the right smile

Educating Patients on their Oral Health Options


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Dentist Sandy Springs: Steps In Dental Implant Treatment

implant4The procedure is often performed in the dental office using a local anesthetic by a team of dentists, usually a prosthodontist (or a general dentist in some cases) and an oral surgeon or periodontist. During surgery, each implant is placed within the bone to serve as an anchor for the attachment that will eventually support the replacement teeth.[1]

Generally, four to six months is allowed for the bone to grow into the implant(s) (osseo-integration) and hold them securely in place like your natural teeth are held in place.  Once the bone has adhered (integration) and firmly healed around the implant, a small attachment is placed on top of each implant. The attachment (abutment) protrudes through the gum-line and serves as an anchor for the restorative crown.

After your gums have healed, an impression of the attachments and your mouth is taken, then the permanent teeth or dentures are fabricated in a dental lab and will be placed on top of the attachments during your final visit.

Subsequent to your final restoration, there will usually be some follow-up visits to ensure the restoration is functioning well in conjunction with the support structure.

Hopefully this short explanation is helpful.  If you have any questions or concerns please contact us.

 

Novy Scheinfeld, DDS, PC

290 Carpenter Drive, 200A

Atlanta (Sandy Springs), GA 30328

404-256-3620

info@rightsmilecenter.com

www.rightsmilecenter.com

 

Thank you for all your referrals.  We truly appreciate them.

Information included is not dental or medical advice.  For your specific information

 be sure to consult your dentist.


[1] This assumes the tooth is either missing or has been extracted.


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Dentist Sandy Springs: The Right Care Keeps Patients Smiling

Restorative dentistry is an excellent tool for repairing smiles, improving oral health, and boosting one’s confidence.   Today, with so many options for restoring function and esthetic appeal, there’s still no substitute for the proper general dental care they need.

That’s why the Right Smile Centers offers state-of-the-art preventive dentistry, so you can keep your natural smile for years to come.  Preventive care isn’t just about what we can do you.  We emphasize our partnership in your oral healthcare.  So, it’s also about what you can do to help yourself!

Attention to Detail from Your Very First Visit.  We don’t push product and we definitely don’t try to sell you dentistry.  Our job is to educate you on your needs and what you can do to maintain the best oral care possible.

Scheduling an appointment with a new dentist can be scary, but it doesn’t have to be.   Knowing what to expect can go a long way towards putting your mind at ease.   When you come to our office for your first visit, Dr. Scheinfeld and her team will perform a comprehensive oral exam to check for signs of gum disease, oral cancer, and provide you with a tooth-by-tooth inspection. We’ll talk with you about your medical history and also take X-rays to get a more detailed idea of your overall oral health.  We’ll even perform your first cleaning if we don’t find a problem and time allows.

In your first visit we would like to get to know you, because we care about your concerns as much as your smile.

Educating Patients and Preserving Smiles

At the Right Dental Center, when you come to see us, we’ll also offer tips for improving your oral health.  Seeing us every six months is important, but so is knowing how much time to spend at the sink maintaining your oral health.

Your Partner in Oral Health

We’ll do everything we can to help you keep your smile healthy and disease free. You know what they say about an ounce of prevention!  With the use of sealants and fluoride supplements, we can give you extra protection where you need it most.

If you live in Sandy Springs, or one of our surrounding areas call our office today to schedule your first visit.  We offer a full range of dental services, but educating our patients and helping them preserve their natural smiles for years to come is one of our highest priorities.  See what 393 reviews have to say about the Right Smile Center at:

 http://www.rateadentist.com/reviews/Georgia/SandySprings/NovyScheinfeldDDSPC.

 

Novy Scheinfeld, DDS, PC

290 Carpenter Drive, 200A

Atlanta (Sandy Springs), GA 30328

404-256-3620

http://www.rightsmilecenter.com


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Dentist Sandy Springs: Afraid of the dentist?

What can I do to make my visit better?

Many people get nervous at the thought of visiting the dentist. Quite frankly, I used to be that way also, which is why I have some insight into what you might be going through.  But don’t let your nerves stop you from having regular appointments, though.  We have many patients who have had that issue to overcome.  However, waiting too long to take care of your teeth may make things worse, even at the global health level.  Here are a few tips to make your visit easier:

•Tell the dentist and dental staff that you are feeling anxious. Getting your concerns out in the open will let your dentist adapt the treatment to your needs.

•Try to choose a time for your dental visit when you’re less likely to be rushed or under pressure. For some people, that means an early-morning appointment or maybe a last patient appointment.

•If the sound of the drill bothers you, bring a portable audio player and headset so you can listen to your favorite music. During the dental visit you might try visualizing yourself someplace relaxing, like on a warm beach.  There are times where we use aroma therapy.

• Ask your dentist if there are medications he or she can give you to help you relax (this is sometimes called “sedation dentistry”).

I write this information to try and help patients.  And given recent research and the relationship of your oral health to your global health, you can’t afford to not see your dentist on a regular basis.   So if there is anything we can do, please feel free to contact us.

Novy Scheinfeld, DDS, PC

290 Carpenter Drive, 200A

Atlanta (Sandy Springs), GA 30328

404-256-3620

www.rightsmilecenter.com


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Dentist Sandy Springs: Teeth Bleaching

More and more the esthetics of teeth are of great importance to patients, including tooth color.  The color of the teeth is influenced by a combination of their natural color and the presence of any external stains that may form on the tooth surface.   The type of natural stain and initial tooth color can play a significant role in the ultimate outcome of tooth bleaching.  Where oral health care used to be the primary function of a dentist, in the past 10 years the importance of tooth whitening for patients has seen a dramatic rise in the number of tooth whitening products and procedures to come onto the marketplace.  The relationship of the doctor and patient has changed.  And the demand by the consumer to kind of cookie cutter the results of esthetic dentistry is supplanting the traditional approach to oral health care.

 

 

 

 

There are a number of approaches to measuring tooth color changes following tooth whitening; each with their own advantages and disadvantages; and given the consumer’s demand for continued esthetic emphasis, tooth whitening will continue to demand further research and perfection.  The key factors that affect tooth whitening efficacy by peroxide containing products are a function of peroxide concentration, to a limited degree, light exposure and the allocation of application time.  In general, higher concentrations provide results faster than lower concentrations. While lower concentrations approach a similar degree of results as higher concentrations with extended treatment times, what appears to be a demand for immediate gratification by the consumer apparently drives a propensity to develop systems that deliver higher concentrations of peroxide with shorter application time periods.

Your smile is the first thing people notice. And our goal is to help you smile, but we want to make sure it’s the right smile, one that’s natural and comfortable for you.  If chipped, stained, or crooked teeth are “hiding” the real you, it’s time for what is commonly referred to as a smile make over. It is understood that a beautiful smile can brighten your lifestyle every day, both professionally and socially.  And unlike plastic surgery, teeth whitening isn’t a major operation.  Imagine coming in for a single appointment or two and emerging with the smile you’ve always wanted. The results are immediate and dramatic. There are many ways you can receive a youthful, attractive, natural looking smile.

You can be assured that as a prosthodontist, I understand the functional mechanics as well as the cosmetic artistry needed to evaluate and create the right smile for you. Your goals for achieving the smile you want and the dental health you need are my first priority.

Novy Scheinfeld, DDS, PC

290 Carpenter Drive, 200A

 

Atlanta (Sandy Springs), GA 30328

404-256-3620

receptionist@rightsmilecenter.com

www.rightsmilecenter.com

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Dentist Serving Dunwoody: Success Rates of Dental Implants

Dental implants are among the most successful procedures in dentistry. However, there are no guarantees that an implant procedure will be successful.  Given the complexity of the procedure, there are many variables that can play into the success rate.  The studies show a five-year success rate of 95 percent for lower jaw implants and 90 percent for upper jaw implants.  The success rate for upper jaw implants is lower because the upper jaw is less dense than the lower jaw, making the success of implantation and osseointegration slightly more difficult to achieve.  The lower posterior implantation has the highest success rate for all dental implants because of the density of the bone, there’s more to work with.

Other factors that have an impact on success are pre-existing dental or general health conditions or the position of the replaced tooth.  Dental implants may fail for a number of reasons, but the most come reason is the failure of the implant device to properly osseo-integrate.  The actual failure of the implant may be the result of poor positioning or over torqueing in the bone.  Although infrequent, dental implants may break or become infected or crowns may become loose the same way your natural teeth become loose.

If you are a heavy smoker, your dentist may advise you to give up smoking before undergoing the procedure because smokers statistically face a higher risk of implant failure. Given how expensive implants can be, one risks wasting money on dental implants if you can’t give up the habit. Other high risk candidates are patients with diabetes, hemophilia or immune deficiencies and rare instances, patients with chronic bruxism.

As I have noted in other articles the value of implants is significant with respect to bone retention and actual functionality, and they are not susceptible to the formation of cavities.  So as long as one engages in good oral hygiene, i.e. with brushing, flossing, and regular hygiene procedures, the chances of peri-implantitis (characterized by inflammation or swelling of the tissues surrounding the implant) should be avoidable.  This disease is similar to periodontitis around one natural tooth, and thus requires a similar approach to good oral hygiene.

Key factors in minimizing dental implant complications are the selection of an experienced prosthodontist and oral surgeon who specialize in implant dentistry, careful pre-operative treatment planning and proper after-care and oral hygiene. If you would like to know whether you are a candidate for implants please feel free to call for a free consultation.

Novy Scheinfeld, DDS, PC

290 Carpenter Drive, 200A

Atlanta (Sandy Springs), GA 30328

404-256-3620

www.rightsmilecenter.com                                                                           

receptionist@rightsmilecenter.com

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How Do You Find a Good Dentist?

American Dental Association

Image via Wikipedia

That’s really a tough question.  And for our practice it’s even more difficult, because we don’t advertise using conventional methods.  Ninety-five (95%) percent or more of our patients are referral based, either from an existing patient or another referring dentist.

Given our history and experience, we recommend asking for referrals from a co-worker or a neighbor.

If you have relocated from out of state to another city or state and want to find a good dentist, get a referral from your previous dentist or at least their second opinion.  This is probably the best option as your previous dentist probably knows someone he went to school with or has a professional affiliation with.  It is unlikely that he would give you wrong advice.  If you simply are not happy with the services given by your current dentist, you can ask for recommendations from your co-workers, friends, family members, and other trusted individuals in your life.  We have found that once someone makes a referral, the referred patient will go to our web site or reviews to validate the referral.  A combination of a trusted referral borne out by independent research will usually lead you to the right dentist.

How to Find a Good Dentist?

If you are planning to undergo any kind of dental treatment, you need to make sure that you get the services suited to your needs.   Choosing a quality dentist with the right skills and experience is the deciding factor in the success of the treatment.  While price is a factor, a well-respected dentist with long standing roots in the community is not going to be overpriced.  You certainly would not want to base your decision on an inexpensive root canal and crown treatment which could turn out to be ineffective in just a few months.  Dental issues are no small matter. You should in no way compromise on the quality of the dental treatment based on price.

If it’s cosmetic dentistry you are seeking, then look for a prosthodontist.  Prosthodontic dentists are with the passage of time gaining popular recognition as patients become more familiar with the advances in dentistry and how they can enhance their everyday lives. They are expert dentists with a post graduate ADA recognized degree from a dental school centered around a complete knowledge of dentistry, where function and beautification of teeth are combined in the final result.

Location of the Dentist

Again this is a tough one.  You should not necessarily choose a dentist whose office is pretty close to where you work or live.  This will surely help you in case of a dental emergency, but with a quality dentist as a general rule you shouldn’t have emergencies.  Obviously, if you can find a quality dentist close to where you work or live, you will reduce hassle for you in driving many miles just for treatment which requires frequent visits.  But for twice a year cleanings and examinations a few more miles shouldn’t create any issues.

Whichever dentist you choose in your locality, always make sure that he/she is a certified member of the American Dental Association (ADA).  When you are comfortable with your referral, compare the services, charges, dental insurance formalities, and other determining factors, before choosing a suitable one.  After you find all the above conditions satisfactory, simply call for a consultation.

Novy Scheinfeld, DDS, PC

290 Carpenter Drive, 200A

Atlanta (Sandy Springs), GA 30328

404-256-3620

www.rightsmilecenter.com


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Atlanta Dentist: I read this on Webmd.com

…. and thought it was a very practical approach to your dental care:

 

Just checking to see if your paying attention.

Your Oral Health Care Plan

Good oral health involves more than just brushing. To keep your teeth and mouth healthy for a lifetime of use, there are steps that you should follow. Here’s what you should consider:

1. Understand your own oral health needs.

Talk with your dentist, other oral health care specialist, or hygienist about any special conditions in your mouth and any ways in which your medical/health conditions affect your teeth or oral health. For example, cancer treatments, pregnancy, heart diseases, diabetes, dental appliances (dentures, braces) can all impact your oral health and may necessitate a change in the care of your mouth and/or teeth. Be sure to tell your dentist if you have experienced a change in your general health or in any medications you are taking since your last dental visit.

2. Develop, then follow, a daily oral health routine.

Based on discussions with your dentist, other oral health care specialist, and hygienist and considering your unique general health and oral health situations, develop an oral health routine that is easy to follow on a daily basis. For example, people with special conditions – such as pregnancy, diabetes and other underlying diseases, orthodontic appliances – may require additional instruction and perhaps treatments to keep their mouth healthy. Make sure you understand the additional care and/or treatment that is needed, commit to the extra tasks, and work them into your daily health routine.

3. Use fluoride.

Children and adults benefit from fluoride use. Fluoride strengthens developing teeth in children and prevents tooth decay in both children and adults. Toothpastes and mouth rinses contain fluoride. Fluoride levels in tap water may not be high enough without supplementation to prevent tooth decay. Contact your water utility to determine the level for your area. Talk with your dentist about your fluoride needs. Ask if fluoride supplements or a higher strength, prescription-only fluoride product is necessary for you.

4. Brush and floss daily.

Brush your teeth at least twice a day (morning and before bed time) and floss at least once a day. Better still would be to brush after every meal and snack. These activities remove plaque, which if not removed, combines with sugars to form acids that lead to tooth decay. Bacterial plaque also causes gum disease and other periodontal diseases.

5. Eat a balanced diet and limit snacking.

Eat a variety of foods, but eat fewer foods that contain sugars and starches (for example, cookies, cakes, pies, candies, ice cream, dried fruits and raisins, soft drinks, potato chips). These foods produce the most acids in the mouth, which begin the decay process. If you must snack, brush your teeth afterward or chew sugarless gum.

6. If you use tobacco products, quit.

Smoking cigarettes or using smokeless tobacco products increases your risk of oral cancer and cancers of the larynx, pharynx and esophagus; gum disease; as well as causes bad breath, tooth discoloration, and contribute to other oral and general health problems.

7. Examine your mouth regularly.

Become familiar with the appearance of your own mouth and teeth through frequent examination. This way, you will be able to catch any changes at an early stage and have these changes examined by a dentist. Look for the development of any spots, lesions, cuts, swellings, or growths on your gums, tongue, cheeks, inside of your lips, and floor and roof of your mouth. Examine your teeth for any signs of chipping or cracking, discoloration, and looseness. If you experience a change in your bite or develop pain, call your dentist as soon as possible. An oral examination is particularly important to conduct if you are a tobacco user, since you are at an increased risk of developing oral cancer.

8. Visit your dentist regularly.

The standard recommendation is to visit your dentist twice a year for check-ups and cleanings. Talk with your dentist about the frequency that is best for you considering your oral health situation.

9. Develop a partnership with your dentist.

Don’t be afraid to ask your dentist for more information if you don’t understand a treatment or procedure. You should be able to have a free and frank discussion with your dentist about the following types of issues:

  • What are the treatment options for a particular dental condition?
  • How do these options differ in cost and in their durability?
  • Do all the options solve the problem? What are the benefits and drawbacks of each option?
  • Of the dental treatments being recommended, which are absolutely necessary, which are less urgent, which are elective, and which are merely cosmetic?
  • What are the consequences of delaying treatment?
  • How much will the treatment cost?
  • When is payment due?
  • What method of payment does your dentist expect?
  • Do you have a clear understanding of all fees and methods and schedules of payment?

Novy Scheinfeld DDS PC
290 Carpenter Drive, 200A
Atlanta (Sandy Springs), GA 30328
(404) 256-3620
receptionist@rightsmilecenter.com
rightsmilecenter.com
Further Reading:

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Dentist Sandy Springs: Tough Economy is NO Excuse to Skip Your Dental Visits

The first step towards good dental health is brushing and flossing, which costs all of $3.00 to $5.00 every 3 to 5 months.  After that it is about education and knowledge.

It’s pretty obvious that the last few years of this economic crisis may have caused people to make some tough choices with scarce funds.  And skipping dental visits may have risen to the top of the list of least likely things to do with your money.  But skipping dental visits may be more costly in the long run, and not just to your oral health, but to your overall health.  Difficult economic times often find people delaying or avoiding trips to the dentist is something we are seeing more and more these days.

Downsized employees not only have lost medical benefits, but dental coverage as well.  And without regular visits people may not be aware of the many subtle changes that may be occurring inside their mouth because they don’t feel them or recognize them.  And without seeing these changes patients feel they can delay or skip dental visits, not realizing that it takes a trained dental professional to see small changes that if left untreated may develop into major costly dental or even medical issues.

One of the key roles of a dental hygienist is to educate patients about the etiology of dental diseases and what individuals can do to prevent oral health issues. These issues if left unchecked or untreated could affect a person’s ability to eat properly, compromising one’s ability to maintain proper nutrition, which in turn may negatively impact one’s general health.  If left untreated bleeding of the gums or inflammation, which is a slow, relatively painless process, if left untreated, can result in bone degradation and eventual tooth loss.  It may also be a sign of other global health issues such as diabetes, heart related issues or even contribute to infertility or some form of birth complication in pregnant women.

Given these possibilities the dental office is the starting point for dental education.  Education about oral health allows you to take ownership of your success in taking care of your body.  Ask questions.  Proper flossing and brushing of teeth on a daily basis, preferably twice daily, is critical to remove bacterial plaque between the teeth that, if not removed, can destroy the fibers that hold the teeth in place.

In addition to brushing and flossing, good nutrition is key to good oral health as well as your global health.  It is one integrated process.  Certain drinks like red wine, soda, and even healthy fruit juice, can erode the enamel layer of your teeth.  Learn to balance the intake of acidic and alkaline foods. Ingesting high acidic foods and drinks as well as improper tooth-brushing technique are the two main reasons for tooth sensitivity.  Learn to drink more water as a part of your diet.

In this day and age, easily accessible internet websites, such as the American Dental Association offer information on various dental topics.  Read up on subjects that relate to your situation and discuss these topics with your dental professional.  That’s what they are there for.

If lack of dental insurance or sudden loss of income prevents proper professional dental care, talk to your dentist to see if some arrangements can be made to accommodate your new found circumstances. There are numerous low cost or free clinics you can go to as a temporary alternative.  Don’t make the mistake that your oral health can be put off, because your oral health is linked to your global health.

If we can be of assistance, please do not hesitate to contact us.

Novy Scheinfeld, DDS, PC

290 Carpenter Drive, 200A

Atlanta (Sandy Springs), GA 30328

404-256-3620

http://www.rightsmilecenter.com


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Dentist Serving Roswell: Wisdom Teeth Removal

An oral surgeon or a general dentist (even a prosthodontist) can extract a wisdom tooth, also known as third molars.  Ninety-nine percent of the time we refer out to one of our participating oral surgeons.  The procedure can be done in the dentist’s office and most of the time that is the case.  However, it is possible that you could have the surgery in the hospital, if you are having all your wisdom teeth pulled.  If the latter is the case, you may be at a higher risk for complications.  So in the oral surgeon’s judgment, the use of a hospital is for precautionary measures.  Patients with infections, their surgery will be delayed in order to avoid other health related complications.  There is empirical evidence of the link between periodontal disease and heart related issues.  Dental surgery may cause the periodontal bacteria in the mouth to enter the bloodstream and cause infections in other parts of your body.  Usually this can be cleared up by the prescription of antibiotics before and after surgery.

Wisdom teeth are usually the last teeth to erupt in your mouth and can cause crowding or food pockets which lead to undesired gum infections.  About 35% of the population never develops wisdom teeth at all.[1]  For those that do, it is often recommended that people from the ages 17 to 25[2] will need to have this extraction, but we judge each patient on a case by case basis.  If your wisdom teeth are not causing any noticeable problems, then it may be difficult to determine whether to have them removed to prevent future problems.[3]  It is quite possible that you may never have any problems.  But is also possible that they fail to erupt and cause problems like cysts, crowding or decay or hygiene issues.[4]

As a part of the procedure, the tooth and the surrounding tissue are numbed with a local anesthetic prior to having the extraction.  Some people prefer to use nitrous oxide (otherwise known as “laughing gas”).  In some cases, there is the use of a mild sedation, where the patient is still conscious but truly unaware of the procedure.  It is even possible that you receive general anesthesia.  If you decide to use the nitrous or sedation dentistry then you will need someone drive you home from the procedure.  The recovery time is usually 12 to 24 hours of rest, but usually no more than 48 hours.

One of the more interesting or notable post procedure recommendations is not to use a straw to drink.  The sucking through the straw may dislodge the blood clot in the socket area and delay the healing process.

If you feel you are a candidate for wisdom teeth removal, or we can be of service, please feel free to contact us for a complimentary consultation.

Novy Scheinfeld, DDS, PC

290 Carpenter Drive, 200A                                                                                    

Atlanta (Sandy Springs), GA 30328

404-256-3620

receptionist@rightsmilecenter.com

www.rightsmilecenter.com

Related articles


[2]http://www.aaoms.org/wisdom_teeth.php, Wisdom Teeth, American Association of Oral and Maxillofacial Surgeons. Retrieved 2011-26-08. “This generally occurs between the ages of 17 and 25″.

[3] The Right Smile Center doesn’t push to have them extracted, we recommend you read up on the subject at http://www.aaoms.org/wisdom_teeth.php, to help make the final decision.   Please remember that an oral surgeon is going to have a bias towards removal.

[4] Pediatric Dentistry: Infancy Through Adolescence, 4th Edition.


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Dentist Serving Dunwoody: Wisdom Teeth Removal

An oral surgeon or a general dentist (even a prosthodontist) can extract a wisdom tooth, also known as third molars.  Ninety-nine percent of the time we refer out to one of our participating oral surgeons.  The procedure can be done in the dentist’s office and most of the time that is the case.  However, it is possible that you could have the surgery in the hospital, if you are having all your wisdom teeth pulled.  If the latter is the case, you may be at a higher risk for complications.  So in the oral surgeon’s judgment, the use of a hospital is for precautionary measures.  Patients with infections, their surgery will be delayed in order to avoid other health related complications.  There is empirical evidence of the link between periodontal disease and heart related issues.  Dental surgery may cause the periodontal bacteria in the mouth to enter the bloodstream and cause infections in other parts of your body.  Usually this can be cleared up by the prescription of antibiotics before and after surgery.

Wisdom teeth are usually the last teeth to erupt in your mouth and can cause crowding or food pockets which lead to undesired gum infections.  About 35% of the population never develops wisdom teeth at all.[1]  For those that do, it is often recommended that people from the ages 17 to 25[2] will need to have this extraction, but we judge each patient on a case by case basis.  If your wisdom teeth are not causing any noticeable problems, then it may be difficult to determine whether to have them removed to prevent future problems.[3]  It is quite possible that you may never have any problems.  But is also possible that they fail to erupt and cause problems like cysts, crowding or decay or hygiene issues.[4]

As a part of the procedure, the tooth and the surrounding tissue are numbed with a local anesthetic prior to having the extraction.  Some people prefer to use nitrous oxide (otherwise known as “laughing gas”).  In some cases, there is the use of a mild sedation, where the patient is still conscious but truly unaware of the procedure.  It is even possible that you receive general anesthesia.  If you decide to use the nitrous or sedation dentistry then you will need someone drive you home from the procedure.  The recovery time is usually 12 to 24 hours of rest, but usually no more than 48 hours.

One of the more interesting or notable post procedure recommendations is not to use a straw to drink.  The sucking through the straw may dislodge the blood clot in the socket area and delay the healing process.

If you feel you are a candidate for wisdom teeth removal, or we can be of service, please feel free to contact us for a complimentary consultation.

Novy Scheinfeld, DDS, PC

290 Carpenter Drive, 200A                                                                                    

Atlanta (Sandy Springs), GA 30328

404-256-3620

receptionist@rightsmilecenter.com

www.rightsmilecenter.com

Related articles


[2]http://www.aaoms.org/wisdom_teeth.php, Wisdom Teeth, American Association of Oral and Maxillofacial Surgeons. Retrieved 2011-26-08. “This generally occurs between the ages of 17 and 25″.

[3] The Right Smile Center doesn’t push to have them extracted, we recommend you read up on the subject at http://www.aaoms.org/wisdom_teeth.php, to help make the final decision.   Please remember that an oral surgeon is going to have a bias towards removal.

[4] Pediatric Dentistry: Infancy Through Adolescence, 4th Edition.

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