Category Archives: Educational

Types of oral surgery

While dental surgery should be the last option in any of the dental treatment plans, certain situations necessitate surgery as the primary treatment. The following are the types of oral surgeries that are required most frequently. 

Surgery for tooth removal

Whether its a wisdom tooth that has deviated from its expected path of eruption or any other tooth that has decayed beyond repair and needs extraction, surgery is required to remove that tooth to prevent damage to adjoining tissues as well as the supporting bone.

Wisdom teeth are the last to pop up in the oral cavity, they may not have enough space to align themselves in line with the others and hence require extraction. Many a time, due to various other factors, wisdom teeth deviate from their path of eruption while still inside the jaw bone and damage the adjacent tooth. Whatever be the cause, once a wisdom tooth poses a risk to other oral structures, it is best to get them removed.

Similarly, a tooth that cannot be salvaged by a root canal due to any unforeseen reason needs to be removed to prevent the spread of disease to adjacent tissues.

Surgery for jaw alignment

Sometimes, orthodontic treatment may call for jaw surgery to align the jaws with each other. Whenever either of the jaws exhibit an abnormal growth pattern, that may hamper the overall health or the basic functions of speech and swallowing, jaw surgery is mandated to balance the growth of both the jaws.

In another case, if there has been an injury to either of the jaws, reconstructive surgery will be required to restore the oral functions of speech and mastication.

Surgery for placement of dental implant

Dental implants require surgery to place the implant post into the jaw bone. Thereafter, it may take up to a month for the post to fuse to the bone. Once the post is fused to the bone, the crown is placed upon it so that it becomes fully functional.

Surgery for biopsy 

If your dentist at Royal Dental Practice feels that the benign tumor in your oral cavity has more to it than it seems i.e if it seems to be cancer in the making, a biopsy will be performed. A small portion of the tumor will be removed and sent for testing. A biopsy is primarily done for the detection of oral cancer in patients who have a preponderance for it.

How can you tell if your tooth is infected?

A tooth infection may not always present itself as painful swelling, it may slowly progress over time and cause tooth loss by doing irreparable damage to your tooth. It may progress from a mere discoloration on the tooth surface to a full-blown dental abscess that may require a root canal or even tooth extraction. Here is a quick guide on how to tell if you have a tooth infection and what to do if you suspect one.

What is a tooth infection?

Any infection is a build-up of bacteria causing tissue damage in the process. A dental infection is, likewise, bacterial contamination of dental tissues such as the pulp that houses the nerves and blood vessels of the tooth. A cavity is caused when the oral bacteria release acids that are a by-product of the decomposition of food that accumulates on the tooth surface. If left untreated, this cavity progresses to infect the inner layers of the tooth and eventually reaches the nerves and blood vessels. 

How is tooth infection different from gum infection?

A tooth infection is seen in the form of tooth decay such as dental caries whereas a gum infection is primarily caused by the plaque that accumulates on the surface of the tooth. However, it is only a dental professional who will decide whether the infection is of the tooth or of the gums since the signs and symptoms of a tooth infection may mimic those of a gum disease.

What causes a tooth infection?

There are many factors that may lead to a tooth infection, some of which are-

– poor oral hygiene- if you compromise with your oral hygiene measures, you will invite a tooth infection

– poor food choices- foods high in sugar such as colas will expedite the tooth decay and cause infection in no time. 

– certain medications- certain medicines decrease the production of saliva thereby causing tooth infection

What are the signs and symptoms of a tooth infection?

Visit your dentist at Royal Dental Practice if you observe any of the below mentioned signs and symptoms-

  1. An intense, throbbing pain that diverges onto the adjoining head and neck areas such as the ears and jaw joint.
  2. An extra-oral or an intra-oral swelling that is tender or non-tender, whether increasing in size or not, needs to be reported to your dentist.
  3. Metallic or foul taste in the mouth.
  4. Foul smell from your mouth.
  5. Painful chewing or difficulty speaking or breathing.
  6. Sensitivity to hot or cold.
  7. Tooth discoloration.
  8. Fever with or without chills, nausea and headache.

What you need to know about dental implants

If you are thinking of getting a dental implant, you are in the right place. Since dental implants require surgery and quite an investment in your oral health, it is wise to know the details about the risks and benefits before you decide to go for it. So, just read on to know more about dental implants.

What is a dental implant?

Dental implants are the most natural replacement possible for a missing tooth. Here are some of the patient testimonials where you won’t be able to tell apart a natural tooth from an implant. A dental implant is a prosthesis that can support a dental crown, a dental bridge, a maxillo-facial prosthesis or stabilize a complete or partial denture. Dental implants are versatile in their use. A dental implant consists of three major components, a post, an abutment, and a crown. The post is predominantly made of titanium metal and is a screw-like structure that acts as the tooth root replacement. The abutment attaches the post to the crown. The crown is a replacement of the lost tooth, is matched in color to the adjacent tooth, and is visible in the oral cavity.

When do you need a dental implant?

Royal Dental Practice will suggest you a dental implant for the following-

– if you have lost a single or multiple teeth and are not willing to get a dental bridge to replace the missing area, since a dental bridge will require reducing the adjacent teeth in size.

– for long span dental bridges when many teeth are missing and a single dental bridge may not be a possibility when missing multiple teeth

– for providing retention and stability to complete dentures

– for supporting a maxillo-facial prosthesis

– for supporting orthodontic devices or in orthodontic treatment

– for substituting cantilever dental bridge i.e. a dental bridge that has teeth for support only on one end of the edentulous space, a dental implant may be the best choice and with a proper treatment planning can hold a cantilever bridge. 

Risks v/s benefits

We will brief you on the various risks that are associated with implant placement surgery. Although rare, surgical complications such as infection at the surgical site, damage to adjacent teeth or tissues such as the nerves and perforation of sinus may occur. However, the benefits of getting a dental implant far outweigh the risks if the procedure is done immaculately by the best dentist in West Hills.

Are you an ideal candidate for a dental implant?

Dr. Roya Shoffet and her team of expert periodontist will perform a comprehensive oral examination including radiographs to assess your bone health and discuss your best possible option to fit your specific need. Also, you may not be the candidate for it if you have bleeding disorders or are medically compromised. Have queries? Book an appointment with us at 818-346-5600 today.

Jawline exercises

How to have a chiseled jaw.

In a society obsessed with perfect looks, it doesn’t come as a surprise when people come to Royal Dental West Hills to seek consultation for a sharp jawline. Though defining a jawline takes time since the facial fat goes away only with exercise and a healthy lifestyle, however, dermal fillers can give instant results. 

Jawline exercises- although the efficacy of jawline exercises for reducing facial fat specifically, has no science-based backing, there are abundant claims and facial exercise programs that guarantee results if you perform certain facial exercises that involve a particular muscle group of your face. You may try exercises like smiling, chin-lifts, neck curls, making a fish face and vowel sounds, chewing gum, kissing the sky, and such to tone your facial muscles. However, it may cause more harm and injury if done without proper consultation. Contact the best dentist in West Hills to get an expert consultation today at Royal Dental West Hills

Healthy lifestyle– it is a general belief that losing fat from your body will automatically enhance your jawline and its even true to an extent. However, to lose fat from the face will require intensive exercises since face fat is hard to melt. Not only a workout but, dietary changes need to be incorporated to make your weight-loss program work. Excessive intake of salt will only cause water retention in the body giving it a puffy appearance and hence a weak jawline. Excessive sugar will only add to the fat content eventually. Therefore, drink plenty of water and cut out the refined carbohydrates from your diet. You start noticing a sharper jawline sooner than later.

Proper grooming- while it may be convenient to let your beard grow freely for a while, investing a small amount of time to groom your beard will go a long way to maintain a chiseled appearance of your jaw.  For men who already have a strong jawline, shaving daily may seem a task but is worth it. You can shape your beard to suit your face shape and make your jawline appear stronger.

Fake a chiseled jawline with make-up- ladies can easily fake a strong jawline by using make-up such as contouring of face. Contouring can be used to define your jawline as well as enhancing your cheekbones to give an overall sharp appearance of the face.

Collagen boosters- with age, the jawline also becomes weak, partly due to loss of collagen which is a protein responsible for keeping your skin plump and full. So, when collagen is lost, your skin sags and so does your jawline. Therefore, collagen-boosting creams and serums can boost collagen production and not only give you a younger-looking skin but also a strong jawline. 

Dermal fillers- dermal fillers are a great way of contouring jawline without resorting to surgery.

Surgery- surgical procedures such as liposuction will remove the fat deposition on the jawline and therefore make it prominent post-surgery.

At Royal Dental West Hills, we have a dedicated team of professionals to take care of all your needs in one place. For queries or consultation, f today and/or also visit our expert Plastic and Reconstructive Surgeon Dr. A. Yaghoubian’s website at .

How to Get Rid of Bad Smell in Between Teeth.

You’ve probably been told by friends that you have bad breath. Or maybe you are conscious of your oral breath, and you are wondering what to do about it.

Bad breath is usually caused by an overgrowth of bacteria between the teeth, on the gums, or the tongue. Thus, this condition can precipitate more severe conditions, such as cavities and gum disease.


A visit to the dentist should help clarify the cause of bad breath. If an underlying health issue causes your condition, the dentist will refer you to your primary care provider. However, if the condition is a purely dental issue, then your dentist will discuss treatment and preventive methods with you.

There are generally two dental issues that might cause bad breath;

  1. A build-up of bacteria on or in between teeth.

Bacteria can sometimes harden and become tartar. In the event you have developed tartar, your dentist will have tools and procedures to etch it out. The dentist will likely suggest a toothpaste with an anti-bacterial agent to kill the bacteria. He/she might also recommend an anti-bacterial mouth rinse.

  • Dental disease

Dental diseases can include gum diseases or cavities. Gum diseases can cause gums to pull away from the teeth and leave pockets which can fill with odor-causing bacteria. Cavities are also opportune spaces for bacteria to grow. In the case of gum diseases, a dentist might refer you to a gum specialist (periodontist). He/she might recommend filling or replacing the bad teeth. In some cases, only a professional cleaning can remove these bacteria.

On the other hand, not all cases of bad breath require professional intervention. There are home remedies and everyday practices that could help you avoid and get rid of bad smell.

Lifestyle and Home Remedies

  • Brush your teeth after you eat.

It is recommended to brush your teeth twice a day. However, if you have bad breath, you might want to brush your teeth after every meal. Make sure to use a fluoride-containing toothpaste at least twice a day, especially after meals.

It might be slightly inconveniencing always to have toothpaste and toothbrush at work. Instead, you can have a small bottle of mouth rinse with you. Most mouth rinses have anti-bacterial properties

  • Floss once or twice a day

Brushing does not always remove all food particles. Flossing is the right way of manually removing food particles that got stuck between the teeth. Just be careful not to injure your gum with the floss.

  • Clean dentures or dental appliances

If you are wearing any kind of dental appliance, bacteria can grow in the spaces between the appliance and the teeth and cause you bad breath. Clean the appliances as frequently and as thoroughly as possible.

  • Adjust your diet

For some people, garlic and onions can cause a bad case of oral odor. If these foods are the culprit, cut them from your diet. Additionally, avoid excessively greasy and sugary foods, as these can cause an overgrowth of bacteria.

  • Avoid dry mouth

Saliva plays a vital role in managing oral bacteria. To keep your mouth moist, drink plenty of water. Avoid tobacco, coffee, soft drinks, or alcohol, as these can lead to a drier mouth. If you have a chronic dry mouth, see a dentist or a physician.

  • Brush your tongue

Your tongue harbors bacteria, so carefully brushing it may reduce odors. Invest in a tongue scraper or a toothbrush with a built-in tongue cleaner.

Other general oral health practices that might help you manage bad breath include, replacing your toothbrush every three to four months, and keep your regular dental appointments. If you are concerned about your oral health, consult with your dentist as soon as possible.

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