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Fear of going to the dentist is more common than you may think. That’s why Dr. Mazock, Dr. Salazar, and Dr. Coleman and our team want to make your visit as relaxing as possible.

Your anxiety about pain or routine procedures doesn’t have to stop you from visiting our San Antonio or Castroville office; we offer various types of sedation to remove the pain and stress from your dental procedure.

Nitrous Oxide Sedation

Nitrous oxide combined with local anesthetics ensures both pain relief and reduced anxiety for many patients. It’s useful because the dosage can be regulated during treatment, and patients are usually able to drive shortly after the procedure is completed.

Oral or Injected Sedation

With oral sedation, you may be given a pill or liquid to consume several hours before your treatment. Make sure someone will be available to drive you to your appointment, because you will not be able to drive yourself.

An oral liquid is often given to children before any shots or intravenous anesthesia. An intramuscular injection may be given at the office to provide relaxation benefits for 20 to 30 minutes.

Nitrous Oxide with an Oral Sedative

For patients with higher levels of anxiety, an oral or injected sedative can be offered before nitrous oxide begins. This can also be effective for reducing anxiety about the injection of local anesthetics itself. A liquid medication followed by nitrous oxide is beneficial for children to produce a deep sedation level.

General Anesthesia

This type of anesthesia can be offered as an inhaled gas or intravenous liquid. If no oral sedative is given before the general anesthesia is administered, you should wake up quickly after your procedure.

To reduce your anxiety, we can offer a pill or liquid medication before intravenous sedation starts. Intravenous sedation can also be used at moderate-to-deep sedation levels without complete loss of consciousness.

Dr. Mazock, Dr. Salazar, and Dr. Coleman and our team are happy to go over your sedation or pain prevention options when you visit. We’re here to ensure all your questions are answered and your procedure is a relaxing one.

Even when you ask all the right questions about your oral surgery, you may still have questions after surgery. It can be hard to tell what is and is not normal while you are recovering. It is common for your tongue, lips, or chin to feel numb for 24 hours after surgery. Depending on the type of surgery, and location of numbness, the sensation can last for a longer period. Some anesthetics, like Marcaine, also last longer, which adds to numbness.

Inflammation around the nerves in the surgical area can cause a loss of feeling or tingling sensation. Some inflammation is normal after surgical procedures. Swelling can continue to increase for two to three days after surgery so changes in numbness can be expected. Nerves may become bruised during procedures and they require time to heal.

Numbness after tooth extractions:

Loss of sensation in the lips, chin, or tongue is very common after tooth extractions, especially when teeth are removed in the lower jaw area. This includes wisdom tooth removal. In many cases, anti-inflammatory medication can elevate the problem.

Numbness after implant surgery:

Implant surgery can also involve bone grafting. It is common to have numbness in your chin or lips for one week to over one month after this type of oral surgery. The healing process is longer than other dental work. You should schedule a follow up appointment to ensure that the implants are healing correctly. Any issues will be checked at your appointment.

Numbness after denture placement:

Experiencing some numbness when you first receive dentures can be normal. Your mouth is becoming accustomed to your dental work. If numbness persists for more than a couple of days, have the fit of your dentures checked. Your dentures could be applying pressure on nerves that cause the numb sensation.

Numbness after root canals:

The back teeth in your lower jaw are close to major nerves. A root canal performed in this area can cause a numb sensation for a longer period. Actual nerve damage is not common but if the problem persists, schedule an appointment with us.

Follow all of the aftercare instructions provided. Dr. Mazock, Dr. Salazar, and Dr. Coleman and our office will be glad to answer any questions you may have before or after your oral surgery. Everyone has different reactions to surgery. Please call us at San Antonio Oral & Maxillofacial Surgery Associates, P.A. with your concerns; quick treatment of a problem can prevent the situation from worsening.

Whether it’s a broken tooth or injured gums, a dental emergency can interfere with eating, speaking, or other day-to-day activities. According to the American Dental Association , you can sometimes prevent dental emergencies like these by avoiding the use of your teeth as tools or by giving up hard foods and candies.

Even if you take excellent care of your mouth, however, unexpected dental problems can still arise. Our team at San Antonio Oral & Maxillofacial Surgery Associates, P.A. is available 24 hours a day, seven days a week to assess and resolve your individual situation. When an emergency arises, you should immediately make an appointment with our office so we can put you at ease, give you the best possible care, and help you return quickly to your regular routine.

Damaged Teeth

For tooth damage in particular, don’t hesitate to call and schedule an emergency dental appointment. You should come in as soon as possible. However, if you have some time before your appointment there are a few things you can do to avoid further injury. If you break your tooth, clean the area well by rinsing it with warm water. To ease any discomfort, put a cold compress against your skin near the area with the affected tooth.

A dislodged tooth should be handled carefully in order to keep it in the best possible condition. Gently rinse off the tooth without scrubbing it and try to place it back into the socket of your gums. If it won’t stay in your mouth, put the tooth in a container of milk and bring it along to your dental appointment.

Injured Soft Tissues

For other problems, such as bleeding gums or an injured tongue, cheek, or lip, the Cleveland Clinic recommends gently rinsing your mouth with salt water and applying pressure to the site with a moist strip of gauze or a tea bag. If you’re also experiencing some discomfort, you can put a cold compress on your cheek near the area of the bleeding. If the bleeding continues, don’t hesitate to contact our office so you can receive further help.

A dental emergency may catch you off guard, but Dr. Mazock, Dr. Salazar, and Dr. Coleman can provide fast, pain-free treatment. Follow the advice above and set up an appointment with us as soon as possible so you can put your teeth and mouth on the road to recovery.

Orthognathic surgery is surgery to correct a wide variety of abnormalities of our patients' jaw and teeth. The surgery is often done in conjunction with orthodontic treatment. While the patient’s appearance may be significantly improved as a result, the primary purpose of the surgery is to correct functional problems including but not limited to:

• Unbalanced facial appearance
• Protruding jaw
• Open bite (upper and lower teeth don’t overlap properly
• Excessive wearing down of the teeth
• Difficulty with chewing or biting
• Chronic mouth breathing
• Sleeping problems such as sleep apnea
• TMJ pain (jaw joint pain)
• Restoring facial injuries

Knowing when to start the orthodontic treatment in preparation for orthognathic surgery can also be tricky if our team at San Antonio Oral & Maxillofacial Surgery Associates, P.A. is treating a teenager. It is important to know when to get started. If orthodontic treatment is initiated too soon and the teenager is still growing, the patient will either need to hold in braces until his or her growth is complete and they are ready for surgery or the braces will have to be removed and then placed again when growth is complete. Neither of these options is attractive since it requires longer time in treatment, which is something all our patients want to avoid. Our team at San Antonio Oral & Maxillofacial Surgery Associates, P.A. strives to get all patients finished with treatment as quickly as possible because it is healthier for the teeth and gums and gives them a beautiful smile to enjoy for a lifetime.

If you are considering orthognathic surgery or you have been told that you need jaw surgery, give us a call to schedule your initial consultation today. Dr. Mazock, Dr. Salazar, and Dr. Coleman and our team at San Antonio Oral & Maxillofacial Surgery Associates, P.A. will explain our treatment plan in a way you will understand and we will keep you informed every step of the way.