Inland Institute Oral and Maxillo-Facial Surgery

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, 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.

Benefits

  • 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.

Drawbacks

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 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, 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

Ingredients:

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

Materials:

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

Instructions:

– 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!

What to Expect When You Get Botox for the First Time.

woman with clear skin Have you started to notice frown lines and crow’s feet around your eyes and are eager to do something about it? Maybe you are are thinking about Botox, but you aren’t sure what to expect.

It is very common to have questions before undergoing any procedure. We want you to know that we are always here to help, let’s start by clearing up some of those questions you might have.

What is Botox?

Botox is the only approved treatment to temporarily improve the appearance of both moderate and severe facial lines in adults. It works beneath the skin and is injected into your muscles to temporarily reduce muscle activity. You will begin to see results within 24 to 48 hours and it lasts up to 4 months.

Does Botox hurt?

Many people say the injection feels like a pinch. We may desensitize the treatment area with ice or a numbing cream for your comfort.

How long does the injection process take?

Botox is quick – typical injections take just about 10 minutes. But it largely depends on the areas you want treated, among other factors. We will discuss this with you during your initial consultation.

Will I look different after Botox treatment?

Initially, you may not notice any difference, but give it 24-48 hours, and you will begin to notice the crow’s feet and frown lines disappear. You will still look like yourself, but without the heavy wrinkling. Even better, you will feel like your youthful self again.

What is the recovery process?

This treatment is called a “lunchtime procedure” because it doesn’t require a lot of downtime and you are able to go about your day to day routine right after you leave the doctor’s office. In fact, many people go right back to work to finish out their day.

If you are interested in Botox and have more questions you would like to ask, Call Upland Office Phone Number 909-982-8888 and schedule a consultation!

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Where do Dental Implants come from?

kid studyingDental implants have a surprisingly rich and interesting history. Across centuries and throughout cultures around the world there is evidence of attempts at replacing missing teeth with various objects and materials.

The oldest dental implants can be traced back to 2000 BC in China, where missing teeth were substituted with bamboo pegs.

Fast forward a bit to around 1000 BC and you’ll find an ancient Egyptian King whose tomb was recently discovered along with his mummified remains; a copper peg hammered into place where a tooth once lived. This may have been the first time in history that we know of when metal implants were used.

Across the globe some time around 300 BC, an iron tooth was found in a French grave thought to be Celtic in origin. It is possible this implant may have been a post-mortem placement to honor the dead, as an attempt to perform the surgery using a live patient would have been an excruciatingly painful process.

Just 2000 years ago missing teeth were being substituted for animal teeth, and the poor were even selling their teeth to the wealthy, just to make ends meet! The body often rejected these surrogate teeth, causing infection.

More recently in 1931 in Honduras, Dr. Wilson Monroe and his wife found a jawbone amongst other artifacts, with teeth fashioned from shells and attached to the jawbone of an ancient man.

Today we are lucky enough to have dental implants that not only look and feel like real teeth, and anesthesia for the pain is also a plus. Thanks to studies conducted by Per-Ingvar Brånemark of Sweden in the 1950’s, oral surgeons have been able to perfect the process over the years to create today’s implants, which have a 98% success rate! Through a process known as osseointegration, metals and other implant materials are able to be skillfully placed so that your jaw bone actually attaches itself to the implant creating a seamless support system.

Missing a tooth or two? Give us a call at Upland Office Phone Number 909-982-8888 to discuss your dental implant options today!

Before Plastic Surgery: Questions to Ask During Your Consultation

woman sitting on her laptopBefore plastic surgery, we want you to go into your consultation well prepared so that you can get the most information available, helping you make the decision that is right for you.

Below we have compiled a list of common questions that we hear from our patients that you may want to ask as well.

Questions about anesthesia:
Important questions to ask about local and general anesthesia include asking about the type of anesthesia, where it came from, and who will be administering it. It is important to know that your anesthesia administrator is experienced in order to prevent complications. We work with a certified anesthesiologist or registered nurse anesthetist to make sure that you receive the correct type and amount of anesthesia for your body type, age and size.

What will my procedure cost in total with all fees included?
This is an important question to ask, as the procedures are not usually covered by one’s insurance as they are elective in nature. While the cost of the procedure may have been advertised at a promotional price, there are often other fees to take into account such as anesthesia, operating room expenses, and materials (such as implants).
How many procedures of this type have you performed?
We want you to feel comfortable with our skills, so we are happy to share with you our experience in your particular procedure. As a more experienced surgeon, I have the experience needed to be able to truly assess your needs and give you a more comprehensive idea about whether plastic surgery is right for you.

Am I a good candidate for this procedure?
Just because an outcome of a procedure seems appealing to you doesn’t always mean that you are good candidate for that particular procedure. We all have different body types and medical needs, and often times there are multiple options for achieving the same results. We will discuss alternative options during your consultation.

How long of a recovery period can I expect, and what kind of help will I need during my recovery?
Many patients have concerns about recovery times and whether or not we will still be accessible to check in and make sure everything is still going smoothly months after their surgery. It is important to ask questions about the recovery process so that you can not only mentally prepare yourself, but also make arrangements to accommodate your recovery needs.

What are the risks and complications associated with my procedure? How are complications handled?
Some procedures can be more invasive, and therefor more risky than others. We have specific procedures in place for handling complications and asking these kinds of questions can help put your mind at ease if you are experiencing pre-op anxiety.

What results are reasonable for me to expect?
Every patient’s outcome will be unique, but you may be able to get a good idea about yours by looking at before and after photos of those who shared similar features as you before their surgery.

Asking the right questions is key to achieving the look you want, and will help take away some of the stress and doubts that you currently hold. Think you’re ready to take the next step? So do we! Call us today to set up a consultation!

When Should I Start Getting Botox?

group of young adultsBOTOX® can sometimes be a sensitive subject, particularly among the younger crowd. Most people associate BOTOX® with people 40 years and older, who are beginning to notice more wrinkles. But middle age is not the only time during which a person can receive BOTOX® treatment. Many doctors recommend that patients get BOTOX® at a younger age not only to remove wrinkles, but also to prevent them in the future.

There are benefits to getting BOTOX® done at any age, so what is the right age for you?

BOTOX® in your 20s: Having BOTOX® in your twenties doesn’t mean that you are full of wrinkles and facial lines already. Rather, it is done as a preventative measure. Doctors have begun recommending that people who are open to getting BOTOX® later in life should start in their mid to late 20s in order to prevent wrinkles from occurring in the future. This works by suspending movement of the muscles in the face that cause wrinkling. Consistent upkeep on your face will help lessen and decrease the likelihood of having significant wrinkles when you are older.

BOTOX® in your 30s: This decade is the time when wrinkles and facial lines can start becoming more noticeable on your face. Getting BOTOX® done on a regular basis throughout your thirties can have a significant improvement on the way your face looks and feels. It is critical to have BOTOX® done in your 30s in order to not only reduce the severity of future wrinkles, but to keep your face looking young and fresh.

BOTOX® in your 40s and on: Using BOTOX® regularly throughout your forties and beyond can definitely be beneficial to how your skin looks, but unfortunately you will not receive the same results as if you had started in your 30s. Starting BOTOX® at this stage in life can decrease the significance of your wrinkles, but it might take more facial work than just BOTOX® in order to get the results which you really want.

If you have any more questions about BOTOX® and what age is right for you to start getting treatments, feel free to contact us today!