction last wednesday. lower right molar was ...
  A: I do not feel that she has been sufficiently treated. Root canal treatment is not an acceptable form ...
Granulation Tissue and White Tissue6/12/2009
  Q: I had all 4 wisdom teeth removed a week ago. I have been researching many places online to find out ...
  A: To begin with if you saw a board certified oral & maxillofacial surgeon you would not be asking me ...
alveolar bone graph6/11/2009
  Q: His lip was surgically closed at 2 months, palate at 1yr., 2 surgeries to repair a pin size hole in ...
  A: When we normally stage grafting procedures I begin similarly, I do not recommend bone grafting until ...
Tooth Extraction6/11/2009
  Q: I had a wisdom tooth extracted on Monday. My cheek got really big and swollen. Today is Thursday and ...
  A: I think you have misinterpreted what your dentist explanation was. By chance if this was the case ...
dry socket6/11/2009
  Q: I recently had a tooth extracted and "material" put in the socket for a future implant, and placed ...
  A: First, I do not put "material" in an extraction site. Depending on the circumstances, which there ...
pain two weeks root treatment6/8/2009
  Q: I had a root treatment surgery (not just canal treatment)two weeks ago on the upper right #3 tooth. ...
  A: The apicoectomy of tooth #3, which I believe is the procedure that you are talking about. Is a last ...
GUM DISEASE6/8/2009
  Q: I have severe gum disease with some 5 and 9 pockets.I am suppose to have gum surgery soon, he told ...
  A: I cannot answer the cost question it is too patient dependent. Normally it takes 6 months for bone ...
Tooth implants6/8/2009
  Q: I extracted 5 teeth #18 through #22 before finally I was diagnosed with the permanent nerve damage ...
  A: I would recommend a comprehensive treatment plan by conferring with a board certified oral & ...
Packing fell out on the weekend6/7/2009
  Q: My question I believe is basically straight forward, however a little background information is in ...
  A: In the case of osteomyelitis one needs to know the bacteria that they are treating through a culture ...
Bleeding after wisdom tooth extraction6/7/2009
  Q: I had my complete bony impacted wisdom teeth extracted three days ago. I've bee very, very careful, ...
  A: you need to call your surgeon immediately or go to the Emergency Room you may have some type of ...
sinus membrain opened after tooth extraction6/6/2009
  Q: I had to have all my teeth removed two months ago and the day after my surgery I sneezed and I tore ...
  A: If this hole has not closed by now, it will not ever close. 2 weeks is the rule, no closure after ...
tumor in the jaw6/3/2009
  Q: i have a question, my mom have been going through a problem with her tooth. what happens is that her ...
  A: I am at a disadvantage because i cannot examine your mom review her health history or look at her ct ...
Underbite surgery6/3/2009
  Q: I am having surgery to correct my underbite in two weeks.My surgeon said I have to make the decision ...
  A: It would not eliminate the chance if rigid fixation were not used, but it can reduce the chance ...
wisdom teeth extraction 6 days ago6/1/2009
  Q: "Hi.., I have a few questions and am hoping you can fill me in. I had my 4 wisdom teeth removed on ...
  A: It sounds as if you left your post operative instructions at your surgeons office. 1. depends on ...
Jaw pain/clicking after braces5/31/2009
  Q: I had braces for all 4 years of high school. During those 4 years there were no problems but ...
  A: I would discuss your problem with your Orthodontist, yes this is very common but it is due to ...
Neuroma5/30/2009
  Q: Dr. Saxe: 12/08 I had a crown replaced on #19 that I had never had an issue with but the dentist ...
  A: You need an MRI of the base of the skull/Trigeminal Ganglion and the brain with contrast. I would of ...
Recovery and numbness after jaw surgery5/29/2009
  Q: First, thank you in advance for taking my question. I had surgery to my lower jaw almost one year ...
  A: Your question is far too complicated to explore in this format I would need several details and ...
Baby Canine5/29/2009
  Q: I am 25 years old and my canine tooth (the baby teeth) is still there. I took an x-ray and was told ...
  A: Yes something can be done. You need to see an Orthodontist who will create a space, with braces, ...
Wisdom Teeth Stitches Removal5/24/2009
  Q: I had all four wisdom teeth removed 3 days ago. I have had almost no pain or swelling, except for ...
  A: Brush the sutured area gently, have a big glass of Hot salt water sitting next to the sink. As soon ...
Swelling and Pain5/24/2009
  Q: I had my wisdom teeth out about a year ago and I keep getting swelling and teeth pain off and on. I ...
  A: You need to see a board certified Oral & Maxillofacial Surgeon for a detailed Neurologic exam and ...
Lymph nodes beneath my left ear5/23/2009
  Q: i had a tooth inflammation 3 weeks ago and the dentist told me to cure the inflammation with warm ...
  A: Please see a board certified Oral & Maxillofacial Surgeon for a detailed exam review of your health ...
Wisdom teeth removal5/20/2009
  Q: My daughter's oral surgeon suggests that she should take a test dose of vicodine a couple of weeks ...
  A: I think this "test" is a ridiculous waste and I have not heard of this practice in the past 26 years ...
Complications from surgery5/17/2009
  Q: I had my all my teeth removed and a denture set both upper and lower. I had the first surgery and ...
  A: Unfortunately, I cannot review your xrays or health history and examine you. It sounds like you ...
Jaw problems..5/14/2009
  Q: I'm 16 years old and I just got 3 wisdom teeth extracted on Saturday which was 5 days ago. The ...
  A: Unfortunately I cannot examine you or review your health history. This sounds normal but you ...
bone graft5/14/2009
  Q: I once had all four of my impacted wisdom teeth pulled without bone graft and healed fine.Now my ...
  A: Your board certified oral and maxillofacial surgeon should be consulted. This procedure sounds ...
wisdom tooth5/14/2009
  Q: I had 3 wisdom teeth out April 26. 2 upper, 1 lower. The lower 1 was impacted and tough to remove. ...
  A: Sensitivity may be normal but your adjacent tooth should not be loose unfortunately I am unable to ...
Broken Jaw- Teeth not lined up correctly5/14/2009
  Q: Here is the ordeal I am dealing with currently and could use some guidance or help on the matter. ...
  A: Unfortunately I think you need to go back to surgery now before any more healing takes place ...
facial pain5/13/2009
  Q: I had and impacted molar extracted one week ago. Since then I have been experiencing a tingling and ...
  A: There are alternatives to the pain medicine for treating this inflamed or damaged nerve. The details ...
Jaw Pain - I think you performed my surgery5/12/2009
  Q: Saxe, About 5-6 years ago my jaw was broken. I was sent to a doctor, I think it might have been you ...
  A: I do not remember I have seen a lot of Davids with broken Jaws. If you are having difficulties come ...
distal wedge5/12/2009
  Q: I was suggested to do this proceedure. I have an upper molar that after scaling/cleaning the ...
  A: Yes that is the correct test. You should not have to be nervous for any procedure if you have ...
mucocele5/12/2009
  Q: ok so i just got a " Mucocele" removed from my lower lip, about 12 hours ago, it was fine, a little ...
  A: Place ice on it and follow the instructions. Gently hold pressure on it by squeezing your lip. Call ...
distal wedge5/12/2009
  Q: I was suggested to do this proceedure. I have an upper molar that after scaling/cleaning the ...
  A: Call your local board certified Oral & Maxillofacial Surgeon to review your health history, xrays ...
Apecoectomy5/11/2009
  Q: I had an apecoectomy seven years ago. Recently the area has been bothering me. I went to my dentist ...
  A: an apicoectomy is a last ditch effort to preserve a tooth in the mouth, by the last means possible. ...
gum pain5/10/2009
  Q: please can you help?? Background : 2 Years ago I had a bone graft and implant done on my upper right ...
  A: Unfortunately I cannot review your health history or examine you and your xrays in any detail. I ...
Cyst removal5/8/2009
  Q: My surgeon is recomending a procedure in which my upper jaw is to be detached to facilitate removing ...
  A: Unfortunately I cannot examine you or review your health history and xrays, but if this is your ...
Gum recession5/7/2009
  Q: I am a 28 year old who in the past year has had significant gum recession on the front two bottom ...
  A: This problem may be related to your brushing habits. You should seek the care of your General ...
Infection after multiple extractions5/5/2009
  Q: I had several extractions and an immediate upper denture placed about a week ago. Being no stranger ...
  A: It is possible that the bacteria are resistant to the antibiotic. Please follow up immediately with ...
Gum Flaps after suture removal5/4/2009
  Q: I had 5 teeth removed almost 10 days ago (#2-6) The sutures were recently removed however there is ...
  A: It normally is not a problem just gently brush the area, rinse with warm salt water and follow up ...
Swelling one month after tooth extraction5/3/2009
  Q: I am a healthy 51 year old female. I had my 2nd from the left, bottom, back molar extracted and ...
  A: It sounds as if you have an infection I would definitely see a board certified oral & Maxillofacial ...
Massive Infection and Deep Trauma to Jaw Bone After 2 Wisdom Tooth Extraction5/2/2009
  Q: Approx. 1 1/2 weeks ago I had 2 wisdom teeth (#s 16 and 17) extracted by a less than reputable oral ...
  A: From your side of the story it sounds like you have a infection present. Without examining you, ...
infection after removal of wisdom teeth5/1/2009
  Q: I had my wisdom teeth removed in March. This morning, I woke up in pain. My lower left jaw was ...
  A: It sounds like you have an infection. I would contact your oral & Maxillofacial surgeon immediately, ...
Facial pain after extractions4/30/2009
  Q: I had my impacted wisdom teeth removed 17 days ago. I got a dry socket on one but that pain has ...
  A: i am not sure what your question is but it does not seem normal for you to have these symptoms 17 ...
infected sinuses after tooth extraction4/30/2009
  Q: I had my right upper molar extracted over a month ago that left a communication with my sinuses and ...
  A: I believe that you still have a problem from your description. If the surgeon told you that it is ...
Pain well after surgery4/30/2009
  Q: My 24 year old daughter had her impacted wisdom teeth removed 7 days ago. She developed 2 dry ...
  A: I hope that you are correct and your daughter is not smoking. This alone is the most common reason ...
joint replacement4/28/2009
  Q: I have bilateral condylar resorption of the TMJ . I've been told I should have the joints replaced. ...
  A: This is a very complicated situation which cannot be answered in this forum. You need to be ...
metal plates-problems now4/27/2009
  Q: when i was younger (19),i got a very bad beaten by some youths,my jaw was very badly broken and had ...
  A: I think it would be best for you to see a board certified Oral & Maxillofacial Surgeon to see if you ...
Wisdom Teeth Extraction4/27/2009
  Q: I'm a 17 y/o male, and my wisdom teeth are growing. I can see them barley starting to protrude my ...
  A: You can get your wisdom teeth out when you are ready. Contrary to popular belief wisdom teeth DO NOT ...
wisdom teeth4/27/2009
  Q: i had my wisdom teeth removed 11 days ago. my lower left was inpacted and required braking of the ...
  A: It is possible that you may have an infection brewing and you made need to be on antibiotics. ...
Dry Sockets4/22/2009
  Q: I am a 25 year old female, non-smoker, currently taking HRT in the form of oestrogel twice daily. I ...
  A: Unless you weigh less than 50kg you are taking too low a dose of antibiotic. Adult dose approx. ...
Dry Sockets4/22/2009
  Q: I am a 25 year old female, non-smoker, currently taking HRT in the form of oestrogel twice daily. I ...
  A: A dry socket should have the dressing placed on a daily basis and be re-packed until the symptoms ...
Bad molar contact4/21/2009
  Q: I am an American presently deputed in Afghanistan. Recently I had to visit a local dentist due to a ...
  A: See if you can possibly see a board certified Oral & Maxillofacial Surgeon in the military who may ...
returning mucocele4/21/2009
  Q: My 4 month old baby was born with a mucocele on her bottom lip and one down her throat. They keep ...
  A: It sounds like the lip lesion needs to be re-excised. It is possible that these ulcers may be a ...
Bone Graft Membrane Exposed4/20/2009
  Q: 10 days ago I had perio surgery on my gums over my top four front teeth along with a bone graft. I ...
  A: It is extremely difficult to access your unfortunate situation with out examining you or reviewing ...
Oral and Maxillofacial surgeons' recommendations4/18/2009
  Q: Recent years, My child has developed an occlusal discrepancy caused cross bit (sideways) and facial ...
  A: What you need to begin with is a board certified orthodontist who would refer you to a Board ...
bony growths inner mandible4/17/2009
  Q: Greetings, My mom is 88 years old and has recently been fitted with a new full upper plate and had ...
  A: Under normal circumstances the sharp bony growths are removed by a board certified Oral & ...
Bone Fragments Breaking Through Gums4/17/2009
  Q: I have had two bone fragments poke through my gums. An oral surgeon removed the second piece, which ...
  A: If you smoke, expect more fragments it is completely normal after a third molar extraction. If you ...
teeth issues4/15/2009
  Q: I recently have had a root canal on tooth 2 and it still hurts till this day. It didn't hurt like ...
  A: There can be several reasons which may cause a root canal treated tooth to have pain. Including a ...
Should MRI Pick Up A Tumor In The Hard Palate4/5/2009
  Q: Could you tell me if a soft tissue MRI of the neck with and without contrast should pick up a tumor ...
  A: The MRI with and with out contrast should be performed at the skull base or sinuses to determine if ...
Oral Surgery4/5/2009
  Q: I had my 2 upper wisdom teeth pulled on wednesday. they had not erupted yet. the left side is find, ...
  A: Call your board certified Oral and Maxillofacial surgeon that covers call for your surgeon ...
bone spurt after wisdom teeth extraction4/4/2009
  Q: I got all four of my wisdom teeth extracted in January. I had a lot of pain on the right side of my ...
  A: I am not very concerned about your bone spur, vigorous brushing over the sharp area and warm salt ...
Increased throbbing pain 3 weeks after oral surgery4/3/2009
  Q: I broke my jaw in a cycling accident 3 1/2 weeks ago. Fractured badly at chin (two plates there ...
  A: Your question is so long and complicated I really do not know where to start. Bottom line: See a ...
Unfavorable Orthognathic Outcome4/2/2009
  Q: I had upper and lower jaw surgery in November of 2007. I also had a chin implant. My question ...
  A: Unfortunately I cannot answer your question. It is very complicated without seeing you and ...
Wisdom tooth Hematoma4/1/2009
  Q: I recently had my 4 wisdom teeth pulled. I had lots of stitches placed as well as lots of bleeding. ...
  A: Assuming that you are on antibiotics and seeing a board certified oral & maxillofacial surgeon. I ...
Wisdom Teeth Extraction Problems4/1/2009
  Q: I am a 25 yr old female who had all 4 wisdom teeth extracted on 3/6/09. On 3/3/09, I was treated for ...
  A: I believe that you may have an infection and I recommend that you see your board certified Oral & ...
Dry Socket4/1/2009
  Q: I got all 4 wisdom teeth removed on Friday 3/27/09. I am still in so much pain. When I lay down my ...
  A: I think that you have a dry socket. The only way to relieve the pain is to see your board certified ...
Dental Implants Healing and Gums4/1/2009
  Q: 3 years ago i had a road accident and knocked out and broke most of my top front teeth (two middle ...
  A: It sounds like you may not only have a problem that needs surgical attention but you also need the ...
scalpal left behind in max. sinus3/31/2009
  Q: Yes..you read it correctly. About 27 years ago I had oral surgery to remove my wisdom teeth ...
  A: You definitely need a consultation with a Board certified Oral & Maxillofacial Surgeon or ...
general anesthesia for wisdom teeth extraction3/31/2009
  Q: My daughter had her wisdom teeth extracted by an oral surgeon. General anethesia with iv valium, ...
  A: This is a very complicated definition but the standard from the American society of Anethesiology ...
WISDOM TEETH REMOVAL3/31/2009
  Q: I Had my wisdom teeth removed 5 days ago. Is it normal to have the stitches falling out already? ...
  A: Yes, there are several different types of material to close wounds or "STITCHES" as a result of a ...
pain after wisdom teeth extraction3/31/2009
  Q: i got my wisdom teeth out a little over a week ago, and i feel as though on my right side my teeth ...
  A: I am not exactly sure what is happening because I do not have the privilege of meeting and ...
Post Tooth Extracton3/31/2009
  Q: I had a tooth extraction on tooth #19 earlier today. But had an abscessed tooth beside it. Should I ...
  A: First if this is still present you should call your doctor immediately if you cannot get a hold of ...
procedure for molar extraction with amalgam3/30/2009
  Q: At times, it is necessary to drill into a molar to facilitate a successful extraction, or at least, ...
  A: The question is dependent on many factors. 1. How are you trained to remove the tooth, if you ...
eye teeth3/29/2009
  Q: When I was 13 I still hadn't lost my top two eye teeth (canines) so I had surgery to pull the baby ...
  A: This condition is referred to as impacted canines, teeth numbers 6 & 11 on top and teeth 22 & 27 ...
bone grafts3/29/2009
  Q: I had a bone graft a few months ago to build up an aveleor ridge and they said it takes about 6-8 ...
  A: To begin with this is a very complicated question. It does not sound like you had a detailed ...
Gum Grafting3/13/2009
  Q: Why would you get gum grafting after oral surgery was performed. I had bone augementation, to my ...
  A: I am not sure what you mean by "gum grafting"? Anything that you have done is a billable procedure ...

All Questions in This Category

Oral Surgery

All Answers


Answers by Expert:


Ask Experts

Volunteer


Steven A Saxe D.M.D. Board Certified ABOMS

Top Expert on this page

Expertise

The Dental specialty of Oral & Maxillofacial Surgery

Experience

Oral and Maxillofacial Surgery practice for 20 years

Organizations
AAOMS ABOMS ADA NDBA NDA SNDS

Education/Credentials
Washington University School of Dental Medicine D.M.D. Sinai Hospital of Detroit Oral & Maxillofacial Surgery

©2012 About.com, a part of The New York Times Company. All rights reserved.