Ali Alijanian, DDS


You may need to undergo tooth extraction surgery for several reasons, including late-stage tooth decay, trauma, and aesthetics. After surgery, you might be tempted to resume your daily activities, but you can’t go back to exercising right away.


as this will increase blood pressure and may cause more bleeding from the extraction site. You may participate in light exercise after 4 days as tooth is extraction may cause you to feel some pain and experience some swelling.


removal, physical activity must be strictly limited for 4 days. Strenuous exercise and work are to be avoided, as is bending over or heavy lifting.


Rest as much as possible following surgery. You will need 4 days after surgery to recuperate.


Most oral surgeons advise patients to avoid physical exertion for the first 4 days after surgery. Exercise can lead to an increase in blood pressure, which can cause the extraction site to bleed. Worst of all, the blood clot that grows in the extraction area after surgery may be dislodged, leading to dry socket.
Stay tuned to find out when it’s appropriate to resume exercising.


Avoid engaging in high-intensity exercises such as running, karate, swimming, and all other intense workouts. Generally, it would be best if you waited 4 days before heading back to the gym.
If you’re taking painkillers or antibiotics, it’s best to wait until your dentist removes them from your prescription, as these come with side effects. Moreover, they can mask the pain from exercise-related injuries, so you may not know if you pull a muscle.

Patients who went through a more complicated extraction that caused significant blood loss and tissue manipulation may need to wait at least a month before exercising. Conversely, those who went through a less severe procedure can ease back into their routine by doing light stretches and yoga after 4 days. Ultimately, you should ask your oral surgeon when it’s safe to start exercising again.


Rest is important following oral surgery and it is recommended for at least two days following the procedure. It is not recommended to engage in physical activity for two to three days after your surgery. Most patients are able to resume normal activities within 48 hours after surgery. Elevating your head with 2-3 pillows while lying down will decrease oozing and swelling. Avoid physical activity or exercise, especially lifting small children, weights, or other heavy objects.


After about the third day, for less involved procedures, you can begin to ease back into your exercise routine. Don’t push yourself too hard. Any pain and/or bleeding means you should stop. After 4 days you can go back to lifting heavier weights, but be wary of clenching your teeth. START SMALL after the first day or so, you should start with low impact activities. Yoga, stretching and lifting light weights are an excellent way to get started. If you feel any pressure or pain, though, you should stop immediately. Pain is your body’s way of telling you that you aren’t fully healed yet.


Once you’ve waited the proper amount of time, you can go back to exercising. However, you should stop if you experience the following:
• The extraction site begins to bleed
• Swelling has increased
• You develop a fever
• Your sutures have come apart
• Difficulty talking or chewing
• Feeling light-headed or dizzy

Call your oral surgeon and visit us immediately should you experience any of these symptoms.


Dry socket is a painful oral condition that may occur after tooth extraction. It happens when the blood clot at the site of the extraction fails to develop, or it dissolves before your wound heals. If you begin to exercise sooner than your doctor advises, you run the risk of developing it.

Blood clots serve as a protective layer over the underlying nerve endings in the empty tooth socket. Additionally, they provide the foundation for the growth of new bone and the development of soft tissue over the clot.

Exposed nerves result in intense pain in the socket and constant radiation on the side of your face. Dry socket can lead to inflammation, and over-the-counter medications aren’t enough to treat the pain. You will have to consult with your oral surgeon for treatment.

While exercise is normally great for your body and your health, you should take a break from your routine while you heal. Going back to exercising too soon can lead to increased bleeding and pain. It can also have a reverse effect and slow the healing process. It may also lead to dry socket, a condition in which the blood clot becomes dislodged and exposes nerves and bone to food particles and bacteria, leading to an infection.


You should take it easy, especially during the first twenty-four hours. The more intensive the surgery, the longer you should wait. Resting allows your body to heal properly.


While you’re healing, you may be recommended to eat soft or liquid foods. Usually, you are taking in less calories, which means less energy to burn. Strenuous exercise requires plenty of energy. If you plan to get back into exercising, make sure that you get plenty of calories from nutritious sources, which will also aid in your healing.

You may be anxious to get back to your normal routine, but you shouldn’t rush healing. Follow your surgeon’s instructions after surgery and you will be back to exercising in no time.

Please contact us if you have any questions regarding your oral health.


How Long Do You Have to Wait to Exercise After Oral Surgery?


Vaping After Oral Surgery – “To Vape Or Not To Vape”

Oral Surgeons like Dr. Alijanian have recently been getting more and more inquiries from patients on VAPING after an oral surgery procedure.

This BLOG is to help you decide whether or not it is safe to vape (or smoke) and the effects of doing so after an oral procedure. (Implants or tooth extraction)

What is Vaping?

Vaping is the act of inhaling the aerosol (vapor) from an e-cigarette or similar device, often called a vape. To create this vapor, vape devices heat up liquid known as e-liquid or e-juice.

  • E-liquid often comes in sweet, pleasant-smelling flavors.
  • The vape industry has little regulation.
  • The dangers of vaping are still being discovered.

Introduced to the market in 2006, vaping products quickly became mainstream by the end of the decade, with about 7 million vapers worldwide, according to market research group Euromonitor International.

Many people embraced these products as a safer, more socially acceptable alternative to traditional cigarettes. As a result, the number of vape users had soared to 35 million by 2016.

By 2021, the number of adults who vape is expected to reach 55 million people — this is not including the millions of underage vapers

Are Vapes Dangerous?

Vaping is not a safe alternative to smoking.

It has been linked to a number of serious injuries and illnesses including:

  • Lung Injuries
  • Seizures
  • Strokes
  • Cardiovascular issues
  • Nicotine addiction
  • Battery explosion injuries
  • Death

The CDC has declared that “e-cigarettes are not safe for youth, young adults, pregnant women, or adults who do not currently use tobacco products.”

Is Vaping Safe For Use After Oral Surgery?

(Implants / Teeth extractions)
Vaping and Dental Surgery

Smoking or Vaping after oral surgery can lead to severe complications.

There are several different types of oral surgery offered at Dr. Ali Alijanian, DDS. This includes wisdom tooth extraction, dental extractions to prepare for dentures, dental implant restoration, and alterations to soft oral tissues.

It is important to understand that certain lifestyle choices and habits might need to be altered during the recovery process. This includes ceasing tobacco use and abstaining from vaping. The heat, tar, and other chemicals that are introduced into your mouth can cause significant irritation to the healing tissues. This can increase recovery time and potentially lead to an infection.

It’s also worth noting that the suction from smoking and vaping can traumatize an incision site, or pull a blood clot loose.

Smoking after a tooth extraction is dangerous for a number of reasons:

  • The heat of the smoke can cause inflammation
  • The chemicals in tobacco can cause gum disease.
  • Nicotine can slow the healing process.
  • The sucking motion of smoking can cause dry socket.

How Does Smoking Cause Dry Socket?

Smoking can cause dry socket because of the suctioning or sucking motion you use to draw smoke from the cigarette. This motion can move the blood clot that forms over the site of the extraction. When the blood clot is gone, the bone underneath the extraction site is exposed, causing severe pain and delaying healing.

As far as dry socket goes, vaping requires the same sucking action as smoking, to draw the smoke from the e-cigarette and into your lungs. That means that you are just as likely to get dry socket from vaping as you are from traditional cigarettes.

Have Further Questions?

Call us with any questions or to schedule an appointment.

Call us: 925-934-7888


When Can I Smoke After Tooth Extraction?

As far as vaping after a tooth extraction, well, the risks are pretty much the same as they are with smoking regular cigarettes. That’s because e-cigarettes and vape pens also can contain nicotine, which reduces the amount of oxygen in the bloodstream, can cause inflammation, harm oral tissues, and can make healing more difficult.

Another aspect that we haven’t mentioned yet, is that vaping and smoking can also cause complications during the actual oral surgery.

How Long After Wisdom Teeth Removal Can I Smoke Cigarettes?

Wisdom tooth removal can be an invasive process and require extra healing. That’s why it’s very important to refrain from smoking for at least 48 hours after the extraction.

How Long Do I Have To Wait To Vape After Tooth Extraction?

The same goes for vaping as for smoking traditional cigarettes. You should ideally wait 48 hours or two full days after tooth extraction before you begin smoking again. Anything less and you severely increase your risk of dry socket and other complications like increased pain, infection, and delayed healing.

How To Smoke after Tooth Extraction?

The answer here is easy: DO NOT DO IT!!!

If you feel that you absolutely need to smoke before the bare minimum of 48 hours (only for minor extractions) has passed since your extraction, then you need to speak to your dentist.

Immediate vaping after tooth removal is not recommended due to a couple of adverse effects. It is best to wait for four days to do so.

Your dentist or oral surgeon will advise you to wait as long as possible after you get your tooth extracted to begin smoking. The minimum time is usually 48 hours, but you should ask your dentist or oral surgeon.

Do your best to get by with nicotine patches and distract yourself with your favorite activities (besides smoking of course!).

If you know you’re going to want to smoke after surgery, you can talk to your dentist about stitching the extraction site shut, which will help keep the blood clot in place.

Can I Smoke After Tooth Extraction With Gauze?

Smoking after tooth extraction with gauze is still not allowed within the first 48 hours after tooth extraction.

However, when you do resume smoking, gauze is essential. Your dentist may advise you to place gauze over the site of extraction to further prevent dry socket

Side Effects of Vaping

A growing body of research suggests that vaping is far more harmful than many people believe. Possible side effects being investigated include nicotine addiction and poisoning, respiratory problems, and cardiovascular issues.

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Do I need to See an Oral Surgeon?

 Do I need to see an Oral Surgeon? 

If your  general dentist refers you to an oral surgeon, it does not necessarily mean you have a challenging case to treat. It simply means there is a specialized surgeon who can better treat your case which requires attention beyond the scope of general dentistry. Oral surgery may be needed for something as common as extraction of wisdom teeth, dental implants, or for the treatment of a tumor or cyst in the jaw.

Your general dentist might also refer you to an oral and maxillofacial surgeon for:

An oral surgeon and an oral and maxillofacial surgeon are one in the same. Oral refers to your mouth, while maxillofacial refers to your jaws and face. An oral and maxillofacial surgeon diagnose, treat, or perform surgery to resolve injuries or issues in the head, neck, face, jaws and hard and soft oral tissues. Oral and maxillofacial surgery is recognized internationally as a surgical specialty.

In fact, to become an oral surgeon, one must earn a four-year graduate degree in dentistry and Oral and Maxillofacial Surgery requires up to 4 years of additional hospital based surgical and anesthesia training after graduating dental school.This program includes specialized training in anesthesia and pain control. Dr. Alijanian is a board certified Oral Surgeon. In addition he is a Diplomate of the National Dental Board of Anesthesiology, and a fellow of the American College of Oral and Maxillofacial Surgeons. As an Oral & Maxillofacial Surgeon, Dr. Alijanian manages a wide variety of problems relating to the teeth, mouth, and facial regions. Dr. Alijanian practices a full scope of oral and maxillofacial surgery and has designed our practice to suit the oral surgery needs of our community. He is on staff at John Muir Medical Center and is an on call doctor that treats trauma patients,performing emergency reconstructive surgery after an accident.


Why do I need to schedule a Consultation Appointment if I was referred to you by my General Dentist?

A commonly asked question among patients is “Why do I need a consultation appointment with the oral surgeon prior to scheduling the procedure if my general dentist has already diagnosed treatment and referred me to him?” Although it seems a little redundant to have a consultation at the specialist when you have already seen your general dentist it is a much more comprehensive approach to patient care. Our goal is to tailor your care to your specific needs and to accommodate you as much as possible without compromising your best interests. That is why  Dr.Alijanian follows the American Association of Oral and Maxillofacial Surgeons (AAOMS) recommendations regarding  appropriate preoperative patient assessments. He believes that it is critical to obtain and document the patient’s medical history and complete an examination in order to ascertain an accurate diagnosis. Once that has been established Dr. Alijanian is better equipped to discuss your treatment options as well as risks and benefits of the chosen treatment. We hope we become your specialist of choice it would be our pleasure to manage your care. Our team is committed to providing every patient with personalized treatment options and exceptional customer service. Please click the link to see what our patients have to share:

5 ImRelated imageportant Questions Addressed at an Oral Surgery consultation: 

  1. What are my treatment options?
  2. How long is the procedure and the recovery?
  3. What type of anesthetic, local or general, will be best for the treatment?
  4. What do I need to do before and after the procedure?
  5. What is the cost of the treatment and will insurance cover the procedure?


We always keep in close communication with your referring doctor, and will coordinate your appointments. We look forward to scheduling a consultation with you.

What is all the hype surrounding All on 4 Treatment

It is very important to understand that this is a treatment that is provided for patients who are either missing all their teeth or are losing all their teeth. The term (All on 4) itself defines teeth that are permanent, meaning retained, and supported by four implants. In comparison to dentures that are removable and supported by the patient’s bone and tissue.

In the past, the solution to complete tooth loss was to offer patients dentures. Some patients do fine with this however, the majority are miserable. The misery may stem from ill-fitting dentures, continued atrophy of the jaws, loss of chewing power, loss of self-esteem, diminished self-confidence, and altered taste.

Dentures are not a physiologic treatment option. With tooth loss, bone loss ensues. When the teeth are present, the internal forces from the roots in the bone cause the bone to remodel and maintain a healthy bone level. When the roots are removed this internal pressure is no longer present (disuse atrophy). Furthermore, the external pressure of the denture over time results in accelerated bone atrophy. This results in altered facial profiles (accelerated aging) and ill-fitting dentures.

Implants address this by replacing the internal pressure in the bone and support a permanent prosthesis. This results in bone retention because the prosthesis is applying forces on to the implants and this results in healthy bone remodeling.

With dentures the patient loses a substantial amount of their chewing power. Studies have shown that a patient will lose up to 90% of functionality wearing a denture. This is very significant. Also, the patient will have a difficult time with certain foods, and, are unable to chew adequately which results in digestive problems. When you have implant supported teeth the patient will regain their full functionality and are able to chew and eat as if they had their natural teeth again.

When you have to remove your teeth at night or, you feel uncomfortable that something is moving in your mouth, or you are regularly getting food caught under a denture, or you are always concerned that the denture may dislodge, this can put a patient in a very uncomfortable position and results in the loss of self-esteem and diminished self-confidence.

The implant retained prosthesis will resolve all these issues giving the patient the self-confidence and self-esteem that results from having the feeling that they have their natural teeth again. This is a huge psychological advantage.

Click here: to listen to actual patients and their thoughts on their All on 4 experiences. Patients that choose All on 4 treatment are able to skip wearing the removable denture and a temporary prosthesis is placed on the implants the same day.

The denture, especially the upper denture, covers a large area in the mouth such as the palate. Some of the taste of our food isfrom the taste buds in our palate so covering it up results in an altered taste. One of the better joys in life is eating and being able to taste the food that we eat.


In conclusion, I hope I have provided information so that the term can be understood and we can draw a comparison to the conventional treatment with dentures. For more information, we invite you to visit our All-on-Four.

What to eat after Oral Surgery


Spring is just around the corner and many patients are preparing to have their wisdom teeth removed over their Spring Break.  As a provider of oral surgery in Walnut Creek, we are asked a lot of questions about dietary restrictions after the procedure. We suggest a soft diet for one week.

First 24 hours

NO STRAW FOR THE FIRST 24 HOURS Refrain from using a straw, because the sucking action can cause excess strain, dislodge the newly formed blood clot and delay your recovery.

Here are some suggestions of foods to try:

§  Smoothies

Drinking a smoothie after oral surgery is an excellent way to make sure that you are getting all of your daily vitamins, minerals and even protein that your body needs for healing. A simple recipe like 1 cup unsweetened almond milk. 1 cup berries (avoid seeds), 1 banana, frozen, 1/2 cup plain Greek yogurt and 2 scoops of Vanilla Protein Powder can really help with hunger and energy level and it doesn’t require any chewing. Check out all kinds of great smoothie recipes by visiting:

§  Snacks

Pudding, Jell-O, applesauce, custard, oatmeal, cream of wheat, yogurt, popsicles, milkshakes, and ice cream are some great options of soft snacks. We suggest buying single servings to make things convenient.

Click the link for a healthy recipe for oatmeal 

Day 2-7

§  Eggs  

Eggs are a great source of high-quality protein, along with iron, vitamins, minerals, and carotenoids. The egg is a powerhouse of disease-fighting nutrients like lutein and zeaxanthin. Any style egg from scrambled to hard boiled eggs is easy to make and chew.



§  Potatoes

Sweet potatoes or mashed are both great options that will surely fill you up. Sweet potatoes are incredibly healthy for you and they are easy to cook, just bake and eat. Mashed potatoes may take a little more time in the kitchen but, are also another great option.


Foods to avoid after surgery:

It is important to remember that avoiding foods that are acidic and foods that could potentially irritate the gums or require significant amounts of force to chew is the key in a prompt recovery. Avoid crunchy and chewy foods like popcorn, nuts, sunflower seeds, rice, or taffy for approximately 4-6 weeks to allow time for the area to completely heal.

Do you have more questions about what you can eat and drink after oral surgery?
Visit our nutrition page for more information or give us a call at Walnut Creek Oral Surgery Office Phone Number 925-934-7888!

Beat the Heat this Summer!

“Summertime and the living’s easy” as the saying goes. School’s out, vacations are taken, and the sun is shining bright in the sky. Sounds like the perfect scenario, but when the temperature hits triple digits, it becomes a different story. We avoid going outdoors, we run the A/C 24/7 and the summer season we were highly anticipating all year long becomes a headache.

We’ve got you covered! Here are some tips to beat the heat this summer!


We can’t emphasize enough how important it is to stay hydrated, but we’re sure you already knew that! During the summer time, your body goes through a higher water loss due to perspiration so it is extra necessary for you to replenish that water. The consensus is that you should drink about 8-10 8oz glasses a day, however that amount can vary based on male or female, age, height and weight, a person’s activity level and even their geographic location.

Not a big fan of plain water? There are plenty of other healthy alternatives!

As mentioned in our last blog, you can always try using water enhancers to add some flavor to your drinks. Another popular plain-water alternative is fruit-infused water, aka spa water. Adding fresh fruit and herbs adds natural vitamins and minerals to water, which in turn increases its nutritional benefits. Additionally, spa water helps flush out toxins in your body and can help you achieve and retain a healthy weight.

Visit our Pinterest page to see some delicious spa water recipes!

Coconut water also does the trick. Packed with potassium, simple sugar, electrolytes, and other minerals, it’s a great low-cal, low-carb alternative to soda and juices. Not only do the natural elements help you rehydrate, but it also helps lower your blood pressure and cholesterol, reduce stress and muscle tension, and assists with weight loss and reducing cellulite. Talk about a win!


Using your stove, oven or microwave can contribute to the heat traveling through your home. In an effort to avoid adding to the already warm temperature, why not try changing it up in the kitchen?

Salads are a great alternative. Not only do salad greens like spinach, kale, butter head and romaine help hydrate you, but there are also so many variations of salads, including the base (greens or grains), toppings and dressings. There are also cold pasta salads, fruit salads, egg salad, potato salad – you name it! And if you wanted to add a little bit of protein to your salad, opt for the great outdoors and grill some chicken, fish or steak to throw on top!

Not a salad eater? Sandwiches and wraps can be just as filling and also come in so many styles, shapes and forms. Sushi makes for a light refreshing dish, and you can’t go wrong with raw veggies or chips with a side of dip!


If you’re still feeling warm and need a little something extra to keep you cool, try a cold compress! The best thing to do is to identify your body’s best cooling points (neck, ankle, behind the knees, forehead, etc) and from there place a cool washcloth, ice pack or even a cold water bottle to the area. In doing this, you will not only cool down your blood’s temperature, but your body’s temperature as well.

If you’re exercising, try wearing a cold bandana around your neck, elbow or wrist – an easy way to stay cool while working on your fitness 🙂


Opt for loose-fitting, cotton or linen material clothing, especially in lighter colors. Wearing dark tight clothing, especially in material such as synthetic fibers will trap the heat and prevent natural cooling. Cotton fibers are breathable and lets air circulate, thus allowing body heat to disperse to the surface and sweat to evaporate.

This also applies to cotton bedding – keep cool with cotton sheets. For added coolness, place your sheet/pillow case in a baggy and put them in the freezer for a couple of hours. It might sound crazy, but try it! You won’t be disappointed!


Have a long to-do list that is just calling your name, but you’re dreading the thought of it because having to work in the heat sounds kind of terrible? Start your grind earlier and rise before the sun!

Come noon, the sun will be at its highest point, and the heat will continue to build (the hottest time of day is around 2 or 3). Depending on how hot your area can get, try to plan your day and maximize the few hours of coolness available to get what you need done. Whether it is chores, exercising or just spending some time outside, the mornings are a great time to capitalize on.


Liezle Lingasin | July 27th, 2017 | Images courtesy of Google Search & Pinterest

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Drinking after Oral Surgery – wisdom teeth & dental implants


Having a tooth extracted or implant placed is an experience no one really looks forward to, especially during the summertime when people are having barbecues, parties and celebrations, all of which typically have alcohol in the mix. A common question we get is how long one should wait to have an alcoholic beverage after having had oral surgery done. It is recommended to wait at least 48 hours before resuming alcohol consumption. After surgery, especially for the first 24 hours, it is advised that you take this opportunity to relax and recover. If you’ve just had an extraction done, especially wisdom teeth, resting will help you develop blood clots thoroughly, allowing the bleeding to stop and preventing dry sockets from occurring.

Additionally, you will more than likely be prescribed pain medications after your oral surgery treatment. This could be in the form of Norco, Percocet, Vicodin, Tylenol with Codeine or ibuprofen. Consuming beer, wine, or spirits while under the influence of pain medications can be very dangerous and can result in liver failure, impaired motor function, dizziness and overdose.

To avoid any problems during the recovery process, whether it be the surgery sites healing properly or your overall well-being, we strongly advise you to deter from drinking alcohol after oral surgery and once you have finished using your pain medications.


Another beverage people ask about post-surgery is coffee – the beloved caffeine beverage many of us consume regularly to get through the week. Luckily for coffee lovers, you are able to have coffee after your surgery, but we advise you to go w/ cold brew for the first 24 hours. We recommend waiting at least 48 hours before consuming it at a hot temperature, but it all depends on how you’re feeling.

Why? As mentioned above, right after any oral surgery involving extractions, the site that was treated will need to clot. Having anything aside from cool foods and beverages the first day will agitate the area and prevent it from healing properly.


Having beverages high in citric acid such as lemonade and orange juice after oral surgery is like squirting lemon juice on an open wound on your hand – NOT FUN. The extraction and implant sites can be irritated and could lead to infection. Definitely avoid consuming these types of drinks for about a week.


You’re probably thinking that you can’t have anything to drink besides water and that oral surgery has taken all the fun out of your summer. Don’t fret! There are plenty of delicious beverage alternatives you can have during your recovery period. Just to name a few:

  • Apple juice
  • Sprite / 7-Up
  • Ginger Ale
  • Smoothies (without fruits that contain a lot of seeds like strawberries and raspberries)
  • Gatorade / Powerade
  • Milk (for more flavor, add chocolate or strawberry syrup)

We recently started using Mio Liquid Water Enhancers in our office to add a little bit of flavor to our water (Crystal Light and Dasani also have a similar product)  and we love it! You can find them at the grocery store in the beverage section (and no, we are not sponsored by them – we’re just a fan of the product).

We Are Here to Help!

Contact us with any questions or to schedule an appointment to reclaim your smile today!

Call us: 925-934-7888


Liezle Lingasin | July 11th, 2017 | Images courtesy of Google Search


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