Wisdom teeth are the third set of molars and the last adult teeth to erupt into the mouth. Most people have four wisdom teeth, two on the bottom and two on top. Many people do not have enough room for these molars to emerge completely, causing them to become impacted in the gum. Impacted wisdom teeth are difficult to clean, making them more susceptible to decay and disease. Other dental problems caused by impacted wisdom teeth include pain, damage to surrounding teeth, and bite alignment issues. For these reasons, your dentist may recommend having the impacted teeth removed to prevent future problems.
Surgery to extract an impacted wisdom tooth or set of wisdom teeth is usually an outpatient procedure done in your dentist or oral surgeon’s office. If the tooth or surrounding area are deemed to have an infection prior to the procedure, surgery will be delayed, and your dental professional will likely prescribe antibiotics to help heal the area.
On the day of surgery, local anesthesia will be administered to numb the area where the extracted tooth will be removed. Depending on the severity of your case, your dentist or oral surgeon may also utilize a general anesthetic.
Once the anesthesia has taken effect, an incision will be made to open up the gum and any bone blocking the tooth will be removed. Your dentist or surgeon will then separate the tissue connecting the bone to the tooth and extract the tooth. Some teeth are too large to remove in one piece, in which case your surgeon will cut the tooth into smaller pieces to make it easier to remove. Finally, the incision is closed with stitches and packed with gauze to help alleviate bleeding.
Long-term complications from impacted wisdom tooth surgery are rare. To ensure a successful recovery from this or any oral surgery, be sure to follow all aftercare instructions provided by your dentist or oral surgeon.
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Dentures have improved dramatically over the past several years. Whether it’s your first set of dentures or your fifth set, you probably have questions. Below are some commonly asked questions and answers about dentures:
- Will dentures change how I look? Today’s dentures are personalized to your mouth, making their appearance more natural than ever. Dentures also support your cheeks and lips, making you look years younger.
- Will dentures change how I feel? After a period of adjustment, dentures should make you feel more confident than ever.
- Will dentures alter my speech? While speaking may be difficult initially, with practice, your speech should quickly return to normal. Practicing reading and counting out loud will help to speed up the adjustment.
- Will dentures affect how I eat? Eating may take some practice, and you should start with a soft food diet while you adjust to the differences between eating with your natural teeth and dentures. Take small bites and try to chew on both sides of your mouth at the same time. Avoid hard, crunchy or chewy foods that can damage your dentures.
- How do I care for my dentures? Clean dentures daily, brushing immediately after every meal if possible. Use a soft brush and gentle cleanser, taking care to avoid hard abrasives. Be careful when they are out of your mouth not to drop them or clean them on hard surfaces.
- Once I have dentures, will I still need to see the dentist? Regular dental examinations and professional denture cleanings are vital to maintaining your oral health. Have your dentist periodically check the fit of your dentures to ensure they are comfortable and last for as long as possible.
- When will I need to replace my dentures? With care, dentures typically last 5-10 years. Because your mouth continues to change shape as you age and denture teeth wear down, you should have them checked yearly to avoid any significant problems.
Consult with your dental professional about any additional questions or concerns you may have about your future with dentures and your potential for a bright, new smile.
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Dental implants can last a lifetime with proper care. Like natural teeth, dental implants require vigilant oral care to maintain their usefulness and prevent problems. Once the implant has fused to the jaw bone, it is important to follow some general guidelines to ensure the continued success of your dental implant and restoration.
A condition known as peri-implantitis is a common cause of implant failure. This occurs when an accumulation of plaque leads to damage of the tissues and infection of the bone around the implant. While the implant itself is not susceptible to decay, if plaque is not removed with thorough brushing and flossing at least twice per day the resulting periodontal disease can lead to implant failure.
Your dental professional may also recommend the use of additional oral hygiene products such as special brushes or oral irrigation devices to aid in the removal of food debris and plaque around the areas of the implant supported restorations. Your dentist or hygienist can assist in teaching you to utilize these devices to improve your implant care.
Regular dental visits and examinations are vital to detect and prevent any issues that may present problems for your dental implants. Expect to visit your dentist every 3 months for the first year after implant placement, and then every six months for the life of your implants. Your dentist will also provide special care instructions if your implants are being used to support a removable denture. It is important to know how to place and remove the appliance without causing damage to either the denture or your implant.
Avoid applying excessive pressure or eating hard foods that could cause damage to the restoration and implant area. If you suffer from conditions like teeth grinding or clenching, discuss with your dentist the option of being fitted for a night guard to prevent the problems these habits can cause your implants. Taking excellent care of your oral health will help to ensure years of dental implant success.
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When you have a tooth or multiple teeth with extensive damage, your dentist may recommend a crown or bridge to restore your smile. Most of the time these restorations provide complete and successful results, but occasionally problems arise.
Tooth decay:
Good hygiene is imperative after a crown or bridge because plaque can build up in the area where the tooth and crown meet. Your crown can’t decay, but your tooth still can. Follow your dentist’s instructions for proper brushing, flossing, and fluoride use.
Gum disease:
Plaque buildup around a crown can cause gum disease called gingivitis, and if untreated advance to periodontitis.
Chipping or breaking:
Crowns and bridges are susceptible to damage like fracturing or chipping. Many crowns are made of porcelain, which can chip or completely fail. Heavy wear or stress such as teeth grinding can cause this type of damage, as well as an accident like hitting your restoration. Small chips may be repaired with composite filling, but larger damage can mean total replacement.
Incorrect color:
When having your crown or bridge made, you can choose from a selection of colors. However, the whitest shade is not advised because it likely won’t match the rest of your smile or it can look fake. Make sure you consider the color carefully or else you’ll be faced with redoing the restoration if you dislike it.
Falling out:
Several problems can cause your crown to fall out. The core may fail so that the interior portion of your crown is unable to provide a strong base for the restoration. Less likely, the cement can fail so that the crown simply needs stronger adhesion. Or, the post crown can dislodge so that you’ll see a large post sticking out of your crown. If your crown falls out, be sure to save it for your dentist in case it can be reinserted.
In most circumstances, these problems with your crown or bridge do not occur and you can enjoy a long lifespan with your restoration. If you do notice any of these issues, schedule an appointment with your dentist to ensure optimum oral health.
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Traditional braces have long been thought to be the only option available to straighten your teeth and correct your bite issues. Advances in Invisalign aligners now give you a choice, one that might just leave your mouth healthier when all is said and done.
Invisalign aligners are clear plastic trays that are worn for up to twenty-two hours a day. They can be removed while eating and for cleaning. A series of trays is prepared to slowly guide the teeth into proper position over time. When one tray has done its job, the next tray in the series is utilized.
Traditional metal braces are extremely challenging to clean. The brackets and bands trap bacteria and food debris all around the teeth, and in order to prevent gum disease and cavities, wearers must thread floss painstakingly under each wire and floss each tooth one-by-one, threading again and again. Brushing is challenging, too, as brushes wear out very quickly and can’t always reach the difficult areas. Even using a waterpick can’t be fool proof, because if used incorrectly, bacteria and debris are simply pushed further into the gum pocket, causing irritation and leading to infections.
Invisalign allows you to take out your trays so you can brush and floss normally, just as you did before you began your treatment. Trays are rinsed with water and placed back in the mouth. The teeth are clean and the aligner is clean, all in a fraction of the time it would take to clean a mouthful of traditional braces.
Keep your mouth healthier by talking to your orthodontist today to see if Invisalign aligners are right for you and your smile goals.
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If you or a loved one is scheduled to have or has recently had oral surgery, you probably have a lot of questions. Here are some of the most common questions:
- One of my stitches came out after my surgery, should I be worried? Losing a stitch isn’t a problem. In the majority of cases, stitches are put in place during surgery to assist in clot formation and bleeding control. If you have undergone a bone-graft procedure, however, contact your surgeon because you may need to be seen immediately.
- What can I eat after surgery? Immediately following surgery, eat only soft foods of tepid temperature. Avoid very hot or very cold foods. Eat nothing that is crunchy or chewy so you won’t damage the surgical site.
- I am having a lot of pain following my procedure, what should I do? If you have been prescribed pain medication, take it as recommended. If no prescription was given, use over-the-counter medicines containing natural anti-inflammatory properties such as ibuprofen. Stay hydrated by drinking room temperature water and get plenty of rest.
- I had a tooth extracted, how can I tell if I have a dry socket? Dry socket is the result of the loss of the blood clot present in the extraction site. Smoking, using a straw, poor oral hygiene or failure to rest properly following the extraction procedure can lead to this condition. Typically dry socket will present within one week of extraction and is treated with sterile wash and pain-relieving, medicated gauze.
- I had a procedure this morning and am still bleeding. Is that normal? Bleeding following extractions or other surgical procedures is common. If you are bleeding more than normal, bite down on some sterile gauze or a damp teabag for twenty or thirty minutes. Don’t keep removing the gauze to look for blood; that can make the bleeding worse. Call your surgeon if you feel your bleeding is excessive.
Your oral surgeon can answer these questions and more. Don’t hesitate to call the surgeon’s office to get the peace of mind you require to heal comfortably following your procedure.
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