While minor gum recession can be treated by your dentist with deep cleaning and antibiotics, serious gum recession can only be treated with oral surgery. A loss of bone and gum pockets that are very deep require gum surgery to address the pain and damage left by acute gum recession.
Three treatments are used primarily in the treatment of serious gum recession, in order of invasiveness: pocket depth reduction, regeneration, and soft tissue graft. Pocket depth reduction involves a deep cleaning of the affected area. The periodontist folds the gum tissue back and utilizes tooth scaling and root planing to remove any tartar and plaque built up around the tooth. Once the gum pockets are clean, the surgeon pulls the gum tissue gently around the tooth, eliminating the deep pockets altogether or significantly reducing their depth.
Regeneration utilizes a similar treatment to pocket depth reduction, but it also addresses any bone loss that occurred due to acute gum recession. In this process, a regenerative agent such as graft tissue, membranes or tissue stimulating proteins is added to the affected area. The gum tissue is then tucked into place and stitched down. Over time, the regenerative agent will work to rebuild lost bone and tissue, leaving healthy and thriving tissue behind.
The most common soft tissue graft is taken from the patient’s own mouth, either by removing tissue from the roof of the mouth or from the gum tissue near the affected tooth. The healthy gum tissue is placed in the affected area, over the exposed tooth root, protecting it from infection and damage.
To prevent the need for oral surgery to address your receding gums, have good oral hygiene habits. Brush, floss and see your dentist twice a year for checkups and professional cleanings. Talk to your dentist if you have any other questions about how to reverse or prevent gum recession.
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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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The desire for a beautiful, healthy, natural smile is universal. Dental procedures such as root canal treatments aren’t something people aspire to have, and there are things you can do personally that can reduce your risk of having a root canal procedure.
Prevention is the best step you can take to avoid root canal therapy, and it all begins with you at home. If you didn’t grow up with good oral hygiene habits, now is the time to develop them. This simple step can lead directly to good oral health. Be sure you are brushing your teeth at least twice a day, following each meal if possible, and absolutely before sleeping. If you don’t brush your teeth before bedtime, you’re providing a robust breeding ground for bacteria to grow and degrade your teeth while you’re sleeping. Floss daily to reach the places between teeth and beneath the gum line that brushing can’t reach.
Fluoride in your toothpaste and in mouthwash can keep your tooth enamel strong and durable. Never give fluoridated toothpastes to children under the age of two years and avoid fluoridated mouthwash until the child is more than six years old.
Maintaining a proper diet ensures that your body is receiving all of the nutrients it needs for health, both orally and elsewhere in the body. Chewing crunchy foods like raw vegetables and hard fruits can help keep your teeth bright and clean, scraping away debris while you chew.
If you are a smoker, you should stop immediately. Not only is it a huge factor in your oral health, but also for your overall health. Smoking contributes directly to lung disease, cancer and heart disease, as well as other health issues. Your dentist or doctor can give you excellent advice about quitting.
Stay hydrated by drinking lots of water and avoiding sugared drinks. Rinse your mouth after consuming soda, coffee, tea or a sports drink.
Be sure to see your dentist twice a year for regular check-ups and cleanings, and keep your risk of a root canal treatment low.
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While life can be full of moments that are wonderful, there are days that just naturally stand out: your wedding, your graduation, a very special anniversary or birthday, or a big job interview you’ve always wanted. Many of these events are photographed, and when you look back at those photos in years to come, you naturally want to look your very best. Will you look back on your photos and wonder, could my teeth have looked better? The answer could be yes if your teeth aren’t the best and the brightest they can be.
Teeth are covered in enamel, a strong white coating on top of the internal structures of your tooth. As we age, enamel naturally wears away. Because it cannot be replaced naturally, the enamel thins, and the yellow layer of dentin beneath is exposed. This leads to smiles that are discolored and yellowed, appearing dingy and dim.
The foods we eat affect the brightness of our teeth, and some can begin to stain long-term. Beets, blueberries and blackberries can leave stains, as can tea, coffee, dark soda and red wine. Even soy sauce and balsamic vinegar can discolor your smile. If you have any crown, bridges or veneers, those structures aren’t affected by long-term stains, and can begin to stand out in unattractive contrast to your natural, darkening teeth.
Begin the process for your important day by scheduling an appointment with your dentist. Have your teeth examined and cleaned, and learn what teeth whitening procedures would best benefit your particular smile needs. Don’t wait until the last minute, as some whitening procedures take time to reach optimal effects. Some whitening methods increase the sensitivity of your teeth or surrounding gums. Planning ahead can allow your teeth some time to recover prior to your special event.
After your professional teeth whitening, you’ll be surprised at your self-confidence. Your mood will improve as you face those around you with your best and brightest smile, and everyone you meet will sense it. Love the photos you’ll be taking for years to come, and talk to your dentist today.
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Your third molars, or wisdom teeth, are usually the last to make their appearance in your mouth. Some people don’t even have them break through at all. Whether or not they erupt, they can wreak havoc in your mouth if there isn’t enough room for them. If they become impacted, removal becomes even more important.
Your dentist will monitor your wisdom teeth through examinations and X-rays, and will recommend extraction if it appears they may cause any complications. Some dentists suggest removing them even if they aren’t impacted, as they can be difficult to clean and therefore prone to decay. Wisdom teeth may even get infected, requiring immediate medical attention. Symptoms of infected wisdom teeth can include:
- Pain in the tooth and gums
- Gum bleeding
- Gum inflammation
- Swelling in the face and jaw
- Headaches
- Bad breath
If your dentist says you need to have your wisdom teeth extracted, don’t put it off because it is better to have them removed before further complications occur. Usually, you will be referred to an oral surgeon for extraction. If only one tooth is involved, local anesthesia may be sufficient. The removal of multiple wisdom teeth typically requires general anesthesia, and is a day surgery so that you can return home afterwards.
It is important for you to follow your doctor’s instructions after tooth extraction to avoid problems. Your activities might be restricted for the first day or two, ice or heat can be helpful, and care should be taken if stitches are present. You will also be given a list of foods that are suggested during your recovery. If you follow all of your doctor’s advice, you can be expect to return to your normal activities soon and no longer have to worry about any problems those teeth might cause.
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Oral surgery to correct problems with the jaw is known as orthognathic surgery. Jaw issues can result from birth defects, changes due to growth, or injury or trauma to the face. While orthodontics can correct bite problems when only the teeth are involved, oral surgery may be required when repositioning of the jaw is necessary to correct the issue. If you suffer from any of the following concerns, orthognathic surgery may be a consideration:
- Difficulty chewing, biting or swallowing
- Problems with opening and closing your mouth, or with speaking
- Persistent jaw or temporomandibular joint pain
- Clenching or grinding of teeth causing excessive wear to the teeth
- Inability to make the lips meet without straining
- Un-proportional facial appearance or protruding jaw
- Malocclusion, open, or incorrect bite
- Recessive lower jaw and chin
- Sleep apnea and breathing problems
Most jaw surgeries are performed completely in the mouth, so no facial scars are visible. The oral surgeon makes cuts in the jawbone and then moves them to the correct position. Once the jaw is correctly aligned, screws and bone plates are placed to secure the jaw into the new position. Sometimes it may be necessary to add extra bone to the jaw from your hip, leg, or rib.
Orthognathic surgery is performed by an oral and maxillofacial surgeon usually in a hospital setting. Recovery time from jaw surgery takes three to six weeks. Your general or family dentist should be able to refer you to a skilled oral surgeon for a consultation and examination to determine a treatment plan. Jaw surgery can improve not only your facial appearance, but also chewing, speaking and breathing functions.
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