Posts for: February, 2014
Permanent tooth loss at any age greatly affects long-term oral health. But because their jaw and facial structures are still developing, it’s particularly consequential for adolescents. Add to that any planned orthodontic treatment, and a little extra care is warranted when a teenager loses a tooth.
The biggest concern is potential bone loss caused by the missing tooth. Because the mouth structures are still developing, bone loss can be especially problematic for any future restorations of missing teeth. One of the best ways to slow or stop bone loss is to surgically insert bone-grafting material at the time of an extraction. Bone grafts act as scaffolds that the body builds natural bone upon; eventually the natural bone completely replaces the graft material.
When it comes to the matter of orthodontics, the treatment plan will be to either close the space so that future tooth replacement isn’t necessary or maintain the space for future tooth replacement. If the choice is the latter, the orthodontist will maintain enough space during installation of the braces for future replacement. In the meantime, the orthodontist can install temporary, color-matched tooth replacements within the braces to cover the gap. After the braces have been removed, artificial crowns may also be incorporated into the retainers for a more natural appearance until receiving a permanent replacement.
The best choice for that permanent replacement is a dental implant, a “stand-alone” system that encourages bone maintenance and doesn’t interfere or impact adjacent teeth. The only real question for adolescents is when to install the implants.
The mouth’s structural development doesn’t conclude until early adulthood: in males around ages 20, and in females typically a year or so earlier. Your dentist will evaluate your adolescent’s growth and development to determine if he or she is ahead or behind the growth curve. Natural teeth grow and develop along with the corresponding bone growth, but implants are artificial devices that don’t “grow” with the natural bone. It’s important, therefore, to postpone an implant installation until the jaw structure has fully developed — if done too early, the implant crown’s length won’t appear to be proportionally right (especially in relation to natural teeth) as the jaw continues to grow.
If you would like more information on dental implants for teenagers, 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 “Dental Implants for Teenagers.”
Singer LeAnn Rimes was forced to cancel a string of performances recently, as a more pressing engagement came up: a late-night meeting with her endodontist. It turned out that the country-pop star needed some emergency dental work performed while she was on tour. But her die-hard fans needn't have felt left out — Rimes faithfully tweeted each stage of her dental treatment.
The trouble began before she was scheduled to play a show in Ohio. “Waiting on the endodontist to meet me and do a nighttime root canal,” she informed her twitter followers. Instead of performing, Rimes was advised to spend the next few days resting after the emergency treatment. “Happy Friday! I'll be spending mine in bed,” she tweeted after the previous evening's procedure. The following Monday, Rimes returned to the dentist's chair for follow-up treatment.
It turned out that the singer had been battling dental pain for months. “I am so disappointed that I can't make it to my fans tonight.” Rimes explained in a statement. “I had wanted to give them the show they deserved and only wish this tooth pain held out a little longer.”
If there's a moral to this story, it's this: If you have tooth pain, don't wait to see a dentist. Call us right away!
A feeling of constant pain and pressure in your mouth is a clear indication that you may need a root canal. Another telltale symptom is sharp pain when you bite down on food, or lingering pain after eating something hot or cold. Not every symptom is as clear-cut, however — the only way to know for sure whether you need treatment is to come in for an evaluation.
Pain in your teeth or gums may be a symptom of a serious condition. Even if the pain goes away temporarily, an underlying infection generally does not. If a treatment such as root canal therapy is needed, the sooner it is obtained, the better you'll feel. And remember, root canal treatment doesn't cause tooth pain — it relieves it!
If you have any concerns about tooth pain, please contact us or schedule an appointment for a consultation. You can learn more in the Dear Doctor magazine articles “I'd Rather Have a Root Canal” and “Signs and Symptoms of a Future Root Canal.”
Periodontal or gum disease is a serious condition that could lead to tooth and bone loss. Unfortunately, you may not even realize you have it — the disease in its early stages can be difficult to detect. If you know what to look for, however, a few signs can tell you something isn’t quite right.
Bleeding gums after brushing, for example, are a likely indication that your gum tissues are inflammed due to an infection caused by bacterial plaque. Coupled with chronic inflammation from the body’s response to the infection, the unhealthy tissues bleed easily.
As the disease progresses, you may also notice changes in your gums’ appearance: redness at the gum line, as well as some slight swelling. Receding gums expose more of the tooth below the enamel crown. As roots become exposed to the oral environment, you’ll begin to notice painful sensitivity to hot or cold. In time, the disease may cause bone loss producing other signs like loose teeth or teeth shifting from their original position.
In some cases, gum disease can cause a painfully acute abscess. This occurs when the bacterial infection becomes isolated in a pocket of space between the teeth and gums. As the body attempts to fight the infection, its defenses are overwhelmed and the abscess becomes painful, swollen and filled with pus.
If you encounter any of these signs, it’s important to take action quickly to minimize the damage and stop the disease’s progress. Our first priority is to remove as much bacterial plaque and calculus as possible and may consider antibacterial and antibiotic treatments. This may take more than one session, but it’s necessary in stopping the disease.
Long-term success, though, will depend on improved oral hygiene (brushing and flossing), regular office cleanings to remove difficult to reach plaque and calculus, and checkups to monitor the condition of your gums. You can also lower the risk of reoccurrence with improvements in diet and life-style (such as quitting smoking). Instituting better hygiene and lifestyle habits, as well as keeping alert to any signs of recurring disease will go a long way in preserving your teeth and overall oral health.
If you would like more information about periodontal disease and its effect on your health, 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 “Warning Signs of Periodontal (Gum) Disease.”
Local anesthesia has emerged over the last half century as one of the most effective tools in dentistry. Its use has literally revolutionized pain control and led to a new description of care known as comfortable dentistry.
The term “local” indicates that the numbing agent is applied only to the area affected by the procedure to temporarily block nerve sensation while the patient remains conscious. Some topical anesthetics are applied to the surface of the lining tissues of the mouth with a cotton swab, adhesive patch or spray to immediately numb the area. While topical anesthetics are sometimes used to increase comfort during teeth cleaning, they’re most often used to block the feeling of the needle prick of an injectable “local” anesthetic. Injectable “local” anesthetics provide a deeper numbing of the teeth, gums and bones.
Along with other calming or sedative techniques, local anesthesia is especially helpful in lowering a patient’s anxiety and stress levels during treatment. It’s a necessity during treatments like decay removal, deep root cleaning, fillings, tooth extractions or gum surgery because the nerve-rich tissues of the mouth are especially sensitive to pain. There are some treatments, however, that don’t call for anesthesia such as enamel removal or shaping (unless the more sensitive dentin below the enamel layers has been exposed).
One common complaint about local anesthesia is the lingering numbness a patient may continue to feel even a few hours after their visit. This inconvenience can be reduced by using different types of anesthetics, and there are now agents that can be applied after a procedure to reverse the effects of an anesthetic.
Local anesthesia benefits both you the patient and your dental professional — you’re more comfortable and less stressful during your visit, and your dentist or hygienist can work more effectively knowing you’re at ease. A pain-free, anxiety-free treatment atmosphere contributes greatly to your long-term dental health.
If you would like more information on the use and benefits of local anesthesia for dental procedures, 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 “Local Anesthesia for Pain-Free Dentistry.”