Prioritizing Our Patients' Health & Safety 

Dear patients,

We hope this letter finds you and your family in good health. Our community has been through a lot over the last few months, and all of us are looking forward to resuming our normal habits and routines. While many things have changed, one thing has remained the same: our commitment to your safety.
 
Infection control has always been a top priority for our practice and you may have seen this during your visits to our office. Our infection control processes are made so that when you receive care, it’s both safe and comfortable. We want to tell you about the infection control procedures we follow in our practice to keep patients and staff safe.
 
Our office follows infection control recommendations made by the American Dental Association (ADA), the U.S. Centers for Disease Control and Prevention (CDC) and the Occupational Safety and Health Administration (OSHA). We follow the activities of these agencies so that we are up-to-date on any new rulings or guidance that may be issued. We do this to make sure that our infection control procedures are current and adhere to each agencies’ recommendations.
 
You may see some changes when it is time for your next appointment. We made these changes to help protect our patients and staff. For example:
 
• If you are sick or concerned you might be sick, please cancel your appointment. You will not be penalized in any way for the cancellation, even at the last minute.
 
• Our office will communicate with you beforehand to ask some screening questions. When you get to the office, you are asked to remain in your car and call our office number 972-412-5064. A staff member will come out to you and you will be asked those same screening questions again and have your temperature taken before entering the office.
 
• If you are a new patient, we would really appreciate you using the online patient portal to fill out paperwork prior to your appointment.
 
• We will ask you to immediately wash your hands with soap and water when you enter the office.
 
• You may see that our waiting room will no longer offer magazines, children’s toys and so forth, since those items are difficult to clean and disinfect. There will also be very few chairs present to avoid crowds in the waiting room. Computers will have disposable covers and counter tops, door handles, waiting room chairs and surfaces will be disinfected with increased frequency.
 
• Appointments will be managed to allow for social distancing between patients. That might mean that you’re offered fewer options for scheduling your appointment. We will also ask that only the patient, and in necessary cases a legal guardian, enter the office. Older children and adults are requested to experience their appointments alone while family members remain in the car and/or waiting room.
 
• We will do our best to allow greater time between patients to reduce waiting times for you, as well as to reduce the number of patients in the reception area at any one time.
 
We look forward to seeing you again and are happy to answer any questions you may have about the steps we take to keep you, and every patient, safe in our practice. To make an appointment, please call our office at 972-412-5064 or visit our website at www.mymouthdental.com.  
 
Thank you for being our patient. We value your trust and loyalty and look forward to welcoming back our patients, neighbors and friends.
 
Sincerely,
Dr. Ramsey, Dr. Montoya and Team

Socket Preservation

Socket preservation, also known as alveolar ridge preservation, is a common dental procedure designed to preserve the empty space left following an extraction. After a tooth has been removed, the bone that supported the tooth will eventually resorb, or deteriorate. In pronounced cases, this can lead to further tooth loss and visible changes in the cheeks and lips that result in a prematurely aged appearance. The empty space can also cause surrounding teeth to shift out of alignment. Shifting teeth compromise a balanced bite, which can result in the development of temporomandibular joint (TMJ) disorder, teeth grinding, and enamel erosion, fractures, or breakage. The main purposes of socket preservation are to minimize the potential for shifting teeth and to preserve the integrity of the bone tissue for future dental implant placement.

Who Should Undergo Socket Preservation?

Anyone who has a permanent tooth extracted should consider socket preservation. The procedure can preserve healthy bone density and quality, as well as proper dental occlusion. If the patient undergoes dental implant surgery in the future, prerequisite bone grafting will likely not be necessary. Patients who choose a traditional restoration can also benefit. Retaining proper bone mass in the jaw can ensure proper dental function and health, as well as a more youthful appearance.

tooth socket
Socket preservation can protect the health of your jaw and your entire smile following the extraction of a permanent tooth.

Techniques and Procedures

Several techniques and types of grafts can be used during the socket preservation procedure.  To begin, a dentist or specialist will administer local anesthesia. When the procedure is performed in conjunction with an extraction, the area will already be numbed. Once the socket is exposed and cleaned, a membrane will be inserted to isolate the treatment area. This will prevent surrounding tissue from adhering to the site and generating new gum tissue. The barrier also prevents bacteria from spreading to the area, which could cause infection. The membrane may be derived from animal sources, which is then used to make collagen, or it may be made of a synthetic material.

Socket preservation can prevent shifting teeth and further tooth loss, and preserve the integrity of the bone tissue for future dental implant placement. 

Following placement of the membrane, the dentist will insert a bone graft into the socket. There are many graft types, including:

  • Autograft: Bone from the patient’s own body
  • Xenograft: Bone from an animal source
  • Allograft: Donor bone
  • Alloplast: A synthetic material that resembles bone, such as tricalcium phosphate

Lastly, the graft is covered either directly by existing gum tissue, or with a resorbable membrane or protective material. Then the area is sutured closed.

bone grafting
Bone grafting can replace receded jawbone tissue in preparation for dental implants.

Aftercare and Preparing for Restoration

Immediately following tooth extraction and socket preservation, you should avoid brushing the surgical site for at least 24 hours. Cold packs can be applied to the cheek to minimize swelling in the area. You may be provided with prescription medication or advised to use over-the-counter anti-inflammatories to help manage any pain. Before leaving the office, you should receive detailed after-care instructions concerning foods to avoid and other tips.

Reducing the Risk of Dry Socket

After tooth extraction, a blood clot will form at the site which protects the nerve and promotes healing. If the clot becomes displaced by chewing, brushing, suction, or trauma of any kind, a dry socket can develop. To reduce the risk of dry socket, the patient should avoid smoking, drinking from a straw, drinking carbonated beverages, and swishing fluids around the mouth. Apart from a change in the appearance of the surgical site, dry socket can be accompanied by pain, bad breath, and an unpleasant taste in the mouth. If dry socket does occur, contact your dentist immediately.

Implant Placement

As the socket and jaw heal, new bone will regenerate and create a solid foundation for a dental implant. Generally, the dentist will allow at least four months for healing before placing a restoration. In rare instances, an implant may be placed at the same time the socket is preserved. Even a preserved socket will not last indefinitely. Without stimulation from dental roots or an implant, the bone will continue to atrophy. The dentist will usually place the restoration within 12 months of socket preservation for the best possible outcome. Once one or more implants have been placed, the area will typically need to heal for another four to six months before a permanent crown, bridge, or denture can be attached.

Protect and Restore Your Smile

Performed by a skilled dentist or oral surgeon, socket preservation is typically an effective procedure. Although your doctor will always try to save a natural tooth, in some cases, extraction is the best way to restore your oral health. Timely extraction, socket preservation, and implant placement can protect the health and appearance of your smile for years to come. 

My Mouth Dental and My Kidz Mouth Dental office front

My Mouth Dental and My Kidz Mouth Dental

At My Mouth Dental and My Kidz Mouth Dental, we are committed to providing the very highest standard of care for patients of all ages. Drs. José Montoya, Ashley Ramsey, and Neha Khanolkar provide a range of services and are affiliated with:

  • The American Dental Association
  • The American Academy of Pediatric Dentistry
  • The College of Diplomates of the American Board of Pediatric Dentistry

Are you ready to achieve excellent oral health? Reach out to our practice by requesting a consultation online or calling us at (972) 412-5064.

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Rowlett Office

9101 Lakeview Parkway
Suite 200
Rowlett, TX 75088

Open Today 9:00am - 7:00pm

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