Save Time While Saving Your Smile Too : Same Day Teeth

Save Time While Saving Your Smile Too - Same Day Teeth indianapolis

When it comes to cosmetic dentistry, there is no procedure as impactful as the Same Day Teeth procedure. The results are beautiful and life changing, to say the least. Any missing teeth or other imperfections you have in the beginning of the day will not be there by the end. You get a functioning, ideal smile in just one day.

What Is Same Day Teeth?

‘Same Day Teeth’ is a technique for people with missing or failing teeth and usually refers to a new fixed complete set of teeth on dental implants. This is a great option for people who are already wearing dentures or are losing their teeth due to disease and breakdown. The idea being to provide the patient with a new ‘fixed’ set of teeth (either bridgework or a fixed denture) are screwed onto dental implants which have been placed on the very same day. Initially these are a provisional set of teeth that look and feel great and are then replaced with a more permanent set some months later.

The ‘same day’ concept can also be used for a single tooth or a few teeth in some cases, but more commonly relates to a complete jaw or set. It can be done using the ‘All on 4 implants’ technique or with 6-8 or more implants in each jaw depending on the needs of the case and on whether a fixed denture or fixed dental crowns and bridges are desired. All on 4 implants are a quick, safe and cost-effective dental treatment for anyone whose self-confidence and quality of life are affected by missing teeth. All on 4 implants even work in people who have a lack of bone although some bone rebuilding is sometimes necessary.

Criteria For Getting New Teeth In A Day

Patients treated with the technique and therefore included in the retrospective analysis met the following criteria:

  • Jaw Bone profile for the placement of atleast 4 implants of 10mm in length in either healed or immediate extraction sites.
  • Good general health with acceptable oral hygiene.
  • Implants achieved stability at insertion.

So What’s Involved?

Initial Consultation

Your first step in the procedure will be a consultation with your Indianapolis Oral Surgeon Dr. Falender. During this consultation they will examine your mouth and do a CT scan. This scan lets them assess your suitability for implants. They can check your existing jaw bone density to determine precisely where the implants should be inserted. Your oral surgeon should also discuss alternative treatment options with you before you commit to anything.

If you are a suitable candidate and decide to go ahead, the next step will be dental impressions. These are sent to a lab where your new dental bridge is designed to fit and look just like natural teeth. Your Oral Surgeon may also take some x-rays to help with planning your treatment.


If you need to have teeth extracted before your implants are inserted, this can usually be done on the same day.

The overdenture is permanently fixed to the implants. Your dentist or oral surgeon will probably offer you a sedative to help you relax during the procedure. Then they will anaesthetise you so you don’t feel any pain. If you would prefer to have a general anaesthetic for your All-on-4 treatment, ask your dentist about this at your initial consultation.

After any remaining teeth are extracted your mouth will be thoroughly cleaned to remove any damaged tissue and bacteria.  The dentist drills two or more holes at the front of your jaw to hold the front implants. Two holes at the rear – one on each side – are angled to offer greater support to the rear of the dental bridge.

Once the implants are placed, your mouth is cleaned again and any incisions are stitched up. It’s common for dentists to use dissolvable stitches which disappear after a week or two. Either the same day or the following day you’ll be fitted with your new teeth. Some dentists create a temporary overdenture at this stage which is then replaced a few months later. This is often made from resin – a lighter but less durable material – which puts less pressure on your implants while they heal.


Patients usually experience some bruising, swelling and general discomfort in the days after their surgery. You’ll probably want to take a couple of days off work to recover fully and get used to your new teeth. It will be a while before you can eat apples again.

Your Oral Surgeon will advise you on the type of foods you can and cannot eat in the months after your treatment. For the first few months you’ll probably have to stick to very soft foods so you don’t disturb the process of the implants fusing with your bone. You might also be advised to avoid things like smoking and heavy exercise for a while.

These implants are cleaned just like your normal teeth – by brushing once a day. Your oral surgeon will also show you how to floss with special tools. You might want to invest in a water flosser with special attachments designed to clean around implants.

Benefits of Getting All-on-4 Implants Indianapolis

  • Get Immediate Results : With as few as four dental implants, you can replace your dentures and have a permanent implant-supported bridge in as little as one day. Experience a dramatic improvement in chewing ability, teeth stability and overall comfort right away.
  • Improve Your Appearance : The All-on-4 procedure takes 20 years off of your smile! The procedure helps preserve the jawbone and prevent further deterioration of the facial structure associated with missing teeth and a lack of the root system that supports them. Dental implants decrease wrinkles caused by missing bone and tooth structure, which helps you look younger!
  • Eat What you Want, When You Want, Where You Want : Your overall eating habits will improve with the All-on-4 procedure. You’ll be able to enjoy your favorite foods again, instead of avoiding them in public or at home.
  • Get a Long-Lasting Smile : The All-on-4 dental implant procedure creates a permanent set of teeth with a non-removable implant-supported retained dental bridge. Your dental implants never have to be removed, and your teeth can last a lifetime.
  • Enhance Your Overall Quality of Life : With All-on-4 dental implants, your new teeth will feel and function just like real teeth. You’ll have greater comfort and confidence when smiling, speaking, and eating. Overall you’ll look better, feel better, and have a renewed outlook on life.
  • Eliminate Health Issues Associated with Failing and Missing Teeth : The All-on-4 dental implant procedure helps create a healthier mouth and a healthier body by helping reduce the chance for periodontal disease, a bacterially-induced chronic infection and inflammatory disease. Periodontal disease has been linked to heart attacks, strokes, Alzheimer’s disease, diabetes and other chronic diseases. Because dental implants restore your mouth to a more natural state, they may help fend off periodontal disease. With routine brushing and flossing, dental implants help enhance your overall health.
  • Easily Care for Your Teeth : Another All-on-4 implants benefit is ease of care. With daily brushing and flossing, as well as regular visits to your Dental Associates hygienist and dentist, your new teeth will stay clean and healthy.

Get Same Day Teeth at Indianapolis Oral Surgery & Dental Implant Center, Indianapolis, IN

We value your trust in us as part of your family’s total healthcare team and look forward to getting to know each of you as the wonderfully unique individual that you are. Each one of us loves what we do and we believe at Indianapolis Oral Surgery & Dental Implant Center that it shows in the quality of our work and our patient interactions and it is one of the reasons why Indianapolis Oral Surgery & Dental Implant Center is the clear choice for the dental patients in the surrounding neighborhood.

We hope that each of our patient has a happy and healthy smile makeover and that means protecting your teeth and your oral health. We care for your smile and to have a detailed understanding regarding your oral care, you can always schedule a consultation with our staff at 1320 N. Post Rd, Indianapolis, IN 46219 or by calling us at (317) 790-2555.

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Teeth In A Day – Reality Or Myth

Teeth In A Day - Reality Or Myth Indianapolis

Dental implants have many benefits. One of the most important is replacing a broken or damaged tooth in the front area that can no longer be restored. In this case, teeth in a day offers a highly aesthetic and efficient solution as it avoids the need to prepare the adjacent teeth in just one sitting. However, the traditional procedure can take up to one year as it implies three different steps:

1. Removal of the existing tooth or root. The extraction socket is left to heal for four to six months before a dental implant is placed. During this period, the body will grow new bone inside the socket.

2. The implant is surgically inserted into the jaw bone. A variable amount of healing time is required for osseointegration (3 to 6 months). Osseointegration is a biologic process where the implant forms an intimate bond to the bone.

3. After the healing time, a dental crown is attached to the implant.

Teeth In A Day: Immediate Placement And Loading

The loss of tooth in the esthetic area is often a traumatic experience for the patient. Patients may suffer real or perceived detrimental effects following the loss of one or more teeth. Dental implant offers the most cost-effective and long-term solution for replacement of missing teeth with high average life expectancy, providing the patient with the best sense of security and well-being. Recently, immediate implant placement after extraction of tooth with early loading has become more common. The advantages of this procedure include

  • Fewer surgical interventions,
  • Reduction in overall treatment time,
  • Reduced soft and hard tissue loss, and
  • Psychological satisfaction to the patient.

Who Is A Candidate For Immediate Tooth Replacement With Implants ?

Immediate placement is not appropriate for all patients and cases and the screening process should be extremely thorough. The ideal candidate is someone who is in good dental and general health. Some factors can also negatively affect tooth implants:

  • Smoking
  • Any conditions that affect the immune system or reduce the body’s ability to heal
  • Some drugs such as bisphosphonates as these drugs increase the risk of bone death after surgery
  • Bruxism or teeth grinding and clenching

Patients who choose this approach must also be committed to good oral hygiene. Furthermore, not overloading the implant crown is another factor that needs to be reinforced with patients when loading an implant immediately after placement.

Patients with enough bone quantity and quality are great candidates for immediate placement and loading because of anticipated implant initial stability assuming that they would be compliant with postoperative instructions.

Steps For Getting Teeth In A Day

There are a number of issues and steps to consider:

1. Consultation And Planning

Dental implant surgery has to be meticulously planned; when you opt for immediate implant placement, careful planning and experience are prerequisites for success.

Your Indianapolis Oral Surgeon Dr. Falender will need to know your complete dental and medical history before carrying out various diagnostic tests, such as dental x-rays and a CT scan.

The data from these tests must be analyzed to assess the quality of the bone that will be surrounding the tooth implant. When an implant is placed into a recent extraction site, many doctors prefer to graft bone in the alveolar socket to create a bony base for the implant.

There should also be enough gum tissue to surround the implant and crown as this will affect aesthetics; the implant crown should look as if it is emerging naturally from the gums. Gum tissue can be grafted from another site in the mouth if necessary.

At this stage, Dr. Falender from Indianapolis Oral Surgery & Dental Implant Center, Indianapolis will also determine the best position for the implant and will choose the correct size.

2. Removing The Existing Tooth

It is quite critical that your broken tooth is removed very carefully so that the tooth socket is not damaged.

If any bone from the walls of the socket is damaged or lost, it could lead to unsightly gum recession and/or a poor prognosis; in this case, many practitioners would prefer to end the procedure (and continue with the traditional approach) rather than risk a poor result.

3. Implant Placement

Using this technique, the implant fixture is placed in the bone right after the tooth extraction. It is vital to place the implant so that it is stable and non-movable in the bone. This stability is referred to as the primary stability of the implant.

Latest research suggests that the primary stability of the implant in bone is a more important determinant of the success of implant integration, rather than a certain period of healing time.
The tooth socket of an upper front tooth is cone-shaped. To achieve primary stability, the implant has to penetrate the apex of the socket (or the end point) and affix to the bone in this area. Additionally, a bone graft can be placed inside the tooth socket.

It is very important to select the right-sized implant for the situation and make sure that it is placed in exactly the right position.

4. Crown Placement

The crown will be attached to the implant in one of two ways:

  • Directly : The crown and the abutment are one piece and a lag-screw traverses both to secure the one-piece structure to the internal thread on the implant.
  • Indirectly : First, the abutment is attached to the implant and the crown will be cemented to the abutment. In this variation, the abutment can be used to create a change of angulation for the crown to emerge through the gum tissue with a more natural appearance.

Regardless of the variation used, it is critical that the newly attached crown is free from biting forces, which could displace the implant. The crown is usually a temporary crown, made of a composite or acrylic resin, which can easily be modified to ensure that it is both functional and cosmetic.

Once the implant is fully integrated with the bone, the temporary crown can be removed and replaced with a permanent one.

5. Care And Maintenance

Immediate implant placement and loading requires higher patient compliance. There are 3 key factors that patients have to consider:

  • Overloading : It is vital that the implant restoration should not be overloaded as even micro-movement during the first two months of placement can result in non-fusion and failure of the implant to attach to the surrounding bone. Avoid biting on extremely hard pieces of food and contact your doctor if you notice any signs of involuntary teeth grinding and clenching.
  • Oral Hygiene : It is critical to take good care of the area around the implant for the first couple of months after the surgery in order to prevent infection. If maintaining this level of care could be a problem, then you should consider traditional tooth implants that use a two stage technique.
  • Smoking : You may not be suitable for this type of treatment if you are a heavy smoker and have problems quitting smoking and tobacco products.

Benefits And Risks Of Same Day Dental Implants


Benefits of immediate tooth replacement with implant restorations include:

  • A highly durable and stable restoration
  • Full aesthetic restoration
  • Minimization of the tooth movement associated with tooth loss
  • Reduction in the bone deterioration associated with tooth loss
  • Confidence
  • Less waiting time

The best news is depending on your specific requirements and case, you could be pleasantly surprised at the cost effectiveness of your immediate dental implant treatment.

In the past, it was challenging to replace a patient’s loss tooth immediately. Patients had to wait for a period of 3 to 6 months and suffer the inconvenience of wearing temporary dentures during their healing period.

Now, thanks to modern state-of-the-art surgical techniques and tooth implant technology, our patients can have permanently fixed tooth or teeth fitted within a few days of the surgery.

It is important that you know when you lose a tooth, it is highly advisable you replace it as soon as possible. This is because since your loss tooth no longer supports the jawbone underneath, over time it could result in jawbone deterioration.

Depending on the cumulative deterioration of your jawbone, this can in the long run undermine the strength and position of your remaining teeth. So, even if you’ve lost a single tooth, to avoid a long term “domino effect” it is best to replace your missing tooth or teeth as soon as possible.

Risks and Drawbacks

Same-day dental implant treatments cannot create a shortcut that will bypass the bone-to-implant integration process. This must still take place and cannot be rushed because the body needs time to produce new bone cells that will firmly hold the implant in place. Patient compliance is vital to ensure the tooth implants do not move during a healing period, which may be anywhere between three and six months. During this time, it is often necessary for patients to stick to a softer diet, avoiding particularly hard or crunchy foods, such as carrots or almonds. This can last 6 to 8 weeks after surgery. Failure to adhere to a softer diet may result in the implants moving, negatively impacting integration and increasing the risk of treatment failure.

Often the restorative dental implants that are attached immediately after surgery are simply temporary, remaining in place until integration is completed, after which they can be replaced with more permanent implant-supported restorations. These immediate restorations are usually fabricated before surgery takes place and may not look as highly aesthetic as the final restorations.

While this treatment isn’t for everybody, the potential emotional benefits for patients receiving same-day dental implants shouldn’t be discounted. However, treatment is often extremely technique-sensitive and extensive skill is needed to ensure success.

About Your Indianapolis, IN Oral Surgeon

We look forward to providing families with exceptional care and advanced treatment options. To schedule an appointment with Dr. Falender contact our Indianapolis, IN, dental office today by calling (317) 790-2555. Our office welcomes patients in and around Indianapolis, IN, including Fishers, Lawrence, Greenfield, and the surrounding Southern Indianapolis communities.


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Dental Patient Benefits of Image-guided Implant Surgery


Image guided surgery makes use of the very latest technology to help ensure that your dental implant treatment is a complete success. When you visit Dr. Lawrence Falender at Indianapolis Oral Surgery & Dental Implant Center for your initial consultation, it’s highly likely that he will want to take some diagnostic images. These will include dental x-rays and if you decide to proceed with implant surgery then you will need what’s called a cone beam CT scan. This is a detailed 3-D image of your mouth showing all of its structures and it is essential for implant planning. Dental implant treatment isn’t simply a matter of inserting a dental implant into the jawbone as the surgery has to be precisely planned and this is where 3-D imaging is so invaluable.

What is Image Guided Surgery?

Indianapolis Oral Surgery & Dental Implant Center is one of the first practice in Indianapolis to use imaged guided technology for dental implant surgery. This revolutionary technology provides real-time, turn-by-turn guidance for less invasive surgery and more accurate placement of dental implants. It is the newest and most advanced system used for placement of dental implants.

It is today’s most advanced method of placing dental implants, one that uses a combination of state-of-the-art medical/dental technology and cutting edge surgical techniques to provide Indianapolis, IN dental patients with exceptional implant-based dental restoration results. Here we’ll delve into the details of image guided dental implant procedures, including how they differ from standard implant procedures and their benefits for the average dental patient.

Image guided surgery starts with 3-D Imaging. Visualizing your jaw in three dimensions allows us to identify the relationship between important anatomical structures and nearly eliminates the uncertainty that is often encountered with traditional 2-D imaging. Virtual surgical planning software is then used to create a 3-dimensional digital treatment plan that is reviewed with your dentist and used to show you what you can expect everything will look like from start-to-finish. This allows you to see the images in an understandable way so that you can make educated decisions about your treatment plan.

Benefits of Image-Guided Implant Surgery

Image-Guided Dental Implant Surgery Provides Greater Accuracy

The mouth is full of important structures that your oral surgeon has to be mindful of them when installing a dental implant. You wouldn’t want your dentist to hit a nerve, and you wouldn’t want the titanium post of your dental implant to come in contact with the root of the adjacent tooth. Nor do you want your implanted tooth to be crooked or off-center.

Image-guided surgery allows your oral surgeon to operate with a high degree of accuracy because the 3D images provide a detailed view of each part of your mouth. Furthermore, mapping the surgical process ahead of time, with the images as a guide, reduces the risk of mistakes at the time of surgery. Image-guided surgery provides more accuracy than other forms of implant surgery.

Image-Guided Dental Implant Surgery is Less Invasive

The higher degree of accuracy provided by image-guided surgery is what allows it to be a less invasive procedure than other types of dental implant surgery. Thanks to the detailed images of your mouth and the careful planning of your surgery before the actual operation, your dentist can install your implant with only a small incision, or even with no incisions at all.

When using a freehand technique, dentists have to plan their incisions and other surgical movements as they’re performing the surgery, which could lead to larger or more incisions, especially if the dentist is placing multiple implants. In the image-guided surgery process, all of that planning is done before the surgery with accurate models of your mouth, which allows your dentist the time and resources to determine the least invasive way to install your dental implants. The less invasive the surgery is, the less risk you have of complications.

It’s Easier to Recover from Image-Guided Dental Implant Surgery

The greater degree of accuracy and the lesser degree of invasiveness combine to make image-guided dental implant surgery easier to recover from than other dental implant surgeries.

Because your oral surgeon can ensure accurate placement and smaller incisions, you’ll have less bruising and swelling and less pain than you would if your dentist used a freehand technique. Fewer and smaller incisions also mean less chance of infection after the surgery. Because post-surgical infections can lead to implant failure, reducing your risk of infections increases the likelihood that your implants will be successful.

Your recovery will not only be easier; it will be faster. You’ll be ready to flash your new and improved smile sooner rather than later.

What Is a Surgical Guide and When Is It Used?

Our implant dentist Dr. Falender may well choose to make what is called a surgical guide which is a template that will be made based on the information provided by 3-D imaging technology. The template shows Dr. Falender the precise positions to insert the dental implants during image guided surgery and helps ensure that the whole procedure will proceed as smoothly as possible. This is also an advantage for you, as the surgical procedure will be quicker and less invasive as Dr. Falender will know precisely where to make any incisions, and smaller incisions will be quicker to heal with less risk of infection or any other type of complication.

How You Get the Very Best Dental Treatment in Indianapolis IN

Not every implant dentist offers this type of advanced technology but it is worth seeking out someone who does if you want to receive the best and most comfortable treatment that will give you a higher degree of success. As well as making for a more comfortable procedure, image guided surgery helps to ensure that the final results will look wonderful. By placing the dental implant in precisely the right position, you can be sure of having an implant tooth that will be able to function properly so it will feel just like your natural tooth. It should also look stunning as the final aesthetics would have been taken into account when planning your treatment.

Dental implant surgery is not a quick procedure and it is not the cheapest way to replace a missing tooth but the advantages far outweigh these factors. However, to maximize your chances of successful treatment, it pays to choose an implant dentist with this advanced technology and who has extensive training and experience in placing all sorts of dental implants. In other words, you do need a specialist such as Dr. Lawrence Falender.

So, the bottom line answer to the question “What is image guided dental implant surgery?” is that it is the safest, most accurate method available today to place dental implants, providing patients with top-of-the-line care when it comes to implant-based dental restorations. Given that fact, it just makes sense to choose an Indianapolis specialist Dr. Falender for your procedure who has invested in this state-of-the-art technology, ensuring that you’ll get the optimal results you’re looking for as you invest your time and money into restoring your smile with dental implants.

About Your Indianapolis, IN Oral Surgeon

We look forward to providing families with exceptional care and advanced treatment options. To schedule an appointment with Dr. Falender contact our Indianapolis, IN, dental office today by calling (317) 790-2555. Our office welcomes patients in and around Indianapolis, IN, including Fishers, Lawrence, Greenfield, and the surrounding Southern Indianapolis communities.

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What Care Do I Need To Take Post Tooth Extraction

What Care Do I Need To Take Post Tooth Extraction

“What Care Do I Need To Take Post Tooth Extraction?” is one of the many questions that are asked by dental patients in Indianapolis who’ve had their tooth extracted at Indianapolis Oral Surgery & Dental Implant Center. After You’ve Had a Tooth Pulled, your oral surgeon Dr. Falender will send you home to recover. Recovery typically takes a few days.

Following all the post-operative instructions after tooth extraction reduces the incidence of infection and chances of dry socket. If aftercare instructions are not followed then it can cause complications, which can further lead to delayed healing.

Here are some of the do’s and don’ts after a tooth extraction.


1. Take Your Medicines as Prescribed by Your Oral Surgeon

Don’t skip the medicines. If antibiotics are given they should be taken regularly. Pain killers and anti-inflammatory drugs are to be taken after tooth extraction. It help in reducing the pain and swelling. If the pain continues even after two days of tooth extraction and bleeding starts then you should call your dentist.

2. Use Ice Packs

Apply an ice bag to the affected area immediately after the procedure to keep down swelling. While on simple extractions swelling isn’t accompanied, in cases requiring severe cheek retractions swelling can occur after operation. The swelling after an extraction may not occur immediately, but can continue to swell for a few days, reaching a maximum at the 2nd or 3rd day. Application of the ice pack is most effective during the day of extraction as after 24 hours there is no significant beneficial effect. Apply ice for 10 minutes at a time.

3. Rest for a Day

Relax for at least 24 hours after the extraction. Limit activity for the next day or two.Avoid rinsing or spitting forcefully for 24 hours after the extraction to avoid dislodging the clot that forms in the socket.

After 24 hours, rinse with your mouth with a solution made of 1/2 teaspoon salt and 8 ounces of warm water.

4. Let it Clot

Let the clot be formed on the tooth extraction site, which covers it and allows it to heal. After the procedure your dentist will give you a piece of gauze to bite on near the extraction site. Try to bite down and keep it in place for at least an hour afterwards. This will put pressure over the wound and help it to stop bleeding.

However, make sure you don’t chew on gauze piece. If you can keep it in place longer that’s best, but make sure to change the gauze after roughly every half hour, depending on the amount of bleeding. If once the clot forms it becomes dislodge the nerve endings then become exposed. The nerves and capillaries spasm and constrict, limiting essential blood supply, which causes delay in healing. If the bleeding persists for a few hours after the procedure then try putting a wet tea bag on the site. The tannic acid present in black tea helps to aide in the clotting process.

5. Take Warm Saline Rinses

The main aim of rinsing is to clean the area of extraction as it is not possible to brush the socket. We mix salt to make the solution isotonic and similar to natural tissue fluid and thus it is less irritating than water. Rinsing is usually advised 12 hours after extraction. So, warm saline rinses help in cleaning and maintaining the hygiene of that area.


1. Avoid Sucking

Do not drink from a straw for the first 24 hours. Avoid using Pacifier and Sippy-Cup. The sucking action will increase the pressure inside your mouth and may interfere with a clot forming.

2. Don’t Smoke

For at least 48 hours after tooth extraction do not smoke. The chemicals in the smoke can affect the clot and hence the chances of developing dry socket 3-4 days after tooth extraction increases and can inhibit healing.

3. Avoid Solids

While you still have numbness it’s best not to eat solids. When you start feeling your jaws you can start taking solids. After tooth extraction, take soft and liquid foods like soups, mashed potatoes, yogurts, milkshakes, smoothies etc. Gradually add solid foods to your diet as the extraction site heals.

4. Avoid Aspirin

Don’t ever take aspirin (Can take ibuprofen). Aspiring being a blood thinner will delay in clot formation thereby will prevent healing. Take the medications as prescribed by the physician and consult your dentist before taking any medicine.

5. Use Pillows

When lying down, prop your head with pillows. Lying flat may prolong bleeding.

6. Avoid Exposure of the Extracted Site

Continue to brush and floss your teeth, and brush your tongue, but be sure to avoid the extraction site. Doing so will help prevent infection.

7. Don’t Poke into the Gap Created

Though for initial few days, it will feel a bit awkward to have a gap but don’t poke that area with any toothpick or tongue as it may delay healing, may provoke bleeding and can also lead to dry socket.

About Your Indianapolis, IN Oral Surgeon

We look forward to providing families with exceptional care and advanced treatment options. To schedule an appointment with Dr. Falender contact our Indianapolis, IN, dental office today by calling (317) 790-2555. Our office welcomes patients in and around Indianapolis, IN, including Fishers, Lawrence, Greenfield, and the surrounding Southern Indianapolis communities.

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Surgeries Carried Out By An Oral Surgeon in Indianapolis


When you hear the words “oral surgery,” you may think of a hospital setting, general anesthesia, and one or more days in recovery from this type of dental procedure. Because of that, you might be surprised to learn what is actually considered oral surgery in dentistry. Many dental procedures are performed in a general dental office are considered oral surgery and patients who require such procedures are booked for it without the inconvenience of being put on a waiting list in a different office for treatment. So what is oral surgery and which are the surgeries carried out by an oral surgeon?

What Is Oral Surgery?

Oral and maxillofacial surgery (OMS or OMFS) specializes in treating many diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral (mouth) and maxillofacial (jaws and face) region. It is an internationally recognized surgical specialty.

Surgeries Carried Out By An Oral Surgeon

Depending on the nature and severity of the condition requiring surgery, procedures will be undertaken under general anesthesia in a hospital, day surgery or at a suitably equipped dental practice.

Aside from major extractions such as wisdom teeth removal, some of the surgical procedures that may be carried out by a Maxillofacial/Oral surgeon include:

Tooth Extractions

tooth extraction

An impacted tooth is a tooth that fails to fully pass through the gums. Impacted wisdom and cuspid (or canine) teeth are fairly common. To correct impacted teeth, there are a few treatment options. For impacted wisdom teeth, the most common procedure is extraction. For impacted canine teeth, several treatment modalities are available. Orthodontics (braces) can be used to open space for proper eruption. Primary (baby) teeth can either be extracted or surgically exposed to allow for the placement of an orthodontic bracket to help align the teeth.

Corrective Jaw Surgery

Jaw correctness

Corrective jaw, or orthognathic surgery is performed by an oral and maxillofacial surgeon (OMS) to correct a wide range of minor and major skeletal and dental irregularities, including the misalignment of jaws and teeth. Surgery can improve chewing, speaking and breathing. While the patient’s appearance may be dramatically enhanced as a result of their surgery, orthognathic surgery is performed to correct functional problems.

Dental Implants

Dental Implant

Dental implants are used to replace tooth roots. Implants provide a strong foundation for fixed or removable replacement teeth. Dental implants are small anchors made of bio-compatible metal, called titanium, placed in the jawbone. The anchors begin to fuse with the bone over a few months. After the fusing process, known as osseointegration, abutment posts are inserted into the anchors to allow for the attachment of the replacement teeth. To fabricate the replacement teeth, an impression is taken and a model of the bite is created. The replacement teeth are based on this model. Replacement teeth can either be crowns, bridges or dentures.

Detection and Treatment of Diseases

Oral Treatment

Oral care doesn’t just keep your teeth strong; it can have a significant effect on your general wellness, too. Nearly one in 10 people have some sign of poor dental health, and in some instances that number goes up to almost 100 percent. The most common oral diseases are:

  • Dental Cavities
  • Gum Disease
  • Infectious Diseases
  • Injury Trauma
  • Oral Cancers

About Your Indianapolis, IN Oral Surgeon

We look forward to providing families with exceptional care and advanced treatment options. To schedule an appointment with Dr. Falender contact our Indianapolis, IN, dental office today by calling (317) 790-2555. Our office welcomes patients in and around Indianapolis, IN, including Fishers, Lawrence, Greenfield, and the surrounding Southern Indianapolis communities.

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Is Wisdom Tooth Removal Necessary?

is wisdom tooth removal necessary

It seems that removing wisdom teeth has become a rite of passage into adulthood, but is it always necessary to remove them? The answer varies because each case is different. While it is true that extracting wisdom teeth can prevent dental problems, both now and later, only after assessing the growth, position and impact on surrounding teeth can we decide whether it’s best to remove them.

We Recommend Removing Wisdom Teeth When

They Cause Gum Problems.

Impacted wisdom teeth crowd other teeth and cause pain and swelling, especially when they only partially erupt (push themselves up through jawbone and gum tissue into the mouth). Partially erupted (impacted) teeth may lead to infections, cysts or tumors in the gum tissue or jawbone. These are serious problems that negatively affect your overall health. Incompletely erupted teeth can create deep pockets around themselves where bacteria and food can collect and infection can develop.

Their Growth Can Cause Damage to Neighboring Teeth.

Deep pockets around incompletely erupted teeth create areas where bacterial plaque, calculus and food collect. Cavities on tooth roots may develop in these areas. If cavities do develop on the roots of the neighboring teeth, extraction of the wisdom teeth and the neighboring teeth will likely be required.

The Position of the Tooth Hinders Jaw Movement or Affects Chewing Function in Any Way.

  • Does the wisdom tooth scrape the soft tissues in your mouth?
  • Does it cause you to bite your cheek?
  • Does food get caught under the gum tissue around the wisdom tooth and cause swollen and/or painful gums that you bite while chewing?

These are concerns that need to be addressed to keep you chewing your food well and facilitating digestion.

It’s clear they won’t fully erupt and they are either:

  • Moving in the direction of neighboring tooth roots or
  • Will never come into contact with an opposing tooth.

Wisdom teeth do move within the jawbone as they attempt to erupt. If they move in the direction of adjacent tooth roots and put pressure on them, the roots will resorb. This will permanently damage the adjacent tooth and will require either surgery on the affected roots or tooth extraction. Alternatively, if it’s clear that the wisdom tooth will not come into contact with its opposing tooth, it is functionally useless and the risks of keeping it can often outweigh the benefits of keeping it. Conversely, if your wisdom tooth is impacted and not causing harm in any way, it’s best to leave it in place.

Now that you know when you should remove wisdom teeth, read on for reasons why you shouldn’t.

We Don’t Recommend Removing Wisdom Teeth When They Are

  • Healthy
  • Fully erupted
  • Positioned correctly and not overly crowding adjacent teeth
  • Functioning properly

What Is The Process for Wisdom Tooth Extraction?

  • X-rays and an exam to confirm the need for extraction and plan the procedure.
  • A consultation to discuss your options for anesthesia, sedation and to review the overall extraction process before the day of the procedure
  • Administering anesthetic and possibly sedation on the day of the procedure in the comfort of the dental office
  • Opening the gum tissue and removing the wisdom tooth or teeth
  • Closing the gum tissue with sutures, which will be removed during a follow-up appointment (In some cases, the gum tissue is left open to heal)
  • The procedure may take 1 hour or more. The doctor can give you an estimate of the time required during your consultation appointment.

What Happens After Wisdom Tooth Removal?

  • Post-operative instructions will be reviewed with you in the dental office.
  • Keep gauze pads in the area to help stop any bleeding.
  • Ice packs may be used on your cheek(s) to help avoid or reduce swelling.
  • Rest and refrain from any sports or strenuous activities for a few days.
  • Avoid smoking, carbonated beverages, drinking from straws, touching the extraction site, chips and nuts and eat soft foods for 2 to 3 days.
  • Take any medications prescribed as directed.

Have you felt pain or discomfort in your jaw? Are you wondering if your wisdom teeth should be removed? Contact us for an appointment and get a professional opinion. We have answers and we can help.

About Your Indianapolis, IN Oral Surgeon

We look forward to providing families with exceptional care and advanced treatment options. To schedule an appointment with Dr. Falender contact our Indianapolis, IN, dental office today by calling (317) 790-2555. Our office welcomes patients in and around Indianapolis, IN, including Fishers, Lawrence, Greenfield, and the surrounding Southern Indianapolis communities.

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Common Signs You Need to Get Wisdom Teeth Removed

Common Signs You Need to Get Wisdom Teeth Removed

Why do we have wisdom teeth?

Scholars believe that we have wisdom teeth as the evolutionary answer to eating raw meats, vegetables, and roots. These third set of molars grow in some people between the ages of seventeen and twenty-five, or the wisdom years. They are not always functional and can crowd the mouth or make problems for you in the future. The roots of the wisdom teeth are not fully embedded between the ages of sixteen and nineteen. It is recommended that they are evaluated during this time to make sure that there is no threat. As you get older, the bones in the mouth become harder, making them difficult to remove.

Some dentists decide to take these teeth out to prevent problems later on, even if no symptoms are occurring. Sometimes the teeth are impacted and cannot break into the jaw through the mouth. Waiting to have them removed could cause problems after surgery that include, heavy bleeding, fractured teeth, severe numbness and loss of movement in your jaw. These problems could go away after a little while, or they could last for a lifetime.

Common Causes for Wisdom Teeth Removal

Incorrect Growth

When these teeth grow in, sometimes they take up too much space in the mouth. These teeth cannot be straightened out with braces. When the mouth is overcrowded, there is no procedure that can be done to make the teeth all fit together. The only option is to have them removed. A dentist can determine which teeth and how many need to come out. They might have to extract all of them or only a few.

Before the wisdom teeth grow in, there is normally twenty-eight teeth in the mouth. After the wisdom teeth grow in, there are thirty-two teeth. There might not be enough room in everyone’s mouths to fit the extra teeth. Extraction is done to make sure that your mouth has enough room.

Pain and Irritation

Sometimes these teeth can cause aches and pains. If these pains occur, contact your dentist to find the right solution. They can determine if it is the actual wisdom teeth or if something else is causing the pain. When pains and irritations happen, the dentist will not always decide that extraction is the best solution. Over time, the pain might correct itself and no extraction will be required.

Difficulty Eating

If you experience pain while eating, this might be a reason to have your teeth taken out. Food could be getting stuck in between the gums and the tops of the teeth. This could cause a lot of problems if you cannot get to the back of the mouth and clean well enough while brushing. Checking with a dentist to find the right products to fix this problem is the best way to handle it. If it can’t be resolved, extraction might be the only choice.

A Cyst Forms Around the Tooth

When a sac next to the teeth becomes filled with fluid, this is called a cyst. If it goes untreated, it can destroy bones, roots and surrounding structures. It becomes too severe, it can turn into a tumor and require additional surgery.

Teeth are Not Straight

If the wisdom teeth grow in crooked, they can make the other teeth shift and move over. They might even damage the other teeth. Extraction can prevent the other teeth from having any damage. There are multiple theories why wisdom teeth tend to grow out crooked and sideways. It has been said that our jaws are not large enough to accommodate a 3rd molar which then bumps against the others causing it to grow sideways.

Sinus Issues

You wouldn’t think wisdom teeth can cause sinus problems, think again. These problems arise when teeth grow in on the upper jaw. When the teeth grow and roots develop, they can push and rub against the sinuses putting pressure on them. Even though this problem doesn’t happen frequently, wisdom teeth can sometimes lead to sinus pain, pressure, headaches, and congestions.


The position of the wisdom teeth can have a big impact on cleaning surfaces where bacteria can hide. If the gums become irritated, pockets can develop between the teeth and cause bacteria to grow. This will then promote the development of cavities leading to infecting and affecting more than just your teeth.

Inflamed Gums

Sometimes when wisdom teeth start sprouting out, it can create a flap of gum tissue that resides next to the tooth. This gum tissue can trap small particles of food and bacteria. Tissue around the teeth can become hard and inflamed, making it hard to clean. This is called pericoronitis, it can also occur around wisdom teeth that are still underneath your gums.

The procedure is done by the dentist or the oral surgeon. Patients usually have a local or general anesthetic. A general anesthetic will require someone to help you after the surgery. Depending on how many teeth will be removed and the severity of the case, the procedure can take from one up to several hours. If you are having the surgery, you might have to avoid blood thinner and aspirin prior to the surgery. There will also be aftercare with prescription medication for the pain.

Do I Have to Get Wisdom Teeth Removed?

Some people live with their wisdom teeth for their entire lives. It is not recommended to remove any teeth because there is the chance of the teeth shifting. If they are not causing you any problems, you should not worry about having them removed. If they have to be removed, you might have to have them removed two at a time (all of the top teeth or all of the bottom teeth), or you might have to get all of them removed at the same time. This option is what is recommended to keep you from having to make a second appointment.

Whatever the condition that your teeth is in, visiting your Indianapolis dentist regularly can prevent painful occurrences later on. Making sure that you maintain a healthy dental routine along with a healthy diet will keep your mouth healthy and pain-free. A regular routine of brushing, flossing and using a good mouthwash will keep your smile free from infection and pain. Most importantly, make sure that you follow the directions of your dentist.

About Your Indianapolis, IN Oral Surgeon

We look forward to providing families with exceptional care and advanced treatment options. To schedule an appointment with Dr. Falender contact our Indianapolis, IN, dental office today by calling (317) 790-2555. Our office welcomes patients in and around Indianapolis, IN, including Fishers, Lawrence, Greenfield, and the surrounding Southern Indianapolis communities.

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Can I Play Sports After Wisdom Tooth Extraction?

Can I Play Sports After Wisdom Tooth Extraction?

Wisdom teeth removal, while it is a fairly routine procedure in most cases, is still surgery, and proper post-operative care is crucial to a full and complication-free recovery. Dr. Falender often get asked about how recovery from wisdom teeth removal affects participation in sports and other activities.

The details of the care you will need and the length of your recovery depend largely upon individual circumstances, such as the number of wisdom teeth you’re having removed, your general state of health and the relative difficulty of your particular procedure.

However, there are some general guidelines that can help give you an idea of what to expect after surgery and how long you should wait before you resume normal activities, such as sports, after wisdom teeth removal.

Physical Activity Limitations: The First 24 Hours

After wisdom teeth removal, physical activity must be strictly limited for the first 24 hours. Strenuous exercise and work are to be avoided, as is bending over or heavy lifting. These restrictions apply without regard to the number of wisdom teeth removed or the difficulty of the procedure.

Even in the case of a very simple extraction, any activity that raises the blood pressure during this period can interfere with the initial phase of healing, making it difficult to control bleeding from the extraction site or sites and possibly interfering with the proper formation and retention of the blood clots that are meant to seal and protect the socket as it heals.

Sports After Wisdom Teeth Removal: Take Your Time

As a general rule, patients are advised to refrain from sports after wisdom teeth removal for about a week. However, how long you need to limit activities depends upon a number of factors, such as the location of the teeth to be removed, their positioning in the jaw, whether they have become impacted and how much root development has occurred in the tooth at the time of removal. These factors impact the complexity of the procedure, which, in turn, affects healing time.

Removing upper wisdom teeth can be a bit less traumatic than removing lower ones, so patients who have had an upper wisdom tooth extraction may be able to begin light physical activity after about five days. However, if that activity produces throbbing, pain or bleeding, patients would be wise to refrain from further exercise for a few more days, then ease into activities gradually as tolerated.

Sports and Wisdom Teeth Removal

Returning to sports after wisdom teeth removal can be a longer process when the teeth in question are lower ones. Physical activity should be limited for about ten days, especially if both lower wisdom teeth are removed, since the lower jaw bone is typically more dense than the top, taking longer to heal. In cases where surgery is complex, such as when bones must be cut to remove teeth, patients may need to avoid sports after wisdom teeth removal for longer than 10 days to ensure proper healing.

Dr. Falender can offer more specific guidance on how long you will need to refrain from sports after wisdom teeth removal after a thorough evaluation of your particular circumstances. However, it is safe to assume that you will be out of commission for at least a week or two after wisdom teeth removal. Following those restrictions is very important to ensuring proper healing and avoiding complications. If you’re on a sports team and aren’t having acute problems with your wisdom teeth, waiting for the off-season to schedule your procedure is a much better bet than putting yourself at risk by rushing recovery for the sake of getting back in the game more quickly.

About Your Indianapolis, IN Oral Surgeon

We look forward to providing families with exceptional care and advanced treatment options. To schedule an appointment with Dr. Falender contact our Indianapolis, IN, dental office today by calling (317) 790-2555. Our office welcomes patients in and around Indianapolis, IN, including Fishers, Lawrence, Greenfield, and the surrounding Southern Indianapolis communities.

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What Are My Anesthesia Options During Wisdom Teeth Removal in Indianapolis

What Are My Anesthesia Options During Wisdom Teeth Removal in Indianapolis

If you’ve been informed that your wisdom teeth have to come out, chances are good that you’re feeling a little anxious about the process. Among the more frequent ways patients express that anxiety is through questions about how much discomfort and pain will be involved and what sort of anesthesia will be used to address it during wisdom teeth removal.

Dr. Lawrence Falender, Indianapolis oral surgeon, offer a range of anesthesia options to ensure patient comfort during these procedures, depending upon the complexity of each surgery and the patient’s personal preferences and pain tolerance, as well as their level of anxiety.

Local Anesthesia

Local anesthesia, during dental procedures, usually consists of the use of pain medication, typically novacaine, injected into the soft tissues to temporarily deaden the nerves, numbing the area in which work will be done. Used alone, this type of local anesthesia completely eliminates pain, but patients may still feel some pressure. For patients who are uncomfortable with that feeling of pressure, local anesthesia can be combined with nitrous oxide or other mild sedation techniques to lessen that feeling.

Nitrous Oxide

The mildest form of conscious sedation, nitrous oxide, commonly called laughing gas, is an inhaled anesthesia option, delivered via a nasal mask. This option is rarely used alone, since it is very mild. However, for wisdom teeth removal, Indianapolis oral surgeon often use nitrous oxide in combination with local anesthesia, which can offer effective relief of pain and discomfort without the hang-over affects common to more potent options.

Oral Pre-Medication

In oral pre-medication, patients are prescribed pills to take 30 minutes to an hour prior to wisdom teeth removal. Indianapolis oral surgeon commonly prescribe drugs that include Valium, Halicon and Ativan for this purpose. Oral pre-medication is more effective than nitrous oxide, particularly for patients who are anxious during dental procedures. Patients who use this anesthesia option will need an escort to drive them to and from their oral surgeon’s office, since there generally is a hang-over effect with these medications.

Intravenous (I.V.) Sedation

Intravenous sedation, also commonly called twilight or conscious sedation, involves the use of sedatives administered directly into the bloodstream via an IV port, generally placed in the arm. While patients are generally not unconscious with this form of sedation, they are typically completely unaware of the procedure as it happens and, in many cases, have no memory of it once the anesthesia is cleared from the body.

Local anesthesia is generally administered as well to ensure a pain-free experience during wisdom teeth removal. Indianapolis patients who use IV sedation cannot drive for 24 hours after their procedures and will require assistance in getting home.

Knowing your basic options will make choosing the best one for you easier, since you’ll have a better idea of what each of them can do to ensure your comfort. However, deciding which is most suitable to your particular circumstances is best done with the input of your Indianapolis oral surgeon. These matters should be discussed at your consultation appointment, with your options clearly explained. If you don’t understand those explanations, don’t be afraid to ask questions. After all, ensuring your comfort and peace of mind during wisdom teeth removal is a priority for a good oral surgeon, since taking the time to do so will make surgery easier on both of you.

About Your Indianapolis, IN Oral Surgeon

We look forward to providing families with exceptional care and advanced treatment options. To schedule an appointment with Dr. Falender contact our Indianapolis, IN, dental office today by calling (317) 790-2555. Our office welcomes patients in and around Indianapolis, IN, including Fishers, Lawrence, Greenfield, and the surrounding Southern Indianapolis communities.

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What is the Cost of Wisdom Teeth Removal in Indianapolis?

What is the Cost of Wisdom Teeth Removal in Indianapolis?

Wisdom teeth removal is a procedure that most people will have to undergo at some time in their lives, typically during the teen or early adult years. While third molars, or wisdom teeth that have plenty of room in the jaw to develop straight and strong don’t require removal, that isn’t the case for most people. More often than not, wisdom teeth cause problems. When wisdom teeth need extraction, cost is often a factor in planning these procedures, especially for patients who are working with a limited budget, like college students, for instance. So what is the cost of wisdom teeth removal in Indianapolis, IN?

Wisdom Teeth Removal Indianapolis, IN: Cost

The cost of wisdom teeth removal in Indianapolis depends upon the complexity of each procedure, which, in turn, depends upon just what needs to be done to extract your teeth.

For instance, a simple extraction of wisdom teeth that are fully emerged involves less time and effort – and therefore less expense – than the removal of wisdom teeth that are impacted.

To estimate the cost of having your wisdom teeth removed, you’ll have to have a general idea of what sort of procedure will be necessary in your case, information that your dental professional should be able to provide. Once you have that information, you can work out a rough estimate of your costs according these average Indianapolis prices as compiled by Healthcare Bluebook:

An initial consultation with Dr. Falender (Indianapolis oral surgeon) can provide a more detailed and accurate estimate of the cost of wisdom teeth removal in your particular case.

Comparing that estimate with the average costs listed above can help you decide whether the surgeon you consult is charging reasonable fees. However, it’s important to keep in mind that price isn’t the only factor to consider when you’re choosing an oral surgeon for wisdom teeth removal. The priority should be factors that can help ensure a smooth, comfortable and complication-free procedure, such as credentials, reputation and experience.

The cost of wisdom teeth removal in Indianapolis can be quite substantial for the patient on a tight budget. Unless you’re having acute issues with your wisdom teeth, taking a bit of time to make a financial plan to handle it is perfectly fine. However, it isn’t wise to put it off for too long, since the longer troublesome wisdom teeth are left in place, the more difficult it can be to remove them. Wisdom teeth are easiest to remove before roots are fully developed, and less complicated procedures mean less risk of complications and lower expenses.

About Your Indianapolis, IN Oral Surgeon

We look forward to providing families with exceptional care and advanced treatment options. To schedule an appointment with Dr. Falender contact our Indianapolis, IN, dental office today by calling (317) 790-2555. Our office welcomes patients in and around Indianapolis, IN, including Fishers, Lawrence, Greenfield, and the surrounding Southern Indianapolis communities.

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