Posts for: April, 2018
Removing a problem tooth (extraction) is a common dental procedure. But not all extractions are alike — depending on the type of tooth, its location and extenuating circumstances, you may need an oral surgeon to perform it.
Fortunately, that's not always the case. Teeth with straight or cone-shaped roots, like an upper front tooth, have a fairly straight removal path. A general dentist first carefully manipulates the tooth loose from the periodontal ligament fibers that help hold it in place (experienced dentists, in fact, develop a “feel” for this process). Once it's loosened from the fibers it's a simple motion to remove the tooth.
But as mentioned before, a “simple extraction” won't work with every tooth or situation. To find out if it can we'll first need to determine the true shape of the tooth and roots, as well as the condition of the supporting bone. We might find any number of issues during this examination that make a simple extraction problematic.
For example, teeth with multiple roots (especially in back) may have complicated removal paths. If the roots themselves are unhealthy and brittle from previous injury or a root canal treatment, they can fracture into smaller pieces during removal. A tooth could also be impacted — it hasn't fully erupted but remains below the gum surface. It's these types of situations that require surgery to remove the tooth.
During a surgical extraction, the oral surgeon will first numb the area with a local anesthetic, as well as a sedative if you have issues with anxiety. They then perform a surgical procedure appropriate for the situation to remove the tooth. More than likely they'll insert bone grafts before closing the site with stitches to deter bone loss (a common occurrence after losing a tooth).
Afterward, your provider may prescribe antibiotics and an antibacterial mouthrinse to ward off infection. You'll also be given care instructions for the extraction site to keep it clean. Any discomfort should subside in a few days and can be managed effectively with a mild anti-inflammatory drug like ibuprofen or aspirin.
It can be overwhelming having a tooth removed. In your dentist's capable hands, however, the experience will be uneventful.
If you would like more information on tooth extraction, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Simple Tooth Extraction?”
Fans of the legendary rock band Steely Dan received some sad news a few months ago: Co-founder Walter Becker died unexpectedly at the age of 67. The cause of his death was an aggressive form of esophageal cancer. This disease, which is related to oral cancer, may not get as much attention as some others. Yet Becker's name is the latest addition to the list of well-known people whose lives it has cut short—including actor Humphrey Bogart, writer Christopher Hitchens, and TV personality Richard Dawson.
As its name implies, esophageal cancer affects the esophagus: the long, hollow tube that joins the throat to the stomach. Solid and liquid foods taken into the mouth pass through this tube on their way through the digestive system. Worldwide, it is the sixth most common cause of cancer deaths.
Like oral cancer, esophageal cancer generally does not produce obvious symptoms in its early stages. As a result, by the time these diseases are discovered, both types of cancer are most often in their later stages, and often prove difficult to treat successfully. Another similarity is that dentists can play an important role in oral and esophageal cancer detection.
Many people see dentists more often than any other health care professionals—at recommended twice-yearly checkups, for example. During routine examinations, we check the mouth, tongue, neck and throat for possible signs of oral cancer. These may include lumps, swellings, discolorations, and other abnormalities—which, fortunately, are most often harmless. Other symptoms, including persistent coughing or hoarseness, difficulty swallowing, and unexplained weight loss, are common to both oral and esophageal cancer. Chest pain, worsening heartburn or indigestion and gastroesophageal reflux disease (GERD) can also alert us to the possibility of esophageal cancer.
Cancer may be a scary subject—but early detection and treatment can offer many people the best possible outcome. If you have questions about oral or esophageal cancer, call our office or schedule a consultation. You can learn more in the Dear Doctor magazine article “Oral Cancer.”
There are well-known holidays on the calendar this month, but here’s one that might have escaped your notice: “Keep America Beautiful Month,” which is observed throughout April! At this time, people from coast to coast are encouraged to clean and beautify their communities. So why not think of it as an occasion to spiff up your smile? Here are five ways to do exactly that:
Have your teeth professionally cleaned. A routine dental visit, which includes a professional cleaning and exam, is one of the best preventive healthcare values there is. It’s a chance to catch dental problems (including potentially serious ones like oral cancer) before they become more difficult to treat. A dental professional can remove built-up deposits of tartar from your teeth using specialized instruments—something you can’t do at home. Plus, you’ll leave the office with a freshly polished smile that looks and feels great.
Get a professional teeth whitening. Having whiter teeth often makes people look more youthful. And one of the best ways to brighten dull teeth is with professional teeth whitening. You can achieve the fastest, most dramatic results with an in-office treatment—up to ten shades in just one visit! We can also make you a custom take-home kit to achieve similar results over time.
Repair chipped teeth. If you feel self-conscious about a chipped tooth, consider cosmetic bonding. In this relatively inexpensive procedure, which often takes just one office visit, tooth-colored resin material is applied to the chipped area and hardened under a special light. The translucent resin is built up layer by layer, bringing teeth with minor flaws back to a great, natural-looking appearance.
Replace old dental work. Sometimes old dental work can stand out more than we’d like it to. This is especially true of amalgam (silver) fillings—but even white fillings can absorb stain after many years. If you feel old dental work is detracting from your smile, it may be time to replace it with up-to-date dental materials.
Straighten your smile. Did you know that there is no maximum age for successful orthodontic treatment? It’s true: Healthy teeth can be moved at any age. And if you think metal braces wouldn’t fit in with your look or lifestyle, consider one of the less-visible alternatives to traditional orthodontic hardware—such as ceramic braces and clear aligners.
Having the smile you want can make you feel more confident in any month of the year. If you’d like more information on cosmetic dentistry, please contact us or schedule a consultation. You can learn more by reading the Dear Doctor magazine articles “How Your Dentist Can Help You Look Younger” and “Orthodontics for the Older Adult.”
Your teen is about to embark on an orthodontic journey to a straighter, more attractive smile. But although you're excited about the outcome, you both may be steeling yourselves for a few years of "life with braces."
But maybe not—your teen may be able to take advantage of a different kind of corrective appliance: clear aligners. This 21st Century teeth movement method has a number of advantages over braces. For teens, though, there's one big one that could have a huge impact on their social life—clear aligners are nearly invisible to other people.
Clear aligners consist of a series of clear, removable, computer-generated trays based on photographs, models and x-rays of an individual patient's teeth and bite. Each of the trays is slightly different from the previous one in the series, and by wearing each one for about two weeks before moving on to the next, the aligners gradually move the teeth to the desired new positions.
Besides reducing embarrassment often associated with wearing metal braces, clear aligners have other benefits. Unlike braces, they can be removed for eating, easier oral hygiene or for rare special occasions (although for best effectiveness, they should be worn for 20 to 22 hours each day). Recent developments like added elements that help target certain teeth for movement or "power ridges" for more controlled and efficient force have increased the range of bite problems they can be used to correct.
While this means clear aligners can be used for many bite problems, in some severe cases braces and other orthodontic treatments might still be necessary. And because they're not fixed like braces (only the orthodontist can remove them) the patient must have the maturity and self-discipline to wear them consistently.
Your teen will need to undergo a thorough orthodontic examination to see if clear aligners are a viable option for them. If so, it could make the next few treatment years less stressful for both of you.
If you would like more information on clear aligners, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Clear Aligners for Teens: User-Friendly Orthodontics.”