4175 N Hanson Ct, Ste #200, Bowie, MD 20716 301-383-9883

Immediate implant placement followed by temporary provisionalization can lead to great tissue contour which enhances the esthetics at the time of final restoration. At Bowie Oral Surgery we aim for excellent results every time. We achieve this by scheduling procedures in the required allotted time which allows us to focus on each surgery without distractions. We also believe in minimally invasive techniques which we utilize for each and every surgery, allowing for faster recovery and decreased pain/swelling. Try us out and experience the difference.

Dental abscesses can be very painful and costly to treat if allowed to sit long enough. They can progress from a simple tooth infection to other areas which can be life threatening at times.

A tooth with a dental abscess either needs a root canal or it needs to be removed to prevent further infection spread and pain!

Oral surgeons are highly equipped to drain infections that may have spread to more life threatening locations such as the airway.

Next time you have a tooth ache or a bump on the gum see your dentist or oral surgeon right away!

Rotten teeth
Rotten teeth

So your dentist said you need to see an oral surgeon? Or are you just wondering what’s the difference between an oral surgeon and what your general dentist does?

The truth is some general dentists do oral surgery and some prefer to send you to a specialist, particularly when the procedure is more complicated. Oral surgeons train for an additional 4 to 6 years after dental school. The training is very rigorous and extensive and covers all surgical procedures of the teeth, jaws and surrounding structures. This makes oral surgeons the most skilled specialist for teeth extractions or other surgical procedures of the jaws, particularly complex ones.

Rotten teeth
Broken tooth on an X-ray

So the next time you have a toothache, need a tooth extracted / pulled or your dentist recommends that you see a specialist, know that you’re in great hands with the Oral Surgeon!

Oral Surgeon Bowie, MD

Here at Bowie oral surgery we offer a wide range of cosmetic facial procedures aimed at treating unsightly wrinkles, correcting the look of thin lips or thinning hair as well as repositioning of the chin to provide a stronger more esthetic appearing chin. All our facial cosmetic procedures are aimed at providing you with a more youthful, radiant appearance.

See the below list of cosmetic procedures and products we offer:

  • Botox
  • Juvederm
  • Voluma
  • RADIESSE
  • Kybella
  • Submental Liposuction
  • Lip Augmentation
  • Chin and Malar Implants
  • Genioplasty
  • Latisse
  • Skin Lesion Removal
  • Follicular unit hair transplant
  • Microneedling (vampire facials)

SINUS PRECAUTIONS AFTER ORAL SURGERY- Oral Surgeon Bowie, MD

PLEASE AVOID THE FOLLOWING:

  • Blowing your nose: Avoid nose blowing for 2 weeks. It is best to wipe away nasal secretions carefully. After 2 weeks, if you must blow your nose, blow gently through both sides at the same time. Do not pinch your nose: do not blow just one side at a time.
  • Sneezing: If you must sneeze, keep your mouth open and do not pinch your nose closed. Be careful and follow the recommended precautions while sneezing for at least 2 weeks.
  • Sucking: Do not drink through a straw. Do not smoke.
  • Blowing: Do not play a wind instrument. Do not blow up balloons.
  • Pushing or lifting: Do not lift or push objects weighing more than 20 pounds.
  • Bending over: Keep your head above the level of your heart. Sleep with your head slightly raised.

Slight bleeding from the nose is not uncommon for several days after surgery. Notify the doctor or the surgical assistant if you are unable to take any of your medication as prescribed.

It is likely that you may be advised to take an antibiotic and decongestant as well as your regular pain medication. You must take these medications as prescribed.

Do not stop taking them on your own. If you have a problem with any medication, please call us so that we can make an adjustment for you.

OTHER INSTRUCTIONS:

  • Over the counter decongestant may be taken.
  • Antibiotics may be taken as directed. REMEMBER: All forms of oral and administered contraception are to be considered unreliable while you are taking any form of antibiotic.
  • Afrin nasal spray may be used if prescribed for 3 days only, after this the nasal spray should be stopped.

Oral Surgeon Bowie, MD

After tooth extraction, it’s important for a blood clot to form to stop the bleeding and begin the healing process. Bite on a gauze pad for 30-45 minutes immediately after the appointment. If the bleeding or oozing still persists, place another gauze pad and bite firmly for another 30 minutes. You may have to do this several times to stop the bleeding.

After the blood clot forms it is important to not disturb or dislodge the clot. Do not rinse vigorously, suck on straws, smoke, drink alcohol or brush teeth next to the extraction site for 72 hours. These activities may dislodge or dissolve the clot and hinder the healing process. Limit vigorous exercise for the next 24 hours, as this increases blood pressure and may cause more bleeding and throbbing from the extraction site.

After the tooth is extracted you may feel some pain and experience some swelling. If provided an ice pack to the face may be recommended to help minimize swelling. Take pain medications as prescribed. The swelling usually subsides after 48 hours.

Use pain medication as directed. Call our office if the medication doesn’t seem to be working. If antibiotics are prescribed, continue to take them for the indicated length of time even if signs and symptoms of pain or infection are gone. Drink lots of fluids and eat nutritious, soft food on the day of the extraction. You can eat normally as soon as you are comfortable which is usually within 2-3 days. It is important that you avoid, brushing, rinsing or spitting the day of the extraction. You may resume brushing and gentle rinsing the following day as instructed by the doctor. A clean oral cavity decreases discomfort and improves healing.

After a few days you should feel fine and can resume your normal activities. If you have heavy bleeding, severe pain, continued swelling for 2-3 days, or a reaction to the medication, call our office immediately.

Oral Surgeon Bowie, MD

Do not disturb the wound. Avoid rinsing, spitting, or touching the wound on the day of surgery. There will usually be a metal healing abutment (post) protruding through the gums. Please take care to avoid heavy contact with he healing abutment (post) during eating as this may affect the healing of the implant underneath. It is not uncommon for the healing abutment (post) to become loose or fall out. If this happens please keep the healing abutment handy and call our office immediately.

SUTURES

Usually there will be sutures (stitches) placed to reapproximate the gingiva at the surgical sites. The sutures we place are usually resorbable and do not need to be removed. Please avoid tampering with the sutures, allow 7-10 days for sutures to dissolve. Occasionally sutures may break and fall out sooner than anticipated, this is not cause for alarm simply keep the area clean, healing typically progresses as normal.

BLEEDING

Some bleeding or redness in the saliva is normal for 24 hours. Excessive bleeding can be controlled by biting on a moistened gauze pad placed under pressure directly over the bleeding wound for 30 to 60 minutes. If bleeding continues profusely, please call for further instructions. Avoid the use of straws for 2-3 days after surgery.

SWELLING

Swelling is a normal occurrence after surgery. To minimize swelling apply an icepack, or towel filled with ice, on the face in the area of surgery. Apply the ice 20 mins on and 20 mins off at a time, as much as possible, for the first 24 hours.

DIET

Drink plenty of fluids. Avoid hot liquids or hard foods. Soft food and liquids should be eaten on the day of surgery and for 2-3 days. Return to a normal diet as soon as possible unless otherwise directed.

PAIN

  • You should begin taking pain medication as soon as possible prior to the local anesthetic wearing off which typically occurs 2-3 hrs after the procedure. For mild or moderate pain, one or two tablets of Tylenol or Extra Strength Tylenol may be taken every 3-4 hours not to exceed the max daily dose written on the bottle. Ibuprofen (Advil or Motrin) may be taken instead of Tylenol. Ibuprofen bought over the counter comes in 200 mg tablets: up to 4 tablets may be taken at a time, four times daily, not to exceed the max daily dose written on the bottle. Consult our office for additional recommendations.
  • For severe pain, you may be prescribed stronger medications. These medications should be taken as directed. Do not take any medication if you are allergic to it or similar medicines, or have been instructed by your doctor not to take it. Do not drive an auto mobile or work around machinery and avoid alcoholic beverages while taking narcotic pain medications. Pain or discomfort following surgery should subside gradually. If pain persists, it may require attention and you should call our office.

ANTIBIOTICS

Antibiotics are usually necessary after implant surgery especially when bone graft material is used, if prescribed should be taken as directed to help prevent infection and subsequent implant failure.

ORAL HYGIENE

Good oral hygiene is essential to good healing. The night of surgery, use the prescribed Peridex Oral Rinse gently before bed. The day after surgery, the Peridex should be used twice daily; after breakfast and before bed. Be sure to rinse for at least 30 seconds then spit it out. Warm salt water rinses (one teaspoon of salt in a cup of warm water) should be used at least 3 times a day as well, especially after meals. Brush your teeth along with the healing abutments. Be gentle initially while brushing the surgical areas and be sure to use a soft bristle brush. If a bone graft material was used its normal to notice multiple small grains during rinsing or brushing, this should stop after 1-2 days.

ACTIVITY

Keep physical activities to a minimum immediately following surgery. If you exercise, throbbing or bleeding may occur. If this occurs, you should discontinue exercising. Keep in mind that you are probably not taking in normal nourishment. This may weaken you and further limit your ability to exercise.

WEARING YOUR PROSTHESIS

Partial dentures, flippers, or full dentures, should not be used immediately after surgery for at least 7 days, unless directed otherwise by the doctor.

SMOKING

Smoking not only disturbs and delays the normal wound healing but it also increases risk of excessive post-surgical bleeding as well as infection hence should be avoided for 3-4 days after surgery.

Oral Surgeon Bowie, MD

Here at Bowie oral surgery we offer a wide range of cosmetic facial procedures aimed at treating unsightly wrinkles, correcting the look of thin lips or thinning hair as well as repositioning of the chin to provide a stronger more esthetic appearing chin. All our facial cosmetic procedures are aimed at providing you with a more youthful, radiant appearance.

See the below list of cosmetic procedures and products we offer:

  • Botox
  • Juvederm
  • Voluma
  • RADIESSE
  • Kybella
  • Submental Liposuction
  • Lip Augmentation
  • Chin and Malar Implants
  • Genioplasty
  • Latisse
  • Skin Lesion Removal
  • Follicular unit hair transplant
  • Microneedling (vampire facials)

Oral Surgeon Bowie, MD

  • The use of 3D imaging in our office gives our practice state-of-the-art technology to help with diagnoses of potential issues more accurately and provide treatment with unprecedented confidence.
  • Unlike a traditional CT scanner, our scanner utilizes cone beam CT technology and provides precise, crystal-clear digital images while minimizing your radiation exposure. Our 3D system enables us to perform a wider range of diagnoses and treatments in our office, helping to reduce multiple visits.
  • Our new 3D scanner allow us to choose the field of view, or scanning area, that best suits your specific treatment needs. This helps to limit your radiation exposure because we are focusing specifically on your area of concern.
  • Dr. Egolum can use this innovative technology to quickly and easily share 3D images of the area of concern with your referring doctor – allowing the doctors to collaborate on your care, improving your experience and delivering a positive treatment outcome.

Oral Surgeon Bowie, MD

Do not disturb the wound. Avoid rinsing, spitting, or touching the wound on the day of surgery. There will usually be a metal or rubber chain protruding through the gums and attached to the arch wire of your braces. Please take care to avoid heavy contact with the chain during eating or brushing. It is not uncommon for the chain to become loose or detached from the tooth. If this happens please keep the chain and bracket handy and call our office immediately.

SUTURES

Usually there will be sutures (stitches) placed to reapproximate the gingiva at the surgical sites. The sutures we place are usually resorbable and do not need to be removed. Please avoid tampering with the sutures, allow 7-10 days for sutures to dissolve. Occasionally sutures may break and fall out sooner than anticipated, this is not cause for alarm simply keep the area clean, healing typically progresses as normal.

BLEEDING

Some bleeding or redness in the saliva is normal for 24 hours. Excessive bleeding can be controlled by biting on a moistened gauze pad placed under pressure directly over the bleeding wound for 30 to 60 minutes. If bleeding continues profusely, please call for further instructions. Avoid the use of straws for 2-3 days.

SWELLING

Swelling is a normal occurrence after surgery. To minimize swelling apply an icepack, or towel filled with ice, on the face in the area of surgery. Apply the ice 20 mins on and 20 mins off at a time, as much as possible, for the first 24 hours.

DIET

Drink plenty of fluids. Avoid hot liquids or hard foods. Soft food and liquids should be eaten on the day of surgery and for 2-3 days. Return to a normal diet as soon as possible unless otherwise directed.

PAIN

  • You should begin taking pain medication as soon as possible prior to the local anesthetic wearing off which typically occurs 2-3 hrs after the procedure. For mild or moderate pain, one or two tablets of Tylenol or Extra Strength Tylenol may be taken every 3-4 hours not to exceed the max daily dose written on the bottle. Ibuprofen (Advil or Motrin) may be taken instead of Tylenol. Ibuprofen bought over the counter comes in 200 mg tablets: up to 4 tablets may be taken at a time, four times daily, not to exceed the max daily dose written on the bottle. Consult our office for additional recommendations.
  • For severe pain, you may be prescribed stronger medications. These medications should be taken as directed. Do not take any medication if you are allergic to it or similar medicines, or have been instructed by your doctor not to take it. Do not drive an automobile or work around machinery and avoid alcoholic beverages while taking narcotic pain medications. Pain or discomfort following surgery should subside gradually. If pain persists, it may require attention and you should call our office.

ANTIBIOTICS

Antibiotics are sometimes necessary after exposure of an impacted tooth, especially when bone is removed or the tooth is luxated (loosened). If prescribed, antibiotics should be taken as directed to help prevent infection.

ORAL HYGIENE

  • Good oral hygiene is essential to good healing especially since braces attract debris and bacteria. The night of surgery no rinsing or brushing should be done. The day after surgery, the prescribed oral rinse should be used twice daily; after breakfast and before bed. Be sure to rinse for at least 30 seconds then spit it out. Warm salt water rinses (one teaspoon of salt in a cup of warm water) should be used at least 3 times a day as well, especially after meals. Brush your teeth along with the braces well. Be gentle initially while brushing the surgical areas and be sure to use a soft bristle brush and avoid excessive contact to the protruding chain.

ACTIVITY

  • Keep physical activities to a minimum immediately following surgery. If you exercise, throbbing or bleeding may occur. If this occurs, you should discontinue exercising. Keep in mind that you are probably not taking in normal nourishment. This may weaken you and further limit your ability to exercise.

SMOKING

  • Smoking not only disturbs and delays the normal wound healing but it also increases risk of excessive post surgical bleeding as well as infection hence should be avoided for 3-4 days after surgery.
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