Your “third molars”, which are the molars in the very back that are the last to erupt, usually start to appear during the late teen years. They may not emerge for everyone, but when they do show up they are often problematic. Most people’s jaws don’t have room for them, and sometimes they are impacted and unable to erupt at all. Here are some common symptoms that you can watch for so you’ll know when your wisdom teeth might be the culprit.
The main thing many people notice is pain as their wisdom teeth develop. These teeth in the far back of your mouth, often two upper and two lower teeth, are very unpredictable. Sometimes they erupt sideways or crooked, causing your other teeth to become misaligned or overcrowded. If your wisdom teeth erupt, you might see them poking through your gums and creating an area of tenderness, inflammation, and redness. It can be painful to eat and brush your teeth. When wisdom teeth pain is very bothersome, dentists usually recommend removing them.
You may be one of the lucky people who don’t experience wisdom tooth pain. However, there are a host of other symptoms associated with these teeth. Some of these include:
- Sore throat
- Fever
- Difficulty swallowing
- Facial swelling
- Nausea
- Pus
- Lymph gland swelling
- Inflamed gums
- Bad breath
- Problems chewing and brushing
- Cysts around impacted wisdom teeth
Any of the above symptoms warrant a visit to your dentist. Even if wisdom teeth aren’t the cause, you should find out what’s behind these problems. If your dentist determines that your wisdom teeth are impacted, you will be advised to have them surgically removed usually by an experienced oral surgeon. Wisdom teeth extraction is a common procedure, so you shouldn’t hesitate to follow your dentist’s recommendation to take care of any problems with these teeth. Once you have recovered from this surgery, you will be glad the symptoms are gone and you no longer have to worry about your wisdom teeth.
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If you didn’t have your wisdom teeth out as a young person, you may be wondering about having them out as an adult. Your dentist may have recommended that you prevent future infections, cysts or pain in the jaw due to wisdom teeth that are growing under other teeth – known as impacted teeth. Even a type of tumor has been linked to impacted wisdom teeth.
Impacted teeth result when the wisdom tooth grows up under an existing tooth. Sometimes, adults have wisdom teeth that come in completely straight behind back molars. In rare cases, one or more of these teeth don’t grow at all. An x-ray can reveal the presence of the teeth. Impacted teeth cause problems with existing teeth and must come out.
Because the roots of wisdom teeth typically fully develop near the age of 24, removing them after this time can be more complicated. Roots can entwine with facial nerves, making extraction problematic. It’s recommended that adults receive a CT scan of their jaw, showing the clear positioning of facial nerves and roots, something not shown by x-rays. If the roots of the lower wisdom teeth aren’t touching or wrapped around the alveolar nerve, extraction is still possible.
Adults with wisdom teeth are at higher risk for gum disease. Gum disease has been linked to an increase of pregnancy complication and other health issues. Previously believed only to affect patients in their late 30s, this gum disease is now being shown to affect much younger patients, especially young pregnant women. Growing evidence is also connecting gum disease to inflammation due to chronic infections in the body, leading to an increased risk of diabetes and heart disease.
Talk to your dentist today to see if you should have your wisdom teeth removed. Be honest about any symptoms you’re having, such as pain or pressure, and let the professional evaluate your specific situation.
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One extremely common fear shared by many people is a fear of the dentist. Patients who possess this fear are often anxious and nervous about the sights, sounds and smells of a dentist’s office. Just imagining a routine visit can leave someone shaken and fearful, unable to sleep the nights prior to treatment.
Patients who share this common fear can put off necessary dental work. A fear of pain or needles can lead a patient to tolerate tooth pain or signs of infection in the mouth. If this sounds like you, talk to your dentist about sedation dentistry options.
Many people assume you must be fearful at a phobic level to benefit from sedation dentistry. This isn’t true! Sleeplessness, anxiety and low-level fear can all be helped with some form of sedation dentistry. Oral sedatives can be prescribed to be taken the night prior to a dentist visit, as well as the day of, to ensure a restful night’s sleep and an easy day before treatment.
Sedation dentistry during procedures is very safe, as you are monitored at all times by the dentist. Because of the deep level of relaxation possible utilizing sedation dentistry, more work can be done in a single visit, cutting down on trips to the dental office.
General dentistry procedures such as checkups, regular cleanings and cosmetic treatments can all be performed on a patient being treated with sedation dentistry. For a patient with fear and anxiety, each therapy can be made better with the addition of sedation dentistry.
Over time, with the use of sedation dentistry, some of your fears and anxieties can begin to lessen. Positive experiences can build up mental and emotional trust in the dentist, and patients can find that they need less and less of the sedation to feel comfortable.
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You may think there is nothing to be done if your smile has become unattractive due to tooth damage like chipping, discoloration, or misalignment. However, dentists offer a solution called porcelain veneers that can restore your smile and give you the confidence to show it off.
Made out of durable and natural-looking porcelain, veneers are thin shells that cover the fronts of your teeth so that imperfections are no longer visible. Problems that caused you to hide your teeth in the past will be covered up by these porcelain tops. The process for getting veneers is simple. There is no surgery or anesthesia required. Your dentist will make impressions of your teeth to enable your custom-made veneers to fit perfectly. These will be sent to a laboratory for veneer development, which can take several weeks. Your dentist may need to prepare your teeth by removing a small amount of enamel, and then the veneers will be adhered to the fronts of your teeth with a secure resin.
There are other options for handling various kinds of tooth damage, but veneers may be the simplest and most durable choice. For example, chipped teeth can be improved with dental crowns, but this can be a more invasive procedure. Yellowed teeth can be whitened with various methods, but this is not as permanent as porcelain veneers. Durability is one of the greatest benefits of veneers, because they don’t discolor and are permanently secured to your teeth. If you properly care for them with good oral hygiene, veneers can last a lifetime.
Another major selling point for veneers is that they can exactly replicate natural teeth. Your dentist will have your customized veneers created by matching the color and shape of your face and personal features. Others may not even realize you have them, other than the fact that those who knew you before will notice your beautiful new smile. So if you are unhappy with your current appearance of your teeth and want to quit being embarrassed to smile, porcelain veneers may be just what you need.
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There are a number of reasons that dentists or oral surgeons recommend surgery, but facial injuries are probably the most unexpected and alarming cause. Maxillofacial injury, or facial trauma, refers to any injury to the mouth, jaw, and face. Most of these injuries result from sports, car accidents, job accidents, violence, or an accident at home. Let’s learn about oral surgery resulting from facial trauma.
Broken bones are a common type of serious facial injury. Fractures can occur in the upper or lower jaw, cheekbones, palate, and eye sockets. Injuries in these locations may affect vision and the ability to eat, talk, and breathe. Hospitalization is often required for treatment, which is similar to that for fractures in other parts of the body. The bones must be lined up and held in place to allow time to heal them in the correct position. Because casts are not possible in facial injuries, the surgeon may use wires, screws, or plates to treat fractures. Sometimes healing takes as long as six weeks or more.
Even though some facial injuries are worse than others, all of them should be taken seriously. They affect an important area of the body, so it is recommended to seek treatment from an oral surgeon to make sure you receive optimum care. Even if stitches are all that’s required, it’s best to have them performed by an oral surgeon who can place them exactly as needed to produce the best results.
It’s no surprise that the best solution for facial injuries is to prevent them in the first place. Oral surgeons suggest consistent use of mouth guards, seat belts, and masks and helmets as required. Improvements have been made to safety gear to make these items more comfortable and efficient, so there should be no excuses for not using them to protect yourself and avoid injuries that can lead to oral surgery.
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Sometimes an injury or tooth pain can occur suddenly, and immediate dental care may be required. It’s not always obvious when a problem needs emergency care, but some dental emergencies do need to be treated quickly to avoid infections or permanent damage. Here’s a guide to situations that are usually considered dental emergencies.
- Cracked or broken tooth – contact your dentist immediately. Rinse your mouth with water and hold a cold compress to the affected area until you can get to your dentist’s office.
- Excessive bleeding with lip or tongue bite – clean the area and use a cold compress. Go to the emergency room if the bleeding is severe or won’t stop.
- Jaw injury – if you think you may have broken your jaw, apply a cold pack and immediately to your dentist’s office or the emergency room.
- Knocked out tooth –rinse the root of the lost tooth if it’s dirty. Do not scrub or removed any tissue left on the tooth. Try reinserting the tooth into its socket, but if that isn’t successful, see your dentist right away. Placing the lost tooth in milk may help preserve the tooth until you can get professional help.
- Loose tooth – see your dentist immediately if one of your teeth is loosened. Take over-the-counter pain reliever if needed, and apply a cold compress.
- Lost crown or filling – place the crown or filling in a safe place and contact your dentist. To decrease sensitivity, you may apply clove oil and dental cement available at your drugstore, but only if you’ve gotten approval from your dentist.
- Severe or sudden toothache – rinse your mouth with warm water and gently floss around the tooth. Contact your dentist if your toothache persists.
- Swelling – painful swelling in your mouth may indicate an abscess, which is an infected area of pus that can become serious. See your dentist as soon as possible, and try rinsing your mouth with saltwater in the meantime.
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