651-688-8592 | 4151 Knob Drive, Eagan, MN 55122

We Welcome New Patients!

Patient information, Videos and Frequently Asked Questions

We are conveniently located in Eagan, MN. Click here for a map and driving directions.

Office Phone Number
651-688-8592

Office Hours
Monday through Friday
8:00 a.m. to 5:00 p.m.

Patient Registration

You may preregister with our office by filling out our secure online Patient Registration Form. After you have completed the form, please make sure to press the Complete and Send button at the bottom to automatically send us your information. The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it.

First Time Patients

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. Any insurance information is also necessary. Call our office at 651-688-8592 or e-mail us if you have any questions.

Payment Information

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.

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X-rays and Anesthesia

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.

Administration of Anesthesia from AAOMS.org on Vimeo.

Post-Surgical Pain Management

Click here to download and print this information. For information on prescription opioids, click here.

You can expect to be uncomfortable for the next few days, but we will do everything possible to help you manage your pain, and to manage it safely. Keep in mind that not all pain relief is in the form of a pill. Application of ice (20 minutes on, 20 minutes off) can be helpful. Quiet relaxation and meditation are effective for pain management, and many online resources describe the basics of these techniques. Expectation of success is the most powerful pain management tool of all. Studies have shown that a strong expectation and hope of successful pain relief causes the brain to release very effective pain relieving chemicals into your bloodstream.

The most effective and safest pills to take for postsurgical dental pain are Advil and Tylenol, taken together, if you are not allergic to or have not been told to avoid these over-the-counter (OTC) medications. Ibuprofen— Advil—can be taken along with acetaminophen—Tylenol—by taking them together at the same time or by staggering the starting doses. If they are staggered, Advil should be taken first (400mg, or two of the OTC tablets), followed two hours later with Tylenol (either one 325mg regular strength or one 500mg extra strength), followed two hours later with 400mg of Advil. Continue with this schedule by the clock for the day of surgery, up to and including bedtime; then as needed. In this way Advil and Tylenol are each taken at four hour intervals, but there are only two hours between a dose of one or the other. This can increase the placebo effect, which is very real in helping to control pain. If Advil and Tylenol are taken together at the same time, the above dosing amounts may still be followed. Aleve (naproxen), taken as directed on the bottle, may be substituted for Advil.

Double-blind studies routinely show that the nonsteroidal anti-inflammatory drugs, such as Advil and Aleve, taken along with Tylenol, are as good as or better than the opioid pain medications at controlling postsurgical dental pain, with risks significantly lower than with the opioids. We are especially concerned about these risks for the adolescent and young adult population. Their still-developing brains are especially vulnerable to permanent changes in brain chemistry that opioid medications may cause, which can prime the brain for future substance misuse and addiction. Recent data showed a 33% higher incidence of misusing opioid pain pills during the college-age years for children who took legitimately prescribed opioid pain pills before finishing high school.

The risk for addiction is always present when taking opioids, and we cannot predict who is most likely to develop a problem with misuse, abuse, or addiction. This can start from a single prescription. Eighty per cent of new heroin users started with opioid pain pills, and most of those pills were first prescribed for legitimate medical reasons. Opioid addiction is cutting across all socioeconomic and demographic backgrounds, including right here in the suburbs and cities of St. Paul and Minneapolis. We acknowledge the opioid crisis, and are committed to providing the information necessary for you to make informed decisions about your health.

PRESCRIPTION OPIOID PAIN MEDICATION

Not everyone responds well to or is able to tolerate the over-the-counter (OTC) nonsteroidal anti-inflammatory pain medications, such as ibuprofen (Advil) or Aleve. If pain is severe and unremitting while using Advil or Aleve, along with Tylenol, ice, and relaxation, a prescription pain medication may be helpful. Before considering an opioid (narcotic) pain medication, it is very important for you to read and understand the following information:

Side effects of opioid pain medications:

  • Potential for misuse and addiction
  • Slowing or stopping your breathing
  • Dizziness and light-headedness
  • Faintness or sleepiness
  • Nausea or vomiting
  • Constipation

Opioid medications are addictive. Usually, patients do not become addicted to opioids if used as prescribed and taken for a short period of time. However, people respond to medications in different ways, and on rare occasion abuse and addiction are triggered by a single legitimate prescription. It is important to understand the very real risk of addiction.

If you take an opioid prescription medication that contains Tylenol: Do not take any other Tylenol or Tylenol- containing medication, but continue to take 400mg of ibuprofen—Advil—every four hours.

You must not drink alcohol with an opioid pain medication. This can slow down your breathing, or stop it altogether.

Do not drive when taking an opioid medication. If you are driving and are stopped while taking a prescription opioid pain medication, you may be charged with a DUI.

Do not run machinery or other heavy equipment when taking an opioid medication. You may have difficulty thinking clearly, or you may not be able to respond quickly when taking an opioid medication, which could place you or others around you, in danger.

Store opioid medications in a locked cabinet, drawer or lockbox. Because of their potential for addiction and misuse, opioids should be kept away from anyone not prescribed and should not be shared with anyone.

Dispose of opioid medications properly if you have any leftover tablets. For disposal information, one source is www.dakotacountysheriff.org, in the “Services” drop down box.

Please keep this information until all opioid medication is either used up or disposed of properly.

Contact our office if you have reviewed this information and feel you may benefit from a prescription opioid pain medication.

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.

Prescription Opioids in Adolescence
Prescription Opioid Abstract

Contact our office if you have reviewed this information and feel you may benefit from a prescription opioid pain medication.

For emergencies, the office number (651-688-8592) is answered 24 hours a day with instructions for contacting Dr. Florine.

What Sets Us Apart

dr florine imageGoing 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.

Frequently Asked Questions

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 Implant Surgery from AAOMS.org on Vimeo.

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.

 

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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.

Wisdom Teeth Management from AAOMS.org on Vimeo.

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third molar caries

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.

ludwig's angina

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

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 developing

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 dentigerous cyst 2

Dentigerous cyst (1 of 5)     Dentigerous cyst (2 of 5)

dentigerous cyst 3 dentigerous cyst 4

Dentigerous cyst (3 of 5)  Dentigerous cyst (4 of 5)

dentigerous cyst 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

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.

mandibular nerve xray

Third molar root development around inferior alveolar nerve

third molar roots 1 third molar roots 2