We Welcome New Patients!Patient information, Videos and Frequently Asked Questions
We would be honored to meet your oral surgery needs. No referral from a dentist or physician is necessary. Office hours are by appointment, Monday through Friday. Every effort is made to see emergencies immediately. We pride ourselves in seeing you at your appointed time. Dr. Florine is available for after-hours emergencies, and questions are encouraged at any phase of your treatment.
Our office staff is committed to making your visit as comfortable and stress-free as possible. We are proud of our commitment to excellence and we welcome you to our practice!
A complete medical history is necessary for every patient of record. Please bring all pertinent medical information to your appointment. Download and complete the New Patient Forms (includes registration, medical history and payment agreement) and bring them to your first appointment.
Any insurance information is also necessary. Call our office at 651-688-8592 or e-mail us if you have any questions.
We accept most insurance plans, but please confirm your coverage with us. Most insurance plans pay a portion of your bill. The non-covered co-payment and deductible amount is expected on the day of your procedure. We file claims promptly and we serve as your advocate.
Insurance issues are researched for you so that you have a good understanding of your insurance benefits prior to your procedure whenever possible, and we work as your advocate with the insurance company so that you are given the proper benefits that your premiums are paying for.
We are happy to provide you with a presurgical estimate of fees. Payment is expected on the day of service unless other arrangements have been made in advance. We accept Visa, MasterCard, Discover and American Express. Payment plans can also be arranged. Please talk with our business manager for more details prior to your procedure.
Another option is to finance your healthcare through CareCredit. Click here to learn more.
A panoramic radiograph that shows your full jaw is usually necessary for oral surgery. If your dentist has taken x-rays in the past six to twelve months they may be adequate, but we often need additional films to properly evaluate you and provide care. Digital x-rays taken at Oral Surgery Care expose you to 80% less radiation than conventional radiographs. Digital radiography also eliminates the environmentally hazardous waste products produced by conventional radiograph processing.
If you want to be asleep for your procedure, you must have nothing to eat or drink (not even water) for at least six hours beforehand, and you should not be wearing nail polish. A responsible adult must be with you to drive you home. Please wear short sleeves so that a blood pressure can be taken, and bring a case if you wear contacts. A parent or guardian must accompany children under 18 even if local anesthesia is planned.
Click here to download and print these post op instructions.
Birth Control Pills
Women taking birth control pills should be aware of recent evidence suggesting that any drugs administered or taken (antibiotics, anesthetics, pain medications, etc.) may decrease the effectiveness of birth control pills. As a precaution, additional means of birth control are recommended for the remainder of your current menstrual cycle.
Control of Pain
For the control of pain, take the pain medication as prescribed. The first dose should be taken before the local anesthetic (Novocaine) wears off, which will “keep you ahead” of the pain. If you wait for the local anesthetic to wear off before taking a pain medication, you may have a period of discomfort while waiting for the medication to take effect. If desired, an over-the-counter pain pill, such as Advil or Tylenol, may be substituted for your pain prescription at any time following sugery if you are normally able to tolerate these medications. The anesthetic and prescription drugs that you have been given may cause drowsiness. Do not operate any vehicle or hazardous device or do any activity that requires alertness until the day after surgery, or until you are no longer taking the prescription pain pills, whichever is longer.
If you are sent home with gauze packs over the surgical areas, bite down firmly but gently on them. Do not change them for the first hour unless the bleeding is not controlled. If active bleeding persists, place enough new gauze to obtain pressure directly over the surgical site for another 30 minutes. The gauze may then be changed as necessary. If bleeding persists, the process should be repeated. The bleeding should be slowing down on the night of surgery, but it is not unusual to have a small amount of blood on your pillow the following morning or the taste of blood in your saliva on occasion for a few days.
Bleeding should never be severe. If it is, it usually means that the packs are being clenched between teeth only and not exerting pressure on the surgical areas. Try repositioning the packs. If bleeding persists or becomes heavy you may substitute a tea bag (soaked in hot water, squeezed damp-dry and wrapped in a moist gauze) for 20-30 minutes. If bleeding remains uncontrolled, please call our office.
Diet and Activity
Diet is regulated by the comfort of chewing. Liquids should always be taken freely, but do not suck through a straw for the first 24 hours. If you have a malt, use a spoon. Begin drinking and/or eating as soon as you feel comfortable doing so. Start slowly on the day of surgery with liquids and soft foods and slowly work yourself up to a normal diet, as you fee comfortable doing so. There is less chance of nausea from the pain medication if you have something in your stomach first.
Smoking increases the risk of healing complications and should be avoided for at least one week following surgery.
Strenuous activity should be avoided post-surgically for the first 24 hours. Activity may be slowly increased, as you feel comfortable doing so.
Avoid alcohol until all medications are finished.
Rinsing or Spitting
Rinsing or spitting should be avoided on the day of surgery, and if necessary should be done gently. If you were given a prescription for a mouth rinse (Peridex, Perioguard, or other), rinse gently for the first time before going to bed on the night of surgery, then three times a day for 7-10 days. Excessive rinsing or spitting may cause continued bleeding oozing.
An ice bag may be applied to the face directly over the site of the wound for the first 12 hours following surgery: 20 minutes on, 20 minutes off.
Hard or Sharp Edges
If you feel hard or sharp edges in a surgical area, you are probably feeling the bony walls which once supported an extracted tooth. Small slivers of bone will sometimes work themselves out in the days or weeks following surgery. If they cause concern or discomfort, please call our office.
Children, especially those who have not previously had local anesthetic (Novocaine) should be watched so that they do not bite or chew on their lip while it is numb.
Unless you are told otherwise, if any stitches were placed, they will dissolve and do not need to be removed.
The following are considered normal:
1. Slight and/or intermittent oozing of blood for several hours or overnight.
2. Swelling which follows surgery within the first 24-48 hours. The swelling usually doesn’t peak until 24-48 hours after surgery and can last for a week or more, but should not increase after the first 48 hours.
3. Moderate discomfort that can be controlled by taking the prescribed pain medication or over-the-counter pain medications (Advil, Tylenol, etc.)
4. Bruising of skin on the face on the side of surgery.
5. A slight elevated temperature with the first 24 hours.
6. Mild nausea that clears within a few hours.
The office should be contacted (651-688-8592) for any of the following reasons:
1. Profuse bleeding that cannot be controlled with firm biting pressure on a gauze dressing placed directly on the surgical site.
2. Severe pain that does not begin to improve within 2-3 days following surgery and cannot be controlled with pain medications.
3. Swelling which continues to increase after the first 48 hours following surgery.
4. A markedly elevated temperature.
5. Firmness, swelling or tenderness at the site of the intravenous needle.
6. Numbness in your lip that remains for more than one day.
7. Anything else that does not seem right or concerns you.
For emergencies, the office number (651-688-8592) is answered 24 hours a day with instructions for contacting Dr. Florine.
Click here to download and print these post op instructions.
What sets us apart?
Going to a Board Certified Oral and Maxillofacial Surgeon means that your oral surgeon has completed and passed a rigorous evaluation and testing process pertaining to all aspects of oral and maxillofacial surgery. Dr. Florine is certified as a Diplomate of the American Board of Oral and Maxillofacial Surgery and lectures at local and national dental continuing education meetings on a number of topics. He has over 25 years of oral surgery experience.
Up-to-date surgical equipment and techniques have always been the standard in our office. We were one of the first offices in Minnesota to have introduced digital radiography, which reduces radiation dosage to the patient by approximately 80% and eliminates environmentally hazardous by-products produced by conventional x-ray processing.
Schedule your appointment today: 651-688-8592.
What is oral surgery?
Oral and maxillofacial surgery is the specialty of dental practice that deals with the diagnosis and surgical treatment of diseases, injuries and defects of the mouth, jaws, face and related structures. This includes the removal of impacted and decayed teeth, placement of dental implants, biopsy and removal of cysts and tumors of the mouth and jaws, treatment of facial trauma and reconstructive jaw surgery.
What does maxillofacial mean?
Maxillofacial refers to the face and jaws, which along with the mouth comprise the areas of expertise of an oral and maxillofacial surgeon.
What does it mean to be Board Certified in Oral and Maxillofacial Surgery?
Dr. Florine is a Board Certified Oral Surgeon. This means that he has graduated from an accredited dental school and has completed an oral and maxillofacial surgery residency program approved by the American Dental Association Commission in Dental Accreditation. This required thirteen years of post-high school education and training. The American Board of Oral and Maxillofacial Surgery is recognized by the American Dental Association as the specialty board for oral and maxillofacial surgery. The board is responsible for reviewing all applicants for board certification, as well as administering the examination involved in the certification process. One must pass both a thorough written qualifying examination and a rigorous oral certifying examination to become board certified as a Diplomate of the American Board of Oral and Maxillofacial Surgery. Diplomates are encouraged to maintain current competence by ongoing continuing education.
Schedule your appointment today: 651-688-8592.
Overview of Dental Implants Replacing missing teeth has always been a challenge for dentists, but fortunately we have added another way to replace teeth that offers many advantages over conventional methods. Dental implants allow a missing tooth to be replaced without altering or trimming down neighboring teeth that would serve as anchors for a bridge, or without relying on neighboring teeth that are not strong enough to support a bridge. Partial dentures and full dentures can be supported or retained by implants so that the function of the denture is greatly improved. The problem of a lower full denture that moves around when talking or eating can often be corrected by placing two implants in the lower jaw that hold the denture in place. Once dental implants are placed, the gradual deterioration that takes place in your jawbone where teeth are missing is slowed or eliminated.
Dental implants are titanium fixtures placed in the jaw by an oral surgeon and allowed to heal for 3 – 6 months. The implants are then uncovered and your dentist makes teeth that attach to the implants. We have seen great success with dental implants, although they are not for everyone. Dental implants can fail, especially if they are not cleaned properly. Dr. Florine can determine whether you are a suitable candidate for replacing missing teeth with dental implants by discussing with you your goals and priorities for replacing your teeth, as well as performing an oral examination and taking appropriate radiographs.
What are dental implants? A dental implant is a titanium fixture that is implanted in the jaw. It can replace a single tooth or it can be a support for a bridge or a denture.
Who is a candidate for dental implants? Anyone in reasonable health who wants to replace missing teeth. You must have enough bone in the area of the missing teeth to provide adequate anchorage for the implants. Most people today are potential candidates for dental implants to replace a single missing tooth, small bridges or removable partial and full dentures.
What is the success rate for dental implants? This depends on where the implants are placed and their function, as well as how well they are cleaned at home after they are completed. Most studies show success rates of at least 90%.
Why are dental implants so popular? Implants offer tooth replacements that attach to the jaw and usually have many advantages over methods. They are both functional and esthetic. If you want to replace missing teeth, discuss dental implants with Dr. Florine or your dentist.
Does it hurt to have a dental implant placed? Most people experience minimal discomfort following dental implant placement. Most describe the implant as less painful afterward than having a tooth extracted. The procedure can be done either under local anesthetic or intravenous sedation.
Do I go without my teeth? In most instances, temporary teeth can be worn during the healing period. On occasion, it will be recommended that a patient go without any temporary teeth for a short period of time.
What is digital radiology?
Oral Surgery Care is now utilizing digital radiography, which is an outgrowth of the space industry that reduces radiation to the patient by approximately 80% from conventional radiography. In addition to reduced radiation, digital radiography eliminates the environmentally hazardous waste products typically produced by radiograph processing, such as developer, fixer, film and processor cleaning agents.
How does it work?
In digital radiography, a sensor connected to a computer is used instead of film. This sensor needs approximately 80% less radiation to be properly exposed than does conventional x-ray film, and the image is available immediately on a computer monitor, instead of waiting for film processing. Dr. Florine can enlarge, zoom and colorize the image so that a problem is much easier to both diagnose and to illustrate to you. The images are stored electronically and can instantly be copied or sent by e-mail to an insurance company or to your dentist or another specialist for a second opinion.
What are the benefits?
We feel that this digital technology provides substantial benefits to both you and our staff as well as being more environmentally friendly. Time that used to be wasted in the dark room by our staff can now be spent with you, discussing your care and answering your questions.
Ask us for details about this exciting new development in patient care!
Why are they called Wisdom Teeth?
The last teeth to develop and erupt into the jaws are called the third molars. Third molars usually erupt in the late teen years, which coincides with passage into adulthood and is referred to by some as the age of wisdom; hence “wisdom teeth”. Unfortunately, the wisdom teeth are now usually trying to erupt into a jaw that is too small.
What is the purpose of Wisdom Teeth?
Wisdom teeth used to serve a useful purpose, but are now considered vestigial organs. A vestige is a degenerative or imperfectly formed organ or structure having little or no utility, but in the earlier stage of development of a species performed a useful function. The reasons that wisdom teeth are now “outdated” are many. Until quite recently, our diet included mostly very coarse food, as well as impurities such as dirt and sand. This coarseness would abrade teeth so significantly that they would take up less space in the jaw. Permanent teeth were also frequently lost at an early age, which would create more space in the jaw. Because the diet was so coarse and hard to chew, the jaw itself would develop into a larger bone because of this constant workout. All of these factors would create more space for the wisdom teeth when they came in.
The heavily processed diet of today does not produce the tooth abrasion or jaw development that we used to see. Modern dentistry has pretty much eliminated significant loss of permanent teeth at an early age. This leaves us with too many teeth and not enough jaw. The wisdom teeth still develop as they always have, but they have no where to go. When this happens, the teeth are considered “impacted,” meaning that they are not in normal position and function.
What are impacted Wisdom Teeth?
Besides serving no useful function, the impacted teeth will often cause damage because they cannot be cleaned properly and can collect food debris, bacteria and plaque around them. This can result in tooth decay, gum disease, infection and abscess of not only the wisdom teeth, but of the molars next door and of the surrounding gum tissue. The molars in front of the wisdom teeth are sometimes lost because of cavities and gum disease caused by the inability to clean the wisdom teeth properly. Cyst formation and other destructive pathology are also seen around impacted wisdom teeth.
Third molar caries
Soft tissue inflammation, pain and infection often result from this inability to clean third molars. Pericoronitis, buccal and submandibular space infections can also result, which will sometimes cross the midline to cause a life-threatening Ludwig’s angina.
Third molars can also contribute to caries or periodontal disease of the second molars, and occasionally cause these teeth to be lost.
Second molar caries
Cysts and tumors can also develop around third molars, which can migration of the teeth and massive destruction of bone. These are usually benign odontogenic cysts, such as dentigerous cysts or odontogenic keratocysts, but much more aggressive tumors such as ameloblastomas are occasionally seen.
This example shows the development of a dentigerous cyst in a 45 year-old female over a three-year period.
Dentigerous cyst development
This series of radiographs shows the development of a dentigerous cyst over a ten-year period. Note that the third molar was migrating distally, out of range of the bitewing films. A secondary infection of the cyst caused symptoms that led to a periapical film and panorex of the area in question. This illustrates the destructive nature of benign cysts.
Dentigerous cyst (1 of 5) Dentigerous cyst (2 of 5)
Dentigerous cyst (3 of 5) Dentigerous cyst (4 of 5)
Dentigerous cyst (5 of 5) that developed over a 10-year period.
Third molars can sometimes contribute to mandibular fractures because their sockets can serve as the start of a fracture plane.
Mandibular fracture through third molar socket
Complications associated with the removal of impacted teeth usually increase with age. Younger patients are generally better able to tolerate surgical procedures. Inferior alveolar nerve damage is less likely when the roots of the third molars are not completely formed.
Third molar root development around inferior alveolar nerve