John C. Shillingburg, DFW Oral Surgeons

Oral Surgeon

About the Expert

Dr. Shillingburg is trained and credentialed in dentoalveolar surgery, facial cosmetic surgery, dental implant surgery, orthognathic surgery, facial reconstructive oral surgery, and dental anesthesiology. Dr. Shillingburg holds membership with the American Dental Association and is a diplomate of the American Board of Oral and Maxillofacial Surgery and the American Dental Society of Anesthesiology.


Q&A

When is the best time to take out wisdom teeth?

The best time is usually around age 14 to 16, although this can vary. Ultimately, we want to remove wisdom teeth when the crown has formed, but not the roots. That’s because the teeth are smaller and easier to remove. When people put off getting their wisdom teeth removed, roots can end up growing around nerves and into sinuses which can complicate removal.

Why should I see an oral and maxillofacial surgeon?

There could be many reasons. Oral and maxillofacial surgeons are highly trained dental specialists. I completed a four-year residency, and I know how to manage almost any complication. Our office is a true outpatient surgery center, meaning that we are a true operating room, just like a hospital operating room.

Is oral surgery safe?

It’s very safe. I practice in one location. I don’t move around to different facilities carrying my emergency equipment. Flower Mound is my focus. From a safety perspective, it’s beneficial to have everything laid out in each room. We do the same thing day in and day out. We hold ourselves to the highest standards and exceed expectations from the Texas State Board of Dental Examiners.

We have always been diligent about having the cleanest environment. Our sterilization procedures have not changed in light of COVID-19. However, we added fan filter units with HEPA filters. This provides an operating room air quality. It was an expensive undertaking but well worth it.

Am I too old to have a dental implant?

We have people in their 60s and 70s come in and wonder if they are too old to get a dental implant. I tell them that statistically, people are living much longer than they were 10 to 20 years ago. As a result, the odds of someone living into their 90s are high. How well people can chew their food can impact their health long-term. So, no, you’re never too old to have a dental implant.

Once a dental implant integrates, the lifespan is similar to a tooth’s lifespan. If people can maintain bone around their teeth and can keep the implant clean, the implant can last indefinitely. If someone develops any bone-related issue or diabetes, this could impact the implant. As long as you follow up with your general dentist or oral surgeon, the dental implant should last. Patients who get dental implants placed in a surgical facility often get better results, per a recent study in the “Journal of the American Dental Association.” This is largely because when we do a procedure in our office, it’s like having it done in an operating room. Everything is completely sterile.

What are the different types of anesthesia and which one is best?

There are several options, including general anesthesia, IV sedation, nitrous oxide (laughing gas), or local anesthetic. Typically, we recommend IV sedation. Oral surgeons typically use deep sedation where patients are asleep for the entire procedure. 


DFWOralSurgeons.com
(972) 539-1491

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