X's Q & A

Q&A: What should I do if I had jaw surgery for TMJ and now my other jaw is popping?

My first recommendation would be to follow-up with the surgeon that treated the other joint to re-eval both sides. These symptoms may be early changes that could be managed conservatively ie: soft non-chewing diet, physical therapy, bite splints etc.

Q&A: Who should I see if I continue to have sinus inflammation after deviate septum surgery?

Have you seen an allergist? An ENT doctor? That would be my suggestion.

Q&A: What should I do if I continue to have sinus inflammation after I had surgery for a deviated septum?

You need to talk with an ENT MD.

Q&A: What is the cost of an implant on a front tooth?

Your best bet is to call around to your local Oral Surgeons and ask or search for them right here on Professional fees vary from area to area, and state to state. Beware of "clinics" and GP's who do both the surgery and the final prosthetic work. Stick with a Surgeon who has had additional training in this type of treatment. We refer to GP's and periodontists who do implannts as "weekend warriors", that is they go to a twoday class, and then back to their office on Mondays to start putting in implants...not a good idea.

Q&A: What are the likely side effects from jaw surgery to correct an over bite?

Oli, Risks and benefits are so individualized, that it would be better that you direct your questions to the surgeon who will be doing your treatment. It would be unfair of me to attempt to answer your questions without the benefit of your xrays, models, prediction tracings and consultation with your orthodontist. Good Luck

Q&A: Should I be concerned if I continue to have severe pain from teeth extraction and I have daily visits to deal with dry sockets?

It unfortunately is a waiting game but it will get better. This can sometimes last for a few days to a week or so. Continue with your follow-up visits.

Q&A: What is the cause of and timing for the loss of a large lump in my cheek following 4 wisdom teeth extractions?

Dear Kristen, As you will no doubt learn in your orthopedic rotation what your are experiencing in a bony callus formation over the area where the bone was removed during the wisdom tooth extraction. As the natural underlying bone heals it will lay down a protective layer. As the socket fills the callus will disappear. It may last three weeks, but usually by the second week, baring any inflammation or infection, it should be quite small, and only perceptable with palpation. The pain in the more swollen side is most likely muscle inflammation which is best treated by ASA or NSAID and moist heat. Use the heat as you did the first day or two with the ice packs. You will have beter pain relief if you take the OTC meds on a regular schedule, just don't exceed the daily recommended dose ( prevent GI upset). You trismus, tight jaw will resolve faster as well with consistent use of the moist heat when you can do so. Do not attempt to over do jaw motion, as it will just further inflame the tissue. Stick to a softer diet and be protective of yawning and sneezing( I know sounds odd, but think about it) Also, as your resident will learn as time goes by...young women will swell more at your age for a number of reasons (big teeth, small mouth, his inexperience, length of time it takes to complete treatment etc...)but one he won't realize for a while is if he is right handed, all his patients will swell slightly more on the left because access and visibility are more difficult on that side for a right handed operator, especially if he was sitting down for the surgery! Us old guys still stand up for everything! Good luck with school and don't worry about your cheek, it will be very self limiting.

Q&A: What can I do to improve my smile if the roof of my mouth is very narrow?

This is difficult to answer without examining you. Many options are available (ie: braces, surgery) but follow up with an Oral & Maxillofacial surgeon of your choice to thoroughly examine you.

I can't give you an answer without seeing your models, xrays, and doing an exam. Fees vary with the complexity of the surgery, and vary from region t region as well as practice to practice. Most major medical plans will cover jaw surgery if you can prove medical need.

Q&A: Can lower jaw surgery fix a receded chin, help my snoring and are there risks and will I need orthodontics?

Jeff would be better off calling a local Oral Surgeon in your area to answer your questions. I cannot make an opinion on your case without the use of xrays, and a complete exam. The best I will say is yes,jaw surgery can correct a deficient jaw, and yes,there are risk which any patient must be aware of prior to starting treatment, and yes, often it is done in conjunction with orthodontic treatment, and no, often there are no external scars.

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