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Dental implants are a surgical procedure done by Dr. Matthew Hilmi right here at our Kingston office. Screw-like parts made of titanium are inserted into your jaw bone and act as the root of your tooth. An artificial tooth will be placed on top of the screw, usually made out of ceramic or layered porcelain. The dental implant will look and feel just like the natural tooth you lost.

How much time will the dental implant surgery take?

There are numerous factors that determine the length of time for the dental implant procedure:

• If you’re having one tooth replaced or several
• The teeth that are being replaced
• If you need a tooth or teeth extracted before the implant placement
• The amount of time it takes for your IV to be placed
• Any last minute questions or concerns you may need addressed

All of the above factors will also govern the amount of visits to our Kingston office you will need to make throughout your dental implant treatment period. For example, a single tooth dental implant surgery typically takes one to two hours from the time you arrive until you awaken from the anesthesia. This also includes the amount of time it takes to put on your gown, hair cap, and other surgical dressing preparations before you are able to enter the sterile surgical environment.

Does getting an implant hurt?

With nearly any surgical procedure, you will feel some sort of discomfort. Whether it is the insertion of the IV for the anesthesia, or discomfort you may feel after the surgery. However, most patients report that their pain was tolerable after their dental implant surgery. In fact, the majority of patients said the discomfort was a lot less than they expected. Dr. Matthew Hilmi will prescribe pain medications to help with any discomfort you may experience once you get home.

How will I feel after the dental implant treatment?

It is normal to have some bruising and swelling in the soft tissue and gum area. Usually the pain or discomfort does not require the use of anything more than an over-the-counter pain medication such as Tylenol or ibuprofen. In addition, you will have the prescription for a stronger pain medication if you need it. You should be able to work the following day.

Halloween is fast approaching, and Dr. Matthew Hilmi wanted to be sure to wish our patients a happy day, no matter how you might celebrate this holiday. The Halloween that is familiar to most people today bears little resemblance to the original Halloween; back in the "old days" it wasn't even called Halloween!

Festival of the Dead

Halloween started out as a Celtic festival of the dead that honored departed loved ones and signified a change in the cycle of the seasons. The Celtic people viewed Halloween, then called "Samhain," as a very special day – almost like our New Years day in fact, as their new calendar year began on November 1st. Samhain was the last day of autumn, so it was the time to harvest the last of the season's crops, store food away for winter, and situate livestock comfortably for the upcoming cold weather. The Celts believed that during this day, the last day of winter, the veil between this world and the spirit world is the thinnest, and that the living could communicate with departed loved ones most effectively on Samhain due to this.

Modern Halloween

Halloween as we know it today started because Christian missionaries were working to convert the Celtic people to Christianity. The Celts believed in religious concepts that were not supported by the Christian church, and these practices, which stemmed from Druidism, were perceived by the Christian church as being "devil worship" and dangerous.

When Pope Gregory the First instructed his missionaries to work at converting the Pagan people, he told them to try to incorporate some of the Pagan practices into Christian practices in a limited way. This meant that November 1st became "All Saints Day," which allowed Pagan people to still celebrate a beloved holiday without violating Christian beliefs.

Today, Halloween has evolved into a day devoted purely to fun, candy, and kids. What a change from its origins! We encourage all of our patients to have fun during the holiday, but be safe with the treats. Consider giving apples or fruit roll-ups to the kids instead of candy that is potentially damaging to the teeth and gums.

Remind kids to limit their candy and brush after eating it! Sweets can cause major tooth decay and aggrivate gum disease, so to avoid extra visits to our Kingston office, make your Halloween a safe one!

If wisdom tooth extraction is on your calendar, it’s a good idea to visit your grocery store ahead of time to stock up on smart diet options for post-surgery meals. It might be a few weeks before you heal completely, so we have some shopping list suggestions which are safe, soothing, and nutritious to get you through your recovery.

Smart Choices

Soft, Smooth, and Creamy

• Soft-serve ice cream
• Frozen yogurt
• Yogurt
• Pudding

Now is a good time to indulge yourself, and ice cream, yogurt, and pudding are easy on sensitive tissue and filled with protein, calcium, and vitamin D. Just remember—choose soft flavors with no crunchy, sticky, or chewy additions.  This means no cones, as well. Most important? Nothing with a straw. Suction can cause the dislodgement of the protective clot over your extraction site. And dislodgement of this protective cover can lead to a painful condition known as dry socket.

Sometimes we recommend a wait on milk products immediately after surgery due to anesthesia, medication, or other considerations—we’ll let you know if that’s the case, and when you can safely enjoy dairy products.

Comfort(able) Foods

• Broth
• Pureed soups
• Applesauce
• Gelatin desserts
• Clear liquids

Foods that don’t require much chewing won’t irritate tender mouth and gum tissue. You can also find a wide variety of flavors to tempt your palate. Choose broths with higher concentrations of protein, and soups which provide minerals and vitamins. Nothing too hot, though—heat can affect the protective clot over the wound site. Applesauce is not only soothing and flavorful, but is a good source of fiber and vitamin C. Gelatin desserts and clear liquids will help you keep hydrated, which is extremely important as you heal.

Blender-Friendly Creations

• Smoothies
• Pureed foods

Want to get creative in the kitchen? Create your own smoothies and purees to suit your individual taste! Blended foods are easy to eat, and you can add vitamins with your choice of fruits and vegetables and proteins or protein powder for nutritional value. (Sip or eat smoothies with a spoon, as straws are still off-limits.)

You can gradually add semi-solid foods such as mashed potatoes, oatmeal, cottage cheese, and scrambled eggs as you recover. Don’t worry—we’ll give you aftercare instructions that will include what you should be eating and drinking right after surgery, and what you can add to your diet as you heal.

Unwise Diet Selections

It wouldn’t be sensible to leave you without some idea of which foods to avoid for the next few weeks. Talk to us about how and when to re-introduce these items to your diet.

• Grainy, seedy, or crunchy foods, which become tiny particles as you chew, can lodge in the surgical site.
• Spicy, carbonated, and acidic foods can irritate delicate gum tissue.
• Sticky and chewy foods can be hard on the extraction side.
• Hot beverages can interfere with the protective clot that forms over the wound.
• Alcohol can interact with medications and, according to several studies, potentially slow healing.
• Anything that requires a straw. Any kind of suction risks dislodging the protective clot at the surgical site. Eat your milkshake with a spoon—it’s still delicious!—and absolutely no cigarettes.

And one final word to the wise: seeing Dr. Matthew Hilmi for wisdom teeth extraction and follow-up is an excellent idea!

Oral surgeons like Dr. Matthew Hilmi have a minimum of four years of advanced studies in a hospital-based residency program, where they train with medical residents in the fields of general surgery, anesthesiology, internal medicine, and other specialties with a specific focus on the anatomy of the face, mouth, and jaw. They are uniquely qualified to make sure your wisdom tooth extraction and healing are successful.

If you have any questions about the procedure, and what you can do at home to help the healing process, give our Kingston office a call. We want to help you make the wisest choices for diet, pain relief, wound care, and all of your other aftercare needs.

You might suspect that your wisdom teeth are starting to emerge, but knowing the signs of impacted wisdom teeth can help you be more proactive about your dental care. Impacted wisdom teeth can be extremely painful and can make your life truly miserable until they are removed. Therefore, looking for the early warning signs listed below, and seeing Dr. Matthew Hilmi if you experience them, can help you conquer the problem before it conquers you.

There are three primary signs of impacted wisdom teeth. While every person may not have all three of these signs, you can usually expect to experience at least one of these if your wisdom teeth are impacted.

Unusual Pain

If you are feeling a type of teeth pain you've never felt before, especially when it is focused in the back area of your jaw, this may be a sign that you have a tooth impaction. You may be fortunate enough to catch it early, before all of your wisdom teeth become impacted, if you see Dr. Matthew Hilmi as soon as you feel the pain.

Swollen Jaw

If your jaw is suddenly swollen and the area feels tender to the touch, you have a high chance of having an impacted tooth. Since the wisdom teeth are set so far back in your jaw, the swelling tends to show itself low in the jaw, towards the ears, when they are impacted.

Bleeding Gums

If your gums are bleeding, something you may notice when you see a pink or red tinged toothbrush, you may be dealing with a wisdom tooth issue. When the wisdom teeth are impacted, they put a lot of pressure on your back teeth and gums, which often leads to bleeding.

Visit our Kingston office as soon as possible if you have any of the above signs of impacted wisdom teeth. The sooner you get treatment, the sooner the pain will be behind you for good!