Correcting & Enhancing Your Smile

General Dentistry

Teeth Whitening

Improving Your Self Esteem

Do you have missing, misshapen, or discolored teeth? We understand the burden that can take on your confidence. With an in-house oral surgeon, Live Oak Dentistry & Implant Center of Garland is here to perform a variety of dental procedures, including dental implants, wisdom teeth removal, extractions, and more.

Centered in Garland, TX, our dental practice invites patients from all around the Dallas–Fort Worth metroplex.

We welcome families near Garland, including Mesquite, Rowlett, Sunnyvale, Sachse, Richardson, Balch Springs, Cockrell Hill, Farmers Branch, Plano, Wylie, and Dallas!

Your Smile. Our Expertise.

Dental Implants

Losing teeth is a life-altering event that causes bone loss in the jaw and impairs your ability to speak, eat, and live confidently. Dental implants are an innovative solution for restoring healthy smiles with confidence — they replace missing tooth volume without any cosmetic surgery.

Post-Op Information

After Placement

Do not disturb the wound. Avoid rinsing, spitting, or touching the wound on the day of surgery. There will be a metal healing abutment protruding through the gingival (gum) tissue in most cases.

Bleeding

Some bleeding or redness in the saliva is normal for 24 hours. You can control excessive bleeding (your mouth fills rapidly with blood)by biting on a gauze pad placed directly on the bleeding wound for 30 minutes. Significant bleeding is uncommon with dental implants so if bleeding continues and is not diminished by biting firmly but gently on gauze with firm direct gauze pressure, please call for further instructions.

Swelling

Swelling is a normal occurrence after surgery. To minimize swelling, apply an ice bag or a plastic bag or towel filled with ice on the cheek in the area of surgery. Apply the ice 20 minutes on, 20 minutes off continuously, as much as possible, for the first 24 hours.

Diet

Drink plenty of fluids. Avoid hot liquids or food. Soft creamy food and liquids should be eaten following your surgery. Micromovement of the implants caused by a chewing diet can cause implants to fail. Your dentist will require you to avoid foods that require chewing in the first 2 weeks following implant placement. He will then let you know if it is okay to advance to a soft diet (such as eggs, noodles, tuna/flaky fish, non-chunky soups) while continuing to refrain from any chewing in the area of your dental implant(s) for 2 1/2 to 3 months.

Pain

For minor pain, one or two tablets of Tylenol or Extra Strength Tylenol may be taken every 3-4 hours. For more moderate pain you may choose to take Ibuprofen (Motrin or Advil) in which case you should take one to two 200 mg tablets every 3-4 hours.

For severe pain, take the tablets prescribed as directed. The prescribed pain medicine will make you groggy and will slow down your reflexes. Do not drive an automobile or work around machinery. Avoid alcoholic beverages. You may take Ibuprofen in between doses of the pain medicine prescribed which can aid in pain relief but also works on inflammation. Do not take any additional Tylenol/Acetaminophen when using the prescribed pain medication because it contains Tylenol. Pain or discomfort following surgery should subside more and more every day. Eventually you may find that you can manage your pain with over-the-counter meds only. If pain persists, it may require attention and you should call the office.

Antibiotics

Be sure to take the prescribed antibiotics as directed to help prevent infection. You may want to avoid taking the antibiotic and pain medicine at exactly the same time to avoid stomach upset. Discontinue antibiotic use in the event of a rash or any other unfavorable reaction and contact our office immediately. Take Benadryl/Diphenhydramine according to over-the-counter instructions, which can help if you are experiencing an allergic reaction.

Oral Hygiene

Good oral hygiene is essential to good healing. You should gently brush your teeth the night of surgery. The day after surgery warm salt water rinses (one teaspoon of salt in a cup of warm water) should be used at least 4-5 times a day, especially after meals. Brush your teeth and the healing abutments. Be gentle initially while brushing the surgical areas.

Activity

Keep physical activities to a minimum immediately following surgery. You should plan to rest for at least 2 days following surgery. If you are involved in regular exercise, we recommend that you minimize activity and avoid exercise in the first week following surgery. Raising your heart rate and blood pressure can interfere with your healing. Also, be aware that your normal nourishment intake is reduced.

Wearing Prosthetics

Partial dentures, flippers, or full dentures, should be worn following surgery as directed by your doctor.

Dental Implants in Dallas–Fort Worth metroplex & Garland, TX
Wisdom Tooth Removal in Dallas–Fort Worth metroplex & Garland, TX

Wisdom Tooth Removal

Wisdom tooth removal is a common surgical procedure many teenagers and young adults undergo. Although it’s not the most exciting thing in life, we do everything possible to make treatment as easy, smooth, and painless for our patients so they can heal and get back to doing what they love to do.

Post-Op Instructions

After the Procedure

The removal of impacted teeth is a serious surgical procedure. Post-operative care is very important. Unnecessary pain and complications such as infection and swelling can be minimized if these instructions are followed carefully.

Immediately Following the Procedure

The gauze pad placed over the surgical area should be kept in place for one half hour after leaving our office. After this time, the gauze pad should be removed and discarded.

Vigorous mouth rinsing and/or touching the wound area following surgery should be avoided. This may initiate bleeding by causing the blood clot that has formed to become dislodged.
Take the prescribed pain medications as soon as you have something creamy (such as a milkshake or yogurt) on your stomach. This will usually coincide with the local anesthetic becoming diminished but do not wait until you feel pain.

Restrict your activities the day of surgery and resume normal activity when you feel comfortable.
Place ice packs to the sides of your face where surgery was performed. Refer to the section on swelling for a more thorough explanation.

Bleeding

A certain amount of bleeding is to be expected for up to 24 hours following surgery. Slight bleeding, oozing, or redness in the saliva is not uncommon. Avoid swallowing or spitting blood. Bleeding may be controlled by placing firm direct pressure with a folded gauze pad(s) over the extraction area and biting firmly for 30 minutes. Repeat as necessary. You may need to purchase additional gauze. If bleeding continues, bite on a moistened black tea bag for thirty minutes. The tannic acid in the black tea helps to form a clot by contracting bleeding vessels. To minimize further bleeding, keep your head elevated, do not become excited, and avoid activity/exercise. If bleeding does not subside, call our office for further instructions.

Swelling

The swelling that is normally expected is usually proportional to the surgery involved. Swelling around the mouth, cheeks, eyes, and sides of the face is not uncommon. This is the body’s normal reaction to surgery and eventual repair. The swelling will not become apparent until the day following surgery and will not reach its maximum until 2-3 days post-operatively. However, the swelling may be minimized by the immediate use of ice packs. Two baggies filled with ice, or ice packs, should be applied to the sides of the face where surgery was performed. The ice packs should be left on continuously while you are awake. After 24 hours, ice has no beneficial effect and actually may delay healing. If swelling or jaw stiffness has persisted for several days, there is no cause for alarm. This is a normal reaction to surgery. Twenty-four hours following surgery, the application of warm, moist heat to the sides of the face is beneficial in reducing the size of the swelling and promoting circulation for surgical healing. This swelling comes on quickly but is much slower to resolve.

Pain

For minor pain, one or two tablets of Tylenol or Extra Strength Tylenol may be taken every 3-4 hours. For more moderate pain you may choose to take Ibuprofen (Motrin or Advil) as soon as you are able unless there is a contraindication (such as bleeding disorder, kidney disease or stomach problems). If there are no contraindications you should take one to two 200 mg tablets every 3-4 hours.

For severe pain, take the tablets prescribed as directed. The prescribed pain medicine will make you groggy and will slow down your reflexes. Do not drive an automobile or work around machinery. Avoid alcoholic beverages. If taking Ibuprofen is not contraindicated, you can take it in between doses of the pain medicine prescribed which can enhance pain relief but also works on inflammation. Do not take any additional Tylenol (Acetaminophen) when using the prescribed pain medication because it contains Acetaminophen. Pain or discomfort following surgery should subside more and more every day. Eventually you will find that you can manage your pain with over-the-counter meds only. If pain persists, it may require attention and you should call the office.

Diet

After general anesthetic or IV sedation, only liquids should initially be consumed. Drink from a glass and do not use straws. The sucking motion can cause more bleeding by dislodging the blood clot. You may eat anything soft or creamy but avoid foods that require chewing close to the surgical sites. A high calorie, high protein intake is very important. Our staff can provide suggested diet instructions. Nourishment should be taken regularly. You should prevent dehydration by taking fluids regularly. Your food intake will be limited for the first few days. You should compensate for this by increasing your fluid intake. At least 5-6 glasses of liquid should be taken daily. Try not to miss any meals. You will feel better, have more strength, less discomfort and heal faster if you continue to eat.

CAUTION: If you suddenly sit up or stand from a lying position you may become dizzy. If you are lying down following surgery, make sure you sit up for one minute before standing. Staying well hydrated will help.

Practice Hygiene

No rinsing of any kind should be performed until the day following surgery. The day after surgery you should begin rinsing at least 5-6 times a day, especially after eating, with a teaspoon of salt mixed into one cup of warm water.

Discoloration

In some cases, discoloration of the skin follows swelling. The development of black, blue, green, or yellow discoloration is due to blood spreading beneath the tissues. This is a normal post-operative occurrence, which may occur 2-3 days post-operatively. Moist heat applied to the area may speed up the removal of the discoloration.

Antibiotics

If you have been placed on antibiotics, take the tablets or liquid as directed. Antibiotics will be given to help prevent infection. Discontinue antibiotic use in the event of a rash or any other unfavorable reaction and contact our office immediately. Take Benadryl (Diphenhydramine) according to over-the-counter directions which can help if you are experiencing an allergic reaction. Call the office if you have any questions.

Nausea and Vomiting

In the event of nausea and/or vomiting following surgery, do not take anything by mouth for at least an hour, including the prescribed medicine. You should then sip on “flat” coke, tea, or ginger ale as carbonation is to be avoided. You should sip slowly over a fifteen-minute period. When the nausea subsides you can begin taking soft, creamy solid foods and the prescribed medicine. If nausea or vomiting persists, do not hesitate to contact our office as staying well hydrated is a must.

Other Complications

If numbness of the lip, chin, or tongue occurs there is no cause for alarm. As reviewed in your consultation, this is usually temporary in nature. You should be aware that if your lip or tongue is numb, you could bite it and not feel the sensation. Call the doctor if you have any questions.
Slight elevation of temperature immediately following surgery is not uncommon. If the temperature persists, notify the office. Tylenol or ibuprofen should be taken to reduce the fever.
You should be careful going from the lying down position to standing. You could get light headed from low blood sugar or medications. Before standing up, you should sit for one minute before getting up.

Occasionally, patients may feel hard projections in the mouth with their tongue. They are not roots; they are the bony walls which support the tooth. These projections usually smooth out spontaneously.

If the corners of your mouth are stretched, they may dry out and crack. Your lips should be kept moist with an ointment or moisturizing lip balm.

Sore throats and pain when swallowing are not uncommon. The muscles get swollen. The normal act of swallowing can then become painful. This will subside in 2-3 days. Stiffness (Trismus) of the jaw muscles may cause difficulty in opening your mouth for a few days following surgery. This is a normal post-operative event which will resolve in time.

Extractions

When a tooth is in severe pain, it may be necessary to extract the root of that chewing bone. A variety of reasons, including advanced periodontal disease and irreparable damage, can cause an extraction from your teeth, so you don’t have to live in pain.

Post-Op Instructions

Immediately Following Surgery

Tooth extractions can range from minor to a serious surgical procedure. Regardless, post-operative care is very important. Unnecessary pain and complications such as infection and swelling can be minimized if these instructions are followed carefully.

The gauze pad placed over the surgical area should be kept in place for one half hour after leaving our office. After this time, the gauze pad should be removed and discarded.
Vigorous mouth rinsing and/or touching the wound area following surgery should be avoided. This may initiate bleeding by causing the blood clot that has formed to become dislodged.
Take the prescribed pain medications as soon as you have something creamy (such as a milkshake or yogurt) on your stomach. This will usually coincide with the local anesthetic becoming diminished but do not wait until you feel pain.

Restrict your activities the day of surgery and resume normal activity when you feel comfortable.
Place ice packs to the sides of your face where surgery was performed. Refer to the section on swelling for a more thorough explanation.

Bleeding

A certain amount of bleeding is to be expected for up to 24 hours following surgery. Slight bleeding, oozing, or redness in the saliva is not uncommon. Avoid swallowing or spitting blood. Bleeding may be controlled by placing firm direct pressure with a folded gauze pad(s) over the extraction area and biting firmly for 30 minutes. Repeat as necessary. You may need to purchase additional gauze. If bleeding continues, bite on a moistened black tea bag for thirty minutes. The tannic acid in the black tea helps to form a clot by contracting bleeding vessels. To minimize further bleeding, keep your head elevated, do not become excited, and avoid activity/exercise. If bleeding does not subside, call our office for further instructions.

Swelling

The swelling that is normally expected is usually proportional to the surgery involved. Swelling around the mouth, cheeks, eyes, and sides of the face is not uncommon. This is the body’s normal reaction to surgery and eventual repair. The swelling will usually not become apparent until the day following surgery and will not reach its maximum until 2-3 days post-operatively. However, the swelling may be minimized by the immediate use of ice packs. Two baggies filled with ice, or ice packs, should be applied to the sides of the face where surgery was performed. The ice packs should be left on continuously while you are awake.

After 24 hours, ice has no beneficial effect and actually may delay healing. If swelling or jaw stiffness has persisted for several days, there is no cause for alarm. This is a normal reaction to surgery. Twenty-four hours following surgery, the application of warm, moist heat to the area of the face is beneficial in reducing the size of the swelling and promoting circulation for surgical healing. This swelling comes on quickly but is much slower to resolve.

Pain

For minor pain, one or two tablets of Tylenol or Extra Strength Tylenol may be taken every 3-4 hours. For more moderate pain you may choose to take Ibuprofen (Motrin or Advil) as soon as you are able unless there is a contraindication (such as bleeding disorder, kidney disease or stomach problems). If there are no contraindications you should take one to two 200 mg tablets every 3-4 hours.

For severe pain, take the tablets prescribed as directed. The prescribed pain medicine will make you groggy and will slow down your reflexes. Do not drive an automobile or work around machinery. Avoid alcoholic beverages. If taking Ibuprofen is not contraindicated you can take it in between doses of the pain medicine prescribed which can enhance pain relief but also works on inflammation. Do not take any additional Tylenol (Acetaminophen) when using the prescribed pain medication because it contains Acetaminophen. Pain or discomfort following surgery should subside more and more every day. Eventually you will find that you can manage your pain with over-the-counter meds only. If pain persists, it may require attention and you should call the office.

Diet

After general anesthetic or IV sedation only liquids should initially be consumed. Drink from a glass and do not use straws. The sucking motion can cause more bleeding by dislodging the blood clot. You may eat anything soft or creamy in the initial days following surgery but avoid chewing on the side of the surgical site. A high calorie, high protein intake is very important. Our staff can provide suggested diet instructions. Nourishment should be taken regularly. You should prevent dehydration by taking fluids regularly. Your food intake will be limited for the first few days. You should compensate for this by increasing your fluid intake. At least 5-6 glasses of liquid should be taken daily. Try not to miss any meals. You will feel better, have more strength, less discomfort and heal faster if you continue to eat.

CAUTION: If you suddenly sit up or stand from a lying position you may become dizzy. If you are lying down following surgery, make sure you sit up for one minute before standing. Staying well hydrated will help.

Practice Hygiene

No rinsing of any kind should be performed until the day following surgery. The day after surgery you should begin rinsing at least 5-6 times a day, especially after eating, with a teaspoon of salt mixed into one cup of warm water. Avoid the use of mouthwash that contains alcohol but you may use a mixture of baking soda and water to freshen your breath starting as soon as the day after surgery.

Discoloration

In some cases, discoloration of the skin follows swelling. The development of black, blue, green, or yellow discoloration is due to blood spreading beneath the tissues. This is a normal post-operative occurrence, which may occur 2-3 days post-operatively. Moist heat applied to the area may speed up the removal of the discoloration.

Antibiotics

If you have been placed on antibiotics, take the tablets or liquid as directed. Antibiotics will be given to help prevent infection. Discontinue antibiotic use in the event of a rash or any other unfavorable reaction and contact our office immediately. Take Benadryl (Diphenhydramine) according to over-the-counter directions which can help if you are experiencing an allergic reaction. Call the office if you have any questions.

Nausea & Vomiting

In the event of nausea and/or vomiting following surgery, do not take anything by mouth for at least an hour, including the prescribed medicine. You should then sip on “flat” coke, tea, or ginger ale as carbonation is to be avoided. You should sip slowly over a fifteen-minute period. When the nausea subsides you can begin taking soft, creamy solid foods and the prescribed medicine. If nausea or vomiting persists, do not hesitate to contact our office as staying well hydrated is a must.

Other Complications

If numbness of the lip, chin, or tongue occurs there is no cause for alarm. As reviewed in your consultation, this is usually temporary in nature. You should be aware that if your lip or tongue is numb, you could bite it and not feel the sensation. Call Dr. Gliddon if you have any questions.
Slight elevation of temperature immediately following surgery is not uncommon. If the temperature persists, notify the office. Tylenol or ibuprofen should be taken to reduce the fever.
You should be careful going from the lying down position to standing. You could get light headed from low blood sugar or medications. Before standing up, you should sit for one minute before getting up.

Occasionally, patients may feel hard projections in the mouth with their tongue. They are not roots; they are the bony walls which support the tooth. These projections usually smooth out spontaneously.
If the corners of your mouth are stretched, they may dry out and crack. Your lips should be kept moist with an ointment or moisturizing lip balm.

Sore throats and pain when swallowing are not uncommon. The muscles get swollen. The normal act of swallowing can then become painful. This will subside in 2-3 days.
Stiffness (Trismus) of the jaw muscles may cause difficulty in opening your mouth for a few days following surgery. This is a normal post-operative event which will resolve in time.

Extractions in Dallas–Fort Worth metroplex & Garland, TX

Veneers

Veneers can help you achieve a natural-looking smile with the appearance of straight teeth and beautiful color. They provide an easy alternative to cosmetic procedures.

Crowns & Bridges

What is a Dental Crown? A dental crown covers one tooth and restores its size, shape, and color. It can also be used as protection against future damage brought on by decay.

Root Canals

When a tooth is severely infected or broken, it can cause pain and discomfort. Root canal treatment helps eliminate this problem by removing the infection from inside your teeth so that you no longer have to deal with any painful symptoms!

You’ve found your Garland, TX, dentist! Call 972-240-0400 or send us a message to request a dental consultation.

Live Oak Dentistry & Implant Center of Garland
4449 Broadway Blvd, Garland, TX 75043
Reviews

Google

Get In Touch

972-240-0400

garland@liveoakoms.com