My Blog
July 26, 2018
Category: Dental Procedures
Tags: tooth extraction  

Tooth ExtractionWhat your oral surgeon in Tallahassee wants you to know

You want to preserve your smile, but sometimes having a tooth extracted is better for you and your smile. So how do you know if an extraction is necessary? Dr. Steven Bryan at Big Bend Oral Surgery in Tallahassee, FL, wants to share the facts about when a tooth extraction can benefit you.

It’s a difficult decision to have a tooth removed, and one you shouldn’t make alone. Your oral surgeon may recommend extraction for a tooth that is:

  • Severely damaged by an accident or injury and restoring the tooth is not possible
  • Deeply decayed to the point where a restoration or root canal won’t be effective
  • Pressing against other teeth due to inadequate room and orthodontics won’t help
  • Infected from a failed root canal or the tooth root has split

One of the main reasons for extractions is in the case of wisdom teeth, or third molars. These teeth are often so far back that they are not a functional part of your bite, and they are difficult to keep clean. They may become decayed and affect other teeth. Most people don’t have room for wisdom teeth, resulting in the teeth not fully erupting (impacted) or erupting sideways. For the benefit of your smile, these teeth are often removed.

As you get older, one of the main reasons you might need an extraction is if you are suffering from periodontal disease. Bacteria can begin to destroy the ligaments, fibers, and bone surrounding your teeth. Once the tissue attachment holding your tooth in place is destroyed, the tooth becomes loose and mobile. Once a tooth is diseased and mobile, it may not add to the function of your bite, and the infection can also affect other teeth. In these instances, it is often a healthier option to have the tooth removed.

It’s up to you and your dentist or oral surgeon to determine if an extraction is necessary. If you need an extraction, don’t worry! Your oral surgeon is committed to delivering a great experience before, during, and after your appointment. For more information about extractions and other services, call Dr. Bryan at Big Bend Oral Surgery in Tallahassee, FL, today!

May 24, 2018
Category: Dental Procedures
Tags: wisdom teeth  

Third molars. They're also called wisdom teeth because they typically erupt between the ages of 17 to 25--in other words, far past Wisdom Tooth Painchildhood. Unfortunately, these large teeth often cause young people many oral health issues. Your Tallahassee oral surgeon, Dr. Steven Bryan, at Big Bend Oral Surgery, may advise wisdom teeth extraction for a variety of reasons. Do you or your child need this common dental procedure?

Wisdom teeth troubles

The American Association of Oral Maxillofacial Surgeons says that wisdom teeth may cause problems as soon as they being their journey from the jaw, through the gums and into the mouth. Unfortunately, many of these back most molars become caught, or encased, in bone or gums at this time and what results is trouble. Many young people experience:

  • Pain
  • Jaw and gum swelling
  • Infection (called pericoronitis)
  • Bad breath and drainage
  • Cyst formation
  • Impingement, or crowding, of adjacent molars

Even when wisdom teeth fully erupt, they often push against neighboring teeth or come in at odd angles, threatening decay and gum disease because of their hard-to-reach positions.

What to do

Your Tallahassee oral surgeon doesn't recommend wisdom teeth extraction as a matter of course. In fact, Dr. Bryan would rather watch and see what happens as wisdom teeth develop. Oral examination and X-rays tell him definitively if the these molars should come out. Your symptoms play a large role in this decision.


At Big Bend Oral Surgery, Dr. Bryan and his team make wisdom tooth extraction as comfortable and quick as possible. Simple extractions of teeth which are not impacted typically need only locally-injected anesthetic and some sutures to close the sockets.

Impacted or infected wisdom teeth, however, may require laughing gas, oral conscious sedation or even IV anesthesia to make patients fully comfortable during their oral surgeries. When a patient receives these kinds of dental sedation, he or she needs to have an adult friend or relative drive home.

Post-op care

Most wisdom teeth patients recover quickly and with few, if any, complications. When any tooth is removed, the patient must bite on guaze for 20 to 30 minutes to quell bleeding. At home, he or she should take any prescribed antibiotics and over-the-counter pain medication as directed.

Avoid using a straw for a few days until the clot in the tooth socket is firmly established. Do not rinse or brush for 24 hours, and eat a soft diet (yogurt, mashed potatoes, macaroni and cheese) to avoid dislodging your sutures and causing more discomfort. Call Dr. Bryan if you experience undue pain or excessive bleeding.

Wisdom teeth can be nuisances

However, oral surgeon, Dr. Steven Bryan has the experience and skill to help you deal with uncomfortable symptoms or to extract them if need be. If you're concerned about these third molars, please contact Big Bend Oral Surgery for a consultation in Tallahassee, FL, (850) 878-7101.

April 26, 2018
Category: Dental Procedures

If you have one or more gaps in your smile, you may have considered tooth replacement options like dental bridges or dentures. However, dental implantsthere is only one way to truly replace your teeth permanently and functionally, dental implants. This powerful treatment can help you get your smile back, ensuring that you feel great about the way you look. Find out more about dental implants and how they will benefit your smile with Dr. Steven Bryan at Big Bend Oral Surgery in Tallahassee, FL.

What is a dental implant? 
A dental implant is a permanent tooth replacement option which, in addition to replacing the tooth itself, replaces its root as well. Thanks to their versatility, implants can replace a single tooth, a whole arch of teeth, and anything in between.

How does a dental implant work?
Implants use the body’s natural healing abilities to anchor into the jawbone beneath your missing tooth. The implant’s fixture is a tiny post made from titanium which your oral surgeon surgically places into the bone under the missing tooth. As the bone heals, it grows around the fixture, forming a foundation for the replacement tooth, which fits onto the fixture. 

Can dental implants help me? 
Though dental implants can, in theory, help anyone with a missing tooth. Missing teeth cause bone atrophy, meaning that patients should also have an adequate amount of remaining bone in the area of the implant. If the patient does not have enough bone, they may require a bone graft. Finally, a good at-home oral care routine will keep both your implants and natural teeth healthy and complication-free. This routine should include brushing twice a day for at least two minutes and flossing at least once coupled with routine dental examinations and professional cleanings every six months.

Dental Implants in Tallahassee, FL 
For more information on dental implants, please contact Dr. Steven Bryan at Big Bend Oral Surgery in Tallahassee, FL. Call (850) 878-7101 to schedule your appointment with Dr. Bryan today!

February 21, 2018
Category: Oral Health
Tags: sedation dentistry  

The mouth, teeth, and gums are very sensitive, which is why patients are often anxious about visiting the dentist for treatments. Many sedation dentistrymodern dental procedures are very simple and straightforward for patients thanks to sedation dentistry. The team at Big Bend Oral Surgery in Tallahassee, FL can help you have a stress-free visit the next time you come in for dental work.

What Is Sedation Dentistry?
Many dental treatments require some level of sedation to limit discomfort. A sedative eases and relaxes nerves so that you can avoid dental pain and calm down before your procedure. Sedation dentistry is focused on identifying the type of sedation that is right for your case. Your dentist must review your medical history, reactions to certain medications, and other factors to decide which sedation treatment should be used.

Dental Sedation Helps Relieve Anxieties
Up to 15 percent of Americans have a mild to extreme fear of going to the dentist according to statistics published by Aetna. It prevents them from doing the right thing for their teeth at the right time. With dental sedation, many of the anxieties that patients feel are put to rest. They can feel confident knowing that the procedure will involve minimal discomfort.

Types of Sedation Treatments
The type of sedation your oral surgeon decides to use depends on a number of factors, including your level of anxiety and the type of treatment you need. Here are the sedation dentistry options you can discuss with your oral surgeon at Big Bend Oral Surgery in Tallahassee, FL:

- Topical sedatives that numb the surface of the gums.
- Novocaine to completely numb the gums and a targeted tooth.
- Nitrous oxide (inhaled).
- Medications taken orally to relax you in advance of and during treatment.
- Sleep dentistry (intravenous medication).

Consult Your Dentist About Sedation
There's no need to avoid the dentist and necessary treatments because of anxiety thanks to sedation dentistry. The team at Big Bend Oral Surgery in Tallahassee, FL can consult you about your options, just call 850-878-7101 to schedule an appointment with Dr. Steven Bryan.

December 06, 2017
Category: Dental Procedures
Tags: tooth extraction  

Although they are generally treated as a last resort, dental extractions are sometimes necessary to help relieve pain or an infection or to tooth extractionimprove a number of other oral health issues. Maybe you are one of the millions of Americans who have had one or even all of your wisdom teeth extracted, or will have to at some point. Dr. Steven Bryan, an oral surgeon at Big Bend Oral Surgery in Tallahassee, FL, recommends dental extractions in situations where restorative options like fillings or crowns are not enough to save the tooth.

Dental Extractions in Tallahassee, FL

Most adults will eventually have their wisdom teeth extracted (as many as 85%, according to data). Because wisdom teeth tend to be impacted and do not fully erupt, extraction is the best method to avoid damage to the surrounding teeth. But there are several other instances where a child or adult may need to have a tooth extracted. Some of the most common causes include:

  • Severe tooth decay or trauma that can't be repaired with a dental restoration
  • To make room for a permanent tooth (children), or to alleviate crowding
  • To make room for dentures
  • To treat periodontal (gum) disease

If you are experiencing dental pain, suffered trauma from an accident, fall, or sports injury, or have signs of an infection, schedule an appointment with an oral surgeon as soon as possible. In some cases, we may be able to save your tooth depending on the nature and severity of the damage. But in extreme cases, a dental extraction may be the best way to prevent further damage to your teeth and gums and preserve your oral health.

Find an oral surgeon in Tallahassee, FL

Although dental problems that require a tooth extraction may not always be preventable, the best way to avoid tooth decay, gum disease, and tooth loss is through regular preventive care. For more information, contact Big Bend Oral Surgery by calling (850) 878-7101 to schedule an appointment with Dr. Bryan today.

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