Stopperich Oral & Maxillofacial Surgery

Oral Cancer Among Men to Increase in 2017

'man thinking about oral cancer'A recent study by the American Cancer Society reports that oral cancer cases in men is expected to increase in 2017 by 4%, while the rate of new cases among women stays the same year over year. “Oral Cancer”, which is a common way to refer to all head and neck cancers, involves cancer of the oral cavity, lips, tongue, pharynx and esophagus.

Unfortunately, oral cancers often go undetected until their later stages when they are more difficult to treat, giving them an even worse reputation than many other cancers.

Oral cancer is more likely in those who:

  • Drink Alcohol Excessively (more than 2 drinks a day for men and more than 1 drink a day for women)
  • Smoke or Chew Tobacco
  • Have HPV (certain strains of the HPV virus are known to cause oral and other cancers)

HPV and Oral Cancer

Along with the rise of HPV among men has come the rise of oral cancers as well. Unfortunately, it has now been estimated that half of U.S. men are infected with HPV. While most of these will not go on to develop cancer, certainly, these increases may continue to create a rise in head and neck cancers until the disease is brought under control.

What You Can Do

Prevention and detection are the most important things when it comes to the fight against oral cancer. With early detection, we can do better for survival rates and, as we have seen with general cancer cases, prevention in the form of abstaining from tobacco and drinking in moderation can reduce the number of cases over time. In order to protect yourself and your family and help us with survival rates, we urge you to see us for an oral cancer screening. It only takes a few minutes for us to examine you – and it could save your life.

For more information on oral cancer, call us at McMurray Office Phone Number 724-942-4800 or visit oralcancerfoundation.org.

Autograft vs. Allograft

'woman smiling after receiving bone graft'So, you were recently told by your doctor that you need a bone graft, but you aren’t quite sure what that means.

A bone graft is a surgical procedure that is used to fix bones or joints that were damaged by trauma, and it is also used to replace bone that is missing to provide structural stability around the body, including the jawbone. There are many types of bone grafts we can use to grow bone – the two most common are autografts and allografts.

An autograft is a bone or tissue that is transferred from one spot to another on the patient’s body. It is often thought of as the “gold standard” in bone grafting because of its reliability. Its high success rate is due to the fact that it is living tissue and thus its cells are kept intact.

An allograft is a bone or tissue that is transplanted from one person to another. They typically come from a donor, or cadaver bone. The allograft is safe, ready to use and available in large amounts. The main advantage of an allograft is that it requires one less procedure than the autograft, which must first be taken from the patient. Surgical time is minimized and the recovery can be quicker. The allograft comes from a reputable and reliable tissue bank.

Knowing which bone-grafting option you will need can be confusing, but we are here to answer any questions you may have. Please schedule a bone grafting consultation with us by calling McMurray Office Phone Number 724-942-4800. We will perform a thorough evaluation of your oral health. After our evaluation, we will recommend what bone graft is best for you. We are happy to discuss your options and answer any questions you may have. We want you feeling confident with our choice and worry free.

Walking For Those Who Crawl

'in march we walk for those who crawl'March of Dimes

Premature babies are those that are born before the normal 37-week gestational period. These babies have various health issues, which can affect them over their lifetime. Sadly, some premature babies won’t make it – which is what March of Dimes aims to prevent.

What is March for Babies?

March for Babies supports the prevention and research of pre-term births through charitable walks in the month of march. The goal is to raise funds to help mothers give birth to healthy, full term babies while researching the possible causes and preventions of premature birth.

Why You Should Get Involved

Whether you’re a mother, father, kid, soon-to-be mother/father, know someone who’s been pregnant or is thinking about children – this affects you and you can make a difference. Becoming informed and learning more about premature babies is the first step.

How You Can Help

March for Babies makes it easy to help! Spread awareness about premature babies and encourage everyone around you to do the same. If you are interested in donating, rest assured that your money will go toward supporting premature babies through research into prevention and causes of premature birth.

You don’t need to donate money to help. Some other ways to contribute include:

• Getting informed by visiting the March for Babies website: https://www.marchforbabies.org/
• Raising awareness
• Walking in a local event

Donate a Homemade Hat to a Local Hospital

If you can knit or crochet and are interested in hand-making a preemie baby hat, consider donating one to a local hospital! Local hospitals are always in need of hats for babies and you can take pride in knowing that you are keeping a baby’s head warm.

Will you help us get the word out?

Tooth Extraction – Managing Pain

The Procedure Itself

Thanks to a wide variety of anesthesia choices available to us these days, you should feel no pain during your 'man kicking away tooth pain'.

After the Surgery

  • Over-the-Counter Medicines: Generally speaking, over the counter non-steroidal anti-inflammatory medications such as Ibuprofen are all that you will need following your surgery.
  • Staying On Top of Pain: It is very important to stay on a strict schedule of medication the first few days following your surgery. Getting behind on medication will result in more pain and may even make it difficult to catch up with pain control again.
  • Ice for Swelling: We want you to ice your cheeks for the first 24 hours following surgery, twenty minutes on and twenty minutes off alternating. Managing swelling can help greatly with pain management, and the act of icing may even feel good on its own.
  • Rest: Your body was expertly designed with high-tech systems in place to heal – but you have to give it the space and conditions to do so. Rest is one of the most important things you can do to help your body heal faster.
  • Salt Rinse the DAY AFTER Surgery: The day after surgery, you should rinse your mouth very gently with a mixture of one cup of warm water and ½ teaspoon of salt. You may do so up to 4 times a day. Designed to gently clean the wound site (but NOT dislodge the blood clot), some patients also feel that the warm water helps with pain relief.
  • Prescriptions: Most often, our patients do not require prescription pain medication post-op. However, in the case that we feel your case calls for such, please keep the following in mind:
    • Antibiotics – If we have ordered antibiotics for you, you must take them on schedule and for as long as we prescribe – Never stop antibiotic treatment prematurely without our specific orders.
    • Pain-Killers – In the event that you require prescription pain killers, please note that we are required to prescribe these sparingly and in accordance with certain laws, due to rising rates of substance abuse. You can help keep these drugs off the street by taking only what you need, and taking unused pills to a pharmacy for safe disposal – never “keep them around” in your cabinet for future use.

For more information, please visit our surgical instructions page and feel free to call us at McMurray Office Phone Number 724-942-4800

Preserving your Jaw after Extraction: Socket Preservation

Socket preservation is a procedure we will sometimes recommend when you are having a tooth extracted. The bones that hold your teeth require frequent use to maintain their size and shape, otherwise they start to recede as they are no longer needed.

When a tooth is extracted, it leaves behind a hole (or “socket”) in the alveolar ridge bone, making it vulnerable to shrinkage. In fact, some studies show that bone loss can be 50% in the first 12 months after extraction.

You may be wondering, “Why does bone loss matter if I don’t have a tooth there anyway?” Unfortunately, without teeth and adequate bone structure, several unwanted oral health problems may occur:

  • Aesthetics: Without adequate bone structure and teeth, your smile starts to cave in in that area, causing undesirable aesthetic consequences. Your skin may begin to look shriveled over time and your smile will be unbalanced and unnatural.
  • Alignment Issues: Your teeth are always moving, particularly into open spaces. A hole on one side of your smile can lead to a severe shift of your teeth over time, affecting your smile and subsequently requiring orthodontic treatment.
  • Implant Complications: The damaged and recessed bone often ensures complications if you plan on getting a dental implant to replace the extracted tooth in the future.

This is where socket preservation comes in. Typically done at the end of your extraction procedure, we place bone-grafting material into the socket and a collagen membrane on top to encourage bone growth in the area. Because the procedure can be done at the same time as your extraction, no additional anesthesia or appointments are necessary.

If you are facing extraction, call us at McMurray Office Phone Number 724-942-4800 to see if socket preservation is an option for you – it could save your smile!

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Immunotherapy and Oral Cancer

'woman thinking about oral cancer'

What is immunotherapy?

Immunotherapy is the process of enlisting the patient’s own immune system in the fight against cancer cells. Several drugs have been used successfully to aid in the treatment of advanced lung cancers and melanoma, giving patients a longer prognosis in many cases.

Cancer Cells are Tricky

Cancer cells are notoriously sneaky – their ability to hide from immune cells is one of the reasons that cancer is so hard to treat. This is where “checkpoint inhibitors”, one of the most common classes of immunotherapy drugs in cancer treatment, come in. These drugs help to block the activation of proteins that help cancer cells hide from immune cells.

The Connection with Oral Cancer

Recurring head and neck cancers are very difficult to treat. Often they are resistant to the best chemotherapy drugs, so the hope has always been that immunotherapy drugs may some day step in to assist with the oral pathology fight. A recent trial in the UK has shown that the day may be coming sooner than we thought! The trial proved successful in extending prognosis for many of the patients.

Reduced Side Effects

The research also noted that side effects were reduced to give patients a better quality of life during treatment.

More Testing Needed

While more research is needed before the drugs receive FDA approval for the treatment of oral cancer, the good news is that because these drugs are already approved and on the market for other cancers, the application process for use in oral cancers will be quicker (and smoother) than it would be for a new drug.

At Stopperich Oral & Maxillofacial Surgery, our commitment to your care, comfort, health and safety is evident from the minute you walk through our door. Call us at McMurray Office Phone Number 724-942-4800 for more information about oral cancer.

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3D Printers and Bone Grafting

There is exciting news in bone grafting technology that will hopefully find its way into the oral surgeon’s office over the next decade! Researchers have been able to create a synthetic bone material using 3D printers that may be better than what is being used now.'3D printed bone graft'

3D printers create three-dimensional objects out of a variety of materials using a computer as a precise guide. Although the concept has been in the news a lot recently, the practice actually dates back to before the 21st century. In fact, 3d printing’s roots go back to the early 1980s. Since then, everything from jewelry to synthetic human organs has been printed, much to the amazement of modern society!

And now, surgeons have successfully implanted the 3D-printed synthetic bone grafting material into animals with bone defects. This “hyperelastic bone” was made using just the right combination of bioactive materials and polymers to make a material that could be layered while still wet, allowing for better adherence between layers.

Here are some of the expected benefits of this new material:

  • Very elastic, allowing for cutting without crumbling, which can be a problem with current grafting materials.
  • Blood vessels move in quickly because the material is porous.
  • Biodegradable as the body replaces it with genuine tissue.
  • Doesn’t dry out right away.
  • So far the animals haven’t rejected the implant, which could mean less complications for humans as well.
  • Could be a great option for children since it will grow with them.

While human trials are potentially five or more years away, the news is very exciting for the surgical community, and we are can’t wait to see what benefits this will bring to our patients.

To find out more about bone grafting in general or to set up a consultation with our office, please call us at McMurray Office Phone Number 724-942-4800.

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Oral & Oropharyngeal Cancers

'bacteria entering mouth'

Worldwide, over 550,000 new cases of Oral, Head and Neck cancer are diagnosed each year.

Oropharyngeal cancer is slightly different from oral cancer. Oropharyngeal cancers are related to HPV (Human papilloma virus) and usually occur in the tonsils or at the base of the tongue, while oral cancers are in the mouth and usually associated with tobacco use.

The Oral Cavity

The oral cavity incudes the lips, the inside lining of the lips and cheeks, the teeth, the gums, the front two-thirds of the tongue, the floor of the mouth below the tongue, and the bony roof of the mouth – also known as the hard palate.

The Orpharynx

Behind the wisdom teeth is considered the oropharynx, which is part of the throat just behind the mouth. It also includes the base of the tongue, the soft palate (back of the mouth), the tonsils, and the side and back wall of the throat.

Categories

Oral and Oropharyngeal cancers are sorted into 3 categories: Benign (non-cancerous), harmless growths that may develop into cancer, and cancerous tumors. This is why regular check-ups with your dental professional are key to your overall well-being.

The Team Involved

The treatment of head and neck cancers does not involve just your dental team, the assistance of many different professionals contributes is required. There may be surgeons, radiation oncologists, medical oncologists, dentists, nutritionists, and speech therapists all involved in your treatment.

Oral cancers are found as late stage three and four diseases about 66% of the time.
It is very important for you to check yourself at home as well as visiting your dentist.

Call Stopperich Oral & Maxillofacial Surgery to schedule your routine dental check up and oral cancer screening today 724-942-4800

How Are Widsom Teeth Removed?

'man holding wisdom tooth sculpture'Don’t be worried about your wisdom tooth extraction, let us outline the whole process for you:

Treatment Development

During late adolescence, wisdom teeth start to appear and occasionally are accompanied by oral pain, as well as an increased risk of dental issues such as pericoronitis, gum disease, and tooth decay. Through evaluation, your oral surgeon will determine the number of wisdom teeth present, as well as how they are developing in relation to the rest of your teeth. Using advanced imaging technology, an oral surgeon will discover if the teeth are partially or fully impacted, and then will create a strategic treatment plan in order to remove the teeth and ensure successful recovery.

Preparation

Although sedation is not always necessary, many patients have found anesthesia to be helpful in relaxation and reducing pain during the procedure. If sedation is chosen, there are certain preparations that must be made: patients must enlist the help of family or friends to bring them back home after their surgery.

Local anesthesia is applied to the area. Then, a surgical tool is used to reveal the bone and tooth. After the tooth is clearly visible, it is removed. Once the tooth is extracted, the gums and bone are left to heal.

Healing

Following the procedure, there may be some swelling in the tissue and cheeks near the treatment site. To promote a successful recovery, patients should avoid strenuous activity, smoking, and eating hard foods. Patients should not touch the treatment area with their tongue, or use straws, as this could potentially dislodge the developing blood clots and expose the area to food and bacteria.

Wisdom tooth extraction can be an uncomplicated procedure that ultimately will protect your long-term oral health. For more information about wisdom tooth extraction, schedule your consultation at Stopperich Oral & Maxillofacial Surgery today!

Little, Medium, Big Bone Graft

'tooth surrounded by bone'Bone grafting is a straightforward procedure that is immensely beneficial for numerous reasons. In the instance of a missing tooth (or teeth), the jaw bone can begin to slowly degrade. The jaw bone is holds teeth in place, and once a tooth is no longer present, the bone doesn’t have anything to support. There are different types of bone grafts, and depending on your situation. Outlined below are several different types of bone grafts:

Little Bone Graft

In the case of a simple, single lost tooth, the ideal course of action is to not lose excess bone. In this process, sterile, demineralized human bone granules are packed into the tooth socket immediately after tooth extraction. This procedure is very simple, and does not add anything to your recovery time. Over the next several weeks, your own bone will fill the tooth socket and preserve the bone height enough for you to have the area restored.

Medium Bone Grafts

If a tooth was removed a long time ago, there is likely to already be some bone loss impeding the restoration of the area. In this case, the area of the missing tooth is opened with a small incision, the bone surface is prepared, and demineralized bone graft granules are used to build up the area. Many surgeons prefer to use a little bit of the patient’s own bone in this procedure in order to ensure the best results possible. If your own bone is used, your surgeon will take it from another area of the jaw bone, usually near the wisdom tooth area, shaving off tiny granules and combining them with the demineralized bone. The bone graft will heal and integrate with the surrounding bone tissue. This type of graft can be used for one or multiple areas of missing teeth.

Big Bone Graft

Patients who have many missing teeth and who have been missing many teeth for many years, have often experienced advanced bone loss. In those who wear dentures, the lower jaw bone often recedes so severely that they can no longer wear them. Extensive bone grafting is necessary in order to consider restorative methods. A combination of demineralized, sterile human bone and the patient’s own bone is used to restore the jaw bone, creating enough width and height to consider dental implants. The patient’s bone is supplied by another part of the jaw, hip, or tibia. Bone granules are also used to enhance and strengthen the graft.

Bone grafting is a surgical procedure that takes time. However, it plays an essential role in making new teeth possible, and will ultimately be a positive process! For more information, call 724-942-4800 today for a consultation with Stopperich Oral & Maxillofacial Surgery