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Adults are no strangers to feeling like there is never enough time in the day to get everything done. Your alarm clock rings and within minutes you ping pong around trying to spread peanut butter on sandwiches, answer your cell phone, remove the dog hair from your clothes, and make sure your child has completed his or her science fair project. Brushing your teeth can easily fall to the wayside. That is why our office promotes a simple, daily oral health regimen that you can easily incorporate into your busy lifestyle.

The American Dental Hygienists' Association (ADHA), in partnership with the Wrigley Jr. Company, is celebrating National Dental Hygiene Month (NDHM) during October. The ADHA encourages people to "Brush. Floss. Rinse. Chew...Keep it Clean, Keep it Healthy!" and offers some great tips for a quick and effective home oral health routine, below:

Oral Health Routine at Home

• Brushing your teeth twice daily is the most important thing you can do to diminish the accumulation of plaque and the potential for other oral problems such as cavities and gingivitis.
• Flossing once daily removes plaque and food from beneath the gums and between teeth that brushing alone cannot remove. Tooth decay and gum disease often begin in these areas.
• Rinsing your mouth with an antibacterial, non-alcohol based mouthwash kills plaque and gingivitis germs that brushing and flossing do not catch. We recommend using a mouthwash with the ADA Seal of Acceptance.
• Chewing sugar-free gum helps produce saliva, which battles cavities. The gum also neutralizes plaque, strengthens enamel, and removes remaining food. It is especially important to chew gum after eating or drinking.

It's easy to put the toothbrush down in order to take care of matters you feel are more urgent, but remember, a good oral health routine at home is the best way to prevent periodontal disease. "Periodontal disease is the most common cause of tooth loss in adults. An estimated 75 percent of Americans reportedly have some form of periodontal disease," said the ADHA. Periodontal disease also is linked to more serious illnesses such as diabetes and stroke.

Also, remember to keep regular visits with our office. Dr. Matthew Hilmi can help you learn more about proper care for your teeth and gums.

When you have a tooth extracted, your body immediately sets to work to help protect the affected area. The blood that collects at the site of the extraction clots to cover and protect the wound. This is a normal response, and protects the nerves and bone that have been exposed with the removal of your tooth. Normally, the gum tissue will close over the area within a few weeks.

But sometimes the clot becomes dislodged or dissolved before you have a chance to heal. This condition is known as “alveolar osteitis,” or dry socket. Sensitive nerves and bone in the extraction site are exposed to air and outside substances causing intense pain. Bacteria and food particles can also contaminate the wound and lead to pain and infection in the area around the socket.

There are certain activities that should definitely be avoided to reduce the risk of dry socket.

• Straws and suction

The action of using a straw causes suction that can dislodge the clot. You can still enjoy the soothing coolness of a milkshake, but use a spoon.

• Spitting

You might be tempted to rinse and spit immediately to clean your mouth, but spitting can also dislodge the clot. We will let you know how to clean your mouth and teeth for the next few days.

• Smoking

Not only does smoking provide a suction effect that can remove the clot, but smoking and chewing tobacco can slow healing as well.

There are also steps you can take to aid the healing process.

• Caring for your extraction site

We’ll give you instructions on caring for your mouth and teeth for the next few days. Gentle care for the extraction site is vital. And treat yourself gently as well. Rest if you need to, and avoid activities that might impact your wound.

• Choose your beverages carefully

Hot drinks can loosen the clot protecting the wounded area, and alcohol, caffeine, and carbonation also put your healing at risk. Water is a safe choice not only for healing, but for keeping hydrated.

• Think about your diet

Stick to soft foods for the first day or so and chew on the side opposite your extraction site. Foods which can lodge in the teeth, like peanuts, popcorn, nuts, and seeds, should be avoided completely.

• Watch for symptoms of dry socket

How do you know if you have a dry socket? Monitor your pain and the appearance of the site after the extraction. For the first few days, you might feel some pain in the immediate area. Pain that intensifies after three or four days is usually not a result of the extraction. An unpleasant odor or taste in your mouth could be a sign of dry socket. You might look in the mirror and notice that the clot is no longer there, or appears to have been dislodged. If any of these symptoms occur, call Kingston at once. If you are experiencing dry socket, the extraction site will need to be cleaned and protected from further injury.

Dry socket is a relatively rare occurrence, but if you have any symptoms that concern you, we want to hear about them. Dr. Matthew Hilmi will work with you to make your extraction treatment go as smoothly as possible. Talk to us about your concerns before any oral surgery, and we will provide detailed information for the procedure and for the healing process afterward. Keep us in the loop as you recuperate, and we will work together to make your recovery a speedy one.

Preparing for oral surgery is much like preparing for any other outpatient procedure. The steps you take leading up to the operation play a significant role in the safety of your procedure and your recovery experience. It is important that you speak with Dr. Matthew Hilmi prior to an oral surgery to find out what you should expect and the ways you can facilitate a quick and complication-free recovery.

Food and Drink

If you will be under anesthesia or IV sedation during your surgery, you will be asked to fast from food and drink in the hours leading up to your procedure. If your surgery is scheduled in the morning, Dr. Matthew Hilmi may ask you to avoid eating or drinking after midnight the night before. Otherwise, a fasting period of at least eight to 12 hours must be observed. However, there may be exceptions for people with certain medical conditions, such as diabetes. Talk to our team if you have questions about pre-operative fasting.

Clothing and Hygiene

You should arrive at your appointment dressed comfortably in short-sleeved, loose-fitting shirt. Avoid wearing valuable clothing, and leave all jewelry at home. If you wear a removable dental prosthetic, such as dentures or a bridge, bring a case to store it in during the procedure. You should also avoid wearing contacts or makeup, though you may wish to bring apply lip moisturizer or balm to prevent chapping during the procedure.

Transportation

You will need to arrange transportation to and from your oral surgery at our Kingston office, as you will not be allowed to drive yourself home after the procedure. The person you choose should be a responsible adult who will remain in the office for the duration of your surgical appointment. Depending on the type of anesthetic used during your procedure, you may need someone to stay with you at home in the hours immediately following your appointment.

Recovery

Take steps now to prepare for the days following your procedure. It can take weeks for your mouth to fully heal after surgery, although most swelling subsides within a few days. If you have young children, arrange for someone to care for them during the days immediately following your appointment. Purchase soft foods that are safe to eat after oral surgery, such as yogurt or soup, and freeze an ice pack to help minimize swelling.

If you have been thinking about getting a piercing, or if you already have one or more, there are some health risks our team at Mid-Hudson Oral and Maxillofacial Practice wants you to know about. It's important to know the risks involved with oral piercing, including infection, chipped teeth, gum damage, nerve damage, loss of taste, or tooth loss that could occur as a result.

Your mouth contains millions of bacteria, and infection is a common complication of oral piercing. Many people who have piercings tend to regularly touch them, paving the way for bacteria to enter piercing sites. Also, food particles that collect around piercing sites can lead to infection.

Besides hindering your ability to talk and eat, oral piercing also leads people to develop a habit of biting or playing with their piercings, which can lead to cracked or fractured teeth. While the fracture can be confined to the enamel of the tooth and require a simple filling, you also run the risk of the fracture going deep into the tooth, which may require a root canal, tooth extraction, and additional dental treatment.

If you still decide to get an oral piercing, you should realize that it will take some time to heal (anywhere between four to six weeks) and it may be very uncomfortable. Also please keep in mind that it will be an added responsibility to your life, as it will require regular upkeep. We want you to make sure that you’re committed to the task of taking care of it for the full healing period and beyond.

We encourage you to clean the piercing with antiseptic mouthwash after eating, and brush the jewelry each time you brush your teeth. If you have any questions, please don't hesitate to give us a call!