Inland Institute Oral and Maxillo-Facial Surgery

What is a Wisdom Tooth?

impacted wisdom toothWe all know that for most people, wisdom teeth need to be removed in order to prevent serious dental problems! But have you ever wondered, what exactly is a wisdom tooth? Wisdom teeth are the third set of molars that typically grow in during a person’s late teens/early twenties.

Why are they called “wisdom” teeth?

Formally known as “third molars”, wisdom teeth developed their name due to the late nature of their arrival, at an age where people are “wiser” than when their other teeth grow in (during childhood).

What is their purpose?

Today, wisdom teeth are no longer needed in order for us to process food. Back in the day, however, when the human diet consisted of tough meats and fibrous vegetables, an extra molar was needed to break down food. Scientists have not discovered a common day use for wisdom teeth, as they are not needed for chewing modern food.

Why do wisdom teeth need to be removed?

Over the years, human jaws have become much smaller, making the space too crowded for wisdom teeth. Therefore, when wisdom teeth start growing in, they push on the teeth that have already established themselves. Once they start pushing on other teeth, the alignment of a person’s mouth is affected. Wisdom teeth can easily become “impacted”. This means that they are trapped underneath a person’s gums and are unable to fully erupt, which can be painful. Since wisdom teeth aren’t needed and can affect your smile and health negatively, we recommend that most people have them removed. For the few pepole that don’t get their wisdom teeth removed, serious dental health problems can occur down the road.

If you’re curious about the status of your wisdom

Smoking and Oral Cancer

doctor breaking cigaretteOral cancer is a cancer that develops within the mouth or oral cavity. But it doesn’t just affect the mouth, it can involve the lips, tongue, throat, salivary glands, pharynx, larynx and sinuses. There are many factors that can cause oral cancer, but smoking is one of the biggest lifestyle choices that can increase the risk of disease. The Mouth Cancer Foundation found that 90% of those with oral cancer consumed tobacco. When you combine heavy use of alcohol and tobacco, the risk is even greater.

Oral Cancer Statistics

9,750 people die from oral cancer each year in the U.S, and oral cancer represents about 4% of all cancers and 2.2% of all cancer deaths in the U.S. After reading those stats, you might be wondering how you can avoid being a part of these grim numbers.

Preventing Oral Cancer

The first step is to choose a healthy lifestyle. It’s important to eat a balanced diet, exercise, avoid alcohol (or drink in moderation) and avoid tobacco usage altogether. But it’s also important to recognize all the signs and symptoms of oral cancer so that it can be caught early on.

Here are a few oral pathology signs to watch out for:

  • Feeling of a lump or object in your throat
  • Numbness, pain or tenderness in your mouth and tongue
  • Troubling moving your jaw or tongue with chewing, swallowing or speaking
  • Loose teeth with no apparent dental cause
  • Lingering sore throat

If you are experiencing any of these signs or symptoms, contact our office today. In addition to that, we urge you to have regular oral cancer screenings in our office. We offer oral cancer examinations to all our patients. The earlier the cancer it detected, the quicker we can help you. Call our office today at Upland Office Phone Number 909-982-8888 to schedule your screening appointment.

What You Should Know About Dental Implants

woman smiling

If you are looking for an alternative to dentures and would like to replace your missing teeth, dental implants may be for you. Dental implants are a popular long-term method for restoring your smile. Many people decide to get dental implants after they have experienced loss of teeth due to variety of reasons. Dental implants give you back your freedom from missing teeth.

Who gets dental implants?

Those who are in overall good health and are looking for a long-term solution for their missing teeth are candidates for dental implants. This includes those who are tired of dentures and are looking for a more comfortable and convenient alternative.

What are the advantages of dental implants?

There are many advantages of getting dental implants, including:

  • Convenience: dental implants are a long-term option for replacing missing teeth. They have the added benefit of being a permanent fixture in your mouth unlike dentures that can be abrasive to the gums and can cause difficulty speaking.
  • Easier eating: you may have found that eating has become more difficult with missing teeth. A dental implant allows for more efficient chewing and will allow you to enjoy your favorite foods once again.
  • Improved appearance: Dental implants look and feel like real teeth. They can be designed with the same color and shape as your surrounding teeth, making them natural looking
  • Confidence: Dental implants can give you a youthful appearance and increased self-esteem. You may find yourself smiling more than ever with your new implants.

How do I care for my dental implant?

The great thing about dental implants is that they require the same care as real teeth. This means regular brushing, flossing and routine dental checkups. If taken care of properly, your new implant can last you a lifetime!

If you are interested in dental implants, contact David H. Gilbert DDS, MS, MBA, FACS at Upland Office Phone Number 909-982-8888 to set up a dental implant consultation.

When Should You Consider Dental Implants?

woman smilingYou may have heard in the past that dental implants are one of the most effective ways to replace missing or damaged teeth. Dental implants are a great option for a lot of different situations, but when is getting a dental implant the best option for you? There are a few circumstances where receiving an implant might be the best option for improving your smile.

Dental implants typically consist of three components: the post, the abutment, and the restoration. The post is a screw which is inserted into the bone. The abutment is attached to the post and the restoration is placed on top, giving the finished product a beautiful, realistic look.

To restore and preserve your appearance.

One of the main functions of dental implants is to restore a smile back to its original glory. They are built to last a lifetime and last much longer than dental bridges. If you are looking for a permanent solution to damaged or missing teeth, dental implants are your best option.

To protect and preserve a healthy jawbone.

Missing spaces in your smile can lead your jawbone to deterioration, which causes it to lose its strength. Dental implants are the only option which will protect and save your natural bone. Waiting to get a dental implant can continue to increase the chances of your jawbone not being able to support dental implants in the future.

To stop your teeth from shifting.

Losing a tooth can cause the surrounding teeth to shift and look unnatural. These teeth can become crowded or can be shifted unevenly. This can cause your teeth to become harder to clean and can also cause your face to sag and appear sunken.

These are just a few of the instances in which you should consider getting dental implants. Dental implants are one of the most useful and successful restoration options available today. For more information on how we can restore your smile with dental implants, contact David H. Gilbert DDS, MS, MBA, FACS at Upland Office Phone Number 909-982-8888 today.

Procedure Spotlight: Breast Reduction

woman in braAbout Breast Reduction Surgery

Breast reduction surgery, also known as “reduction mammoplasty”, is one of the less talked-about types of plastic surgery, despite its popularity. This life-enhancing procedure can be used to increase a patient’s quality of life in multiple ways!

The Procedure

During reduction mammoplasty, excess fat, tissue, and skin are removed from the breast, which can also be reshaped and resized to get the look you want. The areola is reduced in size and positioned higher to a more flattering position. The surgery typically takes 3 to 5 hours, and an overnight stay in the hospital is not usually required.

The Goals of Breast Reduction

  • Size: One of the main goals of breast reduction surgery is to reduce the size of the breasts so that they no longer cause the patient discomfort. Large, heavy breasts can cause pain in the back and neck and negatively impact a patient’s posture.
  • Activity: Another common goal of reduction mammoplasty is to increase activity and mobility in patients. Athletic patients with large breasts may be troubled by the limits that large breasts impose on their physical activity.
  • Asymmetry: Another reason we see women in our office for breast reduction surgery is due to asymmetry. It is very common for one breast to be larger than the other and we can help even them out.
  • Aesthetics: And finally, some people are simply unhappy with the size and look of their breasts. If this is the case, then the breasts can be reshaped and lifted at the same time so that they look better proportioned to the rest of your body.

Why You Should Consider It

Anyone with large breasts that has pain or discomfort as a result of the size of their breasts should consider reduction surgery. The procedure can bring great relief to the patient and increase her quality of life. There is no predetermined age range for a person to have breast reduction surgery. As long as you are healthy, you are probably a good candidate!

If you have questions about breast reduction surgery, or would like more information on any of the plastic surgery services we offer at David H. Gilbert DDS, MS, MBA, FACS, please do not hesitate to give us a call at Upland Office Phone Number 909-982-8888 today!

The Most Common Types of Bone Grafting

dental imaging of teethBone grafting has become so common, most patients have encountered the term at least once before entering our office. But delving deeper into some of the additional types of bone grafting will give you a better appreciation of this amazing procedure.

What is Bone Grafting?

Bone grafting is the process of using natural or synthetic materials to encourage your body to grow new bone. Your jawbone requires regular stimulation from the activities of teeth to maintain its shape. When a tooth is extracted, the jawbone immediately begins to lose mass. In oral surgery, we use bone grafting to build up the jawbone so that we can place a dental implant.

Types of Bone Grafting:

• Socket Preservation: After tooth extraction, the empty socket is filled with bone grafting material to preserve the bone in the site for tooth replacement in the future.
• Sinus Lift: The sinuses lie above the upper jawbone and are filled with air. If the upper jawbone has receded, we lift the sinus membrane and fill the space underneath it with grafting material to bulk up the bone for upper implants.
• Ridge Augmentation: As with socket preservation, ridge augmentation involves the filling the site of an extracted tooth, however, bone loss has already occurred in this case as the extraction was done months or years before.
• Nerve Repositioning: The nerve that gives feeling to the bottom lip and chin is known as the inferior alveolar nerve. Sometimes this nerve must be relocated in order to place a lower jaw implant. The nerve is moved, and the pockets left behind are filled with bone grafting material to prepare for a dental implant.

If you have been told you need bone grafting and aren’t sure what to expect, please give us a call at Upland Office Phone Number 909-982-8888.

A Better Breakfast for a Better Smile

image of various healthy foodsBreakfast truly is the most important meal of the day. It kick starts your body and provides you with enough energy to make it through your hectic morning as well as keep your mind focused on the task at hand. Eating a balanced breakfast is not only good for you body, but also good for your teeth. Being mindful of the acidity and sugar levels in your food is key to keeping your teeth in tip-top shape!

When it comes to breakfast foods, there are a few foods we recommend eating in moderation! These include, but are not limited to, orange juice and sugary cereals. Orange juice has a very high acidity and by drinking too much, the acid can wear down your tooth enamel. Cereals that are high in sugar have a similar effect on your teeth, but the sugar can also cause cavities.

Eating a balanced breakfast that is low in sugar and acid, but high in protein will make your body and teeth feel great! Protein rich foods will help to build up your enamel and keep your teeth stronger than ever.

Here are a few recipe ideas for a healthy and balanced breakfast:

Overnight Oats:

o 1/3 cup of oats
o 1/3 cup of milk (or substitute almond, soy, coconut, etc.)
o 1/3 cup of plain Greek Yogurt
o 1 tbsp chia or flax seeds OR ¼ cup chopped nuts
o Fresh fruit/ berries of your choice!

Mix all of the ingredients together in a sealed container, or mason jar, and place in fridge the night before. Open and enjoy the next morning for a healthy and balanced breakfast!

Avocado Toast:

o 1-2 slices of whole grain toast
o 1 ripe avocado
o 1 egg (cooked to your preference)
o 1 ripe tomato
o Seasonings of your choice (salt & pepper, hot sauce, red pepper flakes, etc.)

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Trends in Dental Implants

dental implantsA trending topic right now seems to be the decision to opt for “mini-dental implants” instead of more traditional ones. Below we are going to take a look inside the trend, and lay out some of the benefits and drawbacks so that you can get a better understanding of this exciting trend in dentistry.


  • Mini dental implants are usually less expensive than traditional ones, sometimes costing only 1/3 that of regular implants. They take less time to place and are smaller and less invasive, and can be used in small spaces or for those with inadequate bone mass.
  • With mini dentures, smaller dentures can be used, leading to a better tasting experience for the palate than a traditional denture would provide.
  • Mini implants can be placed with minimal recovery time, and usually require very little to no bone grafting.


Because this is still a fairly new procedure, there are a few downsides. For one, there aren’t enough studies out there on the longevity of these implants, so we don’t know how they hold up over time. A study published in the International Journal of Implant Dentistry in 2016 revealed that traditional dental implant placement has a proven survival rate of 95% or greater. The analysis collected data from over 10,000 implants from 3,095 patients, across three separate private practices over the course of 20 years. For mini dental implants, there isn’t yet enough data to conclude a proper survival rate.

Another concern is that because this is such a new trend there is not as much information or regulation out there. Some practices with claims such as “Dentures-in-a-day” might not do a proper consultation, skipping important steps such as a 3D scan to make sure that you are a good candidate for the procedure.

While it may be some time before this method is perfected and adopted, it is also exciting to see the advancements changing people’s lives in the dental industry every day. Check in with David H. Gilbert DDS, MS, MBA, FACS to find out what tooth replacement options may be right for you!

Dental Implants: The Recovery

recovery signThe recovery time following dental implant surgery tends to vary, but is usually based on the amount of teeth being implanted, whether or not a bone graft was needed and the individual and how well they manage their recovery. Luckily, the science and technology behind dental implants has improved drastically over the last few years, improving post-surgery pain and comfort for patients.

The patient requiring the least amount of recovery time would be one who had a standard, single dental implant placed with no bone grafting. With a simple procedure like this one, there is very little discomfort or pain after the surgery. Mild bruising and soreness can occur, but is typically manageable with over the counter pain relievers. In more severe implant cases, such as those where multiple teeth are implanted or severe bone grafting needed in order to accomplish the implant, the recovery time tends to be longer and the discomfort can be more intense.

In any cases, it is important to keep your mouth clean after surgery, which can be done by rinsing your mouth gently with salt water beginning the day after surgery. You may begin brushing your teeth the night after the surgery, but make sure to keep it light around the surgery area as to not disrupt the healing in that area. It is also important to remember that in the week following your surgery, there should be no smoking and no sucking through a straw, as this can seriously inhibit your healing process. It is important to stick to a diet primarily consisting of soft foods for the first 7-10 days following your surgery before beginning to return to your normal diet.

As you can see, the recovery process after receiving a dental implant is fairly predictable and comfortable. It is important to follow the instructions that we give you at David H. Gilbert DDS, MS, MBA, FACS, and to always remember that if you have any questions or concerns regarding a procedure or following your surgery, you can always give us a call at Upland Office Phone Number 909-982-8888.

How to Make Your Own Ice Cream

'ice cream'As you may or may not know, July is officially National Ice Cream Month! While it is fun to go and grab ice cream from your local shop down the street, it can be more fun and rewarding to make your own ice cream for you and your family to enjoy. Ice cream is also a great treat to enjoy after different types of oral surgery. You don’t need an ice cream maker in order to make delicious, creamy ice cream. Just follow our instructions below!

Servings: 2-3


– 2 cups of milk
– 3 tablespoons of sugar
– 2 teaspoons of vanilla


– 3-4 cups of ice
– 2/3 cup salt
– 1 quart sized Ziploc bag
– 1 gallon sized Ziploc freezer bag


– Combine milk, vanilla and sugar in quart sized bag
– Press any air out of bag and seal tightly
– Mix ice and salt in gallon sized bag
– Place quart sized bag into gallon sized bag and seal tightly
– Shake the bag vigorously for about 5 minutes.
– It will be very cold, be careful!
– Liquid inside smaller bag should start to harden
– Let bags sit for a few minutes with ice in large bag surrounding small bag
– Open bags up and scoop ice cream out
– Enjoy!!

As you can see, it isn’t hard to shake up some ice cream that the whole family can enjoy, using fairly standard household ingredients. Use chocolate/strawberry milk instead of regular milk to change the flavor, or use half and half for a creamier product. This year, celebrate National Ice Cream month by making your own ice cream at home!